Impact of a rehabilitation program on muscular strength and endurance in peripheral arterial occlusive disease patients

Cousin, Antoine; Popielarz, S.; Wieczorek, V.; Tiffreau, V.; Mounier‐Véhier, Claire; Thévenon, A.

doi:10.1016/j.rehab.2011.07.961

Cited by 12 publications

(11 citation statements)

References 14 publications

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“…However, of these reported significant differences, only two studies demonstrated substantial between-group differences (ES ¼ À2.5 [95% CI, À3.5 to À1.4] and ES ¼ À6.7 [95% CI, À8.0 to À5.4]). 13,42 In those studies investigating the effects of an intervention (Table II, D), a significant improvement increase after exercise intervention was reported in plantar flexor concentric strength at 30 degrees/s in the right leg, plantar flexor concentric strength at 120 degrees/s in both legs, plantar flexor work in the right leg, 33 and one-rep max leg press as well as the rate of force development during leg press. 32 However, only two measures demonstrated clear improvements after intervention (rate of force development: ES ¼ 1.0 [95% CI, 0.0-1.9]; leg press maximum voluntary contraction: ES ¼ 1.2 [95% CI, 0.2-2.01]).…”

Section: Resultsmentioning

confidence: 99%

“…Muscle strength. Of the nine studies reporting strength measures (Table II, A-C), 13,26,28,30,33,37,39,41,42 six reported comparisons to a control group, 13,26,28,37,41,42 three reported comparisons between a symptomatic and an asymptomatic limb, 13,30,41 and two investigated the effect of intervention. 32,33 Within these studies, a variety of methodologies were employed to assess strength.…”

Section: Resultsmentioning

confidence: 99%

“…Of the nine studies reporting strength measures (Table II, A-C), 13,26,28,30,33,37,39,41,42 six reported comparisons to a control group, 13,26,28,37,41,42 three reported comparisons between a symptomatic and an asymptomatic limb, 13,30,41 and two investigated the effect of intervention. 32,33 Within these studies, a variety of methodologies were employed to assess strength. Three studies reported a measure of isometric maximum voluntary contraction using an isokinetic dynamometer; six studies reported measures of concentric peak torque 13,26,30,32,33,37 ; one study reported a measure of eccentric peak torque 30 ; and five studies reported measures of endurance.…”

Section: Resultsmentioning

confidence: 99%

“…32,33 Within these studies, a variety of methodologies were employed to assess strength. Three studies reported a measure of isometric maximum voluntary contraction using an isokinetic dynamometer; six studies reported measures of concentric peak torque 13,26,30,32,33,37 ; one study reported a measure of eccentric peak torque 30 ; and five studies reported measures of endurance. 13,30,33,37,39 Furthermore, there were, in total, 15 measures of plantar flexor strength, 4 measures of dorsiflexor strength, and 4 measures of knee strength.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of muscle morphology and function in intermittent claudication

Harwood

King

Totty

et al. 2017

Journal of Vascular Surgery

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Previous literature has found clear evidence that strength (of the calf and thigh musculature) and calf characteristics are related to mortality and functional declines. However, this review has demonstrated the vast array of muscle groups assessed and multiple methods employed to determine strength; therefore, it is unclear exactly what measure of "strength" is impaired. Furthermore, the underlying morphologic causes of potential changes in strength are unclear. This information is essential for designing optimal exercise interventions. The data acquired during this systematic review are heterogeneous, with a substantial lack of high-quality intervention-based studies. Future research should endeavor to establish standardized testing procedures and to implement randomized controlled trials for targeted therapeutic interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of muscle morphology and function in intermittent claudication

Harwood

King

Totty

et al. 2017

Journal of Vascular Surgery

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“…Looking at the previous literature, it can be seen that clinical trials have been performed with diabetic patients having peripheral vascular disease whose rehabilitation was based on ankle exercises24,25,26 ) .…”

Section: Discussionmentioning

confidence: 99%

Decrease in Talocrural Joint Mobility is Related to Alteration of the Arterial Blood Flow Velocity in the Lower Limb in Diabetic Women

