Low-intensity cycling training in application to patients before and after coronary artery bypass graft surgery

ˑ: 

PhD T.V. Krasavina1
Dr. Med., Professor V.A. Zaborova1, 2
PhD, Associate Professor S.D. Runenko1
PhD, Associate Professor I.A. Lazareva1
1I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow
2Moscow Institute of Physics and Technology, Moscow

Objective of the study was to identify the possibility of application of low-intensity cycling physical trainings with constant dosed workloads in the supine position, before and after the coronary artery bypass graft surgery at the early stage of rehabilitation.
Methods and structure of the study. The study involved 130 patients (men) with coronary heart disease who underwent coronary artery bypass graft surgery.
The Experimental Group was made of 82 patients, whose rehabilitation package included cycling training sessions with dosed workloads before and after the coronary artery bypass graft surgery in the early stage of rehabilitation. The Control Group consisted of 48 patients, who were not assigned cycling exercises during their treatment; they underwent rehabilitation activities according to the generally accepted therapeutic physical training methodology. Along with the clinical research, the effects of dosed physical loads on the patients’ physical fitness, as well as the individual tolerance to physical loads in all patients prior to surgery, were determined using a cycle ergometer test with a stepwise increasing load until the onset of the first signs of intolerance.
Results and conclusions. The study enabled to develop a low-intensity cycling physical training program. The best results were obtained in the group of trained patients during the preparation and after the surgery. We also developed effective rehabilitation methods both for the hospital treatment and subsequent stages of rehabilitation.

Keywords: cycling physical trainings, cardiovascular therapy, therapeutic physical training, coronary artery bypass graft surgery.

References

  1. Aronov D.M. Osnovy kardioreabilitatsii [Fundamentals of cardiac rehabilitation]. Kardiologiya: novosti, mneniya, obuchenie. 2016. No. 3 (10). pp. 104-110.
  2. Aronov D.M., Lupanov V.P. Funktsionalnye proby v kardiologii [Functional tests in cardiology]. Funktsionalnye proby v kardiologii [Functional tests in cardiology]. Moscow: MEDpress-inform publ., 2002. P. 18.
  3. Arutyunov G.P., Kolesnikova E.A., Begrambekova Yu.L. Rekomendatsii po naznacheniyu fizicheskikh trenirovok patsientam s khronicheskoy serdechnoy nedostatochnostyu [Physical training recommendations for patients with chronic heart failure]. Serdechnaya nedostatochnost. 2017. v. 18. No. 1. pp. 41-66.
  4. Malikov V.E., Petrunina L.V., Vinogradov S.V. Fizicheskiy i sotsialno-trudovoy aspekty reabilitatsii bolnykh ishemicheskoy boleznyu serdtsa posle operatsii aortokoronarnogo shuntirovaniya [Physical and social-labor aspects of rehabilitation of patients with ischemic heart disease after coronary artery bypass grafting]. Metodicheskie rekomendatsii. Moscow, 2016.
  5. Petrunina L.V., Malikov V.E., Arzumanyan M.A. Reabilitatsiya patsientov posle operatsii aortokoronarnogo shuntirovaniya na statsionarnom etape [Rehabilitation of patients after coronary artery bypass graft surgery at inpatient stage]. Meditsinskaya sestra. 2018. no. 3. pp. 34-37.
  6. Smirnov I.V., Starshov A.M. Funktsionalnaya diagnostika. EKG, reografiya, spirografiya [Functional diagnostics. ECG, rheography, spirography]. Moscow: Eksmo publ.,  2008. 224 p.