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Titolo:
Ankle to brachial pressure index in normal subjects and trained cyclists with exercise-induced leg pain
Autore:
Taylor, AJ; George, KP;
Indirizzi:
Nottingham Nuffield Hosp, Dept Physiotherapy, Nottingham NG5 3FZ, England Nottingham Nuffield Hosp Nottingham England NG5 3FZ ham NG5 3FZ, England
Titolo Testata:
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
fascicolo: 11, volume: 33, anno: 2001,
pagine: 1862 - 1867
SICI:
0195-9131(200111)33:11<1862:ATBPII>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXTERNAL ILIAC ARTERY; SYSTOLIC BLOOD-PRESSURE; COMPETITION CYCLISTS; ENDOFIBROSIS; CLAUDICATION; DISEASE; ARM;
Keywords:
exercise-induced leg pain; arterial occlusive disease; cycle ergometer tests;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Taylor, AJ Nottingham Nuffield Hosp, Dept Physiotherapy, 748 Mansfield Rd,NottinghamNG5 3FZ, England Nottingham Nuffield Hosp 748 Mansfield Rd Nottingham England NG5 3FZ
Citazione:
A.J. Taylor e K.P. George, "Ankle to brachial pressure index in normal subjects and trained cyclists with exercise-induced leg pain", MED SCI SPT, 33(11), 2001, pp. 1862-1867

Abstract

Purpose: This study compared ankle to brachial pressure indices (ABPI) before and after maximal exercise in three groups in order to investigate maximal exercise testing and ABPI as a useful procedure for the differential diagnosis of exercise-induced leg pain (EILP) in athletes. Methods: ABPI measurements were taken before and after cycle ergometer exercise to volitionalexhaustion or reproduction of symptoms in three groups: 1) untrained individuals (N=10, 3 female, 7 male; age 35 +/-5 yr (mean +/- SD)); 2) trained cyclists (N=10, 3 female, 7 male; age, 30 +/-5 yr); and 3) symptomatic groupof trained cyclists, complaining of EILP (N=12, 2 female, 10 male; age, 35+/-9 yr). Results: Resting blood pressure indices were similar in all groups. ABPI were reduced (P<0.05) in all groups after exercise, No differencesbetween left and right legs were noted in the elite and untrained groups; however, a significant difference (P<0.05) was noted between the nonsymptomatic (0.79 +/-0.10) and symptomatic (0.61 +/-0.20) legs in the subjects with EILP. Despite these group results, only three subjects in the symptomaticgroup met the published criteria (index of <0.5) for endofibrosis of the external iliac artery. All positive ABPI tests were subsequently confirmed via arteriogram. Conclusion: Maximal exercise testing combined with ABPI measurement is a simple noninvasive procedure that may be useful for the examination of EILP. The results of this study suggest that, in cases with unilateral symptoms, a between-leg ABPI difference of 0.18 (at the first minute of recovery) may be considered as a useful additional diagnostic criterion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 12:03:50