PMID- 38367831
OWN - NLM
STAT- Publisher
LR  - 20240314
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
DP  - 2024 Feb 16
TI  - Effect of Adding Early Bedside Cycling to Inpatient Cardiac Rehabilitation on 
      Physical Function and Length of Stay After Heart Valve Surgery: A Randomized 
      Controlled Trial.
LID - S0003-9993(24)00811-6 [pii]
LID - 10.1016/j.apmr.2024.02.711 [doi]
AB  - OBJECTIVE: To assess whether adding bedside cycling to inpatient cardiac 
      rehabilitation (CR) early after heart valve surgery could lead to better physical 
      function and shorter length of hospital stays. DESIGN: This is a single-centered, 
      randomized, controlled, parallel-group intervention study. SETTINGS: This study 
      was conducted at the National Heart Institute from December 2022 to June 2023. 
      PARTICIPANTS: Thirty-one patients following heart valve surgery completed this 
      study after being randomized into 2 groups: an intervention group (n(1)=16) and 
      an active control group (n(2)=15). Eligibility criteria were heart valve surgery 
      with median sternotomy, clinical stability, and age from 20 to 40 years. 
      INTERVENTIONS: The intervention group received early bedside cycling for the 
      lower limbs, using a mini bike, in addition to an inpatient CR program, and the 
      control group received the inpatient CR program alone. MAIN OUTCOME MEASURE: The 
      primary outcome was the physical functional capacity assessed by the 6-minute 
      walk distance (6MWD). The secondary outcomes were the Barthel Index (BI), the 
      forced vital capacity (FVC), the length of intensive care unit (ICU) stay, the 
      total length of hospital stay, and the physical component summary (PCS) of the 
      12-item Short Form (SF-12) Health Survey. RESULTS: Compared with the control 
      group, the intervention group showed significantly greater 6MWD (P<.001), BI 
      score (P<.001), and FVC (P=.006) at hospital discharge, and shorter ICU stay 
      (P=.002) and total hospital stay (P=.015). At 1-month follow-up, the intervention 
      group showed a non-significantly higher PCS mean score than the control group 
      (P=.057). CONCLUSION: Adding early bedside cycling to a usual inpatient CR 
      program after heart valve surgery could induce significantly greater short-term 
      physical functional capacity as assessed by the 6MWD, better activities of daily 
      living as evaluated by the BI, higher pulmonary function as measured by the FVC, 
      and shorter lengths of ICU and total hospital stays than the usual inpatient CR 
      program alone.
CI  - Copyright (c) 2024 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Ahmad, Ahmad Mahdi
AU  - Ahmad AM
AD  - Department of Physical Therapy for Cardiovascular and Respiratory Disorders, 
      Faculty of Physical Therapy, Cairo University, Giza, Egypt. Electronic address: 
      ahmed.mahdy@pt.cu.edu.eg.
FAU - Abusarea, Salwa Asem
AU  - Abusarea SA
AD  - Department of Physical Therapy for Cardiovascular and Respiratory Disorders, 
      Faculty of Physical Therapy, Cairo University, Giza, Egypt.
FAU - Fouad, Bassem Zarif
AU  - Fouad BZ
AD  - Department of Cardiology, National Heart Institute, Giza, Egypt.
FAU - Guirguis, Sandra Aziz
AU  - Guirguis SA
AD  - Department of Physical Therapy for Cardiovascular and Respiratory Disorders, 
      Faculty of Physical Therapy, Cairo University, Giza, Egypt.
FAU - Shafie, Wael Abdel
AU  - Shafie WA
AD  - Intensive Care Unit, National Heart Institute, Giza, Egypt.
LA  - eng
PT  - Journal Article
DEP - 20240216
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
OTO - NOTNLM
OT  - Activities of daily livings
OT  - Bedside cycling exercise
OT  - Cardiac rehabilitation
OT  - Forced vital capacity
OT  - Health-related quality of life
OT  - Heart valve surgery
OT  - Hospital stay
OT  - ICU stay
OT  - Physical functional capacity
OT  - Six-minute walk distance
EDAT- 2024/02/18 00:42
MHDA- 2024/02/18 00:42
CRDT- 2024/02/17 19:16
PHST- 2023/10/16 00:00 [received]
PHST- 2024/01/16 00:00 [revised]
PHST- 2024/02/02 00:00 [accepted]
PHST- 2024/02/18 00:42 [pubmed]
PHST- 2024/02/18 00:42 [medline]
PHST- 2024/02/17 19:16 [entrez]
AID - S0003-9993(24)00811-6 [pii]
AID - 10.1016/j.apmr.2024.02.711 [doi]
PST - aheadofprint
SO  - Arch Phys Med Rehabil. 2024 Feb 16:S0003-9993(24)00811-6. doi: 
      10.1016/j.apmr.2024.02.711.