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IJTRR. 2016; 5(4): 46-53


Impact of Partial Weight-bearing Therapy on Walking Performance in Patients with Peripheral Arterial Disease

Mina Farid Henry, Samah Mahmoud Ismail.

Abstract
Background: Peripheral arterial disease (PAD) is a common circulatory problem. The most common presenting symptom of PAD is intermittent claudication which leads to reduced walking capacitythus representing a disability. Objective: The purpose of this study was to find out the effect of partial body weight treadmill training on walking performanceamongpatients with intermittent claudicationdue to peripheral arterial disease (PAD-IC).Methods: The study was conducted on thirty patients, their age ranged from 45 to 55 years. They were divided randomly into two equal groups in number. The first group (study) performed a training program on the anti-gravity treadmill of moderate intensity (12-14 on the Borg scale for rating of perceived exertion) for 50minutes, 3 sessions per week for 12 weeks in addition to their medical treatment. The second group (control) received their medical treatment only. Ankle brachial pressure index (ABI), walking performance(pain free walking distance (PFWD) and maximum walking distance (MWD) were measured before and after the study for both groups. Results: statistical analysis showeda significant improvement (increase) in ABI, PFWDand MWD by6.06%, 25.32% and 12.7%, respectively in the study group compared to control group. Conclusion: It is recommended for patients with intermittent claudication to participate in partial body weight treadmill training to increase their walking performance.

Key words: Intermittent claudication, peripheral arterial disease, ABI, ant-gravity treadmill, pain free walking distance, Maximum walking distance.



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