Effects of Cardiac Rehabilitation With Lumbar-Type Hybrid Assistive Limb on Muscle Strength in Patients With Chronic Heart Failure ― A Randomized Controlled Trial
Background:Aiming to establish an effective tool in new cardiac rehabilitation programs, we investigated the use of a lumbar-type hybrid assistive limb (HAL) in patients with heart failure (HF) who had difficulty in walking at the usual speed of healthy subjects (≈80 m/min).Methods and Results:We ra...
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| Veröffentlicht in: | Circulation Journal 2021/12/24, Vol.86(1), pp.60-67 |
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| creator | Kato, Hidenori Watanabe, Hiroki Koike, Akira Wu, Longmei Hayashi, Kosuke Konno, Hirotomo Machino, Takeshi Nishi, Isao Sato, Akira Kawamoto, Hiroaki Aonuma, Kazutaka Sankai, Yoshiyuki Ieda, Masaki |
| description | Background:Aiming to establish an effective tool in new cardiac rehabilitation programs, we investigated the use of a lumbar-type hybrid assistive limb (HAL) in patients with heart failure (HF) who had difficulty in walking at the usual speed of healthy subjects (≈80 m/min).Methods and Results:We randomly assigned 28 HF patients (age, 73.1±13.8 years) to perform a sit-to-stand exercise with or without HAL. The sit-to-stand exercise was repeated as many times as possible as cardiac rehabilitation therapy over a period of 6–10 days. We measured 5 parameters before and after the completion of cardiac rehabilitation: B-type natriuretic peptide, Short Physical Performance Battery (SPPB), 6-min walking distance (6MWD), 30-s chair-stand test (CS-30), and isometric knee extensor muscle strength. The SPPB and 6MWD were significantly improved, and the CS-30 score was somewhat improved, after the exercise therapy in both the HAL and non-HAL groups. The knee extensor muscle strength improved significantly in the HAL group (0.29±0.11 to 0.35±0.11 kgf/kg, P |
| doi_str_mv | 10.1253/circj.CJ-21-0381 |
| format | Article |
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The sit-to-stand exercise was repeated as many times as possible as cardiac rehabilitation therapy over a period of 6–10 days. We measured 5 parameters before and after the completion of cardiac rehabilitation: B-type natriuretic peptide, Short Physical Performance Battery (SPPB), 6-min walking distance (6MWD), 30-s chair-stand test (CS-30), and isometric knee extensor muscle strength. The SPPB and 6MWD were significantly improved, and the CS-30 score was somewhat improved, after the exercise therapy in both the HAL and non-HAL groups. The knee extensor muscle strength improved significantly in the HAL group (0.29±0.11 to 0.35±0.11 kgf/kg, P<0.01), but showed no change in the non-HAL group (0.35±0.11 to 0.35±0.13 kgf/kg, P=0.40).Conclusions:The improved knee extensor muscle strength in the HAL group suggests that the lumbar-type HAL may be an effective tool for cardiac rehabilitation in HF patients with frailty, which is a predictor of poor prognosis in HF.</description><identifier>ISSN: 1346-9843</identifier><identifier>ISSN: 1347-4820</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-21-0381</identifier><identifier>PMID: 34511585</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Cardiac Rehabilitation ; Chronic Disease ; Exercise Therapy ; Heart Failure ; Humans ; Hybrid assistive limb ; Lower Extremity ; Middle Aged ; Muscle Strength ; Walking - physiology</subject><ispartof>Circulation Journal, 