Jundishapur Scientific Medical Journal

Jundishapur Scientific Medical Journal

The Effect of Eight Weeks of Home-Based Cardio-Respiratory Rehabilitation Training on Respiratory Muscle Function in Patients with Heart Failure

Document Type : Original Article

Authors
Zahra Yousefi 1
Habib Asgharpour 2
Amir Sobh Rakhshankhah 3
Neda Aghaeibahmanbeghlo 4
1 PhD Student, Department of Physical Education & Sports Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran.
2 Department of Physical Education & Sports Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran
3 Sepehr Heart Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Physical Education & Sports Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran.
10.32592/JSMJ.23.4.286
Abstract
Background and Objectives Rehabilitation for heart failure patients can help improve heart health, quality of life, and strengthen respiratory muscles. However, some patients do not have access to rehabilitation services in clinics and medical centers. The aim of this study was to investigate the effect of eight weeks of home-based cardio-respiratory rehabilitation on the respiratory muscle function of heart failure patients aged 40-60 years.
Subjects and Methods  In a semi-experimental design, 43 subjects (20 women and 23 men) with heart failure were divided into three groups: rehabilitation training group (13 people including 7 men and 6 women), rehabilitation training with breathing exercises (15 people including 8 men and 7 women), and the control group (15 people including 8 men and 7 women). The subjects underwent pre-test and post-test measurements of maximum inspiratory pressure (MIP), 6-minute walk test (6MWT), and dyspnea index.
ResultsThe results of this research showed that breathing exercises combined with cardiac rehabilitation at home had a significant effect on the subjects' PIMax (P < 0.001). Forthermore, 6WMT mileage increased both during rehabilitation exercises and when rehabilitation exercises were combined with breathing exercises. Also, dyspnea index decreased in both experimental groups (P < 0.001).
Conclusion Combining rehabilitation exercises with respiratory muscle strengthening can help patients with heart failure, at least in some cases. However, more intense and controlled exercises than home-based exercises may be needed for greater improvements in cardiovascular function.
Keywords
Cardio-respiratory rehabilitation
heart failure
Maximal inspiratory mouth pressures
Dyspnea index
6-minute walk test
Subjects
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Jundishapur Scientific Medical Journal
Volume 23, Issue 4 - Serial Number 151
September and October 2024
Pages 286-302

  • Receive Date 18 April 2024
  • Revise Date 21 August 2024
  • Accept Date 10 July 2024