Skip to main content
Top
Gepubliceerd in: Quality of Life Research 2/2024

21-11-2023

The impact of a neuromuscular rehabilitation programme on the quality of life of patients with acute coronary syndrome and its relationship with sexual dysfunction: a randomised controlled trial

Auteurs: Noemí Valtueña-Gimeno, Francisco José Ferrer-Sargues, Oscar Fabregat-Andrés, Isabel Martínez-Hurtado, F. J. Martínez-Olmos, Marta Lluesma-Vidal, María Dolores Arguisuelas

Gepubliceerd in: Quality of Life Research | Uitgave 2/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Many patients with acute coronary syndrome experience problematic or altered sexual function. This aspect of the disease is frequently ignored or overlooked by the healthcare community even though it can strongly influence health-related patient quality of life (HRQoL). Thus, the aim of this study was to compare the effects of a specific cardiac rehabilitation programme focused on aerobic and neuromuscular strength-resistance training to those of a classic rehabilitation programme, both in terms of HRQoL and erectile dysfunction in patients with acute coronary syndrome.

Methods

This study reports both secondary and unregistered outcomes from a double-blinded, randomised, and controlled clinical trial. The proposed intervention was based on the completion of a 20-session (10-week) cardiac rehabilitation programme for patients with cardiovascular disease. The patient cohort had been diagnosed with acute coronary syndrome and was recruited at the Cardiology Service of a private tertiary hospital. The outcomes assessed in this study were HRQoL and erectile disfunction assessed at baseline, after the intervention, and at a 6-month follow-up.

Results

A total of 30 participants were randomly allocated to each study arm. The results of the two-way mixed ANOVAs showed significant group × time interactions for all the outcome measures (EQ-5D_index, p = 0.004; EQ-5D_VAS, p = 0.017; QLMI-Q, p ≤ 0.001; and IIEF-5, p = 0.001).

Conclusion

The neuromuscular strength training programme was more effective than the classic strength training programme in terms of increasing the HRQoL and improving erectile dysfunction in patients following acute coronary syndrome, with differences still remaining between these groups at the 6-month follow-up.
Literatuur
1.
go back to reference Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., Borge, C. R., Engebretsen, E., Eisemann, M., Halvorsrud, L., Hanssen, T. A., Haugstvedt, A., Haugland, T., Johansen, V. A., Larsen, M. H., Løvereide, L., Løyland, B., Kvarme, L. G., Moons, P., & Norekvål, T. M. (2019). A systematic review of quality of life research in medicine and health sciences. Qual. life Res. Int. J. Qual. Life Asp. Treat. Care Rehabilit., 28(10), 2641–2650. https://doi.org/10.1007/s11136-019-02214-9CrossRef Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., Borge, C. R., Engebretsen, E., Eisemann, M., Halvorsrud, L., Hanssen, T. A., Haugstvedt, A., Haugland, T., Johansen, V. A., Larsen, M. H., Løvereide, L., Løyland, B., Kvarme, L. G., Moons, P., & Norekvål, T. M. (2019). A systematic review of quality of life research in medicine and health sciences. Qual. life Res. Int. J. Qual. Life Asp. Treat. Care Rehabilit., 28(10), 2641–2650. https://​doi.​org/​10.​1007/​s11136-019-02214-9CrossRef
2.
go back to reference WHO. Program of Mental Health: Measuring Quality of Life. WHO/MSA/MNH/PSF/97.4. WHO, Geneva, (1997). WHO. Program of Mental Health: Measuring Quality of Life. WHO/MSA/MNH/PSF/97.4. WHO, Geneva, (1997).
5.
go back to reference DeBusk, R., Drory, Y., Goldstein, I., Jackson, G., Kaul, S., Kimmel, S. E., Kostis, J. B., Kloner, R. A., Lakin, M., Meston, C. M., Mittleman, M., Muller, J. E., Padma-Nathan, H., Rosen, R. C., Stein, R. A., & Zusman, R. (2000). Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the princeton consensus panel. Am. J. Cardiol., 86(2A), 62F-68F. https://doi.org/10.1016/s0002-9149(00)01117-6CrossRefPubMed DeBusk, R., Drory, Y., Goldstein, I., Jackson, G., Kaul, S., Kimmel, S. E., Kostis, J. B., Kloner, R. A., Lakin, M., Meston, C. M., Mittleman, M., Muller, J. E., Padma-Nathan, H., Rosen, R. C., Stein, R. A., & Zusman, R. (2000). Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the princeton consensus panel. Am. J. Cardiol., 86(2A), 62F-68F. https://​doi.​org/​10.​1016/​s0002-9149(00)01117-6CrossRefPubMed
8.
go back to reference Gierat-Haponiuk, K., Haponiuk, I., Szalewska, D., Chojnicki, M., Jaworski, R., Niedoszytko, P., Leszczyńska, K., & Bakuła, S. (2015). Effect of complex cardiac rehabilitation on physical activity and quality of life during long-term follow-up after surgical correction of congenital heart disease. Kardiol. Polska, 73(4), 267–273. https://doi.org/10.5603/KP.a2014.0206CrossRefPubMed Gierat-Haponiuk, K., Haponiuk, I., Szalewska, D., Chojnicki, M., Jaworski, R., Niedoszytko, P., Leszczyńska, K., & Bakuła, S. (2015). Effect of complex cardiac rehabilitation on physical activity and quality of life during long-term follow-up after surgical correction of congenital heart disease. Kardiol. Polska, 73(4), 267–273. https://​doi.​org/​10.​5603/​KP.​a2014.​0206CrossRefPubMed
12.
go back to reference Gadager, B. B., Tang, L. H., Ravn, M. B., Doherty, P., Harrison, A., Christensen, J., & Maribo, T. (2022). Benefits of cardiac rehabilitation following acute coronary syndrome for patients with and without diabetes: a systematic review and meta-analysis. BMC Cardiovasc. Disord., 22(1), 295.CrossRefPubMedPubMedCentral Gadager, B. B., Tang, L. H., Ravn, M. B., Doherty, P., Harrison, A., Christensen, J., & Maribo, T. (2022). Benefits of cardiac rehabilitation following acute coronary syndrome for patients with and without diabetes: a systematic review and meta-analysis. BMC Cardiovasc. Disord., 22(1), 295.CrossRefPubMedPubMedCentral
14.
go back to reference Mischiati, C. R., Comerford, M., Gosford, E., Swart, J., Ewings, S., Botha, N., Stokes, M., & Mottram, S. L. (2015). Intra and inter-rater reliability of screening for movement impairments: movement control tests from the foundation matrix. J. Sports Sci. Med., 14(2), 427–440.PubMedPubMedCentral Mischiati, C. R., Comerford, M., Gosford, E., Swart, J., Ewings, S., Botha, N., Stokes, M., & Mottram, S. L. (2015). Intra and inter-rater reliability of screening for movement impairments: movement control tests from the foundation matrix. J. Sports Sci. Med., 14(2), 427–440.PubMedPubMedCentral
20.
