Modification of the Forms of Self-Determined Regulation and Quality of Life after a Cardiac Rehabilitation Programme: Tennis-Based vs. Bicycle Ergometer-Based.

BACKGROUND: The objective is to analyse and compare the effects of an adapted tennis cardiac rehabilitation programme and a classical bicycle ergometer-based programme on the type of motivation towards sports practice and quality of life in patients classified as low risk after suffering acute coronary syndrome. METHODS: The Behavioural Regulation in Exercise Questionnaire (BREQ-2) and Velasco's Qualityof Life Test were applied. The sample comprised 110 individuals (age = 55.05 ± 9.27) divided into two experimental groups (tennis and bicycle ergometer) and a control group. RESULTS: The intra-group analysis showed a significant increase between pre- and post-test results in intrinsic regulation in the tennis group and in the control group. In identified regulation, the bicycle ergometer group presented significant differences from the control group. On the other hand, in the external regulation variable, only the tennis group showed significant differences, which decreased. Significant improvements in all quality-of-life factors when comparing the pre-test period with the post-test period were only found in the experimental groups. As per the inter-group analysis, significant differences were observed in favour of the tennis group with respect to the control group in the variables of health, social relations and leisure, and work time as well as in favour of the bicycle ergometer group compared with the control group in the variables of health, sleep and rest, future projects and mobility. No significant differences were found in any of the variables between the tennis group and the bicycle ergometer group. CONCLUSION: It is relevant to enhance the practice of physical exercise in infarcted patients classified as low risk as it improves the forms of more self-determined regulation towards sporting practice and their quality of life.

Influencia de un programa de orientación deportiva sobre el conocimiento de salubridad y el estado anímico en infartados / Knowledge about health and mood in infarcted by orientation test / Influência de um programa de orientação esportiva sobre o conhecimento de saúde e o estado de ânimo de infartados

El presente estudio cuasi-experimental analiza el efecto de una prueba de orientación, realizada en el medio natural, sobre el conocimiento adquirido por pacientes que han sufrido un infarto. Se evalúa el estado de ánimo previo y posterior a la prueba, así como el conocimiento sobre hábitos saludables en rehabilitación cardíaca antes y después de la misma; en tanto que a lo largo de la prueba se van realizando una serie de actividades formativas que pretenden aumentar la asimilación de estos conocimientos en un contexto lúdico y agradable. Se procedió con estadística descriptiva e inferencial no paramétrica. Los pacientes mostraron, en la medida posterior a la prueba de orientación, el conocido como "perfil anímico óptimo", o "perfil iceberg", mejorando de forma significativa las puntuaciones en enfado y confusión respecto a antes de la prueba. Se obtuvieron puntuaciones significativamente mejores en conocimiento de salubridad tras la actividad y que un mayor conocimiento permite tener una menor tensión aním ca (pre), mientras que no aparecen relaciones entre el conocimiento y el resto de factores del estado de ánimo tanto en el pre como en el post

This quasi-experimental study analyses the effect of an orienteering race conducted in the natural environment on the knowledge acquired by patients who have suffered a heart attack. During the race, activities were carried out in order to increase the assimilation of knowledge about healthy habits after infarction, in a fun and enjoyable way. The state of mind and knowledge about healthy habits in cardiac rehabilitation were evaluated pre and post-race. Data was analyzed using descriptive and inferential non-parametric statistics. Patients showed an "optimal mental profile" or "profile iceberg" after the race, significantly improving scores on anger and confusion. Significantly higher scores were verified post-race on the knowledge about healthy habits in cardiac rehabilitation. Also, subjects who had a greater knowledge before the race showed less mental stress. On the other hand, there was no relation between knowledge and other factors of the state of mind both pre- and post-r

Este estudo quase-experimental analisou o efeito de um teste de orientação no meio natural sobre conhecimento adquirido por pacientes infartados. Foi avaliado o estado de ânimo e conhecimento sobre hábitos saudáveis em reabilitação cardíaca, prévio e posterior à mesma, desenvolvendo atividades formativas que pretendem aumentar a assimilação destes conhecimentos em um contexto lúdico e agradável. Foi utilizada estatística descritiva e inferencial não-paramétrica. Os pacientes mostraram na medida posterior ao teste, o conhecido como "perfil anímico ótimo", ou "perfil iceberg", melhorando de forma significativa as pontuações em irritação e confusão com relação a antes do teste. Depois da realização da atividade foram obtidas pontuações significativamente melhores em conhecimento ao nível de saúde, facilitando assim uma menor tensão anímica (pré-teste), não encontrando relações entre esse conhecimento e o restante de fatores do estado de ânimo, tanto no pré como no pós-teste