•  
  •  
 

Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy

Abstract

Background: Coronary heart disease (CHD) is a condition in which the heart's blood vessels (coronary arteries) are blocked by fat deposits. Based on data from Riskesdas (2018) it is revealed that cases of heart and blood vessel disease in Indonesia are increasing every year, increasing the mortality rate. This is due to the presence of risk factors that support the emergence of coronary heart disease. Objective: The aim of this paper is to evaluate the evaluation of aerobic exercise to increase endurance in patients with coronary heart disease by examining 6MWT. Method: This research is in the form of a case study with direct data collection methods. The population in this study were female CHD patients who were treated at a hospital with the age of 65 years. Data collection and intervention were carried out on 30 December 2021-06 May 2022. Results: This report was taken from the case of a patient with the initials Mrs. S with a diagnosis of Coronary Heart Disease aged 65 years with the main complaint of fatigue when walking, shortness of breath. After being given physiotherapy interventions in the form of breathing exercises, strengthening exercises and endurance exercises can reduce the degree of shortness of breath from 3 to 1 and can increase endurance from the METs scale of 1.6 to 3.35. Conclusion: Endurance exercise, strengthening exercises and breathing exercises can reduce the degree of shortness of breath and increase endurance in patients with Coronary Heart Disease.

References

1. Regmi; M, Siccardi MA. Coronary Artery Disease: Prevention of Cardiovascular Disease. In: Drugs in Cardiology. StatPearls Publishing LLC; 2022. p. 71–86.

2. Shahjehan; RD, Bhutta BS. Coronary Artery Disease. In StatPearls Publishing LLC; 2023.

3. Tiksnadi BB, Ambari AM, Adriana M. Uji Jalan 6 Menit (UJ6M) pada Pasien Pasca Sindrom Koroner Akut. Indones J Cardiol. 2019;40(1):222–31.

4. Widiastuti A, Wibawa A, Handari I, Sri S. Pengaruh senam lansia terhadap peningkatan kebugaran fisik pada kelompok lansia perempuan di desa Dauh Puri Kauh Denpasar Barat. Maj Ilm Fisioter Indones. 2017;5(1):24–7.

5. Hellsten Y, Nyberg M. Cardiovascular adaptations to exercise training. Compr Physiol. 2016;6(1):1–32.

6. Pang MYC, Charlesworth SA, Lau RWK, Chung RCK. Using aerobic exercise to improve health outcomes and quality of life in stroke: Evidence-based exercise prescription recommendations. Cerebrovasc Dis. 2013;35(1):7–22.

7. Amir M, Kabo P, Mappangara I, Djafar Z, Zainuddin AA, Warliani M, et al. Peak oxygen uptake and metabolic equivalents explained by six-minute walk test: A prospective observational study in predicting heart failure patient readmission. Ann Med Surg [Internet]. 2022;77(April):103652. Available from: https://doi.org/10.1016/j.amsu.2022.103652

8. Yakasai AM, Maharaj SS, Nuhu JM, Danazumi MS. Moderate intensity endurance exercise: a beneficial intervention for relative cardiovascular parameters of primary and secondary hypertensive patients. Randomised controlled trial. Eur J Physiother [Internet]. 2021;23(4):259–65. Available from: https://doi.org/10.1080/21679169.2020.1720800

9. Utamayasa IGD, Hanafi M, Rosmi YF, Mardhika R, Cholid A, Kusuma AI. Dampak dari Latihan Intensitas Sedang dan Intensitas Submaksimal terhadap Kebugaran Kardiorespirasi pada Wanita Muda. J Pendidik Kesehat Rekreasi [Internet]. 2022;8(2):327–35. Available from: https://ojs.mahadewa.ac.id/index.php/jpkr/article/view/1913

10. De Bosscher R, Dausin C, Claus P, Bogaert J, Dymarkowski S, Goetschalckx K, et al. Lifelong endurance exercise and its relation with coronary atherosclerosis. Eur Heart J. 2023;1–12.

