Status: Bibliographieeintrag
Standort: ---
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Verfasst von: | Müller-Bühl, Uwe [VerfasserIn]  |
| Engeser, Peter [VerfasserIn]  |
| Leutgeb, Rüdiger [VerfasserIn]  |
| Szecsenyi, Joachim [VerfasserIn]  |
Titel: | Eligibility of patients with peripheral arterial disease for participation in a community-based walking exercise program |
Titelzusatz: | a single-centre experience |
Verf.angabe: | U. Müller-Bühl, P. Engeser, R. Leutgeb, J. Szecsenyi |
Umfang: | 6 S. |
Titel Quelle: | Enthalten in: International angiology |
Jahr Quelle: | 2012 |
Band/Heft Quelle: | 31(2012), 5, S. 462-467 |
ISSN Quelle: | 0392-9590 |
Abstract: | AIM: Eligibility of patients with peripheral arterial disease (PAD) for exercise therapy is the most important requirement for predicting their training group adherence. METHODS: In this prospective, exploratory study over a period of 1 year, a total of 462 PAD patients of an angiological outpatient routine care setting were consecutively recruited to the study. As non-eligibility criteria for exercise therapy were defined: resting pain or gangrene (Fontaine stage III and IV PAD), the inability to complete treadmill exercise, or premature treadmill discontinuation due to non-vascular walking pain. Also, PAD patients without subjective walking limitation (Fontaine stage I PAD) were assessed as unwilling, i.e. non-eligible for exercise training adherence. Criterion for patients eligibility was the occurrence of intermittent claudication on treadmill test (Fontaine stage II PAD). RESULTS: A total of 346 patients (age median 71 years, males 58.5%) were candidates for conservativetherapy. Of them, 166 subjects (48%) were assessed as eligible for participation in walking exercise program. 180 of the patients (52%) were deemed as non-eligible to perform walking exercise therapy. 115 patients (33%) were physically limited by critical limb ischemia (Fontaine stage III and IV PAD), severe comorbid cardiovascular disease or orthopaedic disorder. In 65 PAD patients (19%) the subjective walking capacity was not restricted. Social, logistical or other factors were found in 27 patients (8%) to be barriers for exercise training commencement. CONCLUSION: In half of the PAD patients whose attendance in a community-based walking exercise program would be a therapeutically reasonable activity, a range of vascular and non-vascular factors are obstacles for participation. Further research is needed to investigate what measures might enhance the proportion of exercise therapy participants. |
Sprache: | eng |
K10plus-PPN: | 1648991378 |
Verknüpfungen: | → Zeitschrift |
Eligibility of patients with peripheral arterial disease for participation in a community-based walking exercise program / Müller-Bühl, Uwe [VerfasserIn]
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