Supplementary Material for: Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately After Cardiac Implantable Electronic Device Implantation

Background

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.

Methods

We conducted a comprehensive literature search in five 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 Cochrane Risk of Bias Assessment Tool and Joanna Briggs Institute critical appraisal checklists.

Results

This review included six studies that used upper extremity pendular, range of motion, stretching and strengthening exercises. Initiation time varied from first post-operative day to second post-operative 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.

Conclusions

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.