Effects of 12-week supervised treadmill training on spatio-temporal gait parameters in patients with claudication |
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Authors: | Anita Konik Stanis?aw Kuklewicz Ewelina Ros?oniec Marcin Zaj?c Anna Spannbauer Roman Nowobilski |
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Institution: | 1. Department of Clinical Rehabilitation, University School of Physical Education, Cracow, Poland,;2. Department of Physiotherapy, Faculty of Physical Education in Gorzow Wielkopolski, University School of Physical Education in Poznan, Poland,;3. Department of Clinical Rehabilitation, University School of Physical Education, Cracow, Poland,;4. Department of Vascular Insufficiency, Collegium Medicum of Jagiellonian University, Cracow, Poland, and;5. Faculty of Health Sciences, Institute of Physiotherapy, School of Medicine, Jagiellonian University, Cracow, Poland |
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Abstract: | The purpose of the study was to evaluate selected temporal and spatial gait parameters in patients with intermittent claudication after completion of 12-week supervised treadmill walking training. The study included 36 patients (26 males and 10 females) aged: mean 64 (SD 7.7) with intermittent claudication. All patients were tested on treadmill (Gait Trainer, Biodex). Before the programme and after its completion, the following gait biomechanical parameters were tested: step length (cm), step cycle (cycle/s), leg support time (%), coefficient of step variation (%) as well as pain-free walking time (PFWT) and maximal walking time (MWT) were measured. Training was conducted in accordance with the current TASC II guidelines. After 12 weeks of training, patients showed significant change in gait biomechanics consisting in decreased frequency of step cycle (p?0.05) and extended step length (p?0.05). PFWT increased by 96% (p?0.05). MWT increased by 100% (p?0.05). After completing the training, patients’ gait was more regular, which was expressed via statistically significant decrease of coefficient of variation (p?0.05) for both legs. No statistically significant relation between the post-training improvement of PFWT and MWT and step length increase and decreased frequency of step cycle was observed (p?>?0.05).- Implications for Rehabilitation
Twelve-week treadmill walking training programme may lead to significant improvement of temporal and spatial gait parameters in patients with intermittent claudication. Twelve-week treadmill walking training programme may lead to significant improvement of pain-free walking time and maximum walking time in patients with intermittent claudication.
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Keywords: | Atherosclerosis claudication gait treadmill training |
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