Physical fitness of patients after abdominal aortic aneurysm surgery
 
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1
Department of Rehabilitation, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
 
2
Department of Physiotherapy, School of Health Sciences, Medical University of Silesia, Katowice, Poland
 
 
Corresponding author
Bartosz Wnuk   

Katedra i Klinika Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach, ul. Ziołowa 45/47, 40-635 Katowice
 
 
Ann. Acad. Med. Siles. 2015;69:54-59
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The study evaluated the effect of walking training on the physical training of people with a surgically treated abdominal aortic aneurysm (AAA) in a short-term observation.

Materials and methods:
In a group of 60 patients, divided randomly into two groups with different models of physiotherapy, blood count parameters, 6-minute walk test variables, spirometry variables and quadriceps torque of the lower limbs were measured before and after the operation.

Results:
The statistical analysis of the studied variables indicates a physical reduction in both groups after surgery. Only a few parameters, such as energy expenditure MET, forced vital capacity FVC, quadriceps torque of the right lower extremity, support the physiotherapy model, extended by march training.

Conclusions:
In patients with an abdominal aortic aneurysm, regardless of the type of physiotherapy carried out, there is a reduction in physical function after surgery. The results indicate the need to continue walking training after discharge from the hospital in the second stage of physiotherapy.

REFERENCES (18)
1.
Belardinelli R., Georgiou D., Cianci G., Purcaro A. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life and clinical outcome. Circulation 1999; 99: 1173–1182.
 
2.
Keith D., Calligaro, Daniel J. Pulmonary risk factors of elective abdominal Aortic surgery. J. Vasc. Surg. 1993; 6, 914–921.
 
3.
Noszczyk W. Chirurgia tętnic i żył obwodowych. Wydawnictwo Lekarskie PZWL, Warszawa 2007.
 
4.
Brzostek T. Lower limbs deep vein thrombosis and chronic vein insufficiency-clinical picture, prevention, treatment, rehabilitation. Medical Rehabilitation 2003; 7(4): 31–40.
 
5.
Letterstal A., Sandstrom V., Olofsson P., Forsberg C. Postoperative mobilization of patients with abdominal aortic aneurysm. J. Adv. Nurs. 2004; 48, 6: 560–568.
 
6.
Tew G.A., Weston M., Kothmann E. et al. High-intensity interval exercise training before abdominal aortic aneurysm repair (HIT-AAA): protocol for a randomised controlled feasibility trial. BMJ Open. 2014; 10, 4(1): 1–9.
 
7.
Królak M., Wieczorek J. Early rehabilitation of patients after vascular surgery. Adv. Rehabil. 1996; 10, 2: 27–35.
 
8.
Tavazzi L., Giannuzzi P. Physical training as a therapeutic measure in chronic heart failure: time for recommendations. Heart 2001; 86, 1: 7–11.
 
9.
Butland R.J., Pang J., Gross E.R., Woodcock A.A., Geddes D.M. Two-, six-, and 12-minute walking tests in respiratory disease. BMJ 1982; 29; 284(6329): 1607–1608.
 
10.
Rostagno C., Olivo G. Prognostic value of 6-minute corridor walk test in patients with mild to moderate heart failure: comparison with other methods of functional evaluation. Eur. J. Heart Fail. 2003; 5(3): 274–252.
 
11.
Wolszakiewicz J. Sześciominutowy test marszowy – zastosowanie w praktyce Klinicznej. Kardiol. Pol. 2010; 68: 237–240.
 
12.
Sciurba F., Criner G.J., Lee S.M., Mohsenifar Z., Shade D., Slivka W., Wise R.A. Six-minute walk distance in chronic obstructive pulmonary disease: reproducibility and effect of walking course layout and length. Am. J. Respir. Crit. Care. Med. 2003; 1, 167: 1522–1527.
 
13.
Remijnse-Tamerius H.C.M., Duprez D. Why is training effective in treatment of patients with intermittent claudication? Int. Angiol. 1999; 18, 2: 103–112.
 
14.
Guidelines for Pulmonary Rehabilitation Programs (American Association of Cardiovascular and Pulmonary Rehabilitation). Human Kinetics Publisher Inc. second edition, 1998 ISBN 0-88011-863-6.
 
15.
Giannuzzi P., Luigi Temporelli P., Corra U., Tavazzi L. Antiremodeling effect of long-term exercise training in patient with stable chronic heart failure: results of exercise in left ventircular dysfunction and chronic heart failure (ELVD-CHF) trial. Circulation 2003; 108: 554–559.
 
16.
Valkenet K., van de Port I.G., Dronkers J.J., de Vries W.R., Lindeman E., Backx F.J. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clin. Rehabil. 2011, 25: 99–111.
 
17.
Kothmann E., Batterham A.M., Owen S.J., Turley A.J., Cheesman M., Parry A., Danjoux G. Effect of short-term exercise training on aerobic fitness in patients with abdominal aortic aneurysms: a pilot study. Br. J. 2009; 103: 505–510.
 
18.
Tew G.A., Moss J., Crank H., Mitchell P.A., Nawaz S. Endurance exercise training in patients with small abdominal aortic aneurysm: a randomized controlled pilot study. Arch. Phys. Med. Rehabil. 2012; 93(12): 2148–2153.
 
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