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Whole-body strength training using a Huber Motion Lab in coronary heart disease patients : safety, tolerance, fuel selection, and energy expenditure aspects and optimization

GUIRAUD T; LABRUNEE M; PILLARD F; GRANGER R; BOUSQUET M; RICHARD L; BONED A; PATHAK A; GAYDA M; GREMEAUX V
AM J PHYS MED REHABIL , 2015, vol. 94, n° 5, p. 385-394
Doc n°: 174636
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0000000000000181
Descripteurs : FA331 - MALADIE CORONARIENNE

The aim of this study was to investigate safety, tolerance, relative
exercise intensity, and muscle substrate oxidation during sessions performed on a
Huber Motion Lab in coronary heart disease patients. DESIGN: After an assessment
of Vo2 peak, 20 coronary heart disease patients participated in two different
exercises performed in random order at 40% and 70% (W40 and W70) of the maximal
isometric voluntary contraction. RESULTS: No significant arrhythmia or abnormal
blood pressure responses occurred during either session, and no muscle soreness
was reported within 48 hrs posttest. The authors found a difference between W40
and W70 sessions for mean (standard deviation) ventilation (25.1% [8%] and 32.1%
[9%] of maximal ventilation, respectively; P = 0.04) and a small difference for
mean (standard deviation) heart rate (73 [7] and 79 [8] beats/min, respectively;
P < 0.01). When compared with the W40, the W70 was associated with higher active
energy expenditure (2.4 [0.6] and 3.1 [0.9] Kcal/min, respectively; P < 0.0001)
and a similar mean (standard deviation) oxygen uptake (5.5 [1] and 6.6 [1] ml/min
per kilogram, respectively; P = 0.07). The qualitative percentages of
carbohydrates and lipids oxidized were 71% and 29%, respectively, at W40 and 91%
and 9%, respectively, at W70. CONCLUSIONS: Both protocols, which consisted of
repeating 6-sec phases of contractions with 10 secs of passive recovery on the
Huber Motion Lab, seemed to be well tolerated, safe, and feasible in this group
of coronary heart disease patients.

Langue : ANGLAIS

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