Tag: chromanie przestankowe

Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly – Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease. Fizjoterapia Polska 2021; 21(3); 226-232

Abstract
Background. Peripheral arterial disease (PAD) is a common vascular disorder characterized by intermittent claudication with costly complications and marked reduction in functional capacity. The pulsed electromagnetic field (PEMF) has been used widely for different patient populations owing to its analgesic, anti-inflammatory, and angiogenetic effects, however, its use in the management of PAD has been recently introduced. Aim. this study aimed to assess the effect of PEMF on functional walking parameters in patients with PAD. Material and Methods. Sixty patients with PAD (Fontaine stage II), aged from 45-65 were divided into two groups A & B. Group (A) received pulsed electromagnetic field for 60 minutes/session, 3 sessions/week, and for 8 weeks plus drug treatment, whereas, group (B) only received the traditional drug treatment for 8 weeks. The endpoints of the study were claudication pain distance (CPD), maximal walking distance (MWD), claudication pain time (CPT), maximal walking time (MWT), and ankle-brachial index (ABI). Results. There were significant changes in all measured variables compared to the baseline in the two groups. There were significant differences between the two groups in CPD, MWD, CPT, MWT, and ABI in favor of the PEMF group (P < 0.05). Conclusion. PEMF could be an effective therapeutic modality that can help improve the functional walking capacity in patients with PAD (Fontaine stage II).
Key words:
Pulsed electromagnetic field, peripheral arterial disease, walking capacity, Intermittent claudication
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Comparison of treadmill training and cycle ergometer training in claudicants – pilot study

Robert Kowalski, Bożena Jasiak-Tyrkalska, Tomasz Brzostek, Bogusław Frańczuk

Robert Kowalski, Bożena Jasiak-Tyrkalska, Tomasz Brzostek, Bogusław Frańczuk – Comparison of treadmill training and cycle ergometer training in claudicants – pilot study. Fizjoterapia Polska 2007; 7(4); 438-446

Abstract
Background. This paper offers a direct comparison of the effectiveness of treadmill training versus cycle ergometer training in patients with intermittent claudication. Low intensity (pain-free) training was used. Functional walking ability and quality of life were also evaluated. Material and methods. Twelve men aged 50-70 years with Fontaine stage II B PAOD suffering from intermittent claudication, randomly divided into 2 groups (treadmill or cycle ergometer), participated in a 12-week training programme, exercising for 30 minutes three times a week up to 85% of the time to onset of claudication pain. The effectiveness of the training programme was assessed as the difference between the time to onset of claudication pain, functional walking ability (WIQ) and quality of life (SF-36) at baseline and after programme completion. Results. On completion of the training programme, claudication distance was increased in both groups, from min. 152% to max. 682% of the baseline value, with similar improvements in the cycle ergometer vs. treadmill training group. Self-reported functional walking ability (WIQ) and quality of life (SF-36) also improved.Conclusions. Treadmill training and cycle ergometer training improved claudication distance, subjective functional walking ability and quality of life. The effects were similar in both groups.
Key words:
intermittent claudication, training, efficacy of training
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High-tone power therapy as an alternative to walking training in people with intermittent claudication

Joanna Szymańska, Krzysztof Czupryna, Olga Nowotny-Czupryna, Renata Szczepaniak

J. Szymańska, K. Czupryna, O. Nowotny-Czupryna, R. Szczepaniak. High-tone power therapy as an alternative to walking training in people with intermittent claudication. FP 2017; 17(3); 112-120

Abstract

Introduction. The main symptom of the CLEI impairing walking ability and functioning of the patient is intermittent claudication. The predominant form of the physical therapy during this ischaemic period is physical training, which, due to the frequent occurrence of co-morbidities, can only be taken by 25-50% of patients. Therefore, other ways of relieving symptoms associated with the CLEI have been sought. Perhaps, an alternative method might be may the high-tone power therapy, which can start the muscle pump without negative effects of contraindicated for physical exertion.
The aim of the study was to determine whether the high-tone power therapy could be an alternative for walking training on a treadmill, especially for people with contraindication for intensive physical activity.
Material and methodology 68 patients diagnosed with CLEI in the age of 40-70 were examined in 2 groups: A-main and B-control. Functional possibilities were evaluated in the area of the walking distance and the maximum walking distance in a standard treadmill test. The results obtained were compared with the literature on the increment of these distance after the physical training. Group A patients were subjected to a series sessions of high-tone power therapy; group B patients had those treatments simulated.
Results In group A, patients significantly prolonged the claudication distance and maximal walking distance. Also, significant reduction in pain duration was noticed after discontinuation of the treatment.
Conclusions The high-tone power therapy may be an alternative to walking training for patients with the CLEI, especially in those patients with a very short claudication distance and in those whose greater effort is not indicated.

Key words:

high-tone power therapy (HiToP), chronic lower extremity ischaemia (CLEI), intermittent claudication, walking training, chronic lower limb ischaemia

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