Eligibility of patients with peripheral arterial disease for participation in a community-based walking exercise program: a single-centre experience
| Autor: | U, Müller-Bühl, P, Engeser, R, Leutgeb, J, Szecsenyi |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Motivation Exercise Tolerance Time Factors Patient Selection Eligibility Determination Recovery of Function Walking Severity of Illness Index Peripheral Arterial Disease Treatment Outcome Predictive Value of Tests Germany Exercise Test Humans Patient Compliance Female Community Health Services Prospective Studies Ultrasonography Doppler Color Exercise Aged |
| Zdroj: | International angiology : a journal of the International Union of Angiology. 31(5) |
| ISSN: | 1827-1839 |
| Popis: | Eligibility of patients with peripheral arterial disease (PAD) for exercise therapy is the most important requirement for predicting their training group adherence.In this prospective, exploratory study over a period of 1 year, a total of 462 PAD patients of an angiological outpatient routine care setting were consecutively recruited to the study. As non-eligibility criteria for exercise therapy were defined: resting pain or gangrene (Fontaine stage III and IV PAD), the inability to complete treadmill exercise, or premature treadmill discontinuation due to non-vascular walking pain. Also, PAD patients without subjective walking limitation (Fontaine stage I PAD) were assessed as unwilling, i.e. non-eligible for exercise training adherence. Criterion for patients eligibility was the occurrence of intermittent claudication on treadmill test (Fontaine stage II PAD).A total of 346 patients (age median 71 years, males 58.5%) were candidates for conservative therapy. Of them, 166 subjects (48%) were assessed as eligible for participation in walking exercise program. 180 of the patients (52%) were deemed as non-eligible to perform walking exercise therapy. 115 patients (33%) were physically limited by critical limb ischemia (Fontaine stage III and IV PAD), severe comorbid cardiovascular disease or orthopaedic disorder. In 65 PAD patients (19%) the subjective walking capacity was not restricted. Social, logistical or other factors were found in 27 patients (8%) to be barriers for exercise training commencement.In half of the PAD patients whose attendance in a community-based walking exercise program would be a therapeutically reasonable activity, a range of vascular and non-vascular factors are obstacles for participation. Further research is needed to investigate what measures might enhance the proportion of exercise therapy participants. |
| Databáze: | OpenAIRE |
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