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Maria Maj Agnieszka Śliwka Rafał Piliński Tomasz Włoch Magdalena Batkiewicz Wioleta Plewa Roman Nowobilski Piotr Mika

Abstract

Introduction: Cardiovascular system disorders have recently become more popular for people explore the quality of life of patients. Holistic assessment of their condition is not only to the biological sphere, but also focuses on the patient's well-being and functional abilities. Aim of the study. The subject of the study was an analysis of predictors of life’s quality for patients with intermittent claudication undergoing supervised treadmill training. The research described