Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation

<h3>Introduction</h3><p dir="ltr">Cardiac implantable electronic devices (CIEDs), including pacemakers, defibrillators, and resynchronization devices, significantly enhance patient outcomes, reduce sudden cardiac death, and improve health-related quality of life. CIED imp...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Praveen Jayaprabha Surendran (22225510) (author)
مؤلفون آخرون: Prasobh Jacob (22155787) (author), Javier Loureiro Diaz (22155781) (author), Dinesh Kumar Selvamani (22225513) (author), Gigi Mathew (22225516) (author), Narasimman Swaminathan (22225519) (author)
منشور في: 2024
الموضوعات:
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author Praveen Jayaprabha Surendran (22225510)
author2 Prasobh Jacob (22155787)
Javier Loureiro Diaz (22155781)
Dinesh Kumar Selvamani (22225513)
Gigi Mathew (22225516)
Narasimman Swaminathan (22225519)
author2_role author
author
author
author
author
author_facet Praveen Jayaprabha Surendran (22225510)
Prasobh Jacob (22155787)
Javier Loureiro Diaz (22155781)
Dinesh Kumar Selvamani (22225513)
Gigi Mathew (22225516)
Narasimman Swaminathan (22225519)
author_role author
dc.creator.none.fl_str_mv Praveen Jayaprabha Surendran (22225510)
Prasobh Jacob (22155787)
Javier Loureiro Diaz (22155781)
Dinesh Kumar Selvamani (22225513)
Gigi Mathew (22225516)
Narasimman Swaminathan (22225519)
dc.date.none.fl_str_mv 2024-04-23T09:00:00Z
dc.identifier.none.fl_str_mv 10.1159/000538793
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Optimizing_Recovery_A_Systematic_Scoping_Review_of_Upper_Extremity_Exercise_Immediately_after_Cardiac_Implantable_Electronic_Device_Implantation/30095425
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Electrophysiology
Cardiac implantable electronic device
Pacemaker
Implantable cardioverter-defibrillator
Cardiac resynchronization therapy defibrillator
Upper extremity
Exercise
dc.title.none.fl_str_mv Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Introduction</h3><p dir="ltr">Cardiac implantable electronic devices (CIEDs), including pacemakers, defibrillators, and resynchronization devices, significantly enhance patient outcomes, reduce sudden cardiac death, and improve health-related quality of life. CIED implantation is associated to persistent shoulder dysfunction in a considerable number of patients one-year post-implantation. This may result in disability, diminished quality of life, work absenteeism, and negative psychological effects. Restoring upper extremity function after CIED implantation should be a standard of cardiovascular care. Our systematic scoping review aimed to summarize available evidence, addressing vital questions about safety, effectiveness, exercise type, and time of exercise initiation immediately after CIED implantation. </p><h3>Methods</h3><p dir="ltr">We conducted a comprehensive literature search in 5 electronic databases for original research in English, and a manual search on the references of included studies. We used Rayyan web application for study selection, and PRISMA-ScR to conduct and report the review. We assessed methodological quality using the Cochrane Risk of Bias Assessment Tool and Joanna Briggs Institute critical appraisal checklists. </p><h3>Results</h3><p dir="ltr">This review included 6 studies that used upper extremity pendular, range of motion, stretching and strengthening exercises. Initiation time varied from the first postoperative day to the second postoperative week. All studies showed significant association between active upper extremity exercise and reduced dysfunction and disability after CIED implantation. There were no significant differences in complication rates between control and experimental groups. </p><h3>Conclusion</h3><p dir="ltr">A limited number of low-to-average quality studies suggest active upper extremity exercise immediately after CIED implantation is safe, effective at reducing dysfunction, and improves quality of life. Higher-quality studies are needed to validate these findings.</p><h2>Other Information</h2><p dir="ltr">Published in: Cardiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1159/000538793" target="_blank">https://dx.doi.org/10.1159/000538793</a></p>
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network_acronym_str Manara2
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spelling Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device ImplantationPraveen Jayaprabha Surendran (22225510)Prasobh Jacob (22155787)Javier Loureiro Diaz (22155781)Dinesh Kumar Selvamani (22225513)Gigi Mathew (22225516)Narasimman Swaminathan (22225519)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesElectrophysiologyCardiac implantable electronic devicePacemakerImplantable cardioverter-defibrillatorCardiac resynchronization therapy defibrillatorUpper extremityExercise<h3>Introduction</h3><p dir="ltr">Cardiac implantable electronic devices (CIEDs), including pacemakers, defibrillators, and resynchronization devices, significantly enhance patient outcomes, reduce sudden cardiac death, and improve health-related quality of life. CIED implantation is associated to persistent shoulder dysfunction in a considerable number of patients one-year post-implantation. This may result in disability, diminished quality of life, work absenteeism, and negative psychological effects. Restoring upper extremity function after CIED implantation should be a standard of cardiovascular care. Our systematic scoping review aimed to summarize available evidence, addressing vital questions about safety, effectiveness, exercise type, and time of exercise initiation immediately after CIED implantation. </p><h3>Methods</h3><p dir="ltr">We conducted a comprehensive literature search in 5 electronic databases for original research in English, and a manual search on the references of included studies. We used Rayyan web application for study selection, and PRISMA-ScR to conduct and report the review. We assessed methodological quality using the Cochrane Risk of Bias Assessment Tool and Joanna Briggs Institute critical appraisal checklists. </p><h3>Results</h3><p dir="ltr">This review included 6 studies that used upper extremity pendular, range of motion, stretching and strengthening exercises. Initiation time varied from the first postoperative day to the second postoperative week. All studies showed significant association between active upper extremity exercise and reduced dysfunction and disability after CIED implantation. There were no significant differences in complication rates between control and experimental groups. </p><h3>Conclusion</h3><p dir="ltr">A limited number of low-to-average quality studies suggest active upper extremity exercise immediately after CIED implantation is safe, effective at reducing dysfunction, and improves quality of life. Higher-quality studies are needed to validate these findings.</p><h2>Other Information</h2><p dir="ltr">Published in: Cardiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1159/000538793" target="_blank">https://dx.doi.org/10.1159/000538793</a></p>2024-04-23T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1159/000538793https://figshare.com/articles/journal_contribution/Optimizing_Recovery_A_Systematic_Scoping_Review_of_Upper_Extremity_Exercise_Immediately_after_Cardiac_Implantable_Electronic_Device_Implantation/30095425CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/300954252024-04-23T09:00:00Z
spellingShingle Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
Praveen Jayaprabha Surendran (22225510)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Electrophysiology
Cardiac implantable electronic device
Pacemaker
Implantable cardioverter-defibrillator
Cardiac resynchronization therapy defibrillator
Upper extremity
Exercise
status_str publishedVersion
title Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
title_full Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
title_fullStr Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
title_full_unstemmed Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
title_short Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
title_sort Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Electrophysiology
Cardiac implantable electronic device
Pacemaker
Implantable cardioverter-defibrillator
Cardiac resynchronization therapy defibrillator
Upper extremity
Exercise