A plantar flexion device exercise programme for patients with peripheral arterial disease: a randomised prospective feasibility study

Tebbutt, Niki; Robinson, Lesley; Todhunter, J. R. A.; Jonker, Leon

doi:10.1016/j.physio.2010.08.009

Cited by 21 publications

(20 citation statements)

References 21 publications

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“…Plantar flexion exercise consists of patients being in a seated or recumbent position and actively moving the foot in a plantar and dorsi flexion motion against a resistive pedal. Several trials have examined this mode of exercise for improving walking ability in PAD [48–50]. Recently, Tebbutt et al [48] randomized PAD patients (n = 42) to an unsupervised intervention group consisting of 12 weeks of plantar flexion (also advice to walk at home) and a control group that received only advice to walk at home.…”

Section: Exercise Therapy For Claudicationmentioning

confidence: 99%

“…Several trials have examined this mode of exercise for improving walking ability in PAD [48–50]. Recently, Tebbutt et al [48] randomized PAD patients (n = 42) to an unsupervised intervention group consisting of 12 weeks of plantar flexion (also advice to walk at home) and a control group that received only advice to walk at home. Results indicated an improvement in median claudication onset distance and peak walking distance for patients enrolled in the intervention group (+20 and +40 meters) but not for those in the control group (+0 and −50 meters).…”

Section: Exercise Therapy For Claudicationmentioning

confidence: 99%

See 1 more Smart Citation

Exercise Therapy for Claudication: Latest Advances

Mays

Regensteiner

2013

Curr Treat Options Cardio Med

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Opinion statement Peripheral artery disease (PAD) creates a significant national and international healthcare burden. A first line treatment for PAD is supervised walking exercise in hospitals and clinics. Specifically, supervised walking exercise seeks to improve the classic symptom associated with PAD, intermittent claudication (IC), which is characterized by cramping, aching and pain of the muscles in the lower extremities during walking. While effective, supervised walking exercise is often not prescribed or utilized due to a number of treatment barriers such as lack of transportation to clinical centers and lack of insurance reimbursement. Walking exercise in community settings is an option that has gained attention due to the limitations of supervised walking exercise, as community walking is generally more convenient in terms of a patient’s schedule and may circumvent potential barriers such as treatment cost and transportation difficulties. However, more research is needed to improve the effectiveness of community-based walking programs since far less is known about the optimal structure of such programs. Other exercise therapy options are becoming available for PAD patients in addition to walking exercise. These modalities include but are not limited to leg and arm ergometry, polestriding and resistance training. These exercise therapy options have not to date been as well validated as supervised walking exercise. However, they may potentially be used in the event supervised walking exercise is not feasible or patient preference warrants an alternative exercise strategy.

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Section: Exercise Therapy For Claudicationmentioning

confidence: 99%

Section: Exercise Therapy For Claudicationmentioning

confidence: 99%

Exercise Therapy for Claudication: Latest Advances

Mays

Regensteiner

2013

Curr Treat Options Cardio Med

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“…Exercise rehabilitation has also been reported to improve walking capacity by 25-65%. 22- 24 The present study demonstrates that the SW therapy improves walking ability to the same extent as cilostazol without any adverse effects.…”

Section: Effects Of the Sw Therapy On Walking Abilitymentioning

confidence: 50%

Extracorporeal Shock Wave Therapy Improves the Walking Ability of Patients With Peripheral Artery Disease and Intermittent Claudication

Serizawa

Ito

Kawamura

et al. 2012

Circ J

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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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A plantar flexion device exercise programme for patients with peripheral arterial disease: a randomised prospective feasibility study

Cited by 21 publications

References 21 publications

Exercise Therapy for Claudication: Latest Advances

Exercise Therapy for Claudication: Latest Advances

Extracorporeal Shock Wave Therapy Improves the Walking Ability of Patients With Peripheral Artery Disease and Intermittent Claudication

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

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