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. 2018 Apr;5(2):241-248.
doi: 10.1002/ehf2.12230. Epub 2017 Nov 23.

Peripheral muscle training with resistance exercise bands in patients with chronic heart failure. Long-term effects on walking distance and quality of life; a pilot study

Charlotta Lans  1   2 , Åsa Cider  3   4 , Eva Nylander  2   5 , Lars Brudin  2   6
Affiliations

Peripheral muscle training with resistance exercise bands in patients with chronic heart failure. Long-term effects on walking distance and quality of life; a pilot study

Charlotta Lans et al. ESC Heart Fail. 2018 Apr.

Abstract

Aims: This study aimed to describe a method of peripheral muscle training with resistance bands in patients with chronic heart failure (CHF) and to evaluate its effects on the 6 min walk test and quality of life up to 12 months using a home-based programme.

Methods and results: Twenty-two patients with stable CHF (19 men and 3 women), mean age 63.2 years (SD 8.1), New York Heart Association class II-III were randomized to individual home-based training (HT group), or home-based training with a group-based start-up in a hospital setting (GT group). A 6 min walk test, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and Short Form with 36 items (SF-36) were administered at baseline and after 3, 6, 9, and 12 months. Exercise training resulted in statistically significant increased walking distance in both groups. The HT group increased on average 107 (80) m from baseline to 12 months, and the GT group by 100 (96) m. Health-related quality of life, measured with MLHFQ and SF-36, reached statistically significant improvements in both groups but at different time points. There were no statistically significant differences between groups on any parameters or follow-ups.

Conclusions: Long-term home-based peripheral muscle training in patients with CHF, with or without an introductory period in a hospital setting, can be used for initial improvement and retention of walking distance and health-related quality of life.

Keywords: 6 min walk test; Cardiac rehabilitation; Heart failure; Home rehabilitation; Long time follow-up; Quality of life.

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Figures

Figure 1
Figure 1
Six minute walk test (6MWT). Mean values and 95% confidence interval for 6 min walking distance at baseline (BL) and during the follow‐up period. GT, group‐based training group; HT, home‐based training group. Differences from baseline in each group **P ≤ 0.01, ***P ≤ 0.001.
Figure 2
Figure 2
Quality of life. Physical and emotional/mental dimension of the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and the Short Form with 36 items (SF‐36) at baseline (BL) and during the follow‐up period. Note that the two scales go in opposite directions. Mean and 95% confidence interval. GT, group‐based training group; HT, home‐based training group. Differences from baseline in each group *P ≤ 0.05, **P ≤ 0.01.
Figure 3
Figure 3
Adherence to prescribed exercise. GT, group‐based training group; HT, home‐based training group. Difference from baseline ***P ≤ 0.001 and difference between groups, *P ≤ 0.05.
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References

    1. Piepoli MF, Conraads V, Corra U, Dickstein K, Francis DP, Jaarsma T, McMurray J, Pieske B, Piotrowicz E, Schmid JP, Anker SD, Solal AC, Filippatos GS, Hoes AW, Gielen S, Giannuzzi P, Ponikowski PP. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail 2011; 13: 347–357. - PubMed
    1. McConnell TR. A review to develop an effective exercise training for heart failure patients. Eura Medicophys 2005; 41: 49–56. - PubMed
    1. McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K, Falk V, Filippatos G, Fonseca C, Gomez‐Sanchez MA, Jaarsma T, Kober L, Lip GY, Maggioni AP, Parkhomenko A, Pieske BM, Popescu BA, Ronnevik PK, Rutten FH, Schwitter J, Seferovic P, Stepinska J, Trindade PT, Voors AA, Zannad F, Zeiher A, Bax JJ, Baumgartner H, Ceconi C, Dean V, Deaton C, Fagard R, Funck‐Brentano C, Hasdai D, Hoes A, Kirchhof P, Knuuti J, Kolh P, McDonagh T, Moulin C, Reiner Z, Sechtem U, Sirnes PA, Tendera M, Torbicki A, Vahanian A, Windecker S, Bonet LA, Avraamides P, Ben Lamin HA, Brignole M, Coca A, Cowburn P, Dargie H, Elliott P, Flachskampf FA, Guida GF, Hardman S, Iung B, Merkely B, Mueller C, Nanas JN, Nielsen OW, Orn S, Parissis JT, Ponikowski P. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 2012; 14: 803–869. - PubMed
    1. Pina IL, Apstein CS, Balady GJ, Belardinelli R, Chaitman BR, Duscha BD, Fletcher BJ, Fleg JL, Myers JN, Sullivan MJ. Exercise and heart failure: a statement from the American Heart Association Committee on exercise, rehabilitation, and prevention. Circulation 2003; 107: 1210–1225. - PubMed
    1. Bjarnason‐Wehrens B, McGee H, Zwisler AD, Piepoli MF, Benzer W, Schmid JP, Dendale P, Pogosova NG, Zdrenghea D, Niebauer J, Mendes M. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17: 410–418. - PubMed

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