The Comparison of Stationary Bike Training and Standard Treadmill Therapy in Overweight and Obese Patients Age 40-55 with Peripheral Artery Disease (PAD) in Fontaine’s Stage IIa on High Dose Supplementation Support of Alpha-Lipoic Acid (ALA)

摘要

Aim: The aim of the applicative study was to estimate the increasing capability of claudications distance in Fontaine's stage IIa patients of Peripheral artery disease (PAD) with Body Mass Index (BMI) 25-34,9 kg/m2 and Ankle Brachial Index (ABI) 0,8-0,9 by comparing Stationary Bike on High Dose of Alpha-Lipoic Acid (ALA) versus Treadmill wallking program on standard Dose of Alpha-Lipoic Acid (ALA) in Exercise Therapy with life style modification. Patients and methods: This study was conducted from beginning of May, 2017 till end of May, 2018 at the Clinic for Cardiovascular Surgery Clinical Center and Department for vascular and endovascular surgery, University of Sarajevo, Special Hospital dr. Solakovic, Sarajevo and Faculty of Sport and Physical Education, University of Sarajevo. In the study included 60 male patients, age 40-55 with Peripheral Artery Disease (Ankle Brachial Index/ABI) 0,8-0,9, and Body Mass Index (BMI) 25 to 34,9 kg/m2 (30 non surgical traetment patients on standard Treadmill wallking program (control group) and research group consisting of 30 non surgical treatment patients on Stationary Bike), in stadium IIa of peripheral artery disease, with manifestation of mild claudication simptoms. For the testing of statistical significance of differences between the examinated groups parametric tests were used. The difference at a level of (p 0,05). Conclusion: Stationary Bike Interval Training can be alternative vascular Therapy and has his on benefits but he can notentirely replace Treadmill Therapy in Patients with Peripheral Artery Disease with BMI 25-34.9kg/m2. Treadmill Rehabilitation Therapy still remain generally main strategy of the therapeutic effect on enhancement of claudication distance (Fontaine's stage II) of peripheral artery disease.