Background. Exercise training reduces walking disability in peripheral arterial disease (PAD). This non-randomized study evaluates the effects on walking ability and haemodynamic parameters of a novel approach to home-based rehabilitation, the testing in--training out program (Ti-To), compared to the traditional home-based free walking exercise (Tr-E). Methods and Results. 143 patients with claudication (117M, 68±10ys), included in a Ti-To (n=83) or Tr-E program (n=60). Evaluations (on entry-after six months): self-reported claudication, walking ability (Absolute Claudication Distance, ACD, Pain Threshold Speed, PTS), resting/exercise heart rates (HR), systolic/diastolic brachial pressure (SBP/DBP), ankle pressure (AP), Ankle-Brachial Index (ABI). Ti-To: two daily 10min home walking sessions at maximal asymptomatic speed monthly updated at hospital . Tr-E: 20-30min of daily walking at self-selected speeds up to pain tolerance. 126 patients (Ti-To n=74, Tr-E n=52) completed the program. Ti-To induced better relief from claudication (P=0.001). Functional parameters improved significantly for both groups (P<0.0001) with significant intergroup difference for Ti-To (P<0.0001). SBP and exercise-HR decreased significantly in both groups; Ti-To improved resting-HR (P=0.0002), DBP (P=0.003), lowest AP-worse limb (P=0.004), ABI-worse limb (P=0.0002). Conclusions. In PAD patients, a Ti-To program had more positive effects on perceived claudication, functional and haemodynamic parameters than did an Tr-E program.
Training rather than walking - The test in-train out program for home-based rehabilitation in peripheral arteriopathy
MANFREDINI, Fabio;MALAGONI, Anna Maria;MASCOLI, Francesco;MANDINI, Simona;BASAGLIA, Nino;MANFREDINI, Roberto;CONCONI, Francesco;ZAMBONI, Paolo
2008
Abstract
Background. Exercise training reduces walking disability in peripheral arterial disease (PAD). This non-randomized study evaluates the effects on walking ability and haemodynamic parameters of a novel approach to home-based rehabilitation, the testing in--training out program (Ti-To), compared to the traditional home-based free walking exercise (Tr-E). Methods and Results. 143 patients with claudication (117M, 68±10ys), included in a Ti-To (n=83) or Tr-E program (n=60). Evaluations (on entry-after six months): self-reported claudication, walking ability (Absolute Claudication Distance, ACD, Pain Threshold Speed, PTS), resting/exercise heart rates (HR), systolic/diastolic brachial pressure (SBP/DBP), ankle pressure (AP), Ankle-Brachial Index (ABI). Ti-To: two daily 10min home walking sessions at maximal asymptomatic speed monthly updated at hospital . Tr-E: 20-30min of daily walking at self-selected speeds up to pain tolerance. 126 patients (Ti-To n=74, Tr-E n=52) completed the program. Ti-To induced better relief from claudication (P=0.001). Functional parameters improved significantly for both groups (P<0.0001) with significant intergroup difference for Ti-To (P<0.0001). SBP and exercise-HR decreased significantly in both groups; Ti-To improved resting-HR (P=0.0002), DBP (P=0.003), lowest AP-worse limb (P=0.004), ABI-worse limb (P=0.0002). Conclusions. In PAD patients, a Ti-To program had more positive effects on perceived claudication, functional and haemodynamic parameters than did an Tr-E program.I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