2021/12/24, Vol.86(1), pp.60-67</ispartof><rights>2022, THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-ada2b038202c45d85d1700a0d9acbce8fefe0fd8dd6eea317e59ec7faa6e00e53</citedby><cites>FETCH-LOGICAL-c424t-ada2b038202c45d85d1700a0d9acbce8fefe0fd8dd6eea317e59ec7faa6e00e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34511585$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kato, Hidenori</creatorcontrib><creatorcontrib>Watanabe, Hiroki</creatorcontrib><creatorcontrib>Koike, Akira</creatorcontrib><creatorcontrib>Wu, Longmei</creatorcontrib><creatorcontrib>Hayashi, Kosuke</creatorcontrib><creatorcontrib>Konno, Hirotomo</creatorcontrib><creatorcontrib>Machino, Takeshi</creatorcontrib><creatorcontrib>Nishi, Isao</creatorcontrib><creatorcontrib>Sato, Akira</creatorcontrib><creatorcontrib>Kawamoto, Hiroaki</creatorcontrib><creatorcontrib>Aonuma, Kazutaka</creatorcontrib><creatorcontrib>Sankai, Yoshiyuki</creatorcontrib><creatorcontrib>Ieda, Masaki</creatorcontrib><title>Effects of Cardiac Rehabilitation With Lumbar-Type Hybrid Assistive Limb on Muscle Strength in Patients With Chronic Heart Failure ― A Randomized Controlled Trial</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:Aiming to establish an effective tool in new cardiac rehabilitation programs, we investigated the use of a lumbar-type hybrid assistive limb (HAL) in patients with heart failure (HF) who had difficulty in walking at the usual speed of healthy subjects (≈80 m/min).Methods and Results:We randomly assigned 28 HF patients (age, 73.1±13.8 years) to perform a sit-to-stand exercise with or without HAL. The sit-to-stand exercise was repeated as many times as possible as cardiac rehabilitation therapy over a period of 6–10 days. We measured 5 parameters before and after the completion of cardiac rehabilitation: B-type natriuretic peptide, Short Physical Performance Battery (SPPB), 6-min walking distance (6MWD), 30-s chair-stand test (CS-30), and isometric knee extensor muscle strength. The SPPB and 6MWD were significantly improved, and the CS-30 score was somewhat improved, after the exercise therapy in both the HAL and non-HAL groups. The knee extensor muscle strength improved significantly in the HAL group (0.29±0.11 to 0.35±0.11 kgf/kg, P<0.01), but showed no change in the non-HAL group (0.35±0.11 to 0.35±0.13 kgf/kg, P=0.40).Conclusions:The improved knee extensor muscle strength in the HAL group suggests that the lumbar-type HAL may be an effective tool for cardiac rehabilitation in HF patients with frailty, which is a predictor of poor prognosis in HF.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Rehabilitation</subject><subject>Chronic Disease</subject><subject>Exercise Therapy</subject><subject>Heart Failure</subject><subject>Humans</subject><subject>Hybrid assistive limb</subject><subject>Lower Extremity</subject><subject>Middle Aged</subject><subject>Muscle Strength</subject><subject>Walking - physiology</subject><issn>1346-9843</issn><issn>1347-4820</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc2O0zAUhSMEYoaBPSvkJZsMthPnZ1lFU8qoCDQUsbRu7JupqyQutoNUVn0JXoEHgxfB_WFmY9_Fd77FOUnymtFrxkX2ThmnNtfNbcpZSrOKPUkuWZaXaV5x-vR4F2ld5dlF8sL7DaW8pqJ-nlxkuWBMVOIy-X3TdaiCJ7YjDThtQJE7XENrehMgGDuSbyasyXIaWnDpardFsti1zmgy8974YH4gWZqhJZH8OHnVI_kSHI73MWRG8jk6cIz-o6VZOzsaRRYILpA5mH5y-He__7P_RWbkDkZtB_MTNWnsGJzt-3iunIH-ZfKsg97jq_N_lXyd36yaRbr89P5DM1umKud5SEEDb2MRnHKVC10JzUpKgeoaVKuw6rBD2ulK6wIRMlaiqFGVHUCBlKLIrpK3J-_W2e8T-iAH4xX2PYxoJy-5KDlneVEdUHpClbPeO-zk1pkB3E4yKg_ryOM6srmVnMnDOjHy5myf2gH1Q-D_HBGYn4CND3CPD0Bsy8Rmz8aqkOzwPJofgTU4iWP2D5Bgqsc</recordid><startdate>20211224</startdate><enddate>20211224</enddate><creator>Kato, Hidenori</creator><creator>Watanabe, Hiroki</creator><creator>Koike, Akira</creator><creator>Wu, Longmei</creator><creator>Hayashi, Kosuke</creator><creator>Konno, Hirotomo</creator><creator>Machino, Takeshi</creator><creator>Nishi, Isao</creator><creator>Sato, Akira</creator><creator>Kawamoto, Hiroaki</creator><creator>Aonuma, Kazutaka</creator><creator>Sankai, Yoshiyuki</creator><creator>Ieda, Masaki</creator><general>The Japanese Circulation Society</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>7X8</scope></search><sort><creationdate>20211224</creationdate><title>Effects of Cardiac Rehabilitation With Lumbar-Type Hybrid Assistive Limb on Muscle Strength in Patients With Chronic Heart Failure ― A Randomized Controlled Trial</title><author>Kato, Hidenori ; Watanabe, Hiroki ; Koike, Akira ; Wu, Longmei ; Hayashi, Kosuke ; Konno, Hirotomo ; Machino, Takeshi ; Nishi, Isao ; Sato, Akira ; Kawamoto, Hiroaki ; Aonuma, Kazutaka ; Sankai, Yoshiyuki ; Ieda, Masaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-ada2b038202c45d85d1700a0d9acbce8fefe0fd8dd6eea317e59ec7faa6e00e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Rehabilitation</topic><topic>Chronic Disease</topic><topic>Exercise Therapy</topic><topic>Heart Failure</topic><topic>Humans</topic><topic>Hybrid assistive limb</topic><topic>Lower Extremity</topic><topic>Middle Aged</topic><topic>Muscle Strength</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, Hidenori</creatorcontrib><creatorcontrib>Watanabe, Hiroki</creatorcontrib><creatorcontrib>Koike, Akira</creatorcontrib><creatorcontrib>Wu, Longmei</creatorcontrib><creatorcontrib>Hayashi, Kosuke</creatorcontrib><creatorcontrib>Konno, Hirotomo</creatorcontrib><creatorcontrib>Machino, Takeshi</creatorcontrib><creatorcontrib>Nishi, Isao</creatorcontrib><creatorcontrib>Sato, Akira</creatorcontrib><creatorcontrib>Kawamoto, Hiroaki</creatorcontrib><creatorcontrib>Aonuma, Kazutaka</creatorcontrib><creatorcontrib>Sankai, Yoshiyuki</creatorcontrib><creatorcontrib>Ieda, Masaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, Hidenori</au><au>Watanabe, Hiroki</au><au>Koike, Akira</au><au>Wu, Longmei</au><au>Hayashi, Kosuke</au><au>Konno, Hirotomo</au><au>Machino, Takeshi</au><au>Nishi, Isao</au><au>Sato, Akira</au><au>Kawamoto, Hiroaki</au><au>Aonuma, Kazutaka</au><au>Sankai, Yoshiyuki</au><au>Ieda, Masaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Cardiac Rehabilitation With Lumbar-Type Hybrid Assistive Limb on Muscle Strength in Patients With Chronic Heart Failure ― A Randomized Controlled Trial</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2021-12-24</date><risdate>2021</risdate><volume>86</volume><issue>1</issue><spage>60</spage><epage>67</epage><pages>60-67</pages><artnum>CJ-21-0381</artnum><issn>1346-9843</issn><issn>1347-4820</issn><eissn>1347-4820</eissn><abstract>Background:Aiming to establish an effective tool in new cardiac rehabilitation programs, we investigated the use of a lumbar-type hybrid assistive limb (HAL) in patients with heart failure (HF) who had difficulty in walking at the usual speed of healthy subjects (≈80 m/min).Methods and Results:We randomly assigned 28 HF patients (age, 73.1±13.8 years) to perform a sit-to-stand exercise with or without HAL. The sit-to-stand exercise was repeated as many times as possible as cardiac rehabilitation therapy over a period of 6–10 days. We measured 5 parameters before and after the completion of cardiac rehabilitation: B-type natriuretic peptide, Short Physical Performance Battery (SPPB), 6-min walking distance (6MWD), 30-s chair-stand test (CS-30), and isometric knee extensor muscle strength. The SPPB and 6MWD were significantly improved, and the CS-30 score was somewhat improved, after the exercise therapy in both the HAL and non-HAL groups. The knee extensor muscle strength improved significantly in the HAL group (0.29±0.11 to 0.35±0.11 kgf/kg, P<0.01), but showed no change in the non-HAL group (0.35±0.11 to 0.35±0.13 kgf/kg, P=0.40).Conclusions:The improved knee extensor muscle strength in the HAL group suggests that the lumbar-type HAL may be an effective tool for cardiac rehabilitation in HF patients with frailty, which is a predictor of poor prognosis in HF.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>34511585</pmid><doi>10.1253/circj.CJ-21-0381</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Cardiac Rehabilitation Chronic Disease Exercise Therapy Heart Failure Humans Hybrid assistive limb Lower Extremity Middle Aged Muscle Strength Walking - physiology |
| title | Effects of Cardiac Rehabilitation With Lumbar-Type Hybrid Assistive Limb on Muscle Strength in Patients With Chronic Heart Failure ― A Randomized Controlled Trial |
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