AI Article Synopsis
- Lower extremity (LE) exercise training improves key health metrics like Maximum Walking Distance (MWD) and Quality of Life (QoL) for patients with intermittent claudication (IC), but the effects of upper extremity (UE) training are less understood.
- A systematic review evaluated 6 randomized controlled trials comparing UE and LE exercises, finding that both types significantly enhanced MWD, Claudication Distance (CD), peak oxygen uptake (VO2peak), and QoL.
- The results suggest that UE training can be an effective alternative to LE training, offering similar benefits while potentially reducing discomfort for patients with IC.
Article Abstract
Lower extremity (LE) exercise training has been shown to contribute to improvements in Maximum Walking Distance (MWD), Claudication Distance (CD), peak oxygen uptake (VO2peak) and Quality of Life (QoL) in patients with intermittent claudication (IC). However, little is known regarding the efficacy of upper extremity (UE) exercise training in comparison to the widely used LE training. The objective of this systematic literature review is to identify and synthesize the available literature on the effects of UE versus LE exercises using the International Classification of Functioning (ICF) conceptual framework. A total of 6 randomized controlled trials comparing UE to LE exercises were included in this study. Two of the articles were considered to be of high quality using the PEDro grading list. Both UE and LE training groups demonstrated significant improvements in MWD, CD, VO2peak and QoL in comparison to the control group but LE was not better than UE training. This supports the use of UE training as an alternative to LE, which could provide symptomatic relief to patients with IC without the discomfort caused during the LE training.
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| http://dx.doi.org/10.1016/j.atherosclerosis.2015.02.038 | DOI Listing |
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