Short physical performance battery in the pre and postoperative myocardial revascularization surgery in older adults: Reliability, hemodynamic responses, subjective perceived exertion, and adverse events

Ferronato, Letícia; Vieira, Danielle Soares Rocha; Rodrigues, Ana Paula Ribeiro; Coronel, Christian Corrêa; Avelar, Núbia Carelli Pereira de

doi:10.1080/09593985.2022.2137383

Cited by 2 publications

(3 citation statements)

References 34 publications

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“…The measurement technique was described by Bohannon, who verified the excellent intra- and inter-examiner reliability of this tool [ 50 ]. Lower extremity strength: lower extremity strength will be assessed using the Short Physical Performance Battery, a simple, valid, reliable functional test battery, sensitive to clinical functional changes and with adequate intra- and inter-examiner reliability [ 51 , 52 ]. The test has three parts: A five-squat test in a standing position, reliable for measuring change, with a minimum detectable change of 3.12 seconds [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

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Can resistance prehabilitation training bring additional benefits in valvular cardiac surgery? protocol for a randomized controlled trial

Montero-Cámara,

Ferrer-Sargues,

Rovira

et al. 2024

PLoS ONE

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Introduction Cardiovascular diseases (CVD) are a group of illnesses that include coronary heart disease, cerebrovascular disease, congenital heart disease and deep vein thrombosis. Major surgery is often chosen as the treatment of choice for CVD. The concept of fast-track rehabilitation after surgery appeared in the 1970s. Participation in these exercise-based prehabilitation programmes may decrease postoperative complications and length of hospital stay. The primary aim of the present study is to evaluate whether the implementation of an additional resistance training (RT) prehabilitation protocol within cardiac exercises based prehabilitation can reduce intensive care unit (ICU) length of stay, postoperative complications and hospital length of stay (LOS). Methods A protocol of a prospective, parallel, randomised clinical trial includes 96 adult patients diagnosed with valvular pathology and who have been scheduled for surgery. The participants will be randomly assigned to two groups of 48. Control group will be treated with ventilatory and strengthening of respiratory muscles, and aerobic exercise. Experimental group, in addition, will be treated with RT of peripheral muscles. Both hospital stay and ICU stay will be assessed as main variables. Other secondary variables such as exercise capacity, quality of life and respiratory values will also be assessed. Quantitative variables will be analysed with a T-Test or ANOVA, or Mann Witney if the distribution is non-parametric. Results and conclusion This will be the first controlled clinical study focused on adding strength exercise as an additional treatment during prehabilitation. The results of this study will focus on helping to improve rehabilitation and prehabilitation protocols, considering that it is essential to maintain pulmonary training, as well as the inclusion of peripheral exercises that help people with heart disease to be in a better physical condition in order to increase their participation and sense of quality of life.

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Section: Methodsmentioning

confidence: 99%

“…iii. Lower extremity strength: lower extremity strength will be assessed using the Short Physical Performance Battery, a simple, valid, reliable functional test battery, sensitive to clinical functional changes and with adequate intra-and inter-examiner reliability [51,52]. The test has three parts:…”

Section: Plos Onementioning

confidence: 99%

Can resistance prehabilitation training bring additional benefits in valvular cardiac surgery? protocol for a randomized controlled trial

Montero-Cámara,

Ferrer-Sargues,

Rovira

et al. 2024

PLoS ONE

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“…All assessors will be trained by the primary study physical therapist (J.K.J.). Acceptable inter-rater reliability of the SPPB has been shown in prior studies, [ 59 , 60 ] but we will assess inter-rater reliability for the first 10 patients enrolled with each mobility tech as a quality check; the primary study physical therapist (J.K.J.) will be the second assessor.…”

Section: Data Collection and Managementmentioning

confidence: 99%

Assisted ambulation to improve health outcomes for older medical inpatients (AMBULATE): study protocol for a randomized controlled trial

Johnson¹,

Hamilton²,

Hu³

et al. 2023

Trials

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Background Hospitalized older adults spend as much as 95% of their time in bed, which can result in adverse events and delay recovery while increasing costs. Observational studies have shown that general mobility interventions (e.g., ambulation) can mitigate adverse events and improve patients’ functional status. Mobility technicians (MTs) may address the need for patients to engage in mobility interventions without overburdening nurses. There is no data, however, on the effect of MT-assisted ambulation on adverse events or functional status, or on the cost tradeoffs if a MT were employed. The AMBULATE study aims to determine whether MT-assisted ambulation improves mobility status and decreases adverse events for older medical inpatients. It will also include analyses to identify the patients that benefit most from MT-assisted mobility and assess the cost-effectiveness of employing a MT. Methods The AMBULATE study is a multicenter, single-blind, parallel control design, individual-level randomized trial. It will include patients admitted to a medical service in five hospitals in two regions of the USA. Patients over age 65 with mild functional deficits will be randomized using a block randomization scheme. Those in the intervention group will ambulate with the MT up to three times daily, guided by the Johns Hopkins Mobility Goal Calculator. The intervention will conclude at hospital discharge, or after 10 days if the hospitalization is prolonged. The primary outcome is the Short Physical Performance Battery score at discharge. Secondary outcomes are discharge disposition, length of stay, hospital-acquired complications (falls, venous thromboembolism, pressure ulcers, and hospital-acquired pneumonia), and post-hospital functional status. Discussion While functional decline in the hospital is multifactorial, ambulation is a modifiable factor for many patients. The AMBULATE study will be the largest randomized controlled trial to test the clinical effects of dedicating a single care team member to facilitating mobility for older hospitalized patients. It will also provide a useful estimation of cost implications to help hospital administrators assess the feasibility and utility of employing MTs. Trial registration Registered in the United States National Library of Medicine clinicaltrials.gov (# NCT05725928). February 13, 2023.

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Short physical performance battery in the pre and postoperative myocardial revascularization surgery in older adults: Reliability, hemodynamic responses, subjective perceived exertion, and adverse events

Cited by 2 publications

References 34 publications

Can resistance prehabilitation training bring additional benefits in valvular cardiac surgery? protocol for a randomized controlled trial

Can resistance prehabilitation training bring additional benefits in valvular cardiac surgery? protocol for a randomized controlled trial

Assisted ambulation to improve health outcomes for older medical inpatients (AMBULATE): study protocol for a randomized controlled trial

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