11. Ghada A. Soliman. Dietary Fiber, Atherosclerosis, and Cardiovascular Disease. Nutrients [Internet]. 2019;11:1155. Available from: doi:10.3390/nu11051155

12. Kahleova H, Levin S, Barnard ND. Vegetarian Dietary Patterns and Cardiovascular Disease. Prog Cardiovasc Dis [Internet]. 2018;61(1):54–61. Available from: https://doi.org/10.1016/j.pcad.2018.05.002

13. Chlif M, Ammar MM, Said N Ben, Sergey L, Ahmaidi S, Alassery F, et al. Mechanism of dyspnea during exercise in children with corrected congenital heart disease. Int J Environ Res Public Health. 2022;19(1):1–14.

14. Ceyhan Y, Tekinsoy Kartin P. The effects of breathing exercises and inhaler training in patients with COPD on the severity of dyspnea and life quality: a randomized controlled trial. Trials [Internet]. 2022;23(1):1–11. Available from: https://doi.org/10.1186/s13063-022-06603-3

15. Ramsook AH, Molgat-Seon Y, Schaeffer MR, Wilkie SS, Camp PG, Reid WD, et al. Effects of inspiratory muscle training on respiratory muscle electromyography and dyspnea during exercise in healthy men. J Appl Physiol. 2017;122(5):1267–75.

16. Hossein Pour AH, Gholami M, Saki M, Birjandi M. The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial. Japan J Nurs Sci. 2020;17(2):1–13.

17. Dowman LM, McDonald CF, Bozinovski S, Vlahos R, Gillies R, Pouniotis D, et al. Greater endurance capacity and improved dyspnoea with acute oxygen supplementation in idiopathic pulmonary fibrosis patients without resting hypoxaemia. Respirology. 2017;22(5):957–64.

18. Hanada M, Kasawara KT, Mathur S, Rozenberg D, Kozu R, Ahmed Hassan S, et al. Aerobic and breathing exercises improve dyspnea, exercise capacity and quality of life in idiopathic pulmonary fibrosis patients: Systematic review and meta-analysis. J Thorac Dis. 2020;12(3):1041–55.

Bahasa Abstract

Latar Belakang: Penyakit jantung koroner (PJK) adalah suatu kondisi di mana pembuluh darah jantung (arteri koroner) tersumbat oleh timbunan lemak. Berdasarkan data dari Riskesdas (2018) mengungkap bahwa di Indonesia kasus penyakit jantung dan pembuluh darah semakin bertambah tiap tahunnya, meningkatnya angka kematian tersebut diakibatkan karena adanya faktor resiko yang mendukung timbulnya penyakit jantung koroner. Tujuan: Tujuan dalam penulisan ini adalah untuk mengetahui evaluasi pemberian aerobic exercise terhadap peningkatan endurance pada pasien penyakit jantung koroner dengan pemeriksaan 6MWT. Metode: Penelitian ini berbentuk case study dengan metode pengambilan data yang dilakukan secara langsung. Populasi dalam penelitian ini adalah pasien PJK berjenis kelamin perempuan yang berobat di sebuah rumah sakit dengan usia 65 tahun, pengumpulan data dan intervensi dilakukan pada 30 desember 2021 - 06 mei 2022. Hasil: Laporan ini mengambil dari kasus seorang pasien dengan inisial Ny. S dengan diagnosa Coronary Heart Desease berusia 65 tahun dengan keluhan utama mudah lelah saat berjalan, sesak nafas. Setelah diberikan intervensi fisioterapi berupa breathing exercise, strengthening exercise dan aerobic exercise dapat menurunkan derajat sesak dari 3 menjadi 1 dan dapat meningkatkan endurance dari skala METs 1.6 menjadi 3.35. Kesimpulan: Aerobic exercise, strengthening exercise dan breathing exercise dapat menurunkan derajat sesak dan meningkatkan endurance pada pasien Penyakit Jantung Koroner.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.