Selected trials of the Senior Fitness Test as a measure of the functional ability of patients given early post-hospital rehabilitation following a coronary artery bypass grafting
Journal Title: Rehabilitacja Medyczna - Year 2014, Vol 18, Issue 2
Abstract
Introduction: The expected effect of rehabilitation after coronary artery bypass grafting (CABG) is the restoration of the patients’ functional fitness. However, the absence of a method for a functional assessment of the patients’ condition both immediately after the procedure and after rehabilitation makes it impossible to precisely evaluate patients’ improvement. The aim of the present study is an attempt to use selected items of the Senior Fitness Test to evaluate the functional fitness of patients who have undergone CABG after an early stage of cardiac rehabilitation in sanatorium conditions as a measure of the effects of rehabilitation.Research project: Before/after testingMaterial and methods: Thirty men aged 60 to 78 (mean age 68.6 ±6.2 years) undertaking early cardiac rehabilitation in a spa hospital (a 21-day stay) after CABG were subject to two-stage testing. The first set of tests was conducted at the beginning of their stay (on average 18 days after the surgery), and the second set was conducted during the last days of their stay at the spa hospital (on average 39 days after the surgery). In both sets of tests, the following items of the Senior Fitness Test were applied: the lower body strength test, the complex coordination test, and the 2-minute Step-in-Place test.Results: After 21 days of observation, the patients significantly improved their results in the lower body strength test (p<0.001), the complex coordination test (p<0.001) and the 2-minute Step-in-Place test (p<0.001). Additionally, a significant decrease in heart rate and systolic and diastolic blood pressure before and after the 2-minute Step-in-Place test was observed.Conclusions: Post-CABG patients, having undergone therapy at an early post-hospital stage, significantly improved their functional fitness. The application of the selected Fullerton Test items showed the possibility of using a functional fitness evaluation in this group of patients as a measure of the effects of the therapy.
Authors and Affiliations
Anna Pabisiak
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