go back to reference Eshoj, H. R., Rasmussen, S., Frich, L. H., Hvass, I., Christensen, R., Boyle, E., Jensen, S. L., Søndergaard, J., Søgaard, K., & Juul-Kristensen, B. (2020). Neuromuscular exercises improve shoulder function more than standard care exercises in patients with a traumatic anterior shoulder dislocation: a randomized controlled trial. Orthop. J. Sports Med., 8(1), 2325967119896102. https://doi.org/10.1177/2325967119896102CrossRefPubMedPubMedCentral Eshoj, H. R., Rasmussen, S., Frich, L. H., Hvass, I., Christensen, R., Boyle, E., Jensen, S. L., Søndergaard, J., Søgaard, K., & Juul-Kristensen, B. (2020). Neuromuscular exercises improve shoulder function more than standard care exercises in patients with a traumatic anterior shoulder dislocation: a randomized controlled trial. Orthop. J. Sports Med., 8(1), 2325967119896102. https://​doi.​org/​10.​1177/​2325967119896102​CrossRefPubMedPubMedCentral
21.
go back to reference Ferrer-Sargues, F. J., Fabregat-Andrés, Ó., Martínez-Hurtado, I., Salvador-Coloma, P., Martínez-Olmos, F. J., Lluesma-Vidal, M., Biviá-Roig, G., Segrera-Rovira, M. J., Arguisuelas, M. D., & Valtueña-Gimeno, N. (2020). Effects of neuromuscular training compared to classic strength-resistance training in patients with acute coronary syndrome: a study protocol for a randomized controlled trial. PloS one, 15(12), e0243917. https://doi.org/10.1371/journal.pone.0243917CrossRefPubMedPubMedCentral Ferrer-Sargues, F. J., Fabregat-Andrés, Ó., Martínez-Hurtado, I., Salvador-Coloma, P., Martínez-Olmos, F. J., Lluesma-Vidal, M., Biviá-Roig, G., Segrera-Rovira, M. J., Arguisuelas, M. D., & Valtueña-Gimeno, N. (2020). Effects of neuromuscular training compared to classic strength-resistance training in patients with acute coronary syndrome: a study protocol for a randomized controlled trial. PloS one, 15(12), e0243917. https://​doi.​org/​10.​1371/​journal.​pone.​0243917CrossRefPubMedPubMedCentral
22.
go back to reference Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A., Coke, L. A., Fleg, J. L., Forman, D. E., Gerber, T. C., Gulati, M., Madan, K., Rhodes, J., Thompson, P. D., Williams, M. A., American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. (2013). Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation, 128(8), 873–934. https://doi.org/10.1161/CIR.0b013e31829b5b44CrossRefPubMed Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A., Coke, L. A., Fleg, J. L., Forman, D. E., Gerber, T. C., Gulati, M., Madan, K., Rhodes, J., Thompson, P. D., Williams, M. A., American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. (2013). Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation, 128(8), 873–934. https://​doi.​org/​10.​1161/​CIR.​0b013e31829b5b44​CrossRefPubMed
23.
go back to reference American College of Sports Medicine, ACSM´s guidelines for exercise testing and prescription 8/E. Ed. Paidotribo. (2019) ISBN 978–84–9910–425–6 American College of Sports Medicine, ACSM´s guidelines for exercise testing and prescription 8/E. Ed. Paidotribo. (2019) ISBN 978–84–9910–425–6
24.
go back to reference Herdman, M., Badia, X., & Berra, S. (2001). El EuroQol-5D: una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria [EuroQol-5D: a simple alternative for measuring health-related quality of life in primary care]. Aten. Prim., 28(6), 425–30. https://doi.org/10.1016/s0212-6567(01)70406-4CrossRef Herdman, M., Badia, X., & Berra, S. (2001). El EuroQol-5D: una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria [EuroQol-5D: a simple alternative for measuring health-related quality of life in primary care]. Aten. Prim., 28(6), 425–30. https://​doi.​org/​10.​1016/​s0212-6567(01)70406-4CrossRef
25.
go back to reference Velasco, J. A., del Barrio, V., Mestre, M. V., Penas, C., & Ridocci, F. (1993). Validación de un nuevo cuestionario para evaluar la calidad de vida en pacientes postinfarto [Validation of a new questionnaire to evaluate the quality of life in patients after myocardial infarction]. Revista española de cardiologia, 46(9), 552–558.PubMed Velasco, J. A., del Barrio, V., Mestre, M. V., Penas, C., & Ridocci, F. (1993). Validación de un nuevo cuestionario para evaluar la calidad de vida en pacientes postinfarto [Validation of a new questionnaire to evaluate the quality of life in patients after myocardial infarction]. Revista española de cardiologia, 46(9), 552–558.PubMed
26.
go back to reference Hernandez, G., Garin, O., Pardo, Y., Vilagut, G., Pont, À., Suárez, M., Neira, M., Rajmil, L., Gorostiza, I., Ramallo-Fariña, Y., Cabases, J., Alonso, J., & Ferrer, M. (2018). Validity of the EQ-5D-5L and reference norms for the Spanish population. Qual. Life Res. Int. J. Qual. Life Asp. Treat., Care Rehabilit., 27(9), 2337–2348. https://doi.org/10.1007/s11136-018-1877-5CrossRef Hernandez, G., Garin, O., Pardo, Y., Vilagut, G., Pont, À., Suárez, M., Neira, M., Rajmil, L., Gorostiza, I., Ramallo-Fariña, Y., Cabases, J., Alonso, J., & Ferrer, M. (2018). Validity of the EQ-5D-5L and reference norms for the Spanish population. Qual. Life Res. Int. J. Qual. Life Asp. Treat., Care Rehabilit., 27(9), 2337–2348. https://​doi.​org/​10.​1007/​s11136-018-1877-5CrossRef
