Highlights
- •Lower extremity peripheral artery disease impact on body mass center disorders.
- •Evaluation of body mass center position in lower extremity peripheral artery disease.
- •Posture disorders resulted from the lower extremity peripheral artery disease.
- •Physical rehabilitation of patients with lower extremity peripheral artery disease.
Abstract
Background
Lower extremity peripheral artery disease is a problem of contemporary medicine and
along with the ischemic heart disease it is considered to be a civilization disease.
The risk of the disease increases significantly within a group of people reaching
the age of 55 years and is closely related to co-occurring hazardous factors, such
as diabetes, hyperlipidemia, hypertension or tobacco smoking. The first symptom reported
by patients is intermittent claudication. Such symptoms may indicate that lower extremity
peripheral artery disease does have an impact on posture disorders and motor skills.
Methods
The study covered four stages. The first stage involved medical interviews to obtain
information regarding anthropometry, age, motor organ surgery, concomitant diseases
and the lifestyle. In the following stage the value of the ankle brachial index for
both lower limbs were calculated. In case of symptomatic patients, additionally, the
location of artery stenosis/aortoiliac section, was verified. The third stage involved
using a dynamometric platform for determination of the body mass center position for
both studied groups. In the fourth stage a treadmill walk test was used to assess
the participants for intermittent claudication.
Findings
Based on the obtained results, an attempt was taken to observe the relationship between
the clinical characteristics of the disease and the body mass center position deviations.
Interpretation: The attempt was undertaken to assess whether the measurement of body mass center
position might be a diagnostic parameter to evaluate the patient's condition and thus
an indication for taking a decision for surgical treatment or rehabilitation.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical BiomechanicsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Lower sensitivity of ankle-brachial index measurements among people suffering with diabetes-associated vascular disorders: a systematic review.SAGE Open Med. 2019; https://doi.org/10.1177/2050312119835038
- 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS).EHJ. 2018; https://doi.org/10.1093/eurheartj/ehx095
- Ankle brachial pressure index (ABPI): an update for practitioners.Vasc. Health Risk Manag. 2009; https://doi.org/10.2147/vhrm.s6759
- Interobserver reliability of the ankle-brachial index, toe-brachial index and distal pulse palpation in patients with diabetes.Diab. Vasc. Dis. Res. 2018; https://doi.org/10.1177/1479164118767599
- Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines.Circulation. 2013; https://doi.org/10.1161/CIR.0b013e31828b82aa
- Heart disease and stroke statistics-2018. update: a report from the American Heart Association.Circulation. 2018; https://doi.org/10.1161/CIR.0000000000000558
- Control of human gait stability through foot placement.Rev. J R Soc. Interface. 2018; https://doi.org/10.1098/rsif.2017.0816
- Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis.Lancet. 2013; https://doi.org/10.1016/S0140-6736(13)61249-0
- Peripheral artery disease: epidemiology and global perspectives.Nat. Rev. Cardiol. 2017; https://doi.org/10.1038/nrcardio.2016.179
- Supervised exercise therapy versus home-based exercise therapy versus walking advice for intermittent claudication.Cochrane. 2018; https://doi.org/10.1002/14651858.CD005263.pub4
- Interventions for lower extremity peripheral artery disease.NRCardio. 2018; https://doi.org/10.1038/s41569-018-0005-0
- ACC/AHA Guidelines for the Management of Patients with Peripheral Arterial Disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Associations for Vascular Surgery/ Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (writing committee to develop guidelines for the management of patients with peripheral arterial disease) – summary of recommendations.J. Vasc. Interv. Radiol. 2006; https://doi.org/10.1097/01.RVI.0000240426.53079.46
- An update on methods for revascularization and expansion of the TASC lesion classification to include below-the-knee arteries: a supplement to the inter-society consensus for the management of peripheral arterial disease (TASC II).Vasc. Med. 2015; https://doi.org/10.1177/1526602815592206
- Exercise for intermittent claudication.Cochrane Database Syst. Rev. 2017; https://doi.org/10.1002/14651858.CD000990.pub4
- Completion and adherence rates to exercise interventions in intermittent claudication: traditional exercise versus alternative exercise – a systematic review.EJPC. 2019; https://doi.org/10.1177/2047487319846997
- Backward disequilibrium in elderly subjects.Clin. Interv. Aging. 2008; https://doi.org/10.2147/cia.s3811
- Exercise training for intermittent claudication.J. Vasc. Surg. 2017; https://doi.org/10.1016/j.jvs.2017.05.111
- medical management of functional impairment in peripheral artery disease: a review.Prog. Cardiovasc. Dis. 2018; https://doi.org/10.1016/j.pcad.2018.03.007
- Functional decline in peripheral arterial disease: associations with the ankle brachial index and leg symptoms.JAMA. 2004; https://doi.org/10.1001/jama.292.4.453
- Anklebrachial index and subclinical cardiac and carotid disease: the multiethnic study of atherosclerosis.Am. J. Epidemiol. 2005; https://doi.org/10.1093/aje/kwi167
- TASC II Working Group, Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II).J. Vasc. Surgery. 2007; https://doi.org/10.1016/j.jvs.2006.12.037
- Inter- -society consensus for the management of peripheral arterial disease.J. Vasc. Surg. 2007; https://doi.org/10.1016/j.jvs.2006.12.037
- Peripheral artery disease: current insight into the disease and its diagnosis and management.Mayo Clin. Proc. 2010; https://doi.org/10.4065/mcp.2010.0133
- Peripheral arterial disease.Lancet. 2001; https://doi.org/10.1016/S0140-6736(01)06351-6
- A systematic review of randomized controlled trials: walking versus alternative exercise prescription as treatment for intermittent claudication.Atherosclerosis. 2011; https://doi.org/10.1016/j.atherosclerosis.2011.04.024
- Peripheral arterial disease in women: the gender effect.CRM. 2020; https://doi.org/10.1016/j.carrev.2019.05.026
- The role of ankle-brachial index for predicting peripheral arterial disease.Maedica. 2014; 9 (25705296): 295-302
- Update on peripheral artery disease: epidemiology and evidence-based facts.Atherosclerosis. 2018; https://doi.org/10.1016/j.atherosclerosis.2018.05.033
- Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015: an updated systematic review and analysis.Lancet. 2019; https://doi.org/10.1016/S2214-109X(19)30255-4
- Intermittent claudication in physiotherapists’ practice.Biomed. Res. Int. 2019; https://doi.org/10.1155/2019/2470801
- Women and peripheral arterial disease: a review of sex differences in epidemiology, clinical manifestations, and outcomes.Can. J. Cardiol. 2018; https://doi.org/10.1016/j.cjca.2018.01.009
- Peripheral arterial disease in women.J. Vasc. Surg. 2013; https://doi.org/10.1016/j.jvs.2012.10.115
- An evaluation of the efficacy of methods used in screening for lower-limb arterial disease in diabetes.Perspect. Vasc. Surg. Endovasc. Ther. 2006; https://doi.org/10.1177/153100350601800132
- Depression and posture in patients with Parkinson's disease.Gait Posture. 2018; https://doi.org/10.1016/j.gaitpost.2017.12.026
- Multi-segmental postural control patterns in down syndrome.Clin. Biomech. 2001; https://doi.org/10.1016/j.clinbiomech.2021.105271
Article info
Publication history
Published online: August 17, 2022
Accepted:
August 12,
2022
Received:
September 17,
2021
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.