Featured Research

from universities, journals, and other organizations

Longer Cardiac Rehab Programs Necessary, Says U Of T Study

Date:
January 29, 2005
Source:
University Of Toronto
Summary:
Although three months are often prescribed for cardiac rehabilitation, it takes nine months for patients to reach peak improvement, say researchers from the University of Toronto.

Although three months are often prescribed for cardiac rehabilitation, it takes nine months for patients to reach peak improvement, say researchers from the University of Toronto.

The study, published in the December issue of the Journal of Cardiopulmonary Rehabilitation, found a 52-week rehabilitation program that combined supervised and unsupervised exercise sessions was effective in improving both physical and mental health, with the peak occurring at 38 weeks (nine months).

"To receive the optimal benefits in physical fitness and quality of life, patients should attend cardiac rehabilitation programs which last for at least six, and up to nine months," says Dr. Terence Kavanagh, a professor in U of T's Faculty of Physical Education and Health and the Faculty of Medicine. Increased program length also gives health care professionals a longer period to help patients make heart-healthy lifestyle changes that lower the risk of future cardiac events, such as quitting smoking or switching to a low-fat diet.

In the study, 623 male patients with coronary heart disease were randomized to one of two programs. The first used weekly supervised exercise sessions over 52 weeks, while the second used weekly supervised sessions for 26 weeks followed by one supervised session per month for the remaining 26 weeks. Patients were kept on their drug therapies and had nutritional interventions as well as being prescribed a walking or walk-jog (where appropriate) program.

Dr. Larry Hamm, an adjunct professor in U of T's Faculty of Physical Education and Health and program director of cardiac rehabilitation at National Rehabilitation Hospital, Washington, D.C., says that Ontario and most of Canada already have programs that extend sessions beyond 12 weeks. "They would need very minor modifications to achieve these optimal benefits."

However, American programs typically employ supervised sessions three times a week for 12 weeks, a regime that is determined in large part by insurance company rules and regulations, Hamm says. While the number of supervised sessions used in U.S. programs is similar to that used in the study, the length of the program is considerably less, at three versus nine months. "We hope this data may increase the willingness on the part of insurance companies to consider paying for programs that use an extended period of time and possibly some unsupervised exercise sessions," he says.

According to Kavanagh, one of the primary arguments against prolonging the time for outpatient rehabilitation services has been cost. "Our study has shown that the costs associated with the modified 38-week program are comparable with programs that use 36 sessions in a shorter period," calling into question the practice of terminating outpatient programs at 12 weeks.

The researchers also found that in the later period of the study, from 26 to 52 weeks, there was little difference in response between the format that used weekly supervised sessions and the format which decreased the supervised sessions from weekly to monthly after 26 weeks. Kavanagh says this shows that more money can be saved by introducing a progressive tapering of supervision.

"Our results justify the approach first taken by the Toronto Rehabilitation Centre in 1968, and which has made it one of the largest, best-known and most effective cardiac rehabilitation programs in North America," says Kavanagh.

###

This study was supported by a research grant from the Canadian Cardiac Rehabilitation Foundation and was undertaken at the Toronto Rehabilitation Institute, formerly the Toronto Rehabilitation Centre.


Story Source:

The above story is based on materials provided by University Of Toronto. Note: Materials may be edited for content and length.


Cite This Page:

University Of Toronto. "Longer Cardiac Rehab Programs Necessary, Says U Of T Study." ScienceDaily. ScienceDaily, 29 January 2005. <www.sciencedaily.com/releases/2005/01/050128222006.htm>.
University Of Toronto. (2005, January 29). Longer Cardiac Rehab Programs Necessary, Says U Of T Study. ScienceDaily. Retrieved August 28, 2014 from www.sciencedaily.com/releases/2005/01/050128222006.htm
University Of Toronto. "Longer Cardiac Rehab Programs Necessary, Says U Of T Study." ScienceDaily. www.sciencedaily.com/releases/2005/01/050128222006.htm (accessed August 28, 2014).

Share This




More Health & Medicine News

Thursday, August 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Mini Pacemaker Has No Wires

Mini Pacemaker Has No Wires

Ivanhoe (Aug. 27, 2014) Cardiac experts are testing a new experimental device designed to eliminate major surgery and still keep the heart on track. Video provided by Ivanhoe
Powered by NewsLook.com
After Cancer: Rebuilding Breasts With Fat

After Cancer: Rebuilding Breasts With Fat

Ivanhoe (Aug. 27, 2014) More than 269 million women are diagnosed with breast cancer each year. Many of them will need surgery and radiation, but there’s a new simple way to reconstruct tissue using a patient’s own fat. Video provided by Ivanhoe
Powered by NewsLook.com
Blood Clots in Kids

Blood Clots in Kids

Ivanhoe (Aug. 27, 2014) Every year, up to 200,000 Americans die from a blood clot that travels to their lungs. You’ve heard about clots in adults, but new research shows kids can get them too. Video provided by Ivanhoe
Powered by NewsLook.com
Radio Waves Knock out Knee Pain

Radio Waves Knock out Knee Pain

Ivanhoe (Aug. 27, 2014) Doctors have used radio frequency ablation or RFA to reduce neck and back pain for years. But now, that same technique is providing longer-term relief for patients with severe knee pain. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins