Article

Eccentric (ECC) exercise is an "economical" type of exercise with low
energy requirements and does not cause early fatigue. Therefore, it is used for
cardiac patients, who have low physical activity and exercise intolerance, as an
easier kind of training.
This systematic review aimed to investigate
the efficacy of ECC exercise for functional capacity (FC) in patients with
ischemic heart disease. DESIGN: Systematic review. METHODS: MEDLINE via PubMed
and EBSCO databases were searched for articles of randomized controlled trials of
adults with ischemic heart disease who underwent ECC training as compared with
other forms of exercise (concentric exercise) or no exercise and assessed FC. The
methodologic quality of studies was assessed by the PEDro scale. A meta-analysis
was performed with sufficient homogeneity between at least 2 studies in the
pre-defined comparisons. RESULTS: Four studies, investigating a total of 99
subjects, met the inclusion criteria. The results of the studies did not clearly
indicate whether ECC exercise could improve FC better than traditional forms of
exercise. However, the small number of studies and their methodologic weaknesses
do not allow for drawing firm conclusions. CONCLUSIONS:
We found contradictory
results about the effectiveness of ECC as compared with concentric exercise in
terms of FC in ischemic cardiac patients. Further investigation with
well-designed randomized trials is needed to determine the effectiveness of this
kind of exercise for FC in such patients.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS