Influence of surgical endarterectomy in the femoral-popliteal segment on gait pattern in a patient with peripheral arterial disease
Journal Title: New Medicine - Year 2013, Vol 17, Issue 3
Abstract
Aim. The aim of this study was to determine if surgical endarterectomy of the arteries of the lower limb affects in any way the gait pattern in patients diagnosed with PAD and if in a remote postoperative day, can be established improvement of the patient’s gait parameters relative to the values obtained in the test before surgery. The third objective was the verification of the suitability of the measurement method by measuring the gait parameters in a relatively small stretch, with the aid of the measuring system Ultraflex Computer Dyno Graphy (CDG) from Infotronic Medical Engineering (12).Material and methods. In the study participated PAD 20 patients and 17 controls. Each patient was subjected to a surgical endarterectomy. Measurements of gait were performed in each patient three times: I one day before the endarterectomy procedure, II 1-3 days after surgery, and III 6 weeks later.Results. Gait speed was lower in patients than in the control group by more than 1 km/h. In PAD patients, gait speed in series III was higher then speed in series II and very similar to series I. Mean cycle and mean frequency did not differ among series I, II, and III in patients, but there were a significant differences from control values – in patients cycle was longer and frequency smaller. Comparative analysis of three series showed no severe changes of speed or single or double support duration. The results of comparisons of single and double support times, calculated as percentage with respect to the duration of gait cycle, indicate however, that patients avoid single support in favour of double support. Gait measured in series II manifested an increased heterogeneity (inequality of steps) in relation to the other two series in PAD patients. Conclusions. The performed study demonstrates that surgical endarterectomy procedure in the femoro-popliteal segment affected the PAD patient’s gait pattern, especially in the early days after surgery.
Authors and Affiliations
Urszula Ulmer, Leszek Czerwosz, Rafał Leszcz, Michał Bielwaski, Maria Grochowska, Katarzyna Wilczyńska, Paweł Białek, Robert Proczka, Jerzy Polański
Keywords
Related Articles
- EP ID EP55122
- DOI -
- Views 116
- Downloads 0
Methadon maintenance treatment programs in Hungary: Treatment, Harm Reduction and Social Control
There are three drug policy strategies for methadone maintenance treatment programmes: treatment, harm reduction and social control. In this study we examine the Hungarian methadone maintenance treatment programme. Our o...
Influence of betalain-rich extract on reduction of discomfort associated with osteoarthritis
[b]Introduction[/b]. Osteoarthritis (OA) subjects typically experience progressive discomfort related to pain, joint stiffness, and general tiredness. The most common treatment of these conditions includes use of non-ste...
Czy skleroterapia guzków krwawniczych jest tylko metodą historyczną?
Tytuł artykułu
Relationship between empathy and burnout among psychiatric residents
<b>Aim.</b> To study the causal factors of empathy and burnout and the effect of emotional involvement on medical doctors. <br><b>Material and methods.</b&am...
The Relationship of Coping Mechanisms and Social Support Among Hungarian Women Suffering from Malignant Breast Cancer
Objectives. To assess the types of coping mechanisms among women suffering from malignant breast cancer, the inherence of social support in relation to socio-demographic factors, and the time passed since the diagnosis....