Evaluation of the Benefit of Traditional Karate in Heart Failure for Cardiac Rehabilitation (KAREAD)

Fondation Hôpital Saint-Joseph

Status: Completed

Conditions: Heart Failure

Treatments: Other: Karate rehabilitation; Other: Classical Cardiac Rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT03884855

KAREAD

Details and patient eligibility

About

Cardiac rehabilitation is based on physical activity which, usually, associates combination of a cycle ergometer or treadmill completed by gymnastics.

Some studies have been done with complementary physical activities such as tai chi or yoga integrated into the strategy of non-drug therapies. The tai chi study showed a tendency to improve the peak of VO2 in the tai chi group but which was not significant but also a significant improvement on secondary objectives such as quality of life, the increase in the 6-minute walk test and a decrease in the level of natriuretic peptides. A study of the effects of yoga after coronary artery bypass surgery showed at one year an improvement of the ejection fraction, the lipid profile and the state of anxiety of the patients. This study showed that the addition of yoga to conventional cardiac rehabilitation could improve cardiovascular risk factors especially in patients with abnormalities such as low HDL.

The physical activities offered in rehabilitation to improve physical performance are currently limited to cycling, treadmill or gymnastics. Many patients do not like cycling or treadmill, which limits their adherence to a cardiac rehabilitation program. Moreover, one of the main problems of rehabilitation is that after the rehabilitation cycle, a minority of patients continue the physical activity. Strategies for implementing home exercises have been tested to increase the level of physical activity after rehabilitation.

Cardiac rehabilitation has several components: correction of risk factors, optimization of treatment, physical activity to improve the physical abilities to exertion that are directly correlated to mortality.

Our hypothesis is that the implementation of a program of physical activity based on traditional karate would improve the physical abilities to effort and the quality of life of patients, to give a better psychological confidence to patients who, after a cardiovascular event such as acute coronary syndrome, bypass surgery or valvular surgery, have marked anxiety or depression. Rehabilitation, and especially physical activity, is one of the therapeutic means proposed. The interest of this study would be to be able to offer an additional activity for rehabilitation centers, to offer patients an activity in post-rehabilitation. In addition, interaction between patients could increase adherence to rehabilitation.

Enrollment: 148 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male or Female ≥ 18 years
• Patient with heart failure
• Patient with impaired ejection fraction with Left ventricular ejection fraction ≤ 40%
• Patient affiliated with a health insurance plan
• Patient giving free, informed and express consent

Exclusion criteria

• Patient under tutorship or curatorship
• Patient deprived of liberty
• Non-French speaking patient

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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148 participants in 2 patient groups

Classical Cardiac Rehabilitation

Active Comparator group

Description:

Patients benefit from a classic cardiac rehabilitation cycle during 3 months.

Treatment:

Other: Classical Cardiac Rehabilitation

Karate Rehabilitation

Experimental group

Description:

Patients benefit from cardiac rehabilitation cycle with traditional karate during 3 months.

Treatment:

Other: Karate rehabilitation