Waqar Ahmed Awan, Sumbla Afzal, Irfan Sattar, Ali Rafaqat, Kashif Khan.
The Effects of Standard Land-Based Endurance Exercise versus Pool-Based Exercise on Pain and Fitness of Patients with Cardiac Disease and Osteoarthritis.
Int J Rehab Sci Jan ;02(02):17-21.

Objectives: The purpose of this study was to determine the effect of standard land based endurance exercise and pool based exercises on pain and fitness of patients with cardiac disease and osteoarthritis. Methods: This study involved 18 patients aged 65 to 81 from a private hospital, and was selected using purposive sampling. Selected patients were diagnosed with previous history of cardiac disease; coronary arteries bypass (CABG); myocardial infarction (MI); stent replacement; and secondary diagnoses were osteoarthritis. The subjects were divided into two groups. Nine subjects were randomly assigned to the standard land-based endurance exercise treatment, while nine subjects were randomly assigned to the pool-based endurance exercise treatment. Pain is measured using the 10cm visual analog scale (VAS). For the maximal oxygen consumption, it is measured by a maximal treadmill stress test (MaxVO2). Paired sample t-test was use to analyze the data. Results: The study made use of the Statistical Program for the Social Sciences (SPSS) in order to compute for independence. The statistical analysis made use of a 0.05 significance level, where an alpha of less than 0.05 would reject the null hypothesis and provide statistical evidence to suggest that the treatment has a significant effect on the pain and fitness of the subjects. The results show that for the land-based treatment, pain was lower on the posttest (M = 3.78) than on the pretest (M = 5.67). The same results were also found in the pool-based treatment, where the posttest (M = 2.11) was lower than the pretest (M = 5.78). Conclusion: The study shows that both the (land based endurance exercises and pool based exercises) have same effect on patient with cardiac disease and osteoarthritis. Both have significant decrease in pain and increase in VO2 Max.

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