28.
33.
go back to reference Cohen, J. (1988). The concepts of power analysis. Statistical power analysis for the behavioral sciences. Hillsdale: Elrbaum. Cohen, J. (1988). The concepts of power analysis. Statistical power analysis for the behavioral sciences. Hillsdale: Elrbaum.
34.
go back to reference Carey, R. M., Whelton, P. K., 2017 ACC/AHA Hypertension Guideline Writing Committee. (2018). Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American college of cardiology/American heart association hypertension guideline. Ann. Intern. Med., 168(5), 351–358. https://doi.org/10.7326/M17-3203CrossRefPubMed Carey, R. M., Whelton, P. K., 2017 ACC/AHA Hypertension Guideline Writing Committee. (2018). Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American college of cardiology/American heart association hypertension guideline. Ann. Intern. Med., 168(5), 351–358. https://​doi.​org/​10.​7326/​M17-3203CrossRefPubMed
35.
go back to reference Williams, D. (1999). Life events and career change: Transition psychology in practice, in British psychological society’s occupational psychology conference pp. 01–1999. Williams, D. (1999). Life events and career change: Transition psychology in practice, in British psychological society’s occupational psychology conference pp. 01–1999.
36.
go back to reference Rumsfeld, J. S., Alexander, K. P., Goff, D. C., Jr., Graham, M. M., Ho, P. M., Masoudi, F. A., Moser, D. K., Roger, V. L., Slaughter, M. S., Smolderen, K. G., Spertus, J. A., Sullivan, M. D., Treat-Jacobson, D., Zerwic, J. J., American Heart Association Council on Quality of Care and Outcomes Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Stroke Council. (2013). Cardiovascular health: the importance of measuring patient-reported health status: a scientific statement from the American Heart Association. Circulation, 127(22), 2233–2249. https://doi.org/10.1161/CIR.0b013e3182949a2eCrossRefPubMed Rumsfeld, J. S., Alexander, K. P., Goff, D. C., Jr., Graham, M. M., Ho, P. M., Masoudi, F. A., Moser, D. K., Roger, V. L., Slaughter, M. S., Smolderen, K. G., Spertus, J. A., Sullivan, M. D., Treat-Jacobson, D., Zerwic, J. J., American Heart Association Council on Quality of Care and Outcomes Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Stroke Council. (2013). Cardiovascular health: the importance of measuring patient-reported health status: a scientific statement from the American Heart Association. Circulation, 127(22), 2233–2249. https://​doi.​org/​10.​1161/​CIR.​0b013e3182949a2e​CrossRefPubMed
47.
go back to reference Kałka, D., Domagała, Z., Dworak, J., Womperski, K., Rusiecki, L., Marciniak, W., Adamus, J., & Pilecki, W. (2013). Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training. Kardiol. Polska, 71(6), 573–580. https://doi.org/10.5603/KP.2013.0120CrossRefPubMed Kałka, D., Domagała, Z., Dworak, J., Womperski, K., Rusiecki, L., Marciniak, W., Adamus, J., & Pilecki, W. (2013). Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training. Kardiol. Polska, 71(6), 573–580. https://​doi.​org/​10.​5603/​KP.​2013.​0120CrossRefPubMed
49.
go back to reference Cojocariu, S. A., Maștaleru, A., Sascău, R. A., Stătescu, C., Mitu, F., Cojocaru, E., Trandafir, L. M., & Leon-Constantin, M. M. (2021). Relationships between psychoeducational rehabilitation and health outcomes-a systematic review focused on acute coronary syndrome. J. Personal. Med., 11(6), 440. https://doi.org/10.3390/jpm11060440CrossRef Cojocariu, S. A., Maștaleru, A., Sascău, R. A., Stătescu, C., Mitu, F., Cojocaru, E., Trandafir, L. M., & Leon-Constantin, M. M. (2021). Relationships between psychoeducational rehabilitation and health outcomes-a systematic review focused on acute coronary syndrome. J. Personal. Med., 11(6), 440. https://​doi.​org/​10.​3390/​jpm11060440CrossRef
Metagegevens
Titel
The impact of a neuromuscular rehabilitation programme on the quality of life of patients with acute coronary syndrome and its relationship with sexual dysfunction: a randomised controlled trial
Auteurs
Noemí Valtueña-Gimeno
Francisco José Ferrer-Sargues
Oscar Fabregat-Andrés
Isabel Martínez-Hurtado
F. J. Martínez-Olmos
Marta Lluesma-Vidal
María Dolores Arguisuelas
Publicatiedatum
21-11-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03534-7

Andere artikelen Uitgave 2/2024

Quality of Life Research 2/2024 Naar de uitgave