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European Heart Journal 1987 8(11):1215-1220;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

Physical training and occupational rehabilitation after aortic valve replacement

S. SIRE

State Rehabilitation Institute Sinsenveien 76, Oslo 5
Medical Department B, Rikshospitalet, University Clinic Oslo 1, Norway

Received 12 January 1987; revised 29 April 1987; .

Dr Svein sire, State Rehabilitation Institute, Sinsenveien 76,0586 Oslo 5, Norway

Forty-four patients were tested 2, 6 and 12 months after an isolated aortic valve implantation in order to evaluate the influence of training and vocational assistance on physical work capacity and the rate of reemployment. They were randomly allocated to a training group (A) or a control group (B). Training was carried out from the eighth to the twelfth week after operation and the socio-occupational status was evaluated. Training increased physical work capacity, expressed as cumulated work (CW), by 58 per cent (P <0.001), decreased the rate–pressure product (RPP) by 13 per cent (P <0.001) and the rate of perceived exertion (RPE) by 13 per cent (P<0.001) at the highest comparable work load. The CW was 38 per cent higher in the training than the control group after 6 (P<0.02) and 37 per cent after 12 months (P<0.025). After one year 81 per cent in group A and 65 per cent in group B were working (NS). Reemployment correlated significantly with the CW and inversely with the duration of sick leave prior to operation. Thus, physical training shortly after aortic valve operation rapidly and persistently improves physical work capacity while return to work is less influenced by training and socio vocational assistance.

Key Words: Aortic valve replacement • physical training • reemployment


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