Suganya, M (2018) Non-Mechanized Exercise Training to Improve Pain Free Walking Distance in Patients with Peripheral Artery Occlusion. Masters thesis, PSG College of Physiotherapy, Coimbatore.
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Abstract
BACKGROUND: Peripheral arterial disease (PAD) is most commonly defined as gradual obstruction of arteries leading to impaired blood flow. The prevalence of PAD increase with aging, in general population it accounts for 12% to 14 % affecting up to 25% of subjects over 75 years. Intermittent claudication is the pain in lower limbs during walking, which forces the person to stop walking. Superficial femoral and popliteal arteries are most commonly affected by atherosclerosis. It is associated with increased mortality, major limitations in mobility, physical conditioning and decreased quality of life. Non-mechanized exercise training is a form of exercise programme without using any mechanical equipments helping to improve blood flow in the peripheral arteries of the lower extremities. OBJECTIVE: To find out the effects of non-mechanized exercise training in improving pain free walking distance in patients with peripheral artery occlusion. Design: Pre- test-Post- test Quasi experimental study design. Setting: Department of Cardio thoracic and Vascular Surgery, P.S.G hospitals, Coimbatore. Participants: Group-A: 10 patients received medications along with routine management (conventional management). Group-B: 10 patients received medications along with the non-mechanized exercise training that is structured. Intervention: Group-A: medications with active exercise 10 repetitions per day, 3 days for week for continued for 12 weeks. Group-B: medications with non-mechanized exercise training for 10 repetitions per day, 3 days for week for continued for 12 weeks. Outcome Measures: Ankle Brachial Index.(ABI). Six Minute Walk Test (6MWT). Walking Impairment Questionnaire (WIQ). RESULTS: All participants in Group-A and Group-B showed significant improvement in ABI scores with a mean difference of 0.207 and 0.308 respectively. The calculated “t” value us ing the paired “t” test for Group A 8.714 which was greater than the table value of 2.262 at p<0.05 and B were 10.145 (p < 0.05) respectively. In 6 MWT distance Group-A and Group-B showed significant improvement with a mean difference of 60 and 120.50 respectively. The calculated “t” value us ing the paired “t” test for Group-A and B were 4.557 and 6.817 (p < 0.05) respectively. In WIQ scores Group-A and Group-B showed significant improvement with a mean difference of 6.2 and 22.8 respectively. The calculated “t” value using the paired “t” test for group A and B were 7.235 and 8.908 (p < 0.05) respectively. When comparing between the groups using independent “t” test, the ABI scores showed mean difference of 1.00 and “t” value of 7.368 (p < 0.05), 6 MWT distance showed mean difference of 75.00 and “t” value of 2.097 (p > 0.05) and WIQ scores showed mean difference of 13.90 and “t” value of 5.284 (p < 0.05). CONCLUSION: There was statistically significant improvement in ABI and WIQ. When comparing two groups there was no significant changes in 6MWT pain free walking distance in patients with peripheral artery occlusion following Non-mechanized exercise training than conventional training.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271630241 |
| Uncontrolled Keywords: | Ankle Brachial Index, Walking Impairment Questionnaire, Peripheral Artery Disease, Six Minute Walk Test. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Cardio-Respiratory |
| Depositing User: | Ravindran C |
| Date Deposited: | 16 Sep 2019 15:50 |
| Last Modified: | 20 Sep 2019 07:11 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11518 |
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