Supervised Exercise Training May Improve Postural Control in Patients with Symptomatic Lower Extremity Peripheral Artery Disease.

Details

Serval ID
serval:BIB_E10116EB3FCD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Supervised Exercise Training May Improve Postural Control in Patients with Symptomatic Lower Extremity Peripheral Artery Disease.
Journal
The International journal of angiology
Author(s)
Degache F., Mak W., Calanca L., Mazzolai L., Lanzi S.
ISSN
1061-1711 (Print)
ISSN-L
1061-1711
Publication state
Published
Issued date
02/2024
Peer-reviewed
Oui
Volume
33
Number
1
Pages
50-56
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Patients with symptomatic peripheral artery disease (PAD) have been shown to present balance disorders and a history of falling, which are associated with functional and daily life impairments. Although postural control improvement is an important outcome, the benefits of supervised exercise training (SET) on postural control have been seldom investigated in these patients. This article investigates the effects of SET on traditional measures of postural control and on stabilogram-diffusion analysis (SDA) parameters in patients with symptomatic PAD. Patients with symptomatic chronic lower limb claudication were investigated. All subjects who completed the 3-month multimodal SET program and postural control assessment before and after SET were included. Center of pressure trajectory analysis and SDA parameters were investigated using a posturographic platform. Patients were instructed to stand on the platform and maintain balance to their best ability. Treadmill pain-free (PFWD) and maximal (MWD) walking distances were also assessed prior and following SET. Forty-four patients with PAD (65.2 ± 9.8 years, 34% women) were investigated. All postural control parameters were unchanged following SET, except the length of center of pressure displacement as a function of the surface of center of pressure trajectory (LFS), which was significantly increased (before SET: 1.4 ± 0.4; after SET: 1.5 ± 0.5; p = 0.042). PFWD (before SET: 103.5 ± 77.9 m; after SET: 176.8 ± 130.6 m; p ≤ 0.001) and MWD (before SET: 383.6 ± 272.0 m; after SET: 686.4 ± 509.0 m; p ≤ 0.001) significantly improved following SET. The increased LFS suggests a better postural control accuracy following SET in patients with symptomatic PAD.
Keywords
Cardiology and Cardiovascular Medicine, balance, center of pressure, functional performance, mobility, quality of life
Pubmed
Web of science
Create date
19/01/2024 12:13
Last modification date
26/03/2024 8:10
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