Effects of Stretching Exercises on Vascular Endothelial Dysfunction and Exercise Capacity in Chronic Heart Failure Patients with an Implantable Cardioverter Defibrillator or Cardiac Resynchronization Therapy-defibrillator
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- KATO Michitaka
- Department of Shizuoka Physical Therapy, Faculty of Health Science, Tokoha University
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- MORI Yuji
- Department of Rehabilitation, Shizuoka Medical Center
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- KOCHI Kaito
- Department of Rehabilitation, Shizuoka Medical Center
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- MORIMOTO Daisuke
- Department of Rehabilitation, Shizuoka Medical Center
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- KADOTANI Seina
- Department of Rehabilitation, Shizuoka Medical Center
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- KITO Kazuya
- Department of Rehabilitation, Shizuoka Medical Center
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- HAMA Takayuki
- Department of Rehabilitation, Shizuoka Medical Center
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- OGANO Michio
- Division of Cardiology, Shizuoka Medical Center
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- TANABE Jun
- Division of Cardiology, Shizuoka Medical Center
Bibliographic Information
- Other Title
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- ストレッチング体操が植込み型除細動器あるいは両心室ペーシング機能つき植込み型除細動器を装着した運動習慣のない慢性心不全患者の血管内皮機能と運動耐容能に与える影響
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Abstract
<p>Purpose: Endurance training improves vascular endothelial dysfunction and exercise capacity in patients with chronic heart failure (CHF). However, CHF patients with an implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy-defibrillator (CRT-D) often avoid endurance training for fear of ICD shock. Recent studies have shown that stretching exercises enhance antioxidant activity and improve vascular responses. We aimed to assess the effects of four weeks of stretching exercises on oxidative stress and vascular endothelial function in CHF patients with an ICD or CRT-D.</p><p>Methods: Thirty-two sedentary CHF patients (men, 83%; mean age, 69 ± 9 years; left ventricular ejection fraction, 30 ± 9%) with an ICD or CRT-D were randomly divided into a group that performed four-week stretching exercises (stretching group), and a group that continued a sedentary lifestyle (control group). We compared the reactive hyperemia peripheral arterial tonometry index (RHI) and 6 minute walk distance (6MWD), and sit-and –reach test (SR), between the two groups before and after the four-week study period.</p><p>Results: In the stretching group, a significant increase in the RHI, 6MWD, and SR were observed after the study period compared to before (p<0.01, p<0.05, and p<0.01). No significant changes were observed in the control group.</p><p>Conclusion: Four weeks of stretching exercises may increase exercise capacity through improve of vascular endothelial dysfunction in sedentary CHF patients with an ICD or CRT-D.</p>
Journal
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- Physical Therapy Japan
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Physical Therapy Japan 45 (3), 175-182, 2018
Japanese Society of Physical Therapy
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Details 詳細情報について
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- CRID
- 1390001288038341504
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- NII Article ID
- 130007398274
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- ISSN
- 2189602X
- 02893770
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed