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

(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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of clinical medicine - 13(2024), 5 vom: 01. März

Sprache:

Englisch

Beteiligte Personen:

Nabutovsky, Irene [VerfasserIn]
Sabah, Roy [VerfasserIn]
Moreno, Merav [VerfasserIn]
Epstein, Yoram [VerfasserIn]
Klempfner, Robert [VerfasserIn]
Scheinowitz, Mickey [VerfasserIn]

Links:

Volltext

Themen:

Cardiac rehabilitation
Journal Article
Muscle endurance
Patient engagement
Remote health monitoring
Resistance training

Anmerkungen:

Date Revised 11.04.2024

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jcm13051445

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370816552