The addition of home exercise advice to phase II cardiac rehabilitation: Physical activity, exercise tolerance and quality of life outcomes

The addition of home exercise advice to phase II cardiac rehabilitation: Physical activity, exercise tolerance and quality of life outcomes

e48 Abstracts / Journal of Science and Medicine in Sport 12 (2010) e1–e232 Exercise was superior to usual care for improving all muscle strength (14...

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e48

Abstracts / Journal of Science and Medicine in Sport 12 (2010) e1–e232

Exercise was superior to usual care for improving all muscle strength (14-44%) and endurance (60-94%) measures (p < 0.01),400-m walk(p = 0.037), 6-m usual (p = 0.014) and fast walk time (p = 0.066), chair rise (p = 0.058), 6-m backward walk (p = 0.050), and balance confidence (p = 0.050). Exercise also enhanced general health (p = 0.026) and decreased levels of C-reactive protein (p = 0.019). There were no differences between groups for prostate specific antigen, testosterone, glucose, insulin, lipids or homocysteine. There were no adverse events during the testing or exercise intervention program. Conclusions: In our hypogonadal prostate cancer patients, a relatively brief exposure to exercise significantly improved muscle mass, strength, physical function, and balance. The exercise regimen was well tolerated and could be recommended for patients undergoing AST as an effective countermeasure to these common treatment-related adverse effects. doi:10.1016/j.jsams.2009.10.100

by the Cardiac Depression Scale (CDS) and Short Form-12 Health Survey (SF-12). Results: Analysis of results using paired T-tests indicated significant mean improvements (p < 0.05) from baseline testing for the Traditional and Home groups in 6MWT 95.21 m and 71.78m; CDS 8.75 and 11.00; SF-12(PC) 5.04 and 2.64; IPAQ MET.min.Wk-1 1962.7 and 2380.8; and IPAQ Sitting Minutes 97.0 and 87.65 respectively. However, there was no significant difference between the Traditional and Home groups for any measure (p > 0.05). Conclusions: These results support the effectiveness of current traditional phase II CR for improving physical fitness and QOL in an Australian hospital outpatient setting. Home exercise guidelines in addition to traditional phase II CR had no significant positive, or negative, affect on patient outcomes; however, it is unknown what the long-term impact of this intervention might be. Through further development of individually targeted home exercise guidelines, and lifelong physical activity participation as a pertinent clinical practice goal, home exercise could further reduce the likelihood of future and repeat CVD events.

100 doi:10.1016/j.jsams.2009.10.101 The addition of home exercise advice to phase II cardiac rehabilitation: Physical activity, exercise tolerance and quality of life outcomes M. Schultz 1,∗ , D. Pascoe 1 , B. Gordon 2 1 University

of Ballarat, School of Human Movement and Sport Sciences 2 Austin Health, Austin Hospital Introduction: Cardiovascular Disease (CVD) remains the leading cause of death in western society. However, as a result of modern medical practices more patients are also surviving acute CVD events. It is recommended that these people undergo a cardiac rehabilitation (CR) program in order to increase exercise tolerance, improve quality of life (QOL) and prevent relapse. Thus, “best practice” in CR should involve a process of regular evaluation to maximise patient outcomes. The aims of this study were to determine (1) if a traditional comprehensive phase II CR program was effective at improving physical activity levels, exercise tolerance and QOL; and (2) the effect of an additional home exercise program on these measures in phase II CR patients. Methodology: Sixty-nine CVD patients (mean age 64.4) referred to a hospital based phase II (outpatient) CR volunteered to take part in the study. Patients were chronologically assigned, first to traditional phase II CR alone (Traditional; n = 35), then to traditional phase II CR with the addition of a home exercise program (Home; n = 34). All patients undertook 6 weeks (12 sessions) of comprehensive phase II CR and were assessed at baseline and 6 weeks. Physical activity levels were assessed by the International Physical Activity Questionnaire (IPAQ). Exercise tolerance was assessed by the Six-Minute WalkTest (6MWT), and QOL was determined

101 Feasibility and efficacy of an exercise rehabilitation program for colorectal cancer survivors immediately after chemotherapy R. Spence ∗ , K. Heesch, W. Brown School of Human Movement Studies, the University Of Queensland Introduction: Colorectal cancer (CRC) diagnosis and the ensuing treatments can have a substantial impact on the physical and psychological health of survivors. As the number of CRC survivors increases, so too does the need for programs that help survivors return to good health. Exercise has the potential to address many of the adverse effects of CRC treatment; however, the role of exercise in rehabilitation immediately after the completion of treatment has received limited research attention. The aims of this study were (1) to evaluate the feasibility of a 12-week supervised aerobic exercise program [ImPACT (I’m Physically Active after Cancer Treatment) Program] and (2) to assess the efficacy of the program in terms of physiological and psychological markers of rehabilitation. Methodology: CRC patients, aged 42 - 71 years (M = 57.5), were recruited over 18 months. Baseline assessment took place within 4 weeks of completing adjuvant chemotherapy, and the ImPACT Program commenced within one week of this assessment. Follow-up assessment was conducted at the completion of the program. The ImPACT Program consisted of three supervised moderate- to high-intensity aerobic exercise sessions per week for 12 weeks. Process