{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T15:08:16Z","timestamp":1780585696278,"version":"3.54.1"},"reference-count":40,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM"],"abstract":"<jats:p>Introduction: Frail older adults undergoing cardiac surgery are vulnerable to postoperative complications and functional decline. Vivifrail is a structured, multicomponent exercise programme designed to enhance physical performance. This study evaluated its feasibility in the postoperative period.\nMethods: A non-interventional, prospective, single-centre, study was conducted at Nantes University Hospital between March and December 2024. Patients aged \u2265\u200975 years, with a baseline Short Physical Performance Battery test (SPPB) score &lt;\u20099 were included. SPPB, Timed Up and Go (TUG), and handgrip tests were performed at baseline (D0) and 6 weeks (W6). The primary outcome was to assess feasibility based on recruitment, retention rate, and physical performance at W6.\nResults: Among 45 eligible patients, 38 accepted the programme; 29 returned for assessment at W6. Mean programme completion rate was 54%. All functional assessments improved meaningfully over time, but adherence did not significantly modify these trajectories. However, adherent participants showed lower frailty at W6.\nConclusion: Home-based rehabilitation using Vivifrail proved to be feasible for frail older adults during postoperative recovery. Clinically meaningful improvements were observed in physical performance during the first 6 weeks of the programme. Future research should confirm this trend and consider Vivifrail for patients who cannot access specialized rehabilitation centres.<\/jats:p>","DOI":"10.2340\/jrm.v58.45667","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:23:52Z","timestamp":1780583032000},"page":"jrm45667","source":"Crossref","is-referenced-by-count":0,"title":["Effect of home-based rehabilitation in frail older adults after cardiac surgery: a prospective feasibility study"],"prefix":"10.2340","volume":"58","author":[{"given":"Ambre","family":"Komonski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Killian","family":"Jouanneau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Sophie","family":"Boureau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremie","family":"HUET","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"157939","doi-asserted-by":"crossref","unstructured":"Nakano M, Nomura Y, Suffredini G, Bush B, Tian J, Yamaguchi A et al. Functional outcomes of frail patients after cardiac surgery: an observational study. Anesth Analg 2020; 130: 1534\u20131544.","DOI":"10.1213\/ANE.0000000000004786"},{"key":"157940","doi-asserted-by":"crossref","unstructured":"Lin HS, Watts JN, Peel NM, Hubbard RE. Frailty and post-operative outcomes in older surgical patients: a systematic review. BMC Geriatr 2016; 16: 157.","DOI":"10.1186\/s12877-016-0329-8"},{"key":"157941","doi-asserted-by":"crossref","unstructured":"Ijaz N, Buta B, Xue QL, Mohess DT, Bushan A, Tran H, et al. Interventions for frailty among older adults with cardiovascular disease: JACC state-of-the-art review. J Am Coll Cardiol 2022; 79: 482\u2013503.","DOI":"10.1016\/j.jacc.2021.11.029"},{"key":"157942","doi-asserted-by":"crossref","unstructured":"Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, et al. Frailty consensus: a call to action. J Am Med Dir Assoc 2013; 14: 392\u20137.","DOI":"10.1016\/j.jamda.2013.03.022"},{"key":"157943","doi-asserted-by":"crossref","unstructured":"Veronese N. Frailty and cardiovascular diseases: research into an elderly population. Vol. 1216. C ha, Switzerland: Springer International Publishing; 2020.","DOI":"10.1007\/978-3-030-33330-0"},{"key":"157944","doi-asserted-by":"crossref","unstructured":"Brennan TH, Lewis LK, Gordon SJ, Prichard I. Effectiveness of interventions to prevent or reverse pre-frailty and frailty in middle-aged community dwelling adults: a systematic review. Prev Med 2024; 185: 108008.","DOI":"10.1016\/j.ypmed.2024.108008"},{"key":"157945","doi-asserted-by":"crossref","unstructured":"Kolle AT, Lewis KB, Lalonde M, Backman C. Reversing frailty in older adults: a scoping review. BMC Geriatr 2023; 23: 751.","DOI":"10.1186\/s12877-023-04309-y"},{"key":"157946","doi-asserted-by":"crossref","unstructured":"Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. J Am Coll Cardiol 2016; 67: 1\u201312.","DOI":"10.1016\/j.jacc.2015.10.044"},{"key":"157947","doi-asserted-by":"crossref","unstructured":"Karnon J, Afzali HHA, Putro GVAA, Thant PW, Dompok A, Cox I, et al. A cost-effectiveness model for frail older persons: development and application to a physiotherapy-based intervention. Appl Health Econ Health Policy 2017; 15: 635\u2013645.","DOI":"10.1007\/s40258-017-0324-z"},{"key":"157948","doi-asserted-by":"crossref","unstructured":"Bjarnason-Wehrens B, McGee H, Zwisler AD, Piepoli MF, Benzer W, Schmid JP, et al.; Cardiac Rehabilitation Section European Association of Cardiovascular Prevention and Rehabilitation. