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Disability and quality of life in people with peripheral arterial disease and intermittent claudication.

机译:周围动脉疾病和间歇性lau行患者的残疾和生活质量。

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摘要

Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis involving narrowing of the lower extremity arteries and adversely affecting health, walking and quality of life. Symptomatic PAD (PAD-IC) is characterized by intermittent claudication (IC), a cramping leg pain that occurs with walking, causing the individual to stop walking until the pain subsides.;The aims of this study were to describe the differences in walking speed, walking distance and gait parameters between subjects with PAD-IC and controls, and to describe the factors that explain physical function score (PFS) and quality of life (PADQOL) in subjects with PAD-IC.;This cross-sectional study included 25 subjects with PAD-IC and 26 controls similar in age, gender and physical activity status. Subjects participated in one session where gait was measured and questionnaires administered. Differences in means were analyzed using student t-tests. Univariate and multivariate linear regression methods were used to identify the factors that explained PFS and PADQOL in subjects with PAD-IC.;Groups were similar in demographic and psychosocial variables (p > .05). There were no significant differences between groups in either usual or maximal walking speed or any gait variable (step length, cadence, stride width, toe out angle) at either usual or maximal walking speed (p > .05). Six-minute walk distances were significantly less in the PAD-IC group than the control group (p < .001). PAD group was the most significant predictor of PFS; this relationship was not modified by any independent variable. Social support score was the most significant contributor to PADQOL in subjects with PAD-IC (r = .623, p = .001).;In PAD-IC, the level of disability appears to be a direct result of PAD and IC; walking measurements are insignificant modifiers of the level of disability. Social support levels contribute more to quality of life than either physical function or personal beliefs. A treatment approach that includes exercise training and social interaction is recommended to improve both physical function and quality of life.
机译:外周动脉疾病(PAD)是动脉粥样硬化的常见表现,涉及下肢动脉变窄并对健康,步行和生活质量产生不利影响。有症状的PAD(PAD-IC)的特征是间歇性lau行(IC),即走路时腿部抽筋,导致个体停止走路直到疼痛消失。该研究的目的是描述步行速度的差异。 ,PAD-IC受试者与对照组之间的步行距离和步态参数,并描述解释PAD-IC受试者的身体功能评分(PFS)和生活质量(PADQOL)的因素。该横断面研究包括25患有PAD-IC的受试者和26名对照者的年龄,性别和身体活动状况相似。受试者参加了一个测量步态并进行问卷调查的会议。使用学生t检验分析均值差异。使用单变量和多元线性回归方法来确定解释PAD-IC受试者中PFS和PADQOL的因素。群体在人口统计学和社会心理变量方面相似(p> .05)。在正常或最大步行速度下(p> .05),两组之间在正常或最大步行速度或任何步态变量(步长,步频,步幅宽度,脚趾伸出角度)上均无显着差异。 PAD-IC组的六分钟步行距离明显少于对照组(p <.001)。 PAD组是PFS的最重要预测因子;没有任何自变量来修改此关系。在PAD-IC受试者中,社会支持得分是PADQOL的最主要贡献者(r = .623,p = .001)。在PAD-IC中,残疾水平似乎是PAD和IC的直接结果;步行测量对残疾水平的影响微不足道。社会支持水平对生活质量的贡献远大于身体机能或个人信仰。建议采用包括运动训练和社交互动的治疗方法,以改善身体机能和生活质量。

著录项

  • 作者

    Scherer, Susan Ann.;

  • 作者单位

    University of Colorado at Denver.;

  • 授予单位 University of Colorado at Denver.;
  • 学科 Public health.;Physical therapy.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 173 p.
  • 总页数 173
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 石油、天然气工业;
  • 关键词

  • 入库时间 2022-08-17 11:45:15

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