Document Detail


Impact of a supervised strength training or walking training over a subsequent unsupervised therapy period on walking capacity in patients with claudication.
MedLine Citation:
PMID:  21558030     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Previous studies have demonstrated that supervised strength training (ST) or walking training (WT) improve walking capacity in patients with claudication. However, it remains unknown whether these improvements would be sustained over a subsequent unsupervised period. This article reports the findings of a study to analyze whether the improvements in walking capacity, achieved with a supervised ST or WT, would be sustained over a subsequent unsupervised therapy period in patients with claudication. Patients were initially randomized to supervised exercise consisting of ST (n = 15) or WT (n = 15) for 12 weeks. After this period, 12 patients in each group consented to be followed for an additional 12 weeks of unsupervised therapy. Initial claudication distance (ICD) and total walking distance (TWD) were measured at baseline, after the supervised period (Week 12) and after the unsupervised period (Week 24). In comparison with baseline values, both groups similarly increased ICD and TWD at Week 12. From Week 12 to Week 24, both groups similarly decreased ICD (ST: -55 ± 110 m and WT: -82 ± 142 m, P =.04) and TWD (ST: -68 ± 186 m and WT: -128 ± 112 m, P < .01). However, in both groups, ICD (ST: +126 ± 149 m and WT: +50 ± 167 m, P = .01) and TWD (ST: +104 ± 162 m and WT: +45 ± 139 m, P =.01) at Week 24 remained greater than baseline values. The conclusion is that supervised ST or WT followed by an unsupervised therapy period similarly decreased walking capacity in patients with claudication. However, after the unsupervised period, walking capacity remained at a higher level than before the onset of the supervised exercise-training period.
Authors:
Annelise Lins Menêses; Gustavo Henrique Correia de Lima; Cláudia Lúcia de Moraes Forjaz; Aluísio Henrique Rodrigues de Andrade Lima; Gleyson Queiroz de Moraes Silva; Gabriel Grizzo Cucato; Sérgio Luiz Cahú Rodrigues; Nelson Wolosker; Maria de Fátima Nunes Marucci; Raphael Mendes Ritti Dias
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing     Volume:  29     ISSN:  1532-6578     ISO Abbreviation:  J Vasc Nurs     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9014475     Medline TA:  J Vasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  N    
Copyright Information:
Copyright © 2011 Society for Vascular Nursing, Inc. Published by Mosby, Inc. All rights reserved.
Affiliation:
University of Pernambuco, Recife, Santo Amaro, Brazil.
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