Indoor cycling training in rehabilitation of patients after myocardial infarction

Abstract

Background Standard endurance training used from the second stage of cardiac rehabilitation has many common features with indoor cycling training which is used in fitness clubs. In the study, an attempt was made to evaluate the usefulness of this form of training in a 24-day rehabilitation program for patients after myocardial infarction. The study examined a group of 64 patients (51.34 ± 8.02 years) who were divided into two groups: the IC group (32 patients aged 53.40 ± 4.31 years) with indoor cycling training instead of standard endurance training; and the ST group (32 patients aged 55.31 ± 6.45 years) performing standard training. The level of exercise tolerance (cardiopulmonary exercise testing on a treadmill—Bruce’s protocol), hemodynamic indicators of the left ventricle (echocardiography) and blood lipid profile (laboratory test) were assessed. Results In the IC group there was a significant increase in the test duration (9.21 ± 2.02 vs 11.24 ± 1.26 min; p < 0.001), the MET value (9.16 ± 1.30 vs 10.73 ± 1.23; p = 0.006) and VO2max (37.27 ± 3.23 vs 39.10 ± 3.17 ml/kg/min; p < 0.001). Parallel changes were observed in the ST group, where the following parameters improved: the test duration (9.41 ± 0.39 vs 10.91 ± 2.22; p < 0.001), MET value (8.65 ± 0.25 vs 9.86 ± 1.12; p = 0.002) and VO2max (36.89 ± 6.22 vs 38.76 ± 3.44; p < 0.001). No statistically significant changes were found in the hemodynamic indices of the left ventricle and the lipid profile. Also, the intergroup analysis did not show any statistical significance. Conclusion Based on the research results, it was found that indoor cycling training in the second phase of cardiac rehabilitation is a safe form of therapy and therefore may be an interesting alternative method to the classic bicycle ergometer exercise in the stage of early cardiac rehabilitation.

The Use of Vibration Training in Men after Myocardial Infarction

“…In our own research, both in the WBV and ST groups, a decrease in the value of the resting heart rate was noted. A similar effect in relation to the standard program and modified programs was obtained by Grabara et al [ 5 ] and Nowak et al [ 31 , 37 ].…”

Pengaruh Aktivitas Fisik terhadap Profil Lipid Penderita Penyakit Jantung Koroner

“…Namun, setelah mencocokkan kelompok untuk latihan pengeluaran energi, durasi latihan, dan intensitas latihan, kelompok HIIT terus mengalami pengurangan lemak tubuh yang jauh lebih besar dibandingkan dengan MICT, tanpa perbedaan skor RYP di seluruh kelompok serta tidak ada perbedaan dalam intensitas terapi statin pada setiap kelompok dari awal hingga penyelesaian 36 sesi rehabilitasi jantung. 19 Penelitian yang dilakukan oleh Glo et al 20 mendapatkan bahwa analisis perubahan profil lipid menunjukkan arah perubahan yang menguntungkan dalam nilai semua indikator, namun hasil ini tidak menunjukkan perubahan yang bermakna secara statistik. Peningkatan kadar kolesterol total dan TG merupakan faktor pembentukan lesi aterosklerotik pada pembuluh darah koroner, serebral dan perifer.…”

“…Saat membandingkan hasil tes sebelum dan setelah dimulainya rehabilitasi diperoleh tingkat lipid yang dianalisis dalam kedua kasus berada dalam kisaran normal yang mungkin menunjukkan efek pengobatan farmakologis sebelumnya. 20 Mekanisme aktivitas fisik dapat menyebabkan penurunan LDL, trigliserida, dan meningkatkan HDL yang kemungkinan besar terkait dengan peningkatan sensitivitas terhadap insulin dan peningkatan ekspresi lipoprotein lipase di jaringan adiposa dan otot rangka pada individu yang aktif secara fisik. Perbaikan profil lipid darah yang disebabkan oleh aktivitas fisik penting untuk pencegahan dan pengobatan penyakit kardiovaskular, termasuk penyakit jantung koroner.…”