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17: 410\u201318.","DOI":"10.1097\/HJR.0b013e328334f42d"},{"key":"157949","doi-asserted-by":"crossref","unstructured":"Kotseva K, De Backer G, De Bacquer D, Ryd\u00e9n L, Hoes A, Grobbee D, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. Eur J Prev Cardiol 2019; 26: 824\u2013835.","DOI":"10.1177\/2047487318825350"},{"key":"157950","doi-asserted-by":"crossref","unstructured":"Lutz AH, Forman DE. Cardiac rehabilitation in older adults: apropos yet significantly underutilized. Prog Cardiovasc Dis 2022; 70: 94\u2013101.","DOI":"10.1016\/j.pcad.2022.01.001"},{"key":"157951","doi-asserted-by":"crossref","unstructured":"Brouwers RWM, Houben VJG, Kraal JJ, Spee RF, Kemps HMC. Predictors of cardiac rehabilitation referral, enrolment and completion after acute myocardial infarction: an exploratory study. Neth Heart J 2021; 29: 151\u2013157.","DOI":"10.1007\/s12471-020-01492-0"},{"key":"157952","doi-asserted-by":"crossref","unstructured":"Essery R, Geraghty AW, Kirby S, Yardley L. Predictors of adherence to home-based physical therapies: a systematic review. Disabil Rehabil 2017; 39: 519\u2013534.","DOI":"10.3109\/09638288.2016.1153160"},{"key":"157953","doi-asserted-by":"crossref","unstructured":"Clark AM, King-Shier KM, Duncan A, Spaling M, Stone JA, Jaglal S, et al. Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review. Eur J Prev Cardiol 2013; 20: 692\u2013700.","DOI":"10.1177\/2047487312447846"},{"key":"157954","unstructured":"Racine G, Huet J, Nicollet J, Roussel JC, Boureau AS. D\u00e9pistage d\u2019alt\u00e9ration des capacit\u00e9s intrins\u00e8ques via l\u2019outil ICOPE \u00e0 la suite d\u2019une chirurgie cardiaque: impl\u00e9mentation, efficacit\u00e9 de l\u2019intervention et \u00e9volution de la qualit\u00e9 de vie. Brest, France: SGOC; 2025."},{"key":"157955","doi-asserted-by":"crossref","unstructured":"Thomas RJ, Beatty AL, Beckie TM, Brewer LC, Brown TM, Forman DE. et al. Home-based cardiac rehabilitation: a scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. Circulation 2019; 140: e69\u201389.","DOI":"10.1161\/CIR.0000000000000663"},{"key":"157956","doi-asserted-by":"crossref","unstructured":"McDonagh ST, Dalal H, Moore S, Clark CE, Dean SG, Jolly K, et al. Home-based versus centrebased cardiac rehabilitation. Cochrane Database Syst Rev 27 2023; 10: CD007130.","DOI":"10.1002\/14651858.CD007130.pub5"},{"key":"157957","unstructured":"Integrated care for older people: guidelines on community-level interventions to manage declines in intrinsic capacity. Geneva: World Health Organization; 2017."},{"key":"157958","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Velilla N, Casas-Herrero A, Zambom-FerraresiF, et al. Effect of exercise intervention on functional decline in very elderly patients during acute hospitalization: a randomized clinical trial. JAMA Intern Med 2019; 179: 28.","DOI":"10.1001\/jamainternmed.2018.4869"},{"key":"157959","doi-asserted-by":"crossref","unstructured":"Casas-Herrero \u00c1, S\u00e1ez de Asteasu Ml, Ant\u00f3n-Rodrigo I, S\u00e1nchez-S\u00e1nchez Jl, Montero-Odasso M, Mar\u00edn-Epelde I, et al. Effects of Vivifrail multicomponent intervention on functional capacity: a multicentre, randomized controlled trial. J Cachexia Sarcopenia Muscle 2022; 13: 884\u2013893.","DOI":"10.1002\/jcsm.12925"},{"key":"157960","doi-asserted-by":"crossref","unstructured":"Aguado Ortego R, G\u00f3mez Gonz\u00e1lez L, G\u00f3mez Rubiano M, Fern\u00e1ndez Rodriguez E, Bazt\u00e1n Cort\u00e9s JJ, G\u00f3mez-Pav\u00f3n J. Beneficios de un programa ambulatorio de ejercicio multicomponente unido a la valoraci\u00f3n geri\u00e1trica integral para pacientes mayores de la comunidad con fragilidad f\u00edsica [Benefits of an outpatient multicomponent exercise program combined with comprehensive geriatric assessment for elderly community patients with physical frailty]. Rev Esp Geriatr Gerontol 2025; 60: 101625. Spanish.","DOI":"10.1016\/j.regg.2025.101625"},{"key":"157961","doi-asserted-by":"crossref","unstructured":"Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruy\u00e8re O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16\u201331.","DOI":"10.1093\/ageing\/afy169"},{"key":"157962","doi-asserted-by":"crossref","unstructured":"Perracini MR, Mello M, de Oliveira M\u00e1ximo R, Bilton TL, Ferriolli E, Lustosa LP, et al. Diagnostic accuracy of the Short Physical Performance Battery for detecting frailty in older people. Phys Ther 2020; 100: 90\u201398.","DOI":"10.1093\/ptj\/pzz154"},{"key":"157963","unstructured":"Lee L, Patel T, Costa A, Bryce E, Hillier LM, Slonim K, et al. Screening for frailty in primary care: Accuracy of gait speed and hand-grip strength. Can Fam Physician 2017; 63: e51\u2013e57."