Effect of physical activity in the first five days after cardiac surgery
To quantify physiotherapist-supervised and independent physical activity undertaken from the first to the fifth day after cardiac surgery (POD1 to POD5), and to relate the amount of physical activity undertaken with hospital stay and postoperative physiological functional capacity on POD6. Physiothe...
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Veröffentlicht in: | Journal of rehabilitation medicine 2017-01, Vol.49 (1), p.71-77 |
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creator | Mungovan, Sean F Singh, Preetraj Gass, Gregory C Smart, Neil A Hirschhorn, Andrew D |
description | To quantify physiotherapist-supervised and independent physical activity undertaken from the first to the fifth day after cardiac surgery (POD1 to POD5), and to relate the amount of physical activity undertaken with hospital stay and postoperative physiological functional capacity on POD6.
Physiotherapist-supervised and independent physical activity were monitored in 83 adult patients undergoing cardiac surgery, using a bi-axial accelerometer and skin sensors that measured, galvanic skin response and body temperature. Patients completed a 6-min walk test (6MWT) on POD6. Step count and physical activity intensity (METs; metbolic equivalents) were the main outcome measures.
Males exhibited significantly higher physiotherapist-supervised and independent physical activity step counts and time ≥ 3 METS (p |
doi_str_mv | 10.2340/16501977-2165 |
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Physiotherapist-supervised and independent physical activity were monitored in 83 adult patients undergoing cardiac surgery, using a bi-axial accelerometer and skin sensors that measured, galvanic skin response and body temperature. Patients completed a 6-min walk test (6MWT) on POD6. Step count and physical activity intensity (METs; metbolic equivalents) were the main outcome measures.
Males exhibited significantly higher physiotherapist-supervised and independent physical activity step counts and time ≥ 3 METS (p < 0.0001). The 6MWT distance on POD6 was greater in men (mean 393 m, standard deviation (SD) 108 m) than women (mean 300 m, SD 121 m) (p = 0.005). Mean length of stay in hospital was 9 days (SD 3 days) and was negatively correlated with overall physiotherapist-supervised (R = -0.70), independent physical activity step counts (R = -0.62), and combined physiotherapist-supervised (R = -0.65) and independent (R = -0.43) physical activity time ≥ 3 METs.
Physiotherapist-supervised activity fosters improvements in postoperative physiological functional capacity and reduces length of stay in hospital following cardiac surgery.</description><identifier>ISSN: 1650-1977</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-2165</identifier><identifier>PMID: 28101566</identifier><language>eng</language><publisher>Sweden: Journal of Rehabilitation Medicine</publisher><subject>Aged ; Body temperature ; Cardiac surgery ; Cardiac Surgical Procedures - rehabilitation ; Deviation ; Exercise ; Exercise - physiology ; Female ; Functional status ; Galvanic skin response ; Humans ; Length of stay ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Physical activity ; Physical Therapy Modalities ; Skin testing ; Time Factors ; Time use</subject><ispartof>Journal of rehabilitation medicine, 2017-01, Vol.49 (1), p.71-77</ispartof><rights>Copyright Taylor & Francis Ltd. Jan 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-3bb2944294383725ed69af809e9960b2eb3c4497066ce8719ca512284a50158f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27923,27924,30998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28101566$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mungovan, Sean F</creatorcontrib><creatorcontrib>Singh, Preetraj</creatorcontrib><creatorcontrib>Gass, Gregory C</creatorcontrib><creatorcontrib>Smart, Neil A</creatorcontrib><creatorcontrib>Hirschhorn, Andrew D</creatorcontrib><title>Effect of physical activity in the first five days after cardiac surgery</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>To quantify physiotherapist-supervised and independent physical activity undertaken from the first to the fifth day after cardiac surgery (POD1 to POD5), and to relate the amount of physical activity undertaken with hospital stay and postoperative physiological functional capacity on POD6.
Physiotherapist-supervised and independent physical activity were monitored in 83 adult patients undergoing cardiac surgery, using a bi-axial accelerometer and skin sensors that measured, galvanic skin response and body temperature. Patients completed a 6-min walk test (6MWT) on POD6. Step count and physical activity intensity (METs; metbolic equivalents) were the main outcome measures.
Males exhibited significantly higher physiotherapist-supervised and independent physical activity step counts and time ≥ 3 METS (p < 0.0001). The 6MWT distance on POD6 was greater in men (mean 393 m, standard deviation (SD) 108 m) than women (mean 300 m, SD 121 m) (p = 0.005). Mean length of stay in hospital was 9 days (SD 3 days) and was negatively correlated with overall physiotherapist-supervised (R = -0.70), independent physical activity step counts (R = -0.62), and combined physiotherapist-supervised (R = -0.65) and independent (R = -0.43) physical activity time ≥ 3 METs.
