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Assessment tools for personalizing training intensity during cardiac rehabilitation: Literature review and practical proposals / Jean-Marie Casillas in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
[article]
Titre : Assessment tools for personalizing training intensity during cardiac rehabilitation: Literature review and practical proposals Type de document : texte imprimé Auteurs : Jean-Marie Casillas ; Aurélie Gudjoncik ; Vincent Gremeaux ; [et al...] Année de publication : 2017 Article en page(s) : p. 43-49 Langues : Français (fre) Mots-clés : réhabilitation cardiaque entrainement Résumé : Exercise training, associated with therapeutic education, is the main axis of cardiac rehabilitation (CR) programs. The aim of this study was to review the literature for descriptions of the various assessments of exercise tolerance used to prescribe exercise intensity during CR. A secondary objective was to attempt to formulate a rational practice with these assessments in CR programs. Permalink : ./index.php?lvl=notice_display&id=48100
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 43-49[article] Assessment tools for personalizing training intensity during cardiac rehabilitation: Literature review and practical proposals [texte imprimé] / Jean-Marie Casillas ; Aurélie Gudjoncik ; Vincent Gremeaux ; [et al...] . - 2017 . - p. 43-49.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 43-49
Mots-clés : réhabilitation cardiaque entrainement Résumé : Exercise training, associated with therapeutic education, is the main axis of cardiac rehabilitation (CR) programs. The aim of this study was to review the literature for descriptions of the various assessments of exercise tolerance used to prescribe exercise intensity during CR. A secondary objective was to attempt to formulate a rational practice with these assessments in CR programs. Permalink : ./index.php?lvl=notice_display&id=48100 Exemplaires (1)
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Exclu du prêtStress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation / Jean-Christophe Chauvet-Gelinier in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
[article]
Titre : Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation Type de document : texte imprimé Auteurs : Jean-Christophe Chauvet-Gelinier ; Bernard Bonin Année de publication : 2017 Article en page(s) : p. 6-12 Langues : Français (fre) Mots-clés : réhabilitation cardiaque stress dépression anxiété Résumé : Cardiovascular events and emotional disorders share a common epidemiology, thus suggesting fundamental pathways linking these different diseases. Growing evidence in the literature highlights the influence of psychological determinants in somatic diseases. A patient's socio-economic aspects, personality traits, health behavior and even biological pathways may contribute to the course of cardiovascular disease. Cardiac events often occur suddenly and the episode can be traumatic for people not prepared for such an event. In this review of the literature, the authors tackle the question of psychobiological mechanisms of stress, in a pathophysiological approach to fundamental pathways linking the brain to the heart. Various psychological, biological and genetic arguments are presented in support of the hypothesis that various etiological mechanisms may be involved. The authors finally deal with biological and psychological strategies in a context of cardiovascular disease. Indeed, in this context, cardiac rehabilitation, with its global approach, seems to be a good time to diagnose emotional disorders like anxiety and depression, and to help people to cope with stressful events. In this field, cardiac rehabilitation seems to be a crucial step in order to improve patients’ outcomes, by helping them to understand the influence of psychobiological risk factors, and to build strategies in order to manage daily stress. Permalink : ./index.php?lvl=notice_display&id=48095
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 6-12[article] Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation [texte imprimé] / Jean-Christophe Chauvet-Gelinier ; Bernard Bonin . - 2017 . - p. 6-12.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 6-12
Mots-clés : réhabilitation cardiaque stress dépression anxiété Résumé : Cardiovascular events and emotional disorders share a common epidemiology, thus suggesting fundamental pathways linking these different diseases. Growing evidence in the literature highlights the influence of psychological determinants in somatic diseases. A patient's socio-economic aspects, personality traits, health behavior and even biological pathways may contribute to the course of cardiovascular disease. Cardiac events often occur suddenly and the episode can be traumatic for people not prepared for such an event. In this review of the literature, the authors tackle the question of psychobiological mechanisms of stress, in a pathophysiological approach to fundamental pathways linking the brain to the heart. Various psychological, biological and genetic arguments are presented in support of the hypothesis that various etiological mechanisms may be involved. The authors finally deal with biological and psychological strategies in a context of cardiovascular disease. Indeed, in this context, cardiac rehabilitation, with its global approach, seems to be a good time to diagnose emotional disorders like anxiety and depression, and to help people to cope with stressful events. In this field, cardiac rehabilitation seems to be a crucial step in order to improve patients’ outcomes, by helping them to understand the influence of psychobiological risk factors, and to build strategies in order to manage daily stress. Permalink : ./index.php?lvl=notice_display&id=48095 Exemplaires (1)
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Exclu du prêtVitamin D deficiency related to physical capacity during cardiac rehabilitation / Olivier Ucay in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
[article]
Titre : Vitamin D deficiency related to physical capacity during cardiac rehabilitation Type de document : texte imprimé Auteurs : Olivier Ucay ; Marion Pouche ; Thibaut Guiraud ; [et al...] Année de publication : 2017 Article en page(s) : p. 2-5 Langues : Français (fre) Mots-clés : vitamine D réhabilitation cardiaque Résumé : Background
Vitamin D deficiency is a frequent pathology associated with cardiovascular diseases and physical performance.
