Range of Motion and Walking Distances in Subjects with Peripheral Artery Disease Sarah Bakera, Iraklis Pipinosb,c, Jason Johanningb,c, and Sara Myersa,b.

Slides:

Advertisements

Similar presentations

Z1 Z2 Z3 Fz (% body weight) X7 X9 Y10 A B C Figure 1. gait cycle (%) gait cycle (%) gait cycle (%) Fx (% body weight) Fy (% body weight)

Advertisements

Upper vs. Lower Body Aerobic Training in Patients with Claudication Diane Treat-Jacobson, PhD, RN Assistant Professor of Nursing Center for Gerontological.

PAD Rehabilitation Toolkit A Guide for Healthcare Professionals Healthy Steps for Peripheral Artery Disease (PAD) Developed by AACVPR and the Vascular.

EFFECT OF USING CANE ON SOME GAIT PARAMETERS FOR OSTEOARTHRITIC HIP PATIENTS BY: HAYA ALMAAWI.

INTRODUCTION Positive Ankle Work is Decreased in Peripheral Arterial Disease Before the Onset of Claudication Pain Before the Onset of Claudication Pain.

The Cramping Leg Management of peripheral vascular disease

Introduction Purpose Methods Gregory Barlow, Brent DuBois, Bryce Kern, Robert Niedermeyer  Kinesiology  University of Wisconsin-Eau Claire  Research.

Peripheral Vascular Disease

INTRODUCTION Gait Biomechanics Are Not Improved Following Supervised Treadmill Exercise In Patients With Peripheral Arterial Disease Bryon C. Applequist.

Presented by Michelle Sitto. The term peripheral vascular disease is commonly used to refer to peripheral artery disease (PAD), meaning narrowing or occlusion.

Introduction This study evaluated the effects of a treadmill training program with partial body weight support (PBWS) to improve walking endurance in children.

Peripheral Vascular Disease. Peripheral Artery Disease Peripheral Venous Disorders Carotid Artery Disease Peripheral Artery Disease Peripheral Renal Disease.

COMPARISON OF KINETICS OF RAMP AND STAIR DESCENT Andrew Post, B.Sc. and D.G.E. Robertson, Ph.D., FCSB School of Human Kinetics, University of Ottawa, Ottawa,

Comparison of Loaded and Unloaded Ramp Descent Jordan Thornley, B.Sc. and D. Gordon E. Robertson, Ph.D., FCSB School of Human Kinetics, University of Ottawa,

A LONGITUDINAL EXAMINATION OF THE EMERGENCE OF A HEALTHY CHAOTIC WALKING PATTERN IN NORMAL INFANT DEVELOPMENT Harbourne, R.T. 1, Kurz, M. 2, and DeJong,

Exercise Management Peripheral Arterial Disease Chapter 15.

Towards a Biarticular Prosthesis: Model Development and Sensitivity Analysis of Clutched Spring Parameters Andrea Willson University of Washington VA Center.

Heather Hodnett Dr. Michael Pavol, Department of Nutrition and Exercise Sciences Oregon State University Howard Hughes Medical Institute.

KINETIC ANALYSIS OF THE LOWER LIMBS DURING FORWARD AND BACKWARD STAIR DESCENT WITH AND WITHOUT A FRONT LOAD Olinda Habib Perez & D. Gordon E. Robertson.

Introduction Hypothesis and Purpose Statement 1. Arampatzis A, Bruggemann G, Metzler V. The effect of speed on leg stiffness and joint kinetics in human.

Gender Differences in Frontal Plane Gait Biomechanics During Declined Walking With a Heavy Load Becky Krupenevich, Jake Ridings, Rachel Tatarski, Patrick.

Comparison of Walking with Poles and Traditional Walking for Peripheral Arterial Disease(PAD) Rehabilitation 組別 : 第 5 組組員 : 黃俊潔 CPT 湯季哲 CPT

Peripheral Artery Disease (PAD)

When Using DOPPS Slides. DOPPS Slide Use Guidelines.

Muscle function during running and walking Forward dynamical simulations Split-belt treadmill with embedded force plates.

COMPARISON OF LOADED AND UNLOADED STAIR DESCENT Joe Lynch, B.Sc. and D.G.E. Robertson, Ph.D., FCSB School of Human Kinetics,University of Ottawa, Ottawa,

Treadmill Walking in Claudication

Table 1. FUNCTIONAL ASSESSMENTS

Validation of Postural Sway Measurements using Wii Balance Board

Farahnaz FallahTafti and Jennifer Yentes

By: Jesse Schwartz Faculty Advisor: Dr. Summer Cook

CAN ILIOPSOAS MUSCLE CONTRIBUTE STIFF KNEE GAIT PATTERN

Does raising morning rectal temperature to

Effects of Serial Subtractions on Elderly Gait Speed in a Virtual Reality Setting Taylor Leedera, Angeline Helseth Rothb, Molly Schiebera, Sara Myersa,

FOOT MECHANICS DURING WALKING WITH ADDED MASS.

Differences in Kinematic Correlates of Impact Loading Between Rearfoot and Non-Rearfoot Strikers in Running.

MM McDermott and coauthors

Peripheral Arterial Disease

Successful lower extremity angioplasty improves brachial artery flow-mediated dilation in patients with peripheral arterial disease Marc Husmann, MD,

Dual Tasking in a Virtual Reality Environment:

IMPACT OF REAL WORLD ENVIRONMENTS ON MOVEMENT VARIABLITY

The Effect of Bilateral Vestibular Stimulation on Locomotor Adaptation

Gait Biomechanics in Patients with Peripheral Artery Disease After Revascularization Sarah Bakera, Sara A. Myersa,c, Iraklis Pipinosb,c, and Jason Johanningb,c.

