Upper- versus lower-limb aerobic exercise training on health-related quality of life in patients with symptomatic peripheral arterial disease

Saxton, John; Zwierska, Irena; Blagojevic, Milisa; Choksy, Sohail; Nawaz, Shah; Pockley, A. Graham

doi:10.1016/j.jvs.2010.10.125

Cited by 49 publications

(37 citation statements)

References 34 publications

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“…The score of each study and its estimated level of quality are illustrated in Table 1 ( Supplementary file 1). The two studies by Saxton et al 26,29 were considered of high quality and the rest of fair quality.…”

Section: Resultsmentioning

confidence: 99%

“…A total sample of n=503 subjects was studied from the included RCTs ranging from Bronas et al 25 (N=28) to Saxton et al 26 and Zwierska et al 27 (N=104). Males and females were not equally represented in the sample; males accounting for the 77% of included patients (387).…”

Section: Participantsmentioning

confidence: 99%

“…Baseline and final measurements also included an incremental shuttle walk test with a standard protocol, 26,[29][30][31] or a symptom-limited graded cardiopulmonary treadmill exercise test (GXT). 25,28 To determine UL/LE maximum power 31 25 Saxton et al 29 and Walker et al 31 limited the assessment to a pre-and a post-training test.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…25,28 To determine UL/LE maximum power 31 25 Saxton et al 29 and Walker et al 31 limited the assessment to a pre-and a post-training test. Saxton et al 26 were the only who implemented an additional follow-up assessment at 48 and 72 weeks.…”

Section: Outcome Measuresmentioning

confidence: 99%

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Upper versus lower limb exercise training in patients with intermittent claudication: A systematic review

et al. 2015

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Lower extremity (LE) exercise training has been shown to contribute to improvements in Maximum Walking Distance (MWD), Claudication Distance (CD), peak oxygen uptake (VO 2peak ) and Quality of Life (QoL) in patients with intermittent claudication (IC). However, little is known regarding the efficacy of upper extremity (UE) exercise training in comparison to the widely used LE training. The objective of this systematic literature review is to identify and synthesize the available literature on the effects of UE versus LE exercises using the International Classification of Functioning (ICF) conceptual framework. A total of 6 randomized controlled trials comparing UE to LE exercises were included in this study. Two of the articles were considered to be of high quality using the PEDro grading list. Both UE and LE training groups demonstrated significant improvements in MWD, CD, VO 2peak and QoL in comparison to the control group but LE was not better than UE training. This supports the use of UE training as an alternative to LE, which could provide symptomatic relief to patients with IC without the discomfort caused during the LE training.

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Section: Resultsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

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Upper versus lower limb exercise training in patients with intermittent claudication: A systematic review

et al. 2015

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“…Por outro lado, mecanismos que geram essas alterações podem diferir de acordo com o tipo de exercício empregado e a população estudada. Desta forma, em um estudo realizado em indivíduos hipertensos idosos, constatou que a redução dos níveis pressóricos, após o exercício aeróbio, decorreu pela redução do débito cardíaco, em função da diminuição do volume sistólico (RONDON et al, 2002 Estudos prévios demonstraram que a prática de exercícios por 36 semanas apresenta melhorias significativas, não apenas nos aspectos fisiológicos, mas, sobretudo, na percepção geral de saúde e na saúde mental, bem como na vitalidade (ZWIERSKA et al, 2005, SAXTON et al, 2011. Portanto, é necessário o desenvolvimento de programas de exercícios físico diferenciado para o atendimento da comunidade, uma vez que os benefícios se estendem além da aptidão física.…”

Section: Resultsunclassified

Efeito Agudo de uma Sessão de Treinamento em Circuito sobre os Níveis da Pressão Arterial e Índice Tornozelo/Braço (Itb) em Mulheres Hipertensas Fisicamente Ativas

