Document Detail

A prospective comparison of pedal ergometry with conventional treadmill testing in the investigation of lower extremity pain.
MedLine Citation:
PMID:  12120967     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Investigation of lower extremity pain is compromised by comorbid disorders that may interfere with conventional testing. AIMS: To compare pedal ergometry with conventional treadmill testing. METHODS: A prospective study was performed where patients presenting with a diagnosis of intermittent claudication were assessed by both methods of testing. RESULTS: Of 78 patients studied with both tests, no exercise-induced ankle pressure changes occurred in 26, two were unable to complete either test despite normal pressure measurements, while 24 had exercise-induced pressure drop detected by both tests. Of patients who completed pedal ergometry, 21 were unable to complete the treadmill test, 14 of whom had negative ergometry, while seven had a pressure drop detected by pedal ergometry. Three had pressure changes with pedal ergometry, but not with treadmill testing and two had pressure changes on the treadmill not reproduced by pedal ergometry. CONCLUSIONS: Pedal ergometer is more sensitive than treadmill testing in detecting arterial insufficiency, as indicated by a 20% or greater fall in ankle pressure, and more suitable in a subgroup of patients unable to tolerate conventional treadmill testing.
B J Manning; G McGreal; H Crowley; H P Redmond; J A O'Donnell
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Irish journal of medical science     Volume:  170     ISSN:  0021-1265     ISO Abbreviation:  Ir J Med Sci     Publication Date:    2001 Jul-Sep
Date Detail:
Created Date:  2002-07-17     Completed Date:  2002-09-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  169-71     Citation Subset:  IM    
Department of Surgery, Cork University Hospital, Ireland.
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MeSH Terms
Blood Pressure
Equipment Design
Exercise Test / instrumentation*,  methods,  statistics & numerical data
Intermittent Claudication / diagnosis*,  epidemiology
Prospective Studies

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

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