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Updated: Sep 29, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Active Lifestyle Post First Myocardial Infarction: A Comparison between Participants and Non-Participants of a
Ran Wainer Shlomo1,2, Rachel Kizony3,4, Menachem Nahir2
1Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel.
Cardiac rehabilitation (CR) after myocardial infarction (MI) improves community participation and self-management of cardiovascular risk factors. Patients in CR programs showed higher activity levels and better lifestyle choices compared to non-participants.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Public Health
Background:
- Myocardial infarction (MI) significantly impacts physical, mental, and cognitive functions, reducing community participation and quality of life.
- Assessing the long-term effects of cardiac rehabilitation (CR) on lifestyle and functional performance post-MI is crucial for patient recovery.
Purpose of the Study:
- To compare active lifestyle participation and functional performance between patients who participated in a cardiac rehabilitation (CR) program and those who did not (NCR) after MI.
- To evaluate the impact of CR on community engagement and self-management of cardiovascular risk factors.
Main Methods:
- A cohort of 71 patients, 6-10 months post-MI, were divided into CR (n=38) and NCR (n=33) groups.
- Activity patterns were assessed using the Activity Card Sort (ACS), measuring instrumental activities of daily living, leisure activities, and social activities.
- Functional performance was evaluated through hand grip force and Timed Up and Go (TUG) tests.
Main Results:
- The CR group demonstrated higher adherence to physical activity recommendations (74% vs. 39%) and lower smoking rates (34% vs. 71%) compared to the NCR group.
- CR participants exhibited significantly higher levels of daily activity, social leisure, and physically demanding leisure activities (p ≤ 0.001).
- No significant differences were found between groups in grip strength or TUG test performance.
Conclusions:
- Participation in cardiac rehabilitation post-MI is associated with sustained higher levels of community participation.
- CR positively influences self-management of cardiovascular risk factors and promotes a more active lifestyle.
- While CR improves functional participation, specific physical measures like grip strength and TUG may not show immediate differences.
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