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Effects of Exercise-Based Interventions on Fall Risk and Balance in Patients With Chronic Obstructive Pulmonary Disease: A SYSTEMATIC REVIEW
Conclusions: Exercise-based interventions have a positive effect on balance in patients with COPD. Pulmonary rehabilitation with balance training seems to have the most beneficial effect on balance. The effects on fall risk, as well as the long-term intervention effects remain unclear. A standardized balance assessment and research on long-term effects and fall risk are recommended. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Scientific Review Source Type: research

Medical Director Responsibilities for Outpatient Pulmonary Rehabilitation Programs in the United States: 2019: A STATEMENT FOR HEALTH CARE PROFESSIONALS FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR)
Clinical guidelines have been developed recognizing pulmonary rehabilitation (PR) as a key component in the management of patients with chronic lung disease. The medical director of a PR program is a key player in every program and is a requirement for operation of the program. The medical director must be a licensed physician who has experience in respiratory physiology management. The purpose of this document is to provide an update regarding the clinical, programmatic, legislative, and regulatory issues that impact PR medical directors in North America. It describes the clinical rationale for physician involvement, rele...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: AACVPR Statement Source Type: research

Importance of Lifestyle Modification on Cardiovascular Risk Reduction: COUNSELING STRATEGIES TO MAXIMIZE PATIENT OUTCOMES
This commentary builds on the unhealthy lifestyle habits, population health, risk factors as harbingers of cardiovascular disease, current provider counseling practices, assessing patient readiness to change, and research-based interventions to facilitate behavior change (eg, the 5A's, motivational interviewing, and overcoming inertia with downscaled goals). (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Invited Commentary Source Type: research

The Journal of Cardiopulmonary Rehabilitation and Prevention at 40 Years and Its Role in Promoting Lifestyle Medicine for Prevention of Cardiovascular Diseases: PART 1
Risk to individuals for cardiovascular events are invariably tied to their exposure to major coronary risk factors. This risk can be substantially mitigated by lifestyle behaviors. This first part of this Commentary focuses on the important role both adopting healthful dietary patterns and regularly obtaining adequate physical activity have as preventative therapies for cardiovascular diseases. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Invited Commentary Source Type: research

Selected Abstracts From Recent Publications in Cardiopulmonary Disease Prevention and Rehabilitation
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Literature Update Source Type: research

Survey of Exercise Prescription in US Pulmonary Rehabilitation Programs
Conclusions: The 2016 survey responses show a greater use of guideline-based exercise prescription methodology, with an increase in use of FITT methodology for exercise prescription. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Cardiopulmonary Exercise Testing Following Open Repair for a Proximal Thoracic Aortic Aneurysm or Dissection
Purpose: There are limited data on cardiopulmonary exercise testing (CPX) and cardiorespiratory fitness (CRF), following open repair for a proximal thoracic aortic aneurysm or dissection. The aim was to evaluate serious adverse events, abnormal CPX event rate, CRF (peak oxygen uptake, JOURNAL/jcprh/04.02/01273116-202003000-00012/math_12MM1/v/2020-03-01T143112Z/r/image-png O2peak), and blood pressure. Methods: Patients were retrospectively identified from cardiac rehabilitation participation or prospectively enrolled in a research study and grouped by phenotype: (1) bicuspid aortic valve/thoracic aortic aneurysm, (2...
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Changes in Physical Performance and Their Association With Health-Related Quality of Life in a Mixed Nonischemic Cardiac Population That Participates in Rehabilitation
Conclusion: The findings show that the positive improvement in HRQoL from exercise-based cardiac rehabilitation cannot simply be explained by an improvement in physical performance. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Aerobic Exercise Effects on Quality of Life and Psychological Distress After an Implantable Cardioverter Defibrillator
Conclusions: The EX conferred significant effects on depression and self-efficacy at 8 wk, without effects on QOL. Adherent exercisers experienced significant improvements in outcomes over those who were nonadherent or received UC. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Effect of Initiating Cardiac Rehabilitation After Myocardial Infarction on Subsequent Hospitalization in Older Adults
Conclusions: This study provides evidence that CR can reduce the 1-yr risk of cardiovascular and all-cause hospital admissions in Medicare aged MI survivors. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Ventilatory and Near-Infrared Spectroscopy Responses Similarly Determine Anaerobic Threshold in Patients With Heart Failure
Conclusion: Both ventilatory and NIRS assessments are correlated and there are no differences in the responses between CHF patients and healthy subjects in the determination of AT. These findings indicate both approaches may have utility in the assessment of submaximal exercise performance in patients with CHF. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Brief Reports Source Type: research

Wearable Cardioverter Defibrillator–Guided 6-Min Walk Test Performed at Home Is Accurate and Reliable: RESULTS OF THE TRENDS STUDY
Conclusions: Results of the in-clinic 6MWT are similar between clinician-guided and WCD-guided patients across objective distances. Distances walked with a WCD-guided walk test were consistent whether conducted in the clinic or at home and were reliable over time. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Brief Reports Source Type: research

Handgrip Strength as a Predictor of Exercise Capacity in Coronary Heart Disease
Purpose: A recent study has shown that quadriceps strength can be used to predict the level of exercise capacity in patients with coronary heart disease. We investigated whether the relationship between muscular strength and exercise capacity is also observed with handgrip strength (HGS). Methods: We studied 443 participants (61.8 ± 11.2 yr; 78% male) who underwent coronary intervention and participated in cardiac rehabilitation between 2015 and 2018. Logistic regression was used to assess the relationship between various clinical measures (HGS, age, sex, etc) with the distance walked on a 6-minute walk test (6MWT) a...
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Brief Reports Source Type: research

Characterization of Dyspnea in Veteran Lung Cancer Survivors Following Curative-Intent Therapy
Conclusion: We identified clinical predictors or determinants of dyspnea that have pathophysiological bases. Dyspnea was independently associated with functional EC. These results have implications in efforts to reduce dyspnea and improve exercise behavior and functional EC in lung cancer survivors following curative-intent therapy. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Cancer Source Type: research

Promoting Patient Utilization of Outpatient Cardiac Rehabilitation: A JOINT INTERNATIONAL COUNCIL AND CANADIAN ASSOCIATION OF CARDIOVASCULAR PREVENTION AND REHABILITATION POSITION STATEMENT
Conclusions: Interventions can significantly increase utilization of CR and hence should be widely applied. We call upon cardiac care institutions to implement these strategies to augment CR utilization and to ensure that CR programs are adequately resourced to serve enrolling patients and support them to complete programs. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Scientific Review Source Type: research