Article

PURPOSE: To determine the prevalence of musculoskeletal, neurological, and
balance problems in patients enrolled in early outpatient (phase II) cardiac
rehabilitation. METHODS: Data were assessed retrospectively for 284 consecutive
patients who attended the phase II Mayo Clinic Cardiac Rehabilitation program
from April 2005 to August 2006. All participants completed a questionnaire that
identified the presence of musculoskeletal pain, history of falls, joint
replacements, osteoporosis, neurological disorders, and difficulties in
performing activities of daily living. Balance assessment was evaluated using the
single leg stance and the tandem gait tests. RESULTS: Of the total study
population (mean age, 62.1 +/- 12.3 years), 25% reported musculoskeletal pain. A
significantly higher prevalence of pain was noted in women than men (37% vs 20%,
P = .004) and in those > 65 years than those < or = 65 years (35% vs 17%, P =
.001). Back (29%), knee (17%), and hip (8%) pain were the most common symptoms,
in order of decreasing frequency. Pain was worse with any activity in 32% of
participants while 16% of participants had worsening at night. An abnormality in
balance was present in 58% of the study participants and was significantly more
common in women (71%) and those > 65 years (83%). Falls or gait instability or
both were reported by 11% of participants. CONCLUSION: Musculoskeletal and
balance limitations are common in persons enrolled in early outpatient cardiac
rehabilitation, particularly in women and patients > 65 years. Cardiac
rehabilitation programs should screen patients for musculoskeletal limitations
and incorporate adaptations for treatment strategies of such patients.

Langue : ANGLAIS

Tiré à part : OUI