Physiotherapist-supervised activity fosters improvements in postoperative physiological functional capacity and reduces length of stay in hospital following cardiac surgery.</description><subject>Aged</subject><subject>Body temperature</subject><subject>Cardiac surgery</subject><subject>Cardiac Surgical Procedures - rehabilitation</subject><subject>Deviation</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Functional status</subject><subject>Galvanic skin response</subject><subject>Humans</subject><subject>Length of stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Physical activity</subject><subject>Physical Therapy Modalities</subject><subject>Skin testing</subject><subject>Time Factors</subject><subject>Time use</subject><issn>1650-1977</issn><issn>1651-2081</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNpdkMtLAzEQxoMotlaPXiXgxctqHpvXUUq1QsGLnpdsNrEp225NsoX9701t68HDzHwwP-bxAXCL0SOhJXrCnCGshChIVmdgnDMuCJL4_FejYt8cgasYVwhhwai4BCMiMcKM8zGYz5yzJsHOwe1yiN7oFmqT_M6nAfoNTEsLnQ8x5byzsNFDhNolG6DRofHawNiHLxuGa3DhdBvtzbFOwOfL7GM6Lxbvr2_T50VhKEepoHVNVFnmoJIKwmzDlXYSKasURzWxNTVlqQTi3FgpsDKaYUJkqfObTDo6AQ-HudvQffc2pmrto7Ftqze262OFJcdM8Lwso_f_0FXXh02-LlOSMkEoVZkqDpQJXYzBumob_FqHocKo2ltcnSyu9hZn_u44ta_XtvmjT57SH3AEcx0</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Mungovan, Sean F</creator><creator>Singh, Preetraj</creator><creator>Gass, Gregory C</creator><creator>Smart, Neil A</creator><creator>Hirschhorn, Andrew D</creator><general>Journal of Rehabilitation Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20170101</creationdate><title>Effect of physical activity in the first five days after cardiac surgery</title><author>Mungovan, Sean F ; Singh, Preetraj ; Gass, Gregory C ; Smart, Neil A ; Hirschhorn, Andrew D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-3bb2944294383725ed69af809e9960b2eb3c4497066ce8719ca512284a50158f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Body temperature</topic><topic>Cardiac surgery</topic><topic>Cardiac Surgical Procedures - rehabilitation</topic><topic>Deviation</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Functional status</topic><topic>Galvanic skin response</topic><topic>Humans</topic><topic>Length of stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care)</topic><topic>Physical activity</topic><topic>Physical Therapy Modalities</topic><topic>Skin testing</topic><topic>Time Factors</topic><topic>Time use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mungovan, Sean F</creatorcontrib><creatorcontrib>Singh, Preetraj</creatorcontrib><creatorcontrib>Gass, Gregory C</creatorcontrib><creatorcontrib>Smart, Neil A</creatorcontrib><creatorcontrib>Hirschhorn, Andrew D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mungovan, Sean F</au><au>Singh, Preetraj</au><au>Gass, Gregory C</au><au>Smart, Neil A</au><au>Hirschhorn, Andrew D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of physical activity in the first five days after cardiac surgery</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>49</volume><issue>1</issue><spage>71</spage><epage>77</epage><pages>71-77</pages><issn>1650-1977</issn><eissn>1651-2081</eissn><abstract>To quantify physiotherapist-supervised and independent physical activity undertaken from the first to the fifth day after cardiac surgery (POD1 to POD5), and to relate the amount of physical activity undertaken with hospital stay and postoperative physiological functional capacity on POD6.
Physiotherapist-supervised and independent physical activity were monitored in 83 adult patients undergoing cardiac surgery, using a bi-axial accelerometer and skin sensors that measured, galvanic skin response and body temperature. Patients completed a 6-min walk test (6MWT) on POD6. Step count and physical activity intensity (METs; metbolic equivalents) were the main outcome measures.
Males exhibited significantly higher physiotherapist-supervised and independent physical activity step counts and time ≥ 3 METS (p < 0.0001). The 6MWT distance on POD6 was greater in men (mean 393 m, standard deviation (SD) 108 m) than women (mean 300 m, SD 121 m) (p = 0.005). Mean length of stay in hospital was 9 days (SD 3 days) and was negatively correlated with overall physiotherapist-supervised (R = -0.70), independent physical activity step counts (R = -0.62), and combined physiotherapist-supervised (R = -0.65) and independent (R = -0.43) physical activity time ≥ 3 METs.
Physiotherapist-supervised activity fosters improvements in postoperative physiological functional capacity and reduces length of stay in hospital following cardiac surgery.</abstract><cop>Sweden</cop><pub>Journal of Rehabilitation Medicine</pub><pmid>28101566</pmid><doi>10.2340/16501977-2165</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Applied Social Sciences Index & Abstracts (ASSIA); IngentaConnect Open Access Journals; Alma/SFX Local Collection |
subjects | Aged Body temperature Cardiac surgery Cardiac Surgical Procedures - rehabilitation Deviation Exercise Exercise - physiology Female Functional status Galvanic skin response Humans Length of stay Male Middle Aged Outcome Assessment (Health Care) Physical activity Physical Therapy Modalities Skin testing Time Factors Time use |
title | Effect of physical activity in the first five days after cardiac surgery |
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