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Upper-extremity exercise training in heart failure.

Cynthia Nyquist-Battie¹, Gerald F Fletcher, Barbara Fletcher

¹Brooks College of Health, University of North Florida, Jacksonville, FL 32224, USA. cnyquist@unf.edu

Journal of Cardiopulmonary Rehabilitation and Prevention

|May 4, 2007

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Upper-extremity aerobic exercise training (ARM ExTR) is safe and well-tolerated for heart failure (HF) patients. This approach may benefit individuals unable to perform lower-extremity exercises.

Area of Science:

Cardiology
Exercise Physiology
Rehabilitation

Background:

Heart failure (HF) commonly causes exercise intolerance.
Traditional aerobic exercise training (ExTR) primarily uses lower extremities.
Limited cross-training effects exist between upper and lower extremities.

Purpose of the Study:

To determine the safety and efficacy of upper-extremity exercise training (ARM ExTR) in HF patients.
To assess ARM ExTR as an alternative for HF patients with exercise limitations.

Main Methods:

Seven HF subjects completed 12 weeks of ARM ExTR (3 sessions/week, 40 minutes/session).
Exercise intensity was gradually increased to 75%-85% of peak heart rate.
Pre- and post-training assessments included arm ergometer cardiopulmonary testing, echocardiography, and quality of life surveys.

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Main Results:

Test duration increased by 22% (P = .008) and respiratory exchange ratio by 10% (P = .02).
Peak oxygen consumption and echocardiographic parameters showed no significant improvement.
Quality of life scores improved on the Minnesota Living With Heart Failure Questionnaire (P = .02) and the Medical Outcomes Study-36 questionnaire (P = .05).

Conclusions:

ARM ExTR is safe and well-tolerated in HF patients.
While not improving peak oxygen consumption, ARM ExTR enhances exercise capacity and quality of life.
This training modality is relevant for HF individuals unable to perform lower-extremity exercises.