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

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• 作者：Lucas Caseri Câ ; mara¹ ; Raphael Mendes Ritti-Dias² ; ^{raphaelritti@gmail.com} ; Annelise Lins Menê ; ses² ; Jú ; lia Maria D&rsquo ; André ; a Greve¹ ; Wilson Jacob Filho¹ ; José ; Maria Santaré ; m¹ ; Clá ; udia Lú ; cia de Moraes Forjaz³ ; Pedro Puech-Leã ; o¹ ; Nelson Wolosker¹
• 刊名：Annals of Vascular Surgery
• 出版年：2012
• 出版时间：November, 2012
• 年：2012
• 卷：26
• 期：8
• 页码：1114-1119
• 全文大小：402 K

文摘

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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?<?0.05) but similar strength in knee extension movements (P > 0.05). The PAD patients presented a 13.5 % lower knee flexion/extension strength ratio compared with the control subjects (P < 0.05), as well as lower muscle endurance in dorsiflexion (?28.1 % ) and plantar flexion (?17.0 % ) movements (P < 0.05). The muscle endurance in knee flexion and knee extension movements was similar between PAD patients and the control subjects (P > 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.