},{"key":"157964","doi-asserted-by":"crossref","unstructured":"Ruiz-Ruiz L, Jimenez AR, Garcia-Villamil G, Seco F. Detecting fall risk and frailty in elders with inertial motion sensors: a survey of significant gait parameters. Sensors 2021; 21: 6918.","DOI":"10.3390\/s21206918"},{"key":"157965","doi-asserted-by":"crossref","unstructured":"Izquierdo M. 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Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ 2012; 345: e4547.","DOI":"10.1136\/bmj.e4547"},{"key":"157969","doi-asserted-by":"crossref","unstructured":"Jansson AK, Lubans DR, Duncan MJ, Smith JJ, Bauman A, Attia J, et al. Increasing participation in resistance training using outdoor gyms: a study protocol for the ecofit type III hybrid effectiveness implementation trial. Contemp Clin Trials Commun 2024; 41: 101358.","DOI":"10.1016\/j.conctc.2024.101358"},{"key":"157970","doi-asserted-by":"crossref","unstructured":"Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc 2006; 54: 743\u2013749.","DOI":"10.1111\/j.1532-5415.2006.00701.x"},{"key":"157971","doi-asserted-by":"crossref","unstructured":"Kameniar K, Mackintosh S, Van Kessel G, Kumar S. The psychometric properties of the short physical performance battery to assess physical performance in older adults: a systematic review. J Geriatr Phys Ther 2022; 47: 43\u201354.","DOI":"10.1519\/JPT.0000000000000337"},{"key":"157972","doi-asserted-by":"crossref","unstructured":"Cesari M, Araujo de Carvalho I, Amuthavalli Thiyagarajan J, Cooper C, Martin FC, Reginster JY, et al. Evidence for the domains supporting the construct of intrinsic capacity. J Gerontol A Biol Sci Med Sci 2018; 73: 1653\u20131660.","DOI":"10.1093\/gerona\/gly011"},{"key":"157973","doi-asserted-by":"crossref","unstructured":"Yu R, Leung J, Leung G, Woo J. Towards healthy ageing: using the concept of intrinsic capacity in frailty prevention. J Nutr Health Aging 2022; 26: 30\u201336.","DOI":"10.1007\/s12603-021-1715-2"},{"key":"157974","doi-asserted-by":"crossref","unstructured":"Shur NF, Creedon L, Skirrow S, Atherton PJ, MacDonald IA, Lund J, et al. Age-related changes in muscle architecture and metabolism in humans: the likely contribution of physical inactivity to age-related functional decline. Ageing Res Rev 2021; 68: 101344.","DOI":"10.1016\/j.arr.2021.101344"},{"key":"157975","doi-asserted-by":"crossref","unstructured":"Coelho PNMP, Miranda LMRPC, Barros PMP, Fragata JIG. Quality of life after elective cardiac surgery in elderly patients. Interact Cardiovasc Thorac Surg 2019; 28: 199\u2013205.","DOI":"10.1093\/icvts\/ivy235"},{"key":"157976","doi-asserted-by":"crossref","unstructured":"Wu S, Nan J, Chang J, Jiang D, Cao Z, Zhou S, et al. Adherence to exercise intervention for community-dwelling older adults with sarcopenia: a systematic review and meta-analysis. Age Ageing 2025; 54(4): afaf094.","DOI":"10.1093\/ageing\/afaf094"},{"key":"157977","doi-asserted-by":"crossref","unstructured":"Komonski A, Meunier C, Boureau AS. Factors influencing the implementation of a home-based rehabilitation program in frail older patients after cardiac surgery: a qualitative study using reflexive thematic analysis. BMC Sports Sci Med Rehabil 2026. Online ahead of print.","DOI":"10.31235\/osf.io\/63cwh_v1"},{"key":"157978","doi-asserted-by":"crossref","unstructured":"Lee S, Chang BC, Yoo KJ. Surgical management of coexisting coronary artery and valvular heart disease. Yonsei Med J 2010; 51: 326\u2013331.","DOI":"10.3349\/ymj.2010.51.3.326"}],"container-title":["Journal of Rehabilitation Medicine"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/jrm\/article\/download\/45667\/54243","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/jrm\/article\/download\/45667\/54243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:24:17Z","timestamp":1780583057000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/jrm\/article\/view\/45667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,4]]},"references-count":40,"URL":"https:\/\/doi.org\/10.2340\/jrm.v58.45667","relation":{},"ISSN":["1651-2081"],"issn-type":[{"value":"1651-2081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,4]]}}}