Document Detail


Cardiovascular training effect associated with polestriding exercise in patients with peripheral arterial disease.
MedLine Citation:
PMID:  15870588     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Because individuals with claudication pain secondary to peripheral arterial disease (PAD) are limited in both walking speed and duration, the benefits of walking exercise may be insufficient to yield a cardiovascular training effect. The objectives of this analysis were to determine whether polestriding exercise training, performed by persons with PAD, would improve exercise endurance, elicit a cardiovascular training benefit, and improve quality of life (QoL). Persons (n = 49) whose claudication pain limited their exercise capacity were randomized into a 24-week polestriding training program (n = 25, 65.8 +/- 7.1 years of age) or a nonexercise attention control group (n = 24, 68.0 +/- 8.6 years of age). Those assigned to the polestriding group trained 3 times weekly. Control group subjects came to the laboratory biweekly for ankle blood pressure measurements. A symptom-limited ramp treadmill test, ratings of perceived leg pain, and QoL data (using the Short Form-36) were obtained at baseline and upon completion of training. After 24 weeks of polestriding training, subjects increased their exercise endurance from 10.3 +/- 4.1 minute to 15.1 +/- 4.5 minute. This was significantly greater than control group subjects whose exercise endurance declined (from 11.2 +/- 4.7 to 10.3 +/- 4.7 minute; P < .001). Relationships between systolic blood pressure (P < .001), heart rate (P = .04), rate pressure product (P = .05), oxygen uptake (P = .016), and perceived leg pain (P = .02) and exercise time improved from the baseline symptom-limited treadmill test to the 6-month symptom-limited treadmill test in the polestriding group compared to the control group. The improvement in the physical component summary score of the Short Form-36 was also greater in the polestriding group (P = .031). Polestriding training significantly improved the clinical indicators of cardiovascular fitness and QoL, and decreased symptoms of claudication pain during exertion.
Authors:
Eileen G Collins; W Edwin Langbein; Cynthia Orebaugh; Christine Bammert; Karla Hanson; Domenic Reda; Lonnie C Edwards; Fred N Littooy
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  20     ISSN:  0889-4655     ISO Abbreviation:  J Cardiovasc Nurs     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-05-04     Completed Date:  2005-06-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  177-85     Citation Subset:  IM; N    
Affiliation:
Research and Development Service, Edward Hines Jr VA Hospital, Hines, IL 60141, USA. eileen.collins@med.va.gov
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Flow Velocity
Blood Pressure
Chi-Square Distribution
Exercise Test
Exercise Therapy / methods*,  standards
Exercise Tolerance*
Female
Follow-Up Studies
Heart Rate
Humans
Male
Oxygen Consumption
Pain Measurement
Peripheral Vascular Diseases / physiopathology,  psychology,  rehabilitation*,  ultrasonography
Physical Endurance*
Quality of Life
Questionnaires
Time Factors
Treatment Outcome
Walking*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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