Gender Differences in Outcomes Following a Pain-Free, Home-Based Exercise Program for Claudication
| Autor: | Fabio Fabbian, Pablo Jesus Lopez Soto, Maria Aurora Rodriguez Borrego, Roberto Manfredini, Nicola Lamberti, Nino Basaglia, Sofia Straudi, Juan Manuel Carmona Torres, Fabio Manfredini |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Cardiovascular pathology exercise therapy gender peripheral artery disease rehabilitation women Arterial disease medicine.medical_treatment Socio-culturale Disease 030204 cardiovascular system & hematology peripheral artery disease rehabilitation Cohort Studies Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine gender medicine Humans Ankle Brachial Index 030212 general & internal medicine Home based exercise LS4_7 Aged Retrospective Studies Supervised exercise Aged 80 and over Sex Characteristics exercise therapy Rehabilitation business.industry Original Articles General Medicine Pain free Intermittent Claudication Middle Aged Physical Functional Performance Treatment Outcome Italy Physical therapy Patient Compliance Female women medicine.symptom Claudication business |
| Zdroj: | Journal of Women's Health |
| ISSN: | 1931-843X 1540-9996 |
| DOI: | 10.1089/jwh.2018.7113 |
| Popis: | Background: Peripheral artery disease (PAD) is a common cardiovascular pathology that affects mobility. In previous research, supervised exercise, a recommended treatment for claudication, was less effective in women. This study retrospectively investigated whether functional outcomes exhibit sex differences following a pain-free, home-based exercise program for PAD patients. Materials and Methods: Patients with PAD and claudication enrolled to a structured home-based program from 2003 to 2016 were studied. The program was prescribed at the hospital and based on two daily 10-minute pain-free walking sessions at progressively increasing speed. Outcome measures, which were assessed at baseline and discharge, were pain threshold speed (PTS) and maximal (Smax) during a treadmill test and pain-free walking distance (PFWD) and total distance walked in 6 minutes (6MWD). The ankle-brachial index (ABI), program duration, and patient adherence were determined. Results: A total of 1007 patients (women; n = 264; 26%) were enrolled. At baseline, compared to men, women exhibited similar ABI values but lower PTS and PFWD values (p |
| Databáze: | OpenAIRE |
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