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Master Thesis

Différentes modalités d'évaluation de la distance de marche chez l'artériopathe claudicant‎ : sensibilité au changement après rééducation

Abstract : Objective: The first intention treatment of peripheral arterial disease is actually the rehabilitation. This study has for objective to test the sensitivity to change of several methods of walking evaluation, as well as other parameters. Methods: Before and after 4 weeks of rehabilitation, 19 patients benefited from following evaluations: walking distances were analyzed by the six minute walk test, the Strandness test (speed and slope constant) and a graded treadmill test (with slope increase), as well as cardiovascular parameters (transcutaneous oxygen pressure, ankle-to-brachial systolic blood press index, maximal cardiac frequency and peak oxygen consumption), and psychological measures (Hospital Anxiety and Depression Scale). Results: Tests with significant change after rehabilitation were: six minute walk test (345.2±77.2 meters vs 385± 62.6, p < 0.05), Strandness test (310.5 ±375.8 vs 620±755, p=0.001), graded treadmill test (741.6±818.6 vs 1397.9±1054.6, p < 0.001), and anxiety and depression scores of the Hopsital Anxiety and Depression Scale (6.5±3.9 vs 5.4±4.0, p < 0.05 for the anxiety score, and 5.3±3.3 vs 4.4±2.9, p < 0.05 for the depression score). Among the three walking tests, the graded treadmill test had significant better gains (171.4 %, vs 105.5 % for the Strandness test, and 11.53 % for the six minute walk test) (p=0,001). Conclusion: This study confirms the important profit of the rehabilitation for walking distances in peripheral arterial disease, and shows the superiority of the graded treadmill test on the six minute walk test and the Strandness test to analyze these improvements.
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Master Thesis
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Submitted on : Wednesday, October 17, 2012 - 9:38:18 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
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  • HAL Id : dumas-00742718, version 1

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Elodie Gailledrat. Différentes modalités d'évaluation de la distance de marche chez l'artériopathe claudicant‎ : sensibilité au changement après rééducation. Human health and pathology. 2012. ⟨dumas-00742718⟩

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