Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery

Objectives To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG). Design Randomized controlled trial. Setting In‐hospital CR. Participants Individuals aged 75 and older (n = 173, m...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2012-12, Vol.60 (12), p.2270-2276
Main Authors: Busch, John C., Lillou, Dorothea, Wittig, Godehard, Bartsch, Petra, Willemsen, Detlev, Oldridge, Neil, Bjarnason-Wehrens, Birna
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
cardiac rehabilitation
Coronary Artery Bypass - rehabilitation
Exercise
Exercise Therapy
Female
functional capacity
General aspects
Health Status
Heart surgery
Humans
Male
Medical sciences
Miscellaneous
Muscle Strength
Older people
Physical Fitness
Postural Balance
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Life
RCT
Rehabilitation
Resistance Training
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
very old
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Summary:Objectives To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG). Design Randomized controlled trial. Setting In‐hospital CR. Participants Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days. Intervention Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk). Measurements Six‐minute walk test, cardiopulmonary exercise testing, Timed‐Up‐and‐Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health‐related quality of life (HRQL). Results There were significant improvements (P 
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.12030