| Efficacy of arm-ergometry versus treadmill exercise training to improve walking distance in patients with claudication. | |
| | |
MedLine Citation:
|
PMID: 19651669 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The efficacy of treadmill walking training to improve pain-free (PFWD) and maximal (MWD) walking distance in patients with claudication is well documented. The effects of aerobic arm-ergometry to improve PFWD and MWD compared to treadmill walking or usual care are not known. Forty-one participants (29 male, 12 female, mean age 67.7 years, 92.7% smoking history, 36.6% with diabetes) with lifestyle-limiting claudication were randomized to 12 weeks of 3 hours/week of supervised exercise training using either arm-ergometry, treadmill walking, or a combination, versus control. PFWD and MWD were assessed before and after training, and after 12 weeks of follow-up. The 12-week MWD increased significantly in the arm-ergometry (+53%), treadmill (+69%), and combination (+68%) groups (p < 0.002 versus control). The 24-week MWD was maintained in the arm-ergometry (p = 0.009) and treadmill (p = 0.019) groups, whereas the combination group declined (p = 0.751) versus control. The 12-week PFWD increased significantly in the arm-ergometry group (+82%; p = 0.025 versus control). Change in PFWD in treadmill (+54%; p = 0.196 versus control) and combination (+60%; p = 0.107 versus control) groups did not reach statistical significance. PFWD improvement was maintained in the arm-ergometry group after a 12-week follow-up (+123%; p = 0.011 versus control). In conclusion, these pilot data demonstrate for the first time that dynamic arm exercise training can improve walking capability in people with peripheral arterial disease (PAD)-induced claudication compared to participants receiving usual care and that improvement was not different from that seen with treadmill walking exercise training. Dynamic arm exercise may be a therapeutic exercise option for patients with PAD. |
| | |
Authors:
|
Diane Treat-Jacobson; Ulf G Bronas; Arthur S Leon |
Related Documents
:
|
16314239 - Systematic diagnostic approach to proximal-without-distal claudication in a vascular po... 19506539 - Relationship between insulin-like growth factor-1 system and exercise tolerance in pati... 15592339 - Exercise patterns and cardiovascular fitness of patients with peripheral arterial disease. 8629569 - Claudication: diagnosis and treatment. 7674529 - Exercise rehabilitation programs for the treatment of claudication pain. a meta-analysis. 2375539 - Objectifying exercise ischemia in peripheral vascular disease: a study in 120 patients. 8735069 - Effects of noise and exercise on distortion product otoacoustic emissions. 17431189 - Carotid chemoreceptor modulation of regional blood flow distribution during exercise in... 17194229 - The effects of sprint running training on sloping surfaces. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Vascular medicine (London, England) Volume: 14 ISSN: 1358-863X ISO Abbreviation: Vasc Med Publication Date: 2009 Aug |
Date Detail:
|
Created Date: 2009-08-04 Completed Date: 2009-10-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9610930 Medline TA: Vasc Med Country: England |
Other Details:
|
Languages: eng Pagination: 203-13 Citation Subset: IM |
Affiliation:
|
University of Minnesota School of Nursing, Center for Gerontological Nursing, Minneapolis, MN 55455, USA. treat001@umn.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Ergometry Exercise Therapy* Exercise Tolerance* Female Hemodynamics Humans Intermittent Claudication / etiology, physiopathology, therapy* Lower Extremity Male Middle Aged Muscle, Skeletal / physiopathology* Oxygen Consumption Pain Measurement Patient Compliance Peripheral Vascular Diseases / complications, physiopathology, therapy* Pilot Projects Recovery of Function Time Factors Treatment Outcome Upper Extremity Walking* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Physical activity during daily life and brachial artery flow-mediated dilation in peripheral arteria...
Next Document: Association of serum myeloperoxidase with the ankle-brachial index and peripheral arterial disease.