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Assessment of balance and physical condition as measures: evaluate effectiveness of a cardiac rehabilitation programme in improving cardiac function and functional capacity.
Session:
SESSÃO DE POSTERS 25 - ALÉM DA RECUPERAÇÃO - AVANÇANDO AS FRONTEIRAS DA REABILITAÇÃO CARDÍACA
Speaker:
Carina Rebelo
Congress:
CPC 2025
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.3 Cardiovascular Nursing - Other
Session Type:
Cartazes
FP Number:
---
Authors:
Carina Rebelo; José Bastos; Vera Afreixo; Ana Abreu
Abstract
<p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">Patients with reduced LVEF experience daily limitations, impaired mobility, and increased dependency, promoting frailty and comorbid risks. Exercise inertia exacerbates physical decline and cardiovascular vulnerability. We review studies supporting balance as a quantitative marker of functional capacity in phase 1 cardiac rehabilitation to identify the most correlated variables.</span></span></p> <p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong>Aim:</strong></span></span></p> <p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">To assess if balance and physical condition of patients are tools to evaluate the efficacy of the program aimed at improving their cardiac condition and functional capacity.</span></span></p> <p> </p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong>Methods:</strong> </span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">Longitudinal, prospective, experimental study of inpatients hospitalized with coronary artery disease. </span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">Dynamic balance and mobility (Fullerton battery of tests), upper body strength (handgrip strength test), cardiorespiratory fitness was used to evaluate physical fitness. Also were submitted to Morisky Medication Adherence Scale, STOP-Bang scale, and IPAQ. Using R version 4.2.2, simple linear regression, multiple linear regression with and without multiple variable selection/elimination (based on Akaike information criterion - AIC) approaches were applied. p-values less than 0.05 are considered as significant.</span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong>Results:</strong></span></span></p> <p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">On the day of discharge, 212 patients were evaluated, 79% were male, with a median age of 66 and interquartile range (57, 74), of which 35% had LVEF≤40%; 73% had high blood pressure, 75% had dyslipidemia. </span></span></p> <p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">The Shapiro-Wilk normality test, Durbin-Watson test and Breusch-Pagan studentized test were used to assess normality, independence and homogeneity assumptions, respectively. The variance inflation factor (VIF) was used to assess multicollinearity. The following table 1 shows that there was a significant association (p < 0.05) between the Fullerton Balance Assessment Battery score and: male gender, LVEF ≤40, hemoglobin, lower limb strength, flexibility of right upper limb, up and go test, 6MWT, average right hand strength, IPAQ and HADS-Depression.</span></span></p> <p> </p> <p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong>Conclusions</strong></span></span></p> <p><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif">People with a low balance score have a high cardiovascular risk profile, reduced exercise capacity and higher levels of disability. This is a promising group to target for cardiac rehabilitation (CR) to help improvement. We propose that balance assessment could become a key indicator for evaluating the effectiveness of CR, as disability is strongly associated with reduced functional capacity. The authors believe that the balance assessment model can be applied to.</span></span></p>
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