Home-based Physical Therapy Following Tricuspid Valve Repair (TriClip): A Case Study

Authors

  • Zeeshan Bhimani Maryland, USA

DOI:

https://doi.org/10.37506/e8w2p375

Keywords:

Physical therapy, TriClip, Heart Failure, Home health therapy.

Abstract

Background and Purpose: This  case study describes the home-based physical therapy rehabilitation of a patient following a novel, less invasive tricuspid valve repair surgery using a TriClip system.

 Case Description: The patient is an 82 years old female presenting with heart failure secondary  to tricuspid regurgitation and underwent successful TriClip implantation. She was discharged home 2 days after surgery with a home health physical therapy referral.

Intervention: A comprehensive home health physical therapy program consisting of progressive exercises, patient education, strength, balance, and endurance training was implemented.

Outcomes: Improvement was noted in patient outcome measures including 2 min walk test, Timed Up and Go (TUG), 2 min step test on discharge as compared to the initial assessment. It demonstrated the positive impact of home-based physical therapy on a patient's participation in activities of daily living following TriClip implantation.

 Discussion: With a reduction in the number of days in the hospital and the popularization of less invasive surgeries, early intervention with home-based health physical therapy is crucial for optimizing functional outcomes and patient recovery. This case study highlights the importance of tailored rehabilitation in this patient population.

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Author Biography

  • Zeeshan Bhimani, Maryland, USA

    Masters in Health Sciences Majoring in PT (MHS-PT), Maryland, USA

References

Asmarats L, Taramasso M, Rodés-Cabau J. Tricuspid

valve disease: diagnosis, prognosis and management

of a rapidly evolving field. Nat Rev Cardiol. 2019

Sep;16(9):538-54.

Muntané-Carol G, Alperi A, Faroux L, Bédard E,

Philippon F, Rodés-Cabau J. Transcatheter tricuspid

valve intervention: coaptation devices. Front

Cardiovasc Med. 2020;7:139.

Shoemaker MJ, Dias KJ, Lefebvre KM, Heick JD,

Collins SM. Physical therapist clinical practice

guideline for the management of individuals with

heart failure. Phys Ther. 2020 Jan 1;100(1):14-43.

Balata M, Gbreel MI, Hassan M, Becher MU.

Comparative analysis of MitraClip/TriClip and

PASCAL in transcatheter tricuspid valve repair for

tricuspid regurgitation: a systematic review and metaanalysis.

BMC Cardiovasc Disord. 2024 Dec;24(1):557.

Kitamura M, Kresoja KP, Balata M, Besler C,

Rommel KP, Unterhuber M, et al. Health status after

transcatheter tricuspid valve repair in patients with

functional tricuspid regurgitation. Cardiovasc Interv.

Dec;14(23):2545-56.

Barry E, et al. Is the Timed Up and Go test a useful

predictor of risk of falls in community dwelling older

adults: a systematic review and meta-analysis. BMC

Geriatr. 2014;14:1-14.

van der Zwaard S, et al. Validity and Reliability of

Facial Rating of Perceived Exertion Scales for Training

Load Monitoring. J Strength Cond Res. 2023 May

;37(5):e317-e24.

Poncumhak P, et al. Predictive Ability of the 2-Minute

Step Test for Functional Fitness in Older Individuals

with Hypertension. Ann Geriatr Med Res. 2023

Sep;27(3):228-34.

Leung AS, Chan KK, Sykes K, Chan KS. Reliability,

validity, and responsiveness of a 2-min walk test to

assess exercise capacity of COPD patients. Chest. 2006

Jul;130(1):119-25.

Arnold CM, Faulkner RA. The history of falls and the

association of the timed up and go test to falls and

near-falls in older adults with hip osteoarthritis. BMC

Geriatr. 2007;7:1-9.

Chow JJL, Fitzgerald C, Rand S. The 2 min step test:

A reliable and valid measure of functional capacity

in older adults post coronary revascularisation.

Physiother Res Int. 2023 May;28(2):e1984.

Lagoe RJ, Abbott JH, Littau SA. Reducing hospital

lengths of stay: a five-year study. Case Rep Clin Med.

Jun;10(6):160-7.

Kitzman DW, Whellan DJ, Duncan P, Pastva AM,

Mentz RJ, Reeves GR, et al. Physical rehabilitation for

older patients hospitalized for heart failure. N Engl J

Med. 2021 Jul 15;385(3):203-16.

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Published

2025-10-16

How to Cite

Home-based Physical Therapy Following Tricuspid Valve Repair (TriClip): A Case Study. (2025). Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 19(4), 15-21. https://doi.org/10.37506/e8w2p375