Effects of Dynamic Exercise and Dynamic Resistance Training in Rehabilitation of Patients after Surgical Coronary Revascularization - - - Efekat Dinamskih vežbi sa opterećenjem na rehabilitaciju bolesnika nakon hirurške revaskularizacije srca
Journal Title: Acta Facultatis Medicae Naissensis - Year 2017, Vol 34, Issue 2
Abstract
Cardiac rehabilitation is an integral part of the complex therapy of cardiac patients. The aim of this study was to determine the effect of dynamic exercise and dynamic resistance training on exertion tolerance, muscle strength of the upper and lower extremities, and respiratory index in patients after surgical coronary revascularization. The study included 84 patients divided into two groups. Both groups of respondents were included in the complex cardiac rehabilitation program of the interval type. In the first group, the patients performed dynamic exercise. The second group of patients received a combination of dynamic exercise and dynamic resistance training. At the end of the rehabilitation treatment, which lasted 21 days, a statistically significant difference in muscle strength of the upper and lower limbs was observed in both groups (p < 0.05); statistically significant difference was found in relation to exertion tolerance in both groups (p < 0.001); a statistically significant difference in duration of exercise stress test was observed in the both groups (p < 0.05); respiratory index values showed statistically significant differences in both groups (p < 0.001). After the rehabilitation treatment, in both groups of patients there were statistically significant diffe-rences in increasing the muscle strength of the upper and lower extremities, exertion tolerance, and respiratory index; however, beneficial effects of physical training were more pronounced in the group of subjects included in the program of resistance exercise for the upper and lower extremities. - - - Kardiovaskularna rehbailitacija predstavlja integralni deo kompleksne terapije kardiovaskularnih bolesnika. Cilj rada bio je da se utvrdi efekat dinamskih vežbi i vežbi sa opterećenjem na toleranciju napora, mišićnu snagu gornjih i donjih ekstremiteta i respiratorni indekskod bolesnika nakon hirurške revaskula-rizacije srca. Istraživanjem su obuhvaćena 84 bolesnika podeljena u dve grupe. Obe grupe ispitanika uključene su u kompleksni program kardiovaskularne rehabilitacije intervalnog tipa. Na kraju rehabilitacionog tretmana, koji je trajao 21 dan, statistički značajna razlika u mišićnoj snazi gornjih i donjih ekstremiteta registrovana je kod obe grupe (p < 0.05); statistički značajna razlika registrovana je u odnosu na toleranciju napora kod obe grupe (p < 0.001); statistički značajna razlika upčena je u trajanju testa fizičkim opterećenjem kod obe grupe (p < 0.05); vrednost respiratornog indeksa pokazala je statistički značajnu razliku kod obe grupe (p < 0.001). Posle rehabilitacionog tretmana, kod obe grupe ispitanika bilo je statistički značajne razlike u povećanju mišićne snage gornjih i donjih ekstremiteta, toleranciji napora i respiratornog indeksa. Povoljni efekti fizičkog treninga bili su izraženiji u grupi ispitanika uključenih u program dinamskih vežbi sa opterećenjem za gornje i donje ekstremitete.
Authors and Affiliations
Slavica Kozomara, Ivana Krstić
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