Training Rather Than Walking : The Test In-Train Out Program for Home-Based Rehabilitation in Peripheral Arteriopathy
スポンサーリンク
概要
- 論文の詳細を見る
Background Exercise training reduces walking disability in peripheral arterial disease (PAD). This non-randomized study evaluates the effects on walking ability and hemodynamic parameters of a novel approach to home-based rehabilitation, the test in-train out program (Ti-To), compared with the traditional home-based free walking exercise (Tr-E). Methods and Results A total of 143 patients with claudication (117 men, average age 68±10 years), were included in a Ti-To (n=83) or Tr-E program (n=60). Evaluations, which were carried out upon entry and at 1, 2, 3, 4 and 6 months, included: self-reported claudication, walking ability (ie, absolute claudication distance, pain threshold speed), resting/exercise heart rates (HR), systolic/diastolic brachial pressure (SBP/DBP), ankle pressure (AP), ankle-brachial index (ABI). Ti-To involved 2 daily 10-min home walking sessions at maximal asymptomatic speed and the patient attending monthly check-ups at hospital. Tr-E involved 20-30 min of daily walking at self-selected speeds up to pain tolerance. A total of 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, with Ti-To improving resting HR (p=0.0002), DBP (p=0.003), lowest AP worse limb (p=0.004) and ABI worse limb (p=0.0002). Conclusions In patients with PAD, a Ti-To program had more positive effects on perceived claudication, and functional and hemodynamic parameters than did a Tr-E program.
- 社団法人日本循環器学会の論文
- 2008-05-20
著者
-
Zamboni Paolo
Vascular Diseases Center University Of Ferrara:department Of Surgery And Vascular Laboratory S. Anna
-
Manfredini Fabio
Center of Biomedical Studies Applied to Sport, University of Ferrara
-
Malagoni Anna
Vascular Diseases Center, University of Ferrara
-
Mascoli Francesco
Vascular Diseases Center, University of Ferrara
-
Mandini Simona
Vascular Diseases Center, University of Ferrara
-
Taddia Maria
Department of Surgery and Vascular Laboratory, S. Anna Hospital
-
Basaglia Nino
Department of Rehabilitation Medicine, S. Anna Hospital
-
Manfredini Roberto
Vascular Diseases Center, University of Ferrara
-
Conconi Francesco
Center of Biomedical Studies Applied to Sport, University of Ferrara
-
Taddia Maria
Department Of Surgery And Vascular Laboratory S. Anna Hospital
-
Basaglia Nino
Department Of Rehabilitation Medicine S. Anna Hospital
-
Malagoni Anna
Vascular Diseases Center University Of Ferrara
-
Mandini Simona
Vascular Diseases Center University Of Ferrara
-
Manfredini Fabio
Center Of Biomedical Studies Applied To Sport University Of Ferrara:vascular Diseases Center Univers
-
Mascoli Francesco
Vascular Diseases Center University Of Ferrara:vascular And Endovascular Surgery Unit Department Of
-
Manfredini Roberto
Vascular Diseases Center University Of Ferrara:department Of Clinical And Experimental Medicine Univ
-
Conconi Francesco
Center Of Biomedical Studies Applied To Sport University Of Ferrara
-
Manfredini Roberto
Vascular Diseases Center University Of Ferrara
-
Mascoli Francesco
Vascular Diseases Center University Of Ferrara
-
Zamboni Paolo
Vascular Diseases Center University Of Ferrara
関連論文
- Training Rather Than Walking : The Test In-Train Out Program for Home-Based Rehabilitation in Peripheral Arteriopathy
- An Incremental Test to Identify the Pain Threshold Speed in Patients With Intermittent Claudication
- Evaluation of Patient Compliance, Quality of Life Impact and Cost-Effectiveness of a "Test In-Train Out" Exercise-Based Rehabilitation Program for Patients With Intermittent Claudication