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June 12, 2026European Journal of Preventive Cardiology

All strength training modalities demonstrated significant improvements across all parameters (e.g., VO2 +16%, p<0.0001) with no significant intergroup differences observed.

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Why the study?

Do different strength training modalities, including blood flow restriction and eccentric protocols, provide comparable functional and cardiorespiratory improvements in patients undergoing cardiac rehabilitation?

Population

100 patients initiating a cardiac rehabilitation program (preliminary data reported for 60 patients)

Comparison

Five strength training modalities: 3×10… vs Active comparison between the five different…

Design

RCT, Randomized into five groups according to training modality

Follow-up

25 sessions (3 sessions per week)

Authors

MLM LamotteLBL BlaiseJSJ Strapart

Discussion

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Overview

Preliminary VO2 gains with strength training in cardiac rehab are hypothesis-generating; larger RCTs needed before practice change.

Key Points

  • This study aimed to compare the effects of different strength training modalities on functional and cardiorespiratory outcomes in cardiac rehabilitation.
  • One hundred patients were randomized into five groups based on different strength training modalities.
  • Training included both resistance and endurance components over 25 sessions.
  • Assessments included VO2, six-minute walk test, strength measurements, and body composition analysis.
  • Significant improvements in VO2 (+16%, p<0.0001) and strength tests (p<0.0001) were observed.
  • Improvements were noted across all assessment parameters with p-values indicating strong significance.
  • No significant intergroup differences were found, but trends towards variations were noted.

Structured PICO

Do different strength training modalities, including blood flow restriction and eccentric protocols, provide comparable functional and cardiorespiratory improvements in patients undergoing cardiac rehabilitation?

P
Population
100 patients initiating a cardiac rehabilitation program (preliminary data reported for 60 patients)
I
Intervention
Five strength training modalities: (1) 3×10 repetitions at 75% of concentric 1-RM; (2) 3×17 at 45% of concentric 1-RM; (3) 3×10 at 45% of concentric 1-RM; (4) blood flow restriction (BFR) training using the 3/7 technique at 75% of concentric 1-RM; and (5) 3×10 at 75% of unilateral eccentric 1-RM. All patients also followed the same endurance component combining HIIT and continuous training.
C
Comparator
Active comparison between the five different strength training modalities
O
Outcome
Functional and cardiorespiratory outcomes including cardiopulmonary exercise testing (VO2, workload, VT1), six-minute walk test (6MWT), 30-second sit-to-stand (30s STS), strength measurements, and body composition analysis assessed after the 4th and 25th sessionssurrogate

Different strength training modalities, including blood flow restriction, provide comparable functional and cardiorespiratory benefits in cardiac rehabilitation, allowing for flexible and potentially time-saving exercise prescription.

Limitations

  • Preliminary data (only 60 out of 100 patients completed)

Cite This Study

Lamotte et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd1386550ea4541ffe987https://doi.org/10.1093/eurjpc/zwag249.313
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Examining the impact of blood flow restriction on cardiac rehabilitation outcomes2025
  2. 2ACUTE CARDIOVASCULAR RESPONSE TO RESISTANCE TRAINING DURING CARDIAC REHABILITATION: EFFECT OF MUSCLES MASS USED IN PATIENTS WITH CHRONIC HEART FAILURE2026
  3. 3Stronger start : dual-mode training boost functional outcome in early phase 2 cardiac rehabilitation after heart valve surgery2026
  4. 4Eccentric resistance training as a low-metabolic alternative to cardiotraining in patients with HFrEFf: a randomized controlled study2026
  5. 5Evaluation of the effectiveness of a muscle strengthening protocol as a complement to rehabilitation training in patients with heart failure2026