Sit to Stand Muscle Power Is Related to Functional Performance at Baseline and After Supervised Exercise Training in Patients with Lower Extremity Peripheral Artery Disease

Lanzi, Stefano; Pousaz, Anina; Calanca, Luca; Mazzolai, Lucia

doi:10.1016/j.ejvs.2022.12.029

Cited by 9 publications

(15 citation statements)

References 36 publications

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“…We previously showed that multimodal SET improved walking and functional performance, and quality of life in patients with symptomatic PAD. [20][21][22][23][24] The results of the present investigation further extend the benefits of multimodal SET to postural control. Indeed, results presented herein showed that the length of center of pressure displacement as a function of the surface of center of pressure trajectory (LFS) was found to be increased following SET.…”

Section: Discussionsupporting

confidence: 70%

“…As widely described elsewhere, [20][21][22][23][24] the multimodal SET had 3-month duration with three sessions per week lasting 60 minutes. The multimodal SET program combined lower limb strengthening and outdoor Nordic walking (►Fig.…”

Section: Multimodal Setmentioning

confidence: 99%

“…Patients with symptomatic chronic uni-or bilateral lower limb claudication participating in the multimodal SET program were investigated. [20][21][22][23][24] The setting of the multimodal SET is reported in ►Fig. 1.…”

Section: Participantsmentioning

confidence: 99%

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

Degache,

Mak,

Calanca

et al. 2023

Int J Angiol

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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.

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Section: Discussionsupporting

confidence: 70%

Section: Multimodal Setmentioning

confidence: 99%

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

Degache,

Mak,

Calanca

et al. 2023

Int J Angiol

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“…In this single-arm, prospective, nonrandomized study, symptomatic patients with chronic atherosclerotic PAD were investigated. As previously described, [20][21][22][23] patients were recruited during routine vascular visits to participate to our clinical multimodal SET program. The multimodal SET program includes patients with chronic uni-or bilateral lower-limb lifestyle-limiting claudication and resting ankle-brachial index (ABI) ⩽ 0.9 or > 20% decrement in posttreadmill ABI.…”

Section: Participantsmentioning

confidence: 99%

“…The latter was composed of five to six exercise stations that mainly focused on functional walking and balance exercises or lower-limb resistance exercises using body weight, elastic bands, or dumbbells. [20][21][22][23] In general, each exercise was composed of 15-30 repetitions, interspersed with 30-60 seconds of passive recovery. All sessions started with a 5-10-minute warm-up period involving walking and proprioceptive activities, coordination, and balance and ended with a 5-minute cool down.…”

Section: Multimodal Set Programmentioning

confidence: 99%

Time-course evolution of functional performance during a 3-month supervised exercise training program in patients with symptomatic peripheral artery disease

Lanzi,

Pousaz,

Calanca

et al. 2023

Vasc Med

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Introduction: Functional performance is impaired in patients with peripheral artery disease (PAD). The effects of a supervised exercise training (SET) program on functional performance have yet to be clearly determined. The aim was to investigate the time-course evolution of functional performance during a 3-month SET program. Methods: Patients with chronic symptomatic PAD participating in a 3-month SET program were investigated. Six-minute walking distance (6MWD), the stair climbing test (SCT), and the Short Physical Performance Battery (SPPB) were assessed before SET, after the first and second months of SET, and following the SET program. The ankle– and toe–brachial indices were measured before and after the SET program. Results: Ninety patients with PAD (age 65.4 ± 10.2 years) were analyzed. The 6MWD significantly improved after the first (+7%, p ⩽ 0.001) and second months (+13%, p ⩽ 0.001) and following SET (+14%, p ⩽ 0.001) compared to before the SET program. The 6MWD significantly improved after the 2nd month (+6%, p ⩽ 0.001) and following SET (+7%, p ⩽ 0.001) compared to after the first month of the SET program. The SPPB score and SCT performance significantly improved after the first (SPPB score: +9%, p ⩽ 0.001; SCT: +17%, p ⩽ 0.001) and second months (SPPB score: +11%, p ⩽ 0.001; SCT: +24%, p ⩽ 0.001) and following SET (SPPB score: +12%, p ⩽ 0.001; SCT: +25%, p ⩽ 0.001) compared to before the SET program. No significant differences were observed following SET compared to the second month of the SET program. Vascular parameters did not change significantly. Conclusions: A 3-month SET program improves several components of functional performance, and adaptations mainly occur during the 1st and 2nd months of the SET program.

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Pathology, Progression, and Emerging Treatments of Peripheral Artery Disease–Related Limb Ischemia

Golledge

2023

Clinical Therapeutics

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Sit to Stand Muscle Power Is Related to Functional Performance at Baseline and After Supervised Exercise Training in Patients with Lower Extremity Peripheral Artery Disease

Cited by 9 publications

References 36 publications

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

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

Time-course evolution of functional performance during a 3-month supervised exercise training program in patients with symptomatic peripheral artery disease

Pathology, Progression, and Emerging Treatments of Peripheral Artery Disease–Related Limb Ischemia

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