| 1. |
- Cider, Åsa, 1960, et al.
(författare)
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Hydrotherapy--a new approach to improve function in the older patient with chronic heart failure
- 2003
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Ingår i: Eur J Heart Fail. ; 5:4, s. 527-35
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: Hydrotherapy, i.e. exercise in warm water, as a rehabilitation program has been considered potentially dangerous in patients with chronic heart failure (CHF) due to the increased venous return caused by the hydrostatic pressure. However, hydrotherapy has advantages compared to conventional training. We studied the applicability of an exercise programme in a temperature-controlled swimming pool, with specific reference to exercise capacity, muscle function, quality of life and safety. METHODS AND RESULTS: Twenty-five patients with CHF (NYHA II-III, age 72.1+/-6.1) were randomised into either 8 weeks of hydrotherapy (n=15), or into a control group (n=10). The training program was well tolerated with no adverse events. Patients in the hydrotherapy group improved their maximal exercise capacity (+6.5 vs.-5.9 W, P=0.001), isometric endurance in knee extension (+4 vs.-9 s, P=0.01) together with an improvement in the performance of heel-lift (+4 vs. -3 n.o., P=<0.01), shoulder abduction (+12 vs. -8 s, P=0.01) and shoulder flexion (+6 vs. +4, P=0.01) in comparison to patients in the control group. CONCLUSION: Physical training in warm water was well tolerated and seems to improve exercise capacity as well as muscle function in small muscle groups in patients with CHF. This new approach broadens the variety of training regimes for older patients with CHF.
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| 2. |
- Cider, Åsa, 1960, et al.
(författare)
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Rehabilitering vid hjärtkärlsjukdom
- 2006
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Ingår i: ”Rehabiliteringsmedicin, Teori och praktik” Studentlitteratur 2006. - Lund : Studentlitteratur. ; , s. 323-328
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 3. |
- Bäck, Maria, 1978, et al.
(författare)
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Effects of high frequency exercise in patients before and after percutaneous coronary intervention
- 2008
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 7, s. 307-313
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study was to evaluate the effects of high frequency exercise for patients before and after an elective percutaneous coronary intervention (PCI), with special reference to maximal aerobic capacity, muscle function, health related quality of life (HRQoL), waist–hip ratio (WHR) and restenosis. Methods: A randomised, controlled study was performed in Sweden between 2004 and 2006 in thirty-seven patients (five women) with stable coronary artery disease (CAD), age 63.6±6.9 years, randomised to either high frequency exercise or control group. The patients in the training group performed three endurance resistance exercises and trained on a cycle ergometer 30 min, 5 times a week for 8 months at 70% of VO2max. Results: Patients in the training group significantly improved their maximal aerobic capacity (15 (9–46) vs. 8 (0–18)% p≤0.05), shoulder flexion (p≤0.01), shoulder abduction (p≤0.01) and heel-lift (p≤0.05) compared to the control group. There were no significant differences between the groups in HRQoL, WHR and restenosis. Conclusion: High frequency exercise in patients treated with PCI seems to improve maximal aerobic capacity and muscle function, which may reduce the risks of further progression of atherosclerosis. However, further larger studies are needed to fully investigate the effects of exercise in patients with PCI.
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| 4. |
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| 5. |
- Varkey, Emma, et al.
(författare)
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A Study to Evaluate the Feasibility of an Aerobic Exercise Program in Patients With Migraine.
- 2009
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Ingår i: Headache. - : Wiley. - 1526-4610. ; 49:4, s. 563-70
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Tidskriftsartikel (refereegranskat)abstract
- Objectives.- The aim of this study was to develop and evaluate an exercise program to improve maximum oxygen uptake (VO(2 max)) in untrained patients with migraine without making their migraines worse. Patients and methods.- Twenty-six patients were studied at a headache clinic in Sweden. The exercise program, based on indoor cycling, was performed 3 times per week during 12 weeks. VO(2 max), migraine status, side effects, and quality of life were evaluated. Results.- VO(2 max) increased from 32.9 mL/kg/minute to 36.2 mL/kg/minute (P = .044). Quality of life increased and significant improvements in migraine status (attack frequency, symptom intensity, and intake of medicine) were seen. During the 12 weeks of exercise, on one occasion one patient had a migraine attack, which started immediately after training. No other side effects were reported. Conclusions.- The evaluated exercise program was well tolerated by the patients and improved their VO(2 max) with no deterioration of migraine status.
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| 6. |
- Willén, Carin, 1948, et al.
(författare)
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Physical performance in individuals with late effects of polio.
- 1999
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Ingår i: Scandinavian journal of rehabilitation medicine. - 0036-5505. ; 31:4, s. 244-9
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to evaluate physical performance in individuals with late effects of polio; specifically, to evaluate the effects of reduced muscle strength in the lower limbs. Thirty-two individuals seen at the polio clinic at Sahlgrenska University Hospital, Göteborg, Sweden, participated in the study. Each subject performed a bicycle exercise test in which peak oxygen uptake and anaerobic threshold were determined. Muscle strength in the quadriceps and the hamstrings were measured on an isokinetic dynamometer. Reductions in peak workload, peak oxygen uptake and predicted heart rate were seen. The anaerobic threshold was within or slightly lower than normal limits in relation to predicted maximal oxygen uptake, indicating that the cardio-respiratory system was not limiting performance. The muscle testing demonstrated a significantly lower ability to perform muscle actions compared with individuals from a reference group, and strong correlations were found between muscle strength peak VO2 and peak workload, respectively. Adjusted peripheral muscle endurance training might improve the work capacity in those individuals with weak leg muscles and low oxygen uptake, while individuals with relatively good muscle strength would improve their aerobic fitness in a general fitness program.
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