Hagendijk, M.E. (Marije) (2020) Effects of a preoperative rehabilitation programme on the pre- and postoperative muscle strength of patients undergoing elective open-heart surgery: A randomized control trial. thesis, Human Movement Sciences.
Full text available on request.Abstract
Purpose: Physical deconditioning in the waiting time for patients awaiting elective open-heart surgery is expected to cause lower muscle strength preoperative, which is related to higher complication rates postoperative. This study focuses on the impact of a preoperative cardiac rehabilitation (CR) programme on the pre- and postoperative muscle strength. Methods: Patients accepted for elective open-heart surgery in the University Medical Centre Groningen [UMCG] were included in this single centre randomized control trial. Participants were randomized in either the control group, offered the standard care, or the intervention group, offered a supervised multidisciplinary preoperative CR programme. Data was collected at baseline (T1), preoperative in the week before surgery (T2) and postoperative as soon as the patient met the UMCG discharge criteria (T3). During these measurements the isometric quadriceps strength (Q-force), the functional lower extremity strength (sit-to-stand 10 test) and the grip strength (hand-dynamometer) were measured. Results: Between May 2017 and January 2020, 134 patients were included in the study. Of which 122 were included in the analysis, 64 allocated to the preoperative CR group and 58 allocated to the standard care group. The three-way repeated measures analysis revealed no significant differences of the between-groups factor (p>.05). However, a significant interaction for group over time was found for the left hand grip strength analysis (p=.015), caused by higher preserved postoperative strength in the CR group (p=.048). Conclusions: The implementation of a preoperative multidisciplinary cardiac rehabilitation programme in the healthcare system is supported by the higher preserved left hand grip strength level postoperative for the participants following this programme. However, no between-group effects were found and the waiting time appeared to have limited negative effect on the muscle strength. To be able to explain the conclusions in a more specific sense, per different muscle strengths test, more focus on the daily life activities and training load during the preoperative rehabilitation programme is needed. Keywords: Muscle strength, elective open-heart surgery, isometric quadriceps strength, grip strength, functional lower leg strength, preoperative cardiac rehabilitation.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Keeken, dr. H.G. van and Hartog, J. and Dijkstra, S. |
| Faculty: | Medical Sciences |
| Date Deposited: | 18 May 2022 09:42 |
| Last Modified: | 18 May 2022 09:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3349 |
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