A prospective comparison of pedal ergometry with conventional treadmill testing in the investigation of lower extremity pain.

Hdl Handle:
http://hdl.handle.net/10147/209034
Title:
A prospective comparison of pedal ergometry with conventional treadmill testing in the investigation of lower extremity pain.
Authors:
Manning, B J; McGreal, G; Crowley, H; Redmond, H P; O'Donnell, J A
Affiliation:
Department of Surgery, Cork University Hospital, Ireland.
Citation:
Ir J Med Sci. 2001 Jul-Sep;170(3):169-71.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209034
PubMed ID:
12120967
Abstract:
BACKGROUND: Investigation of lower extremity pain is compromised by comorbid disorders that may interfere with conventional testing. AIMS: To compare pedal ergometry with conventional treadmill testing. METHODS: A prospective study was performed where patients presenting with a diagnosis of intermittent claudication were assessed by both methods of testing. RESULTS: Of 78 patients studied with both tests, no exercise-induced ankle pressure changes occurred in 26, two were unable to complete either test despite normal pressure measurements, while 24 had exercise-induced pressure drop detected by both tests. Of patients who completed pedal ergometry, 21 were unable to complete the treadmill test, 14 of whom had negative ergometry, while seven had a pressure drop detected by pedal ergometry. Three had pressure changes with pedal ergometry, but not with treadmill testing and two had pressure changes on the treadmill not reproduced by pedal ergometry. CONCLUSIONS: Pedal ergometer is more sensitive than treadmill testing in detecting arterial insufficiency, as indicated by a 20% or greater fall in ankle pressure, and more suitable in a subgroup of patients unable to tolerate conventional treadmill testing.
Language:
eng
MeSH:
Blood Pressure; Equipment Design; Exercise Test/*instrumentation/methods/statistics & numerical data; Humans; Intermittent Claudication/*diagnosis/epidemiology; Prospective Studies
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorManning, B Jen_GB
dc.contributor.authorMcGreal, Gen_GB
dc.contributor.authorCrowley, Hen_GB
dc.contributor.authorRedmond, H Pen_GB
dc.contributor.authorO'Donnell, J Aen_GB
dc.date.accessioned2012-02-03T15:10:29Z-
dc.date.available2012-02-03T15:10:29Z-
dc.date.issued2012-02-03T15:10:29Z-
dc.identifier.citationIr J Med Sci. 2001 Jul-Sep;170(3):169-71.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid12120967en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209034-
dc.description.abstractBACKGROUND: Investigation of lower extremity pain is compromised by comorbid disorders that may interfere with conventional testing. AIMS: To compare pedal ergometry with conventional treadmill testing. METHODS: A prospective study was performed where patients presenting with a diagnosis of intermittent claudication were assessed by both methods of testing. RESULTS: Of 78 patients studied with both tests, no exercise-induced ankle pressure changes occurred in 26, two were unable to complete either test despite normal pressure measurements, while 24 had exercise-induced pressure drop detected by both tests. Of patients who completed pedal ergometry, 21 were unable to complete the treadmill test, 14 of whom had negative ergometry, while seven had a pressure drop detected by pedal ergometry. Three had pressure changes with pedal ergometry, but not with treadmill testing and two had pressure changes on the treadmill not reproduced by pedal ergometry. CONCLUSIONS: Pedal ergometer is more sensitive than treadmill testing in detecting arterial insufficiency, as indicated by a 20% or greater fall in ankle pressure, and more suitable in a subgroup of patients unable to tolerate conventional treadmill testing.en_GB
dc.language.isoengen_GB
dc.subject.meshBlood Pressureen_GB
dc.subject.meshEquipment Designen_GB
dc.subject.meshExercise Test/*instrumentation/methods/statistics & numerical dataen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntermittent Claudication/*diagnosis/epidemiologyen_GB
dc.subject.meshProspective Studiesen_GB
dc.titleA prospective comparison of pedal ergometry with conventional treadmill testing in the investigation of lower extremity pain.en_GB
dc.contributor.departmentDepartment of Surgery, Cork University Hospital, Ireland.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

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