RecruitingNot ApplicableNCT06032780

Eccentric Resistance Training Among Individuals With Chronic Heart Failure

Effects of Eccentric Resistance Training on Ventricle Functions and Aerobic Capacity Among Individuals With Chronic Heart Failure

Sponsor

Riphah International University

Enrollment

84 participants

Start Date

Sep 20, 2023

Study Type

INTERVENTIONAL

Conditions

Heart Failure

Summary

To determine the effects of eccentric resistive training on ventricle functions and aerobic capacity as compared to a resistance and aerobic training among Heart failure (HF)

Eligibility

Min Age: 18 Years

Inclusion Criteria3

Diagnosis of Chronic HF and currently stable with optimal medical therapy
Chronic Heart failure with ejection fraction \> 30 %
Patient able to safely perform lower limb exercise will be check by six- minute walk test (6 MWT)

Exclusion Criteria7

Those Heart failure patient whose are in acute phase or planed for any immediate medical intervention
Already participating in cardiac rehabilitation
New York Heart Association (NYHA) Classification of HF class IV HF symptoms
Co-existent other disease such as asthma/ COPD/interstitial lung disease.
Symptomatic Second degree or third degree heart block.
ECG with uncontrolled ventricular arrhythmia
Limited Exercise ability due to neurologic or orthopedic impairments of the legs (will cross-check with 6 MWT)

Interventions

OTHEREccentric Resistive Training + Aerobic training Group

Eccentric Resistive training includes upper limb (biceps and triceps) and lower limb large muscle training (quadriceps and hamstrings) 2 sets of 12 repetitions (reps) for each group of muscles in lengthened position for eccentric training in approx. 20 minutes (min). Intensity will be based on 1 repetition maximum (1RM) starting from 20% of (1RM) and its intensity in percentage will be progress by 10% after every two weeks. Stair descending training and squatting position and eccentric hamstring curls with weights at ankle for lower limb eccentric training progressive as per tolerance in response to modified Borg scale (with cut off of showing dyspnea of 4 somewhat hard) and Numeric Pain rating scale (with cut off of showing 7 on scale, crossing moderate pain) . (approx. 20 min). \+ Aerobic training as a control will be given to this group as well for approximately 30 minutes per session.

OTHERResistance Training + Aerobic training Group

Resistive training (concentric) includes Upper limb (biceps and triceps) and lower limb large muscle training (quadriceps and hamstrings), 2 sets of 12 reps for each group of muscles in approx. 30 min. Intensity will be based on 1 repetition maximum (1RM) starting from 20% of (1RM) and its intensity in percentage will be progress by 10% after every two weeks. Stair climbing training and quadriceps training + standing hamstring curls with weight at ankle for lower limb concentric training progressive as per tolerance in response to modified Borg scale (with cut off of showing dyspnea of 4 somewhat hard) and Numeric Pain rating scale (with cut off of showing 7 on scale, crossing moderate pain) \+ Aerobic training as a control will be given to this group as well for approximately 30 minutes per session.

OTHERAerobic training Group

Aerobic training as a control will be given to this group as well for approximately 60 minutes per session. Aerobic training exercise will be completed via a ergometer/stationary cycle; type will be continuous aerobic exercise and intensity of 60% of max HR (or peak VO2) in HF individuals.