Keith E. Gordon, PhD, Daniel P. Ferris, PhD, Arthur D. Kuo, PhD

The biomarker of interest: the “healthy” 1/f pattern in walking.

Improving walking ability and ankle brachial pressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression:

Mélanie Le Berre,1,2 LizFerland,3 Shawn Robbins,4,5

Lindy N. M. Gommans, MD, Marc R. M. Scheltinga, MD, PhD, Marc R. H. M

Preliminary evidence that low ankle-brachial index is associated with reduced bilateral hip extensor strength and functional mobility in peripheral arterial.

Melissa M. Scott-Pandorf, MS, Nicholas Stergiou, PhD, Jason M

Relationship between temporal-spatial gait parameters, gait kinematics, walking performance, exercise capacity, and physical activity level in peripheral.

Higher body mass index is associated with more adverse changes in calf muscle characteristics in peripheral arterial disease Zankhana Raval, MD, Kiang.

Peripheral arterial disease affects kinematics during walking

Short-term effects of cycle and treadmill training on exercise tolerance in peripheral arterial disease Bradley Sanderson, MSc, Christopher Askew, PhD,

A Comparison of Balance in a Smoker and Never-Smoker

1Virginia Commonwealth University, Richmond, VA 2Nike, Beaverton, OR

Gait variability is altered in patients with peripheral arterial disease Sara A. Myers, MS, Jason M. Johanning, MD, Nick Stergiou, PhD, Rolando I. Celis,

Static Foot Structure May Predict Midfoot Mechanics

Variability and short-term determinants of walking capacity in patients with intermittent claudication Alexis Le Faucheur, PhD, Bénédicte Noury-Desvaux,

Joint torques and powers are reduced during ambulation for both limbs in patients with unilateral claudication Panagiotis Koutakis, MS, Iraklis I. Pipinos,

Visual Contributions to Balance Control During Gait

Panagiotis Koutakis, BS, Jason M. Johanning, MD, Gleb R

Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD

Effect of carbohydrate supplementation on walking performance in peripheral arterial disease: A preliminary physiologic study Glenn A. Barker, PhD, Simon.

Temporal-Spatial Gait Characteristics in Youths with Hypermobile Ehlers-Danlos By: Nicole Vigon.

Molly Schieber, Ryan M. Hasenkamp, Nick Stergiou, PhD, Jason M

Comparison of Self-Paced, Fixed Speed, and Overground Walking

EFFECT OF THE USAGE OF HANDRAILS ON GAIT DYNAMICS

Long-term results of peripheral arterial disease rehabilitation

Gait Analysis in Patients With Congenital Scoliosis

Presentation transcript:

Range of Motion and Walking Distances in Subjects with Peripheral Artery Disease Sarah Bakera, Iraklis Pipinosb,c, Jason Johanningb,c, and Sara Myersa,b Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE 68182 Omaha Veterans’ Affairs Medical Center, Omaha, NE University of Nebraska Medical Center, Omaha, NE INTRODUCTION RESULTS Peripheral Artery Disease (PAD) is a consequence of atherosclerotic blockages in the lower extremity arteries resulting in muscle pain known as claudication. Gait variability has emerged as an assessment or function and risk factor for falls in older and pathological groups.1 A healthy gait pattern demonstrates stride-to-stride fluctuations within a certain “optimal” range.2 Previous studies have found altered range of motion (ROM) at the ankle, knee, and hip in patients with PAD compared to healthy controls.3 The overall goal of this project is to look at improvements in ROM variability baseline to post-surgery. DISCUSSION METHODS Mean ROM at hip and knee and six minute walk distance, ICD, and ACD significantly changed away from healthy individuals after surgery. Improvements in walking distances after surgery are similar with previous literature. Age (yrs) Height (kg) Body Mass (m) Patients 62.43 85.99 1.78 CONCLUSIONS Figure 1. Subject performing the graded treadmill test. Figure 2. Subject walking on the treadmill until claudication. Improvements in blood flow to the legs leads to some gait and functional improvements. PAD causes changes to muscles, which likely prevents complete gait restoration. For gait to improve further, more testing will need to be done and assessing subjects with more time to recover from the surgery. Subjects performed gait assessment at baseline and post-revascularization. Subjects walked on a treadmill until first sign of pain. The treadmill was lowered and the subject walked until they could not. Subjects performed a graded treadmill test where the treadmill increased 2% every 2 minutes at a speed of 2 miles/hour. REFERENCES Dependent variables included mean, standard deviation (SD), and coefficient of variance (CV) of range of motion of the ankle, knee and hip joints. Initial and absolute distances from the graded treadmill test, as well as the six minute walk distance were also analyzed. Dependent t-tests will be used to compare baseline with post-surgery values (p=0.05). 1. Brach JS et al., (2005) J Neuroengineering Rehabil Jul 26;2:21. 2. Myers, S. A. et al., (2009). Journal of vascular surgery, 49(4), 924-931. 3. Crowther, R. G. et al., (2007). Journal of Vascular Surgery, 45(6), 1172-1178. ACKNOWLEDGEMENTS Funding was provided by NIH (R01AG034995 and P20GM109090), and VA RR&D (1I01RX000604).