None listed
Conditions
Brief summary
The aim of the project was the development of a rehabilitation program for patients with chronic lower limb ischemia based on the study of biomechanics of movement, muscle strength and other objective methods of assessing the improvement of their functioning. 1. Assessment of the association of areas of lower limb muscle ischemia with symptoms of the disease. 2. Random assignment of subjects to three training groups. 3. Assessment of rehabilitation effects (claudication distance, gait biomechanics, muscle strength).
Interventions
Patients participated in 12 weeks of training under the supervision of a physiotherapist and physician. The subjects were assigned to one of three rehabilitation programs (3 times a week) using the pseudorandomisation method (consecutive patients were assigned to one group or the other: group I - standard walking training on a treadmill (TT); group II - Nordic walking (NW) training; group III - strength and endurance training comprised of NW combined with isokinetic strength training (NW + ISO).
Patients participated in 12 weeks of training under the supervision of a physiotherapist and physician. The subjects were assigned to one of three rehabilitation programs (3 times a week) using the pseudorandomisation method (consecutive patients were assigned to one group or the other: group I - standard walking training on a treadmill (TT); group II - Nordic walking (NW) training; group III - strength and endurance training comprised of NW combined with isokinetic strength training (NW + ISO). The mode of administration: group I - one-on-one, group II - groups of 10, group III - groups of 10 and one-on-one (mixed). Standard Treadmill Test, 6 Minute Walk Test (6MWT), isokinetic test with sEMG and biochemical parameters were repeated after 3 months of rehabilitation, which 80 people completed. The degree of subjective level of fatigue was assessed according to Borg’s 10-degree scale. To assess adherence to the intervention we used attendance checklists and monitor heart ratio. Final analysis excluded patients who attended fewer than <75% training sessions.
Sponsors
WROVASC - Integrated Center for Cardiovascular Medicine
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
50 Years to 85 Years
Healthy volunteers
Yes
Inclusion criteria
- over 50 years of age - documented PAD and lower-limb ischaemia - intermittent claudication distance of 30-400 meters (Fontaine’s classification IIa and IIb) stable for at least 3 months - ABI<0.9 - sound clinical condition of the patient - written consent of the patient to participate in the project
Exclusion criteria
- PAD Fontaine stage I (painless distance, no impairment of walking capacity) - Fontaine stage III/IV (pain at rest / trophic ulcer) - uncontrolled arterial hypertension and/or diabetes, decompensated congestive heart failure - level of subjective fatigue above 7 points according to the 10-point Borg scale - cardiovascular incidents (MI, stroke) in the last year prior to the rehabilitation program - revascularization procedures performed during the last 3 months - generally poor patient health, incapacity to perform functional tests in motor terms - mental illness, and participation in another scientific research program
Outcome results
None listed