| Training rather than walking: the test in -train out program for home-based rehabilitation in peripheral arteriopathy. | |
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MedLine Citation:
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PMID: 18503221 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Exercise training reduces walking disability in peripheral arterial disease (PAD). This non-randomized study evaluates the effects on walking ability and hemodynamic parameters of a novel approach to home-based rehabilitation, the test in -train out program (Ti-To), compared with the traditional home-based free walking exercise (Tr-E). METHODS AND RESULTS: A total of 143 patients with claudication (117 men, average age 68+/-10 years), were included in a Ti-To (n=83) or Tr-E program (n=60). Evaluations, which were carried out upon entry and at 1, 2, 3, 4 and 6 months, included: self-reported claudication, walking ability (ie, absolute claudication distance, pain threshold speed), resting/exercise heart rates (HR), systolic/diastolic brachial pressure (SBP/DBP), ankle pressure (AP), ankle-brachial index (ABI). Ti-To involved 2 daily 10-min home walking sessions at maximal asymptomatic speed and the patient attending monthly check-ups at hospital. Tr-E involved 20-30 min of daily walking at self-selected speeds up to pain tolerance. A total of 126 patients (Ti-To, n=74; Tr-E, n=52) completed the program. Ti-To induced better relief from claudication (p=0.001). Functional parameters improved significantly for both groups (p<0.0001) with significant intergroup difference for Ti-To (p<0.0001). SBP and exercise HR decreased significantly in both groups, with Ti-To improving resting HR (p=0.0002), DBP (p=0.003), lowest AP worse limb (p=0.004) and ABI worse limb (p=0.0002). CONCLUSIONS: In patients with PAD, a Ti-To program had more positive effects on perceived claudication, and functional and hemodynamic parameters than did a Tr-E program. |
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Authors:
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Fabio Manfredini; Anna Maria Malagoni; Francesco Mascoli; Simona Mandini; Maria Cristina Taddia; Nino Basaglia; Roberto Manfredini; Francesco Conconi; Paolo Zamboni |
Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Circulation journal : official journal of the Japanese Circulation Society Volume: 72 ISSN: 1346-9843 ISO Abbreviation: Circ. J. Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-26 Completed Date: 2008-09-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101137683 Medline TA: Circ J Country: Japan |
Other Details:
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Languages: eng Pagination: 946-52 Citation Subset: IM |
Affiliation:
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Center of Biomedical Studies Applied to Sport, University of Ferrara, Ferrara, Italy. mdf@unife.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ankle Joint / ultrasonography Blood Pressure Brachial Artery / ultrasonography Exercise Test Exercise Therapy Female Heart Rate Humans Intermittent Claudication / physiopathology, rehabilitation*, therapy Male Middle Aged Peripheral Vascular Diseases / physiopathology, rehabilitation*, therapy Physical Fitness* Regional Blood Flow Treatment Outcome Walking* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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