Eccentric training in chronic heart failure: feasibility and functional effects. Results of a comparative study

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Serval ID
serval:BIB_C00133E89418
Type
Article: article from journal or magazin.
Collection
Publications
Title
Eccentric training in chronic heart failure: feasibility and functional effects. Results of a comparative study
Journal
Ann Phys Rehabil Med
Author(s)
Besson D., Joussain C., Gremeaux V., Morisset C., Laurent Y., Casillas J. M., Laroche D.
ISSN
1877-0665 (Electronic)
ISSN-L
1877-0657
Publication state
Published
Issued date
02/2013
Volume
56
Number
1
Pages
30-40
Language
english
Notes
Besson, D
Joussain, C
Gremeaux, V
Morisset, C
Laurent, Y
Casillas, J-M
Laroche, D
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
Ann Phys Rehabil Med. 2013 Feb;56(1):30-40. doi: 10.1016/j.rehab.2013.01.003. Epub 2013 Jan 17.
Abstract
OBJECTIVES: To evaluate, in chronic heart failure (CHF) patients, feasibility, safety, compliance and functional improvements of an eccentric (ECC) cycle training protocol personalized by the rate of perceived exertion (RPE; 9-11 Borg Scale), compared to concentric (CON) training at workload corresponding to the first ventilatory threshold. METHODS: Thirty patients were randomly allocated to ECC or CON training (20 sessions). Compliance was evaluated with RPE, visual analog scale for muscle soreness and monitoring of heart rate (HR). Functional parameters were measured by the distance walked and the VO(2) uptake during the 6-minute walk test (6MWT) before and after training. RESULTS: Two patients were excluded due to adverse effects in each group. RPE was 9-11 in ECC training while it reached 12-14 in CON training. HR remained stable in ECC group during exercise whereas it increased during CON exercise. 6MWT distance improved in both group (ECC: +53 m; CON: +33 m). 6MWT VO(2) uptake remained stable in ECC group whereas it increased in CON group. CONCLUSION: ECC training tailored by RPE appears to be an efficient and safe alternative for CHF patients. Indeed, it induces functional improvement similar to conventional CON training with lower demand on the cardiovascular system during exercise.
Keywords
Aged, Aged, 80 and over, Exercise Therapy/*methods, Feasibility Studies, Female, Heart Failure/physiopathology/*rehabilitation, Heart Rate/physiology, Humans, Male, Middle Aged, Oxygen Consumption/physiology, Physical Exertion/physiology
Pubmed
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26/11/2019 12:35
Last modification date
06/05/2020 6:26
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