Related Experiment Video
Updated: May 30, 2026
08:55
Use of a Foot-Induced Digitally Controlled Resistance Device for Functional Magnetic Resonance Imaging Evaluation in Patients with Foot Paresis
Published on: July 7, 2023
A plantar flexion device exercise programme for patients with peripheral arterial disease: a randomised prospective
Niki Tebbutt1, Lesley Robinson, Jane Todhunter
1North Cumbria University Hospitals NHS Trust, Cumberland Infirmary, Carlisle, UK.
Physiotherapy
|August 9, 2011
Summary
Peripheral arterial disease patients showed improved walking distances with the Step It pedal exercise program. While not definitively proven superior to standard care, the high completion rate suggests patient receptiveness to such interventions.
Area of Science:
- Vascular Medicine
- Rehabilitation Science
- Exercise Physiology
Background:
- Peripheral arterial disease (PAD) significantly impacts patient mobility and quality of life.
- Current management often includes supervised exercise programs, but adherence and efficacy can vary.
- Novel exercise interventions are needed to improve outcomes for PAD patients.
Purpose of the Study:
- To evaluate the efficacy of a novel plantar flexion exercise program using the Step It pedal in patients with PAD.
- To assess the feasibility and patient adherence to a 12-week exercise intervention.
Main Methods:
- A prospective feasibility trial was conducted with 42 PAD patients.
- Participants were randomized into two groups: standard care or standard care plus the Step It exercise program.
- Key outcome measures included maximum walking distance, claudication distance, and ankle brachial pressure index.
Main Results:
- The intervention group demonstrated improvements in median claudication and maximum walking distances compared to the control group.
- Study completion rates were high (83%), indicating good patient engagement.
- Ankle brachial pressure index showed no significant changes in either group.
Conclusions:
- The Step It pedal exercise program shows potential for improving walking capacity in PAD patients.
- High adherence suggests patient willingness to participate in structured exercise regimens.
- Further research is needed to confirm the added benefits over standard care due to sample variability.
Related Concept Videos
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:30Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:26Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...