Guirro

Dibai‐Filho

et al. 2014

J Phys Ther Sci

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[Purpose] The purpose of this study was to correlate the talocrural range of motion (ROM) and blood flow velocity in the lower limb arteries of diabetic women. [Subjects and Methods] Thirty women were divided into a control group (G1), consisting of 15 sedentary right-handed subjects (41.27 ± 7.24 years old) who had no history of blood system disorder, and a diabetes group (G2), consisting of 15 sedentary right-handed subjects (57.87 ± 6.20 years old) who had type 2 diabetes mellitus. Talocrural ROM was measured by using goniometry for dorsiflexion and plantar flexion movements. In addition, blood flow velocity of the dorsalis pedis, posterior tibial, and popliteal arteries was also assessed. [Results] No significant differences were found between the groups by comparing talocrural ROM and arterial blood velocity. However, a significant association was found in G2 only between the following variables: plantar flexion and blood flow velocity of the dorsalis pedis artery (rs = 0.57), plantar flexion and blood flow velocity of the popliteal artery (rs = 0.50), and dorsiflexion and blood flow velocity of the posterior tibial artery (rs = 0.57). [Conclusion] The decrease in talocrural ROM is related to a decrease in the arterial blood flow velocity in diabetic women.

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Sarcopenia and peripheral arterial disease: a systematic review

Pizzimenti

Meyer

Charles

et al. 2020

J cachexia sarcopenia muscle

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Background Patients with lower extremity peripheral arterial disease (PAD) and sarcopenia are a population at risk requiring specific and targeted care. The aim of this review is to gather all relevant studies associating sarcopenia and PAD and to identify the underlying pathophysiological mechanisms as well as potential therapeutic strategies to improve skeletal muscle function. Methods A systematic review was carried out following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results Data extraction allowed the evaluation of 140 publications; 87 met the inclusion criteria; of which 79 were included in the final review, reporting sufficient data for epidemiological and diagnostic criteria, mechanical analysis, and therapeutic approaches. Epidemiological analysis and diagnostic criteria were based on 18 studies following 2362 PAD patients [31.39% (SD 7.61) women], aged 72.42 (SD 2.84); sarcopenia was present in 34.63% (SD 12.86) of the patients. Mechanical and pathway analysis were based on five animal studies and 29 clinical reports, showing significantly altered muscle strength and function in 1352 PAD patients [26.49% (SD 17.32) women], aged 67.67 (SD 5.14) years; impaired muscle histology in 192 PAD patients (9.2% (SD 11.22) women), aged 64.3 (SD 0.99) years; +58.63% (SD 25.48) of oxidative stress in 69 PAD patients [16.96% (SD 8.10) women], aged 63.17 (SD 1.43) years; mitochondriopathy in 153 PAD patients [29.39% (SD 28.27) women], aged 63.50 (SD 1.83) years; +15.58% (SD 7.41) of inflammation in 900 PAD patients [40.77% (SD 3.71) women], aged 74.88 (SD 2.76) years; and altered signalling pathways in 51 PAD patients [34.45% (SD 32.23) women], aged 72.25 (SD 5.25) years. Therapeutic approaches analysis was based on seven animal studies and 21 clinical reports. In total, 884 patients followed an exercise therapy, and 18 received an angiogenesis treatment; 30.84% (SD 17.74) were women. Mean ages of patients studied were 66.85 (SD 3.96). Conclusions Sarcopenia and lower extremity PAD have musculoskeletal consequences that directly impair patients' quality of life and prognosis. Although PAD is primarily a vascular disease, all etiological factors of sarcopenia identified so far are present in PAD. Indeed, both sarcopenia and PAD are accompanied by oxidative stress, skeletal muscle mitochondrial impairments, inflammation, inhibition of specific pathways regulating muscle synthesis or protection (i.e. IGF-1, RISK, and SAFE), and activation of molecules associated with muscle degradation. To date, besides revascularization, the best therapeutic strategy includes exercise, but approaches targeting the underlying mechanisms still deserve further studies.

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Impact of a rehabilitation program on muscular strength and endurance in peripheral arterial occlusive disease patients

Abstract: All patients presented with severe weakness and fatigability of the ankle plantar and dorsal flexors. Our program dramatically improved walking distance but not muscle strength and endurance.

Cited by 12 publications

References 14 publications

A systematic review of muscle morphology and function in intermittent claudication

A systematic review of muscle morphology and function in intermittent claudication

Decrease in Talocrural Joint Mobility is Related to Alteration of the Arterial Blood Flow Velocity in the Lower Limb in Diabetic Women

Sarcopenia and peripheral arterial disease: a systematic review

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