Abstract:
OBJECTIVE:To evaluate cost, adherence and effects on cardiovascular function and quality of life of a home-based cardiac rehabilitation programme for patients with coronary disease. DESIGN:A randomized, prospective controlled trial. SETTING:Department of Rehabilitation, University Hospital, Brazil. SUBJECTS:Thirty-nine low-risk patients were assigned to a home exercise training group (n = 19) or a control group (n = 20). INTERVENTIONS:The home group performed home-based training for three months with biweekly telephone monitoring. MAIN OUTCOME MEASURES:The aerobic capacity and the quality of life (Medical Outcomes Study 36-Item Short Form Survey (SF-36)) of all patients were evaluated before and after the three-month period. Adherence was evaluated weekly. Programme cost was estimated using the Brazilian Classification of Medical Procedures. RESULTS:After training, the home group had higher peak Vo2 from 28.8 (6.4) to 31.7 (8.1) mL/kg per minute, peak heart rate from 135 (22) to 143 (20) bpm, work rate from 4780 (2021) to 7103 (3057) kpm/min and exercise time from 11.5 (1.9) to 13.6 (2.3) minutes (P < or = .05). The control group showed reduction in peak Vo2 from 28.6 (6.6) to 26.8 (7.2) mL/kg per minute, peak Vo2 pulse from 15.5 (3.9) to 14.3 (3.8) mL/bpm and exercise time from 11.5 (2.3) to 11.4 (2.7) minutes (P < or = 0.05). The home group reported improvements in all domains of SF-36. The control group showed improvement in only three domains of SF-36. In the home group the average cost per patient was US$502.71 and the adherence achieved 100%. CONCLUSION:The programme seems to provide an efficient low-cost approach to cardiac rehabilitation in low-risk patients.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Salvetti XM,Oliveira JA,Servantes DM,Vincenzo de Paola AAdoi
10.1177/0269215508093331subject
Has Abstractpub_date
2008-10-01 00:00:00pages
987-96issue
10-11eissn
0269-2155issn
1477-0873pii
22/10-11/987journal_volume
22pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:Does early treatment of spasticity with botulinum-toxin (BoNTA), in (hyper)acute stroke patients without arm-function, reduce contractures and improve function. DESIGN:Randomised placebo-controlled-trial. SETTING:Specialised stroke-unit. PARTICIPANTS & INTERVENTION:Patients with an Action Research Arm Test...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963855
更新日期:2020-10-11 00:00:00
abstract:OBJECTIVE:To explore constructs relevant to self-efficacy in neurological rehabilitation. DESIGN:Qualitative methods using semi-structured interviews. SETTING:Specialist neurological rehabilitation unit, Liverpool, UK. SUBJECTS:Twenty-four patients (12 male) with experience of inpatient rehabilitation, aged 17-59 (m...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071784
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:The present study aimed to assess the effectiveness of oral citalopram, compared with fluoxetine and a placebo, in patients with post-stroke motor disabilities. DESIGN:A randomized double-blind placebo-controlled clinical trial was conducted between January 2015 and January 2016. SETTING:The neurology depar...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518777791
更新日期:2018-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518804018
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215517699976
更新日期:2017-11-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr660oa
更新日期:2003-09-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215512470674
更新日期:2013-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2010-04-01 00:00:00
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journal_title:Clinical rehabilitation
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516682820
更新日期:2017-09-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To review peer-reviewed literature relating to postoperative physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy in improving clinical outcome and recovery. DATA SOURCES:MEDLINE, EMBASE, CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References and citations o...
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215507075502
更新日期:2007-07-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507073438
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility, acceptability, and safety of a supervised video game exercise program administered via Dance Dance Revolution in individuals with Huntington's disease. DESIGN:A cross-over, controlled, single-blinded, six-week trial. SETTING:Home-based. PARTICIPANTS:Eighteen ambulatory indiv...
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Clinical rehabilitation
pub_type: 社论
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2007-08-01 00:00:00
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更新日期:2003-07-01 00:00:00
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更新日期:2020-12-01 00:00:00
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journal_title:Clinical rehabilitation
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更新日期:2000-04-01 00:00:00
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doi:10.1177/0269215507077286
更新日期:2007-10-01 00:00:00
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journal_title:Clinical rehabilitation
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更新日期:2002-06-01 00:00:00
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更新日期:2008-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215506070694
更新日期:2006-11-01 00:00:00