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

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    Authors
    Manning, B J
    McGreal, G
    Crowley, H
    Redmond, H P
    O'Donnell, J A
    Affiliation
    Department of Surgery, Cork University Hospital, Ireland.
    Issue Date
    2012-02-03T15:10:29Z
    MeSH
    Blood Pressure
    Equipment Design
    Exercise Test/*instrumentation/methods/statistics & numerical data
    Humans
    Intermittent Claudication/*diagnosis/epidemiology
    Prospective Studies
    
    Metadata
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    Citation
    Ir J Med Sci. 2001 Jul-Sep;170(3):169-71.
    Journal
    Irish journal of medical science
    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
    ISSN
    0021-1265 (Print)
    0021-1265 (Linking)
    Collections
    Cork University Hospital

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