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Isokinetic Strength and Endurance in Proximal and Distal Muscles in Patients With Peripheral Artery Disease
Journal article   Peer reviewed

Isokinetic Strength and Endurance in Proximal and Distal Muscles in Patients With Peripheral Artery Disease

Lucas Caseri Camara, Raphael Mendes Ritti-Dias, Annelise L Meneses, Julia Maria D'Andrea Greve, Wilson Jacob Filho, Jose Maria Santarem, Claudia Lucia de Moraes Forjaz, Pedro Puech-Leao and Nelson Wolosker
Annals of Vascular Surgery, Vol.26(8), pp.1114-1119
2012
url
https://doi.org/10.1016/j.avsg.2012.03.012View
Published Version

Abstract

Clinical Sciences muscle strength peripheral artery disease
Background: The objective of this study was to analyze the muscle strength and endurance of the proximal and distal lower-extremity muscles in peripheral artery disease (PAD) patients. Methods: Twenty patients with bilateral PAD with symptoms of intermittent claudication and nine control subjects without PAD were included in the study, comprising 40 and 18 legs, respectively. All subjects performed an isokinetic muscle test to evaluate the muscle strength and endurance of the proximal (knee extension and knee flexion movements) and distal (plantar flexion and dorsiflexion movements) muscle groups in the lower extremity. Results: Compared with the control group, the PAD group presented lower muscle strength in knee flexion (-14.0%), dorsiflexion (-26.0%), and plantar flexion (-21.2%) movements (P less than 0.05) but similar strength in knee extension movements (P more than 0.05). The PAD patients presented a 13.5% lower knee flexion/extension strength ratio compared with the control subjects (P less than 0.05), as well as lower muscle endurance in dorsiflexion (-28.1%) and plantar flexion (-17.0%) movements (P less than 0.05). The muscle endurance in knee flexion and knee extension movements was similar between PAD patients and the control subjects (P more than 0.05). Conclusion: PAD patients present lower proximal and distal muscle strength and lower distal muscle endurance than control patients. Therefore, interventions to improve muscle strength and endurance should be prescribed for PAD patients.

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Peripheral Vascular Disease
Surgery

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#3 Good Health and Well-Being

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