Objective
To study the link between 25-hydroxyvitamin D (25OHD) level and physical performance and gain in physical performance after cardiovascular rehabilitation (CVR) with vitamin D deficiency.
Methods
25OHD level was assessed in a retrospective cohort of patients admitted for CVR. Data were collected on physical fitness [6-min walk test distance (6MWD) in percentage of predicted, maximal power (Pmax)]. The threshold of vitamin D deficiency was 20ng/ml chosen according to the literature.
Results
Among the 131 patients included, as compared with those with nondeficiency (n=83; 63%), patients with vitamin D deficiency (n=48, 37%) had lower initial 6MWD (82±18 vs 89±12% predicted, P=0.009) and Pmax (100±58 vs 120±39W, P=0.006). After CVR, this difference was maintained. The improvement in 6MWD and Pmax was significantly lower with deficiency than nondeficiency, for an increase of 11±8% versus 14±9% predicted (P=0.048) and 10±30 versus 32±30W (P=0.00001), respectively.
Conclusion
Vitamin D deficiency may be associated with impaired physical fitness before CVR and a smaller gain in physical fitness with CVR, probably related to the action of vitamin D on the muscle.Permalink : ./index.php?lvl=notice_display&id=48094
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 2-5[article] Vitamin D deficiency related to physical capacity during cardiac rehabilitation [texte imprimé] / Olivier Ucay ; Marion Pouche ; Thibaut Guiraud ; [et al...] . - 2017 . - p. 2-5.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 2-5
Mots-clés : vitamine D réhabilitation cardiaque Résumé : Background
Vitamin D deficiency is a frequent pathology associated with cardiovascular diseases and physical performance.
Objective
To study the link between 25-hydroxyvitamin D (25OHD) level and physical performance and gain in physical performance after cardiovascular rehabilitation (CVR) with vitamin D deficiency.
Methods
25OHD level was assessed in a retrospective cohort of patients admitted for CVR. Data were collected on physical fitness [6-min walk test distance (6MWD) in percentage of predicted, maximal power (Pmax)]. The threshold of vitamin D deficiency was 20ng/ml chosen according to the literature.
Results
Among the 131 patients included, as compared with those with nondeficiency (n=83; 63%), patients with vitamin D deficiency (n=48, 37%) had lower initial 6MWD (82±18 vs 89±12% predicted, P=0.009) and Pmax (100±58 vs 120±39W, P=0.006). After CVR, this difference was maintained. The improvement in 6MWD and Pmax was significantly lower with deficiency than nondeficiency, for an increase of 11±8% versus 14±9% predicted (P=0.048) and 10±30 versus 32±30W (P=0.00001), respectively.
Conclusion
Vitamin D deficiency may be associated with impaired physical fitness before CVR and a smaller gain in physical fitness with CVR, probably related to the action of vitamin D on the muscle.Permalink : ./index.php?lvl=notice_display&id=48094 Exemplaires (1)
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Exclu du prêtWhole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study / Thibaut Guiraud in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
[article]
Titre : Whole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study Type de document : texte imprimé Auteurs : Thibaut Guiraud ; Marc Labrunée ; Florent Besnier ; [et al...] Année de publication : 2017 Article en page(s) : p. 20-26 Langues : Français (fre) Mots-clés : réhabilitation cardiaque force contraction isométrique Résumé : Background
Isometric strengthening has been rarely studied in patients with coronary heart disease (CHD), mainly because of possible potential side effects and lack of appropriate and reliable devices.
Objective
We aimed to compare 2 different modes of resistance training, an isometric mode with the Huber Motion Lab (HML) and traditional strength training (TST), in CHD patients undergoing a cardiac rehabilitation program.
Design
We randomly assigned 50 patients to HML or TST. Patients underwent complete blinded evaluation before and after the rehabilitation program, including testing for cardiopulmonary exercise, maximal isometric voluntary contraction, endothelial function and body composition.
Results
After 4 weeks of training (16 sessions), the groups did not differ in body composition, anthropometric characteristics, or endothelial function. With HML, peak power output (P=0.035), maximal heart rate (P<0.01) and gain of force measured in the chest press position (P<0.02) were greater after versus before training.
