An aerobic physical exercise protocol will be applied to patients admitted in ward due to decompensated heart failure, in order to validate the efficacy and safety of physical exercise in this phase of clinical stabilization, through the said training protocol - ERIC program.
With the objective of validating the efficacy and safety of physical exercise as a therapeutic resource in patients admitted for decompensated heart failure; will be applied, by rehabilitation nurses, a protocol of physical exercise, with increasing levels of intensity. Patients who meet the inclusion criteria will be randomized through an online program (randomizer.org) and the ERIC protocol will be applied to the test group. The control group will be implemented the usual care of rehabilitation nursing. The ERIC protocol comprises 5 levels of intensity, as following shown: Stage 1 - respiratory and calisthenic exercises (5-10 minutes) Stage 2 - pedal for 5-10 minutes Stage 3 - aerobic training: walking on the corridor for 5-10 minutes Stage 4 - aerobic training: walking on the corridor for 10-15 minutes Stage 5 - aerobic training: walking on the corridor for 15 minutes + climbing stairs for 5 minutes All patients will be monitored and followed up by a rehabilitation nurse while they are doing the exercise. The investigator decides, depending on the patient's performance and clinical conditions, the form of progression in the program, but it is mandatory to follow the previously defined levels of intensity. Patients in the test group may start the program only on stage I or II according to clinical criteria. At admission of the patients (test group and control group) clinical and sociodemographic parameters are evaluated, as well as data related to Barthel's indices and London Chest of activities of daily living (LCADL). At the discharge date, the Barthel index and the LCADL scale will also be evaluated, as well as the 6-minute walking test.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
250
ERIC protocol is an aerobic exercise protocol with 5 levels of intensity
Centro Hospitalar do Porto
Porto, Portugal
6 minute walking test
Number of meters walked in the 6 minute walking test
Time frame: through study completion, an average of 1 year
Barthel Index score
Barthel evaluates dependence on self-care
Time frame: through study completion, an average of 1 year
London Chest Activity of Daily Living (LCADL) scale score
LIDL accesses how dyspnea affects self-care
Time frame: through study completion, an average of 1 year
Number of dysrhythmias during exercise in the training group
To quantify the number of dysrhythmias during exercise in the training group
Time frame: through study completion, an average of 1 year
Number of falls during exercise in the training group
To quantify the number of falls during exercise in the training group
Time frame: through study completion, an average of 1 year
Number of emergency situations during exercise in the training group
To quantify the number of emergency situations during exercise in the training group
Time frame: through study completion, an average of 1 year
Number of chest pain situations during exercise in the training group
To quantify the chest pain situations during exercise in the training group
Time frame: through study completion, an average of 1 year
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