Rehabilitación en la arteriopatía de los miembros inferiores

La rehabilitacion en la arteriopatia de los miembros inferiores se basa en programas personalizados que asocian readaptacion al esfuerzo y educacion terapeutica. Aumenta las capacidades fisicas, sobre todo la distancia de la marcha, permite reanudar las actividades, reduce los factores de riesgo y mejora los frecuentes trastornos del estado de animo que se observan en estos pacientes. Mejora las anomalias fisiopatologicas, en especial el desequilibrio neurovegetativo y la disfuncion endotelial. Se recomienda un programa ambulatorio de al menos tres sesiones por semana durante 2-3 meses. La evaluacion funcional (pruebas de esfuerzo maximo, pruebas de marcha) permite adaptar el programa de re…

Are first ventilatory threshold and 6-minute walk test heart rate interchangeable? A pilot study in healthy elderlies and cardiac patients

International audience; BACKGROUND: Heart rate (HR) at the ventilatory threshold (VT) is often used to prescribe exercise intensity in cardiac rehabilitation. Some studies have reported no significant difference between HR at VT and HR measured at the end of a 6-min walk test (6-MWT) in cardiac patients. The aim of this work was to assess the potential equivalence between those parameters at the individual level. METHOD: Three groups of subjects performed a stress test and a 6-MWT: 22 healthy elderlies (GES, 77 +/- 3.7 years), 10 stable coronary artery disease (CAD) patients (GMI, 50.9 +/- 4.2 years) and 30 patients with chronic heart failure (GHF, 63.3 +/- 10 years). We analyzed the correl…

Barriers to physical activity in coronary artery disease patients: Development and validation of a new scale

Abstract Objective To develop and validate a self-report questionnaire to measure barriers to regular physical activity (PA) in patients with stable coronary artery disease (CAD). Methods Phase 1: 17 patients completed a semi-structured interview. After grouping and reformulating the reported barriers, their pertinence was reevaluated by the patients. Then, a decision algorithm was used to select items. A principal component analysis was performed to determine content validity. Phase 2: 49 patients completed the questionnaire resulting from phase 1 twice, 7 days apart, and questionnaires to evaluate depression, anxiety, and the level of physical activity. Construct validity was evaluated by…

Transcultural adaptation and validation of a French version of the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD-Fr).