Document Detail

Efficacy of a short-course intensive rehabilitation program in patients with moderate-to-severe intermittent claudication.
MedLine Citation:
PMID:  12407823     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Many rehabilitation programs for intermittent claudication include physical training for several months, since the outcome of short-course protocols is still unclear. The aim of this study was to evaluate the efficacy of a short course of exercise therapy in patients with moderate-to-severe intermittent claudication in terms of walking distance variations. METHODS: Twenty-six patients (males 88%, mean age 59 +/- 8 years, ankle-brachial index < or = 0.8 and < or = 0.5 before and after exercise respectively) were evaluated. Moderate-to-severe stenoses or occlusions were localized at color Doppler scanning of the abdominal aorta/iliac arteries and femoral/popliteal/tibial arteries in 15 and 31% of patients respectively, while in 54% of cases both the proximal and distal sites were involved. The initial and absolute claudication distances were recorded by means of the constant treadmill test (3 km/hour speed, 0% grade) at the time of presentation and after a short-course comprehensive rehabilitation program (4 week duration) including physical training, educational intervention, psychological support, and cardiovascular risk management. RESULTS: At the end of the program, 1 patient (4%) became asymptomatic (walked > 1000 m without pain). In 25 patients who still developed pain, the average increase in the initial claudication distance was 132% (from 75 to 174 m). Among these, 20 patients (77%) were still unable to complete the treadmill test due to maximal claudication pain, but the absolute claudication distance increased by 87% from 204 to 381 m (p < 0.05). No cardiovascular complication occurred during the study period. Major clinical variables failed to predict an unsatisfactory increase in walking capacity. CONCLUSIONS: Short-course training programs enhance the walking ability even in patients with moderate-to-severe intermittent claudication and seem to be well tolerated, supporting their widespread use in rehabilitation centers.
Marco Ambrosetti; Mario Salerno; Roberto Tramarin; Roberto F E Pedretti
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  3     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-10-31     Completed Date:  2003-03-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  467-72     Citation Subset:  IM    
Division of Cardiology, S. Maugeri Foundation, Care and Research Institute, Tradate, VA, Italy.
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MeSH Terms
Exercise Therapy*
Intermittent Claudication / classification,  rehabilitation*
Middle Aged
Peripheral Vascular Diseases
Risk Factors
Severity of Illness Index
Treatment Outcome
Ultrasonography, Doppler

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