Evidence map›Paper›PMID 39073358›Full record

Trial reportEuropean journal of physical and rehabilitation medicine2024

Impact of eccentric cycling in coronary rehabilitation program: a pragmatic randomized controlled trial versus conventional rehabilitation.

Delphine Besson, Amadou-Khalilou Sow, Isabelle Fournel, Anaïs Gouteron, Aurélie Gudjoncik, Jean M Casillas, Paul Ornetti, Davy Laroche

Abstract readRandomized Controlled TrialComparative StudyPragmatic Clinical Trial
In one paragraph

Trial report in European journal of physical and rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Delphine BessonINSERM - Centre d'Investigation Clinique (CIC 1432), Module Plurithématique, Plateforme d'Investigation Technologique (PIT), CHU Dijon-Bourgogne, Dijon, France.
Amadou-Khalilou SowINSERM, Université de Bourgogne, CIC 1432, Module Epidémiologique Clinique, CHU Dijon Bourgogne, Dijon, France.
Isabelle FournelINSERM, Université de Bourgogne, CIC 1432, Module Epidémiologique Clinique, CHU Dijon Bourgogne, Dijon, France.
Anaïs GouteronDepartment of Physical Medicine and Rehabilitation, CHU Dijon-Bourgogne, Dijon, France.
Aurélie GudjoncikDepartment of Physical Medicine and Rehabilitation, CHU Dijon-Bourgogne, Dijon, France.
Jean M CasillasINSERM - Centre d'Investigation Clinique (CIC 1432), Module Plurithématique, Plateforme d'Investigation Technologique (PIT), CHU Dijon-Bourgogne, Dijon, France.
Paul OrnettiINSERM - Centre d'Investigation Clinique (CIC 1432), Module Plurithématique, Plateforme d'Investigation Technologique (PIT), CHU Dijon-Bourgogne, Dijon, France.
Davy LarocheINSERM - Centre d'Investigation Clinique (CIC 1432), Module Plurithématique, Plateforme d'Investigation Technologique (PIT), CHU Dijon-Bourgogne, Dijon, France - davy.laroche@u-bourgogne.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis randomized controlled trial examined the feasibility of adding eccentric exercise to a conventional cardiac rehabilitation program (CCRP) for coronary heart disease patients.

methodsNinety-three patients were randomly assigned to either the MIX group (eccentric ergometer + CCRP) or the CON group (concentric ergometer + CCRP) for 7 weeks. Training effectiveness was assessed based on "good responders" showing improved functional capacities, such as 6-minute walk test (6MWT) distance and maximal voluntary contraction of the plantar flexors (ankle MVC). Safety was monitored with a visual analog scale for muscle soreness, perceived exertion, and heart rate during training.

resultsThe proportion of good responders was similar between groups (26% in MIX, 29% in CON, P=0.744). Both groups improved in 6MWT (CON: 12.6%, MIX: 16.14%) and ankle MVC (CON: 15.5%, MIX: 11.30%), with no significant differences. Exercise tolerance did not differ significantly between the groups, but perceived effort was significantly lower in the MIX group (P<0.0001) compared to the CON group.

conclusionsIntegrating eccentric exercise into cardiac rehabilitation is safe and well-tolerated. Nevertheless, this study did not find significant advantages over conventional programs for coronary heart disease patients. Further research should explore specific patient groups or conditions where eccentric exercise may be more beneficial, emphasizing personalized prescriptions and gradual workload progression for better cardiac rehabilitation outcomes.

Indexed as

BicyclingCardiac RehabilitationExercise TherapyAgedCoronary DiseaseExercise ToleranceFemaleHumansMaleMiddle AgedTreatment OutcomeWalk Test

Identifiers

PMID39073358
PMCPMC11559251

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.