Conclusion
Both protocols appeared to be well tolerated, safe and feasible for these CHD patients. A training protocol involving 6s phases of isometric contractions with 10s of passive recovery on an HML device could be safely implemented in rehabilitation programs for patients with CHD and improve functional outcomes.Permalink : ./index.php?lvl=notice_display&id=48097
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 20-26[article] Whole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study [texte imprimé] / Thibaut Guiraud ; Marc Labrunée ; Florent Besnier ; [et al...] . - 2017 . - p. 20-26.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 20-26
Mots-clés : réhabilitation cardiaque force contraction isométrique Résumé : Background
Isometric strengthening has been rarely studied in patients with coronary heart disease (CHD), mainly because of possible potential side effects and lack of appropriate and reliable devices.
Objective
We aimed to compare 2 different modes of resistance training, an isometric mode with the Huber Motion Lab (HML) and traditional strength training (TST), in CHD patients undergoing a cardiac rehabilitation program.
Design
We randomly assigned 50 patients to HML or TST. Patients underwent complete blinded evaluation before and after the rehabilitation program, including testing for cardiopulmonary exercise, maximal isometric voluntary contraction, endothelial function and body composition.
Results
After 4 weeks of training (16 sessions), the groups did not differ in body composition, anthropometric characteristics, or endothelial function. With HML, peak power output (P=0.035), maximal heart rate (P<0.01) and gain of force measured in the chest press position (P<0.02) were greater after versus before training.
Conclusion
Both protocols appeared to be well tolerated, safe and feasible for these CHD patients. A training protocol involving 6s phases of isometric contractions with 10s of passive recovery on an HML device could be safely implemented in rehabilitation programs for patients with CHD and improve functional outcomes.Permalink : ./index.php?lvl=notice_display&id=48097 Exemplaires (1)
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Exclu du prêtExercise training-induced modification in autonomic nervous system: An update for cardiac patients / Florent Besnier in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
[article]
Titre : Exercise training-induced modification in autonomic nervous system: An update for cardiac patients Type de document : texte imprimé Auteurs : Florent Besnier ; Marc Labrunée ; Atul Pathak ; [et al...] Année de publication : 2017 Article en page(s) : p. 27-35 Langues : Français (fre) Mots-clés : réhabilitation cardiaque entrainement maladie cardio-vaxculaire Résumé : Patients with cardiovascular disease show autonomic dysfunction, including sympathetic activation and vagal withdrawal, which leads to fatal events. This review aims to place sympathovagal balance as an essential element to be considered in management for cardiovascular disease patients who benefit from a cardiac rehabilitation program. Many studies showed that exercise training, as non-pharmacologic treatment, plays an important role in enhancing sympathovagal balance and could normalize levels of markers of sympathetic flow measured by microneurography, heart rate variability or plasma catecholamine levels. This alteration positively affects prognosis with cardiovascular disease. In general, cardiac rehabilitation programs include moderate-intensity and continuous aerobic exercise. Other forms of activities such as high-intensity interval training, breathing exercises, relaxation and transcutaneous electrical stimulation can improve sympathovagal balance and should be implemented in cardiac rehabilitation programs. Currently, the exercise training programs in cardiac rehabilitation are individualized to optimize health outcomes. The sports science concept of the heart rate variability (HRV)-vagal index used to manage exercise sessions (for a goal of performance) could be implemented in cardiac rehabilitation to improve cardiovascular fitness and autonomic nervous system function. Permalink : ./index.php?lvl=notice_display&id=48098
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 27-35[article] Exercise training-induced modification in autonomic nervous system: An update for cardiac patients [texte imprimé] / Florent Besnier ; Marc Labrunée ; Atul Pathak ; [et al...] . - 2017 . - p. 27-35.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 27-35
Mots-clés : réhabilitation cardiaque entrainement maladie cardio-vaxculaire Résumé : Patients with cardiovascular disease show autonomic dysfunction, including sympathetic activation and vagal withdrawal, which leads to fatal events. This review aims to place sympathovagal balance as an essential element to be considered in management for cardiovascular disease patients who benefit from a cardiac rehabilitation program. Many studies showed that exercise training, as non-pharmacologic treatment, plays an important role in enhancing sympathovagal balance and could normalize levels of markers of sympathetic flow measured by microneurography, heart rate variability or plasma catecholamine levels. This alteration positively affects prognosis with cardiovascular disease. In general, cardiac rehabilitation programs include moderate-intensity and continuous aerobic exercise. Other forms of activities such as high-intensity interval training, breathing exercises, relaxation and transcutaneous electrical stimulation can improve sympathovagal balance and should be implemented in cardiac rehabilitation programs. Currently, the exercise training programs in cardiac rehabilitation are individualized to optimize health outcomes. The sports science concept of the heart rate variability (HRV)-vagal index used to manage exercise sessions (for a goal of performance) could be implemented in cardiac rehabilitation to improve cardiovascular fitness and autonomic nervous system function. Permalink : ./index.php?lvl=notice_display&id=48098 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtFixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)
PermalinkIndividualisation du traitement des patients avec maladie cardiovasculaire / Claude Maroun in Kinésithérapie, la revue, Vol. 18, n° 195 (Mars 2018)
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