Assessing Force-velocity Profile: an Innovative Approach to Optimize Cardiac Rehabilitation in Coronary Patients (CITIUS)

Centre Hospitalier Universitaire de Saint Etienne

Status: Completed

Conditions: Acute Coronary Syndrome

Treatments: Other: Vertical jumps; Device: activity actigraph; Other: Sprints; Other: Program of usual practice; Other: Program composed of two 2 training strategies; Other: Questionary Short Form-12 (SF-12)

Study type: Interventional

Funder types: Other

Identifiers

NCT04102410

2018-A01613-52 (Other Identifier)

1708238

Details and patient eligibility

About

Cardiac rehabilitation includes aerobic and anaerobic training adapted to cardiovascular pathology for which cardiac rehabilitation is prescribed. It is essential to adapt the content of these cardiac rehabilitation sessions to optimize aerobic and anaerobic performance and quality of life. Improvement of the first ventilatory threshold is one of the main objectives since it illustrates the adaptation of the patient to submaximal exercise, typical of everyday life.

The research laboratory "Autonomous Nervous System - Epidemiology, Physiology, Engineering, Health" (SPA-EPIS) has an international expertise in training optimization in top-athletes. He have shown the importance of the relationship between the power-force-velocity profile and athletes performances.

Full description

In this sudy, each patient has a force and a velocity that can be optimized with training to achieve maximum power. This optimization can be evaluated through a force-velocity profile, measured from an only sprint on a cycloergometer.

The hypothesis that force-velocity profile could be used in cardiac rehabilitation in coronary patients to induce a force-velocity balance adapted through personalized sessions and regular medical follow-up.

This prospective, controlled, randomized and open label study will attempt to evaluate further the relevance of force or velocity training based on the initial force-velocity profile of coronary patients included in the cardiac rehabilitation program in the University Hospital of Saint-Etienne.

Enrollment: 120 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acute coronary syndrome treated within the last 6 months
• Medical revascularization (angioplasty ± stenting) or surgical (coronary artery bypass)
• During initial effort test: Maximum aerobic power≥ 60 watts for women and ≥ 80 watts for men
• Patient affiliated or beneficiary to social security
• Signed informed consent

Exclusion criteria

• Significant co-morbidities limited practice of physical activity
• Inability to submit to medical monitoring of the program
• Patient deprived of liberty or patient under guardianship
• Pregnant woman

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Experimental group

Experimental group

Description:

Patient with acute coronary syndrome will be included. They will have sprints, vertical jumps, questionary Short Form-12 (SF-12), activity actigraph and program composed of two 2 training strategies.

Treatment:

Other: Program composed of two 2 training strategies

Other: Vertical jumps

Other: Sprints

Device: activity actigraph

Other: Questionary Short Form-12 (SF-12)

Control group

Sham Comparator group

Description:

Patient with acute coronary syndrome will be included. They will have sprints, vertical jumps, questionary Short Form-12 (SF-12), activity actigraph and program of usual practice.

Treatment:

Other: Vertical jumps

Other: Sprints

Other: Program of usual practice

Device: activity actigraph

Other: Questionary Short Form-12 (SF-12)