Eccentric exercise in ischemic cardiac patients and functional capacity: A systematic review and meta-analysis of randomized controlled trials

C. Karagiannis, C. Savva, I. Mamais, M. Efstathiou, M. Monticone, T. Xanthos

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Background Eccentric (ECC) exercise is an “economical” type of exercise with low energy requirements and does not cause early fatigue. Therefore, it is used for cardiac patients, who have low physical activity and exercise intolerance, as an easier kind of training. Objective This systematic review aimed to investigate the efficacy of ECC exercise for functional capacity (FC) in patients with ischemic heart disease. Design Systematic review. Methods MEDLINE via PubMed and EBSCO databases were searched for articles of randomized controlled trials of adults with ischemic heart disease who underwent ECC training as compared with other forms of exercise (concentric exercise) or no exercise and assessed FC. The methodologic quality of studies was assessed by the PEDro scale. A meta-analysis was performed with sufficient homogeneity between at least 2 studies in the pre-defined comparisons. Results Four studies, investigating a total of 99 subjects, met the inclusion criteria. The results of the studies did not clearly indicate whether ECC exercise could improve FC better than traditional forms of exercise. However, the small number of studies and their methodologic weaknesses do not allow for drawing firm conclusions. Conclusions We found contradictory results about the effectiveness of ECC as compared with concentric exercise in terms of FC in ischemic cardiac patients. Further investigation with well-designed randomized trials is needed to determine the effectiveness of this kind of exercise for FC in such patients.

Original languageEnglish
Pages (from-to)58-64
Number of pages7
JournalAnnals of Physical and Rehabilitation Medicine
Volume60
Issue number1
DOIs
Publication statusPublished - 1 Jan 2017

Keywords

  • Eccentric exercise
  • Functional capacity
  • Ischemic heart disease
  • Systematic review

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