Impact of a supervised stregth training or walking training over a subsequent unsupervised therapy period on walking capacity in patients with claudication
| Autor: | Aluísio Henrique Rodrigues de Andrade Lima, Raphael Mendes Ritti Dias, Sérgio Luiz Cahú Rodrigues, Gabriel Grizzo Cucato, Gleyson Queiroz de Moraes Silva, Gustavo Henrique Correia de Lima, Cláudia Lúcia de Moraes Forjaz, Annelise Lins Menêses, Nelson Wolosker, Maria de Fátima Nunes Marucci |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Strength training Walking QUALIDADE DE VIDA law.invention Walking distance Peripheral Arterial Disease Randomized controlled trial law medicine Humans In patient Supervised exercise Aged Baseline values business.industry Resistance Training Recovery of Function Intermittent Claudication Middle Aged Exercise Therapy Medical–Surgical Nursing Treatment Outcome Anesthesia Physical therapy Claudication distance Female medicine.symptom Claudication business |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| Popis: | Previous studies have demonstrated that supervised strength training (ST) or walking training (WT) improve walking capacity in patients with claudication. However, it remains unknown whether these improvements would be sustained over a subsequent unsupervised period. This article reports the findings of a study to analyze whether the improvements in walking capacity, achieved with a supervised ST or WT, would be sustained over a subsequent unsupervised therapy period in patients with claudication. Patients were initially randomized to supervised exercise consisting of ST (n = 15) or WT (n = 15) for 12 weeks. After this period, 12 patients in each group consented to be followed for an additional 12 weeks of unsupervised therapy. Initial claudication distance (ICD) and total walking distance (TWD) were measured at baseline, after the supervised period (Week 12) and after the unsupervised period (Week 24). In comparison with baseline values, both groups similarly increased ICD and TWD at Week 12. From Week 12 to Week 24, both groups similarly decreased ICD (ST: -55 ± 110 m and WT: -82 ± 142 m, P =.04) and TWD (ST: -68 ± 186 m and WT: -128 ± 112 m, P < .01). However, in both groups, ICD (ST: +126 ± 149 m and WT: +50 ± 167 m, P = .01) and TWD (ST: +104 ± 162 m and WT: +45 ± 139 m, P =.01) at Week 24 remained greater than baseline values. The conclusion is that supervised ST or WT followed by an unsupervised therapy period similarly decreased walking capacity in patients with claudication. However, after the unsupervised period, walking capacity remained at a higher level than before the onset of the supervised exercise-training period. |
| Databáze: | OpenAIRE |
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