Wioletta Dziubek1, Katarzyna Bulińska2, Małgorzata Stefańska3, Marek Woźniewski4, Katarzyna Kropielnicka4, Tomasz Jasiński4, Ryszard Jasiński4, Urszula Pilch4, Grażyna Dąbrowska4, Katarzyna Skórkowska-Telichowska5, Joanna Wojcieszczyk-Latos4, Dariusz Kałka6, Agnieszka Janus7, Katarzyna Zywar8, Rafał Paszkowski8, Andrzej Szuba9. 1. University of Physical Education in Wroclaw, Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine, al. I. J. Paderewskiego 35, 51-612 Wroclaw, Poland. Electronic address: wiletta.dziubek@awf.wroc.pl. 2. University of Physical Education in Wroclaw, Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine, al. I. J. Paderewskiego 35, 51-612 Wroclaw, Poland; WROVASC-An Integrated Cardiovascular Centre, Specialist District Hospital in Wroclaw, Centre for Research and Development, ul. H. Kamieńskiego 73a, 51-124 Wroclaw, Poland. 3. University of Physical Education in Wroclaw, Department of Physiotherapy and Occupational Therapy in Locomotor Dysfunction, al. I. J. Paderewskiego 35, 51-612 Wroclaw, Poland. 4. University of Physical Education in Wroclaw, Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine, al. I. J. Paderewskiego 35, 51-612 Wroclaw, Poland. 5. 4th Military Clinical Hospital with a Polyclinic in Wroclaw, Department of Internal Medicine, ul. Rudolfa Weigla 5, 50-981 Wroclaw, Poland. 6. Medical University of Wroclaw, Department of Pathophysiology, ul. Marcinkowskiego 1, 50-368 Wroclaw, Poland. 7. Wroclaw University Hospital, Departament of Internal Medicine, Occupational Diseases and Hypertension, ul. Borowska 213, 50-556 Wroclaw, Poland. 8. Specialist District Hospital in Wroclaw, Department of Angiology, ul. H. M. Kamieńskiego 73a, 51-124 Wroclaw, Poland. 9. WROVASC-An Integrated Cardiovascular Centre, Specialist District Hospital in Wroclaw, Centre for Research and Development, ul. H. Kamieńskiego 73a, 51-124 Wroclaw, Poland; 4th Military Clinical Hospital with a Polyclinic in Wroclaw, Department of Internal Medicine, ul. Rudolfa Weigla 5, 50-981 Wroclaw, Poland.
Abstract
OBJECTIVES: The aim of this study is to compare values of force-velocity and functional walking capacity in elderly patients with intermittent claudication with respect to the control group. MATERIALS AND METHODS: The study involved 135 individuals: 85-peripheral arterial disease (PAD) group diagnosed with stage II chronic lower limb ischemia, according to Fontaine's classification, and 50-control group. The studies included an assessment of walking capacity using a six-minute walk test (6MWT) and measurement of force-velocity parameters (peak torque-PTQ, total work-TW, average power-AVGP) of the lower limbs obtained by means of a functional dynamometry under isokinetic conditions. RESULTS: The peripheral arterial disease group is characterized by significantly lower values of force-velocity parameters compared to the control group (p<0.005). Walking capacity in this group is significantly reduced due to significant differences in the distance covered (p<0.0001), walking speed (p<0.01), and its intensity (p<0.01). Further, a positive correlation was found between the maximum distance specified in the six-minute walk test and lower limb muscle strength in the isokinetic test. CONCLUSIONS: Mean values of all force-velocity parameters and walk distance were significantly higher in the control group than in the peripheral arterial disease group. In the PAD group, in both men and women, the value of the agonist/antagonist ratio of both lower limbs are lower in men and women comparing to the control group. A rehabilitation program for patients with intermittent claudication must consider exercises improving strength, exercise capacity, and endurance in patients with PAD.
OBJECTIVES: The aim of this study is to compare values of force-velocity and functional walking capacity in elderly patients with intermittent claudication with respect to the control group. MATERIALS AND METHODS: The study involved 135 individuals: 85-peripheral arterial disease (PAD) group diagnosed with stage II chronic lower limb ischemia, according to Fontaine's classification, and 50-control group. The studies included an assessment of walking capacity using a six-minute walk test (6MWT) and measurement of force-velocity parameters (peak torque-PTQ, total work-TW, average power-AVGP) of the lower limbs obtained by means of a functional dynamometry under isokinetic conditions. RESULTS: The peripheral arterial disease group is characterized by significantly lower values of force-velocity parameters compared to the control group (p<0.005). Walking capacity in this group is significantly reduced due to significant differences in the distance covered (p<0.0001), walking speed (p<0.01), and its intensity (p<0.01). Further, a positive correlation was found between the maximum distance specified in the six-minute walk test and lower limb muscle strength in the isokinetic test. CONCLUSIONS: Mean values of all force-velocity parameters and walk distance were significantly higher in the control group than in the peripheral arterial disease group. In the PAD group, in both men and women, the value of the agonist/antagonist ratio of both lower limbs are lower in men and women comparing to the control group. A rehabilitation program for patients with intermittent claudication must consider exercises improving strength, exercise capacity, and endurance in patients with PAD.
Authors: Kelly A Dougherty; Chiara Bertolaso; Joan I Schall; Kim Smith-Whitley; Virginia A Stallings Journal: J Pediatr Hematol Oncol Date: 2018-07 Impact factor: 1.289
Authors: Cintia B Ueta; Katia S Gomes; Márcio A Ribeiro; Daria Mochly-Rosen; Julio C B Ferreira Journal: Pharmacol Res Date: 2016-11-19 Impact factor: 7.658
Authors: Zhangyu Wang; Kaiwang Cui; Ruixue Song; Xuerui Li; Xiuying Qi; Aron S Buchman; David A Bennett; Weili Xu Journal: Front Med (Lausanne) Date: 2022-04-26
Authors: Bogdan Pietraszewski; Marek Woźniewski; Ryszard Jasiński; Artur Struzik; Andrzej Szuba Journal: Biomed Res Int Date: 2019-05-27 Impact factor: 3.411
Authors: Katarzyna Kropielnicka; Wioletta Dziubek; Katarzyna Bulińska; Małgorzata Stefańska; Joanna Wojcieszczyk-Latos; Ryszard Jasiński; Urszula Pilch; Grażyna Dąbrowska; Katarzyna Skórkowska-Telichowska; Dariusz Kałka; Agnieszka Janus; Katarzyna Zywar; Rafał Paszkowski; Anna Rachwalik; Marek Woźniewski; Andrzej Szuba Journal: Biomed Res Int Date: 2018-09-23 Impact factor: 3.411