Multimodal Supervised Exercise Significantly Improves Walking Performances Without Changing Hemodynamic Parameters in Patients With Symptomatic Lower Extremity Peripheral Artery Disease
| Autor: | Lucia Mazzolai, André Berchtold, Barbara Ney, Luca Calanca, Stefano Lanzi |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Arterial disease Hemodynamics Walk Test Walking Disease 030204 cardiovascular system & hematology Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Humans Medicine Ankle Brachial Index In patient Muscle Strength 030212 general & internal medicine Aged Retrospective Studies Supervised exercise Exercise Tolerance business.industry Resistance Training Recovery of Function General Medicine Intermittent Claudication Middle Aged Exercise Therapy body regions Treatment Outcome medicine.anatomical_structure Lower Extremity Female Surgery Ankle Transcutaneous oxygen Cardiology and Cardiovascular Medicine business Blood Gas Monitoring Transcutaneous human activities |
| Zdroj: | Vascular and Endovascular Surgery. 54:605-611 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574420940090 |
| Popis: | We evaluated the outcome of multimodal supervised exercise training (SET) on walking performances and different hemodynamic parameters (ankle/toe-brachial index [ABI/TBI], and transcutaneous oxygen pressure [TcPO2]) in patients with symptomatic lower extremity peripheral artery disease (PAD). Whether hemodynamic parameters predict walking performances at baseline and following SET was also investigated. Fontaine stage II PAD’s patients following a 3-month SET were retrospectively included. Hemodynamic parameters and walking performances (pain-free [PFWD], maximal [MWD], and 6-minute [6MWD] walking distance) were measured in each patient. Eighty-five symptomatic PAD patients were included. Following SET, PFWD, MWD, and 6MWD significantly increased (+142%, +94%, +14%; respectively; P ≤ .001). Toe-brachial index significantly increased (MD: 0.04 ± 0.01; P = .02), whereas ABI and TcPO2 did not change significantly. At baseline, patients with higher TBI and TcPO2 performed significantly better (PFWD: β = 0.25, P = .01 for TBI; PFWD: β = 0.30, P = .005, and MWD: β = 0.22, P = .04, for TcPO2). No significant relationship was observed at baseline between ABI and walking performances. Baseline values of hemodynamic parameters did not significantly correlate with changes in walking performances. Multimodal SET significantly improves walking performances. Following SET, no significant changes in ABI and TcPO2 were observed. Toe-brachial index values significantly improved after SET. However, this increase was very modest and its clinical relevance remains questionable. Although baseline TBI and supine TcPO2 values predict baseline walking performances, no association was found between baseline hemodynamic parameters and changes in walking performances following SET. |
| Databáze: | OpenAIRE |
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