Lima¹,

Oliveira²,

Pereira³

et al. 2013

Rev. bras. ciênc. Saúde

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2 ) foram submetidas a uma sessão de ginástica aeróbica, de baixo impacto, com deslocamentos, caminhadas, subir/descer step de 15 cm, propulsão em jump e alto impacto (corrida), sempre três minutos por tipo de movimentação. A sessão durou 60 minutos, com intensidade de 70-80% da frequência cardíaca máxima. O ITB, a pressão arterial sistólica (PAS) e diastólica (PAD) foram medidas em repouso e após exercício, por doppler vascular portátil e esfigmomanômetro, cujos valores de mediana foram comparados pelo teste de Wilcoxon (p<0,05). Resultados: O ITB (pré: 1,0 (0,07) vs. pós: 1,0 (0,12)), PAS (pré: 122,0 (20,0)) vs. pós: 120,0 (25,5) e PAD (pré: 80,5 (11,25) vs. pós: 78,0 (11,88)) não se alteraram significativamente (p>0,05) após o exercício. Conclusão: Uma sessão de ginástica, em mulheres hipertensas e fisicamente ativas, não altera o ITB, PAS e PAD, implicando-se a não exposição das praticantes ao risco de doença arterial obstrutiva de membros inferiores, nesta atividade aeróbica. DESCRITORES ABSTRACT Objective:To analyze the acute effects of an aerobic gymnastic session on ABI and BP levels in physically active hypertensive women. Material and Methods: This was a quasi-experimental study, in which six hypertensive women (55±3 years, 49.6±4.7 kg, 1.54±0.1 m, 23.4±1.5 kg/m 2 ) underwent a single aerobic gymnastic session, including lowimpact movements, moving, walking, going up/down a 15-cm step, jump and high-impact (running) propulsion, with three minutes for each sort of movement. The whole session lasted 60 minutes with intensity of 70-80% of the maximum heart rate. The ABI and systolic (SBP) and diastolic (DBP) blood pressure levels were measured at rest and post-exercise, using a portable vascular doppler and a sphygmomanometer, whose median values were compared using the Wilcoxon test (p<0.05). Results: Data demonstrated that the ABI (pre: 1.0 (0.07) vs. post: 1.0 (0.12)), SBP (pre: 122.0 (20.0) vs. post: 120.0 (25.5)) and DBP (pre: 80.5 (11.25)

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Exercise for intermittent claudication

Lane

Ellis

Watson³

et al. 2014

Cochrane Database of Systematic Reviews

164

165

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BackgroundExercise programmes are a relatively inexpensive, low-risk option compared with other, more invasive therapies for treatment of leg pain on walking (intermittent claudication (IC)). This is the fourth update of a review first published in 1998. ObjectivesOur goal was to determine whether an exercise programme was effective in alleviating symptoms and increasing walking treadmill distances and walking times in people with intermittent claudication. Secondary objectives were to determine whether exercise was effective in preventing deterioration of underlying disease, reducing cardiovascular events, and improving quality of life. Search methodsFor this update, the Cochrane Vascular Information Specialist searched the Specialised Register (last searched 15 November 2016) and the Cochrane Central Register of Controlled Trials (CENTRAL; 2016, Issue 10) via the Cochrane Register of Studies Online, along with trials registries. Selection criteriaRandomised controlled trials of an exercise regimen versus control or versus medical therapy for people with IC due to peripheral arterial disease (PAD). We included any exercise programme or regimen used for treatment of IC, such as walking, skipping, and running. Inclusion of trials was not affected by duration, frequency, or intensity of the exercise programme. Outcome measures collected included treadmill walking distance (time to onset of pain or pain-free walking distance and maximum walking time or maximum walking distance), ankle brachial index (ABI), quality of life, morbidity, or amputation; if none of these was reported, we did not include the trial in this review. Data collection and analysisFor this update (2017), RAL and AH selected trials and extracted data independently. We assessed study quality by using the Cochrane 'Risk of bias' tool. We analysed continuous data by determining mean differences (MDs) and 95% confidence intervals (CIs), and dichotomous data by determining risk ratios (RRs) and 95% CIs. We pooled data using a fixed-effect model unless we identified significant heterogeneity, in which case we used a random-effects model. We used the GRADE approach to assess the overall quality of evidence supporting the outcomes assessed in this review.

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Upper- versus lower-limb aerobic exercise training on health-related quality of life in patients with symptomatic peripheral arterial disease

Abstract: These findings support the use of alternative, relatively pain-free forms of exercise in the clinical management of patients with intermittent claudication.

Cited by 49 publications

References 34 publications

Upper versus lower limb exercise training in patients with intermittent claudication: A systematic review

Upper versus lower limb exercise training in patients with intermittent claudication: A systematic review

Efeito Agudo de uma Sessão de Treinamento em Circuito sobre os Níveis da Pressão Arterial e Índice Tornozelo/Braço (Itb) em Mulheres Hipertensas Fisicamente Ativas

Exercise for intermittent claudication

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