Document Detail


Improvement of the walking ability in intermittent claudication due to superficial femoral artery occlusion with supervised exercise and pneumatic foot and calf compression: a randomised controlled trial.
MedLine Citation:
PMID:  15890545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare the effect of unsupervised exercise, supervised exercise and intermittent pneumatic foot and calf compression (IPC) on the claudication distance, lower limb arterial haemodynamics and quality of life of patients with intermittent claudication. METHODS: Thirty-four eligible patients with stable intermittent claudication were randomised to IPC (n = 13, 3h/d for 6 months), supervised exercise (n = 12, three hourly sessions/week for 6 months) or unsupervised exercise (n = 9). In each patient, initial claudication distance (ICD), absolute claudication distance (ACD), resting ankle brachial pressure index (ABPI), and resting hyperaemic calf arterial inflow were measured before, 6 weeks, 6 months and 1 year after randomisation. Quality of life was assessed with the short form (SF)-36, walking impairment (WIQ) and intermittent claudication questionnaires (ICQ). RESULTS: Compared with unsupervised exercise, both IPC and supervised exercise, increased ICD and ACD, up to 2.83 times. IPC increased arterial inflow (p < 0.05 at 6 weeks) and ABPI. Supervised exercise decreased arterial inflow and increased ABPI (p < 0.05 at 6 months). Unsupervised exercise had no effect on arterial inflow or ABPI. IPC improved significantly the ICQ score and the speed score of the WIQ, while supervised exercise improved the WIQ claudication severity score. At 1 year clinical effectiveness of supervised exercise and IPC was largely preserved. CONCLUSIONS: IPC, by augmenting leg perfusion, achieved improvement in walking distance comparable with supervised exercise. Long-term results in a larger number of patients will provide valuable information on the optimal treatment modality of intermittent claudication.
Authors:
S K Kakkos; G Geroulakos; A N Nicolaides
Related Documents :
8846175 - Urinary microalbumin as a marker for intermittent claudication.
18488875 - Management of peripheral arterial disease in the elderly: focus on cilostazol.
2172175 - Effect of fructose 1,6-diphosphate on exercise capacity in patients with peripheral vas...
15379615 - Exercise rehabilitation for the patient with intermittent claudication: a highly effect...
3745815 - The effect of exercise training on insulin resistance in sedentary year old rats.
11890595 - Geriatricians health survey 2000.
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  30     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-05     Completed Date:  2005-09-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  164-75     Citation Subset:  IM    
Affiliation:
Vascular Unit, Ealing Hospital, Southall, Middlesex, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Arterial Occlusive Diseases / complications*
Female
Femoral Artery*
Follow-Up Studies
Foot
Humans
Intermittent Claudication / etiology,  therapy*
Intermittent Pneumatic Compression Devices*
Leg
Male
Quality of Life
Treatment Outcome
Walking*

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


Previous Document:  Determinants of failure of brachiocephalic elbow fistulas for haemodialysis.
Next Document:  Characteristics of peripheral microembolization during iliac stenting: Doppler ultrasound monitoring...