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. 2024 Mar 1;13(5):1445.
doi: 10.3390/jcm13051445.

Evaluating the Effects of an Enhanced Strength Training Program in Remote Cardiological Rehabilitation: A Shift from Aerobic Dominance-A Pilot Randomized Controlled Trial

Irene Nabutovsky  1   2 , Roy Sabah  3 , Merav Moreno  2 , Yoram Epstein  3 , Robert Klempfner  1   2 , Mickey Scheinowitz  4   5   6
Affiliations

Evaluating the Effects of an Enhanced Strength Training Program in Remote Cardiological Rehabilitation: A Shift from Aerobic Dominance-A Pilot Randomized Controlled Trial

Irene Nabutovsky et al. J Clin Med. .

Abstract

(1) Background: Cardiac rehabilitation often emphasizes aerobic capacity while overlooking the importance of muscle strength. This study evaluated the impact of an enhanced remote strength training program (RCR-ST) on cardiac rehabilitation. (2) Methods: In this randomized prospective study (RCT registration number SMC-9080-22), 50 patients starting cardiac rehabilitation were assessed for muscle strength, aerobic capacity, and self-reported outcomes at baseline and after 16 weeks. Participants were divided into two groups: the RCR-ST group received a targeted resistance training program via a mobile app and smartwatch, while the control group received standard care with general resistance training advice. (3) Results: The RCR-ST group demonstrated significant improvements in muscle endurance, notably in leg extension and chest press exercises, with increases of 92% compared to 25% and 92% compared to 13% in the control group, respectively. Functional assessments (5-STS and TUG tests) also showed marked improvements in agility, coordination, and balance. Both groups improved in cardiorespiratory fitness, similarly. The RCR-ST group reported enhanced physical health and showed increased engagement, as evidenced by more frequent use of the mobile app and longer participation in the rehabilitation program (p < 0.05). (4) Conclusions: Incorporating a focused strength training regimen in remote cardiac rehabilitation significantly improves muscle endurance and patient engagement. The RCR-ST program presents a promising approach for optimizing patient outcomes by addressing a crucial gap in traditional rehabilitation protocols that primarily focus on aerobic training.

Keywords: cardiac rehabilitation; muscle endurance; patient engagement; remote health monitoring; resistance training.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure A1
Figure A1
The RCR patients’ mobile application (iOS and Android).
Figure A2
Figure A2
Care management screens of the RCR.
Figure A3
Figure A3
Intervention protocol—resistance training program.
Figure 1
Figure 1
Consort 2010 Flow diagram.
Figure 2
Figure 2
Percentage change in muscle endurance, functional abilities, and patient-reported assessments after a 16-week intervention, * p < 0.001.
See this image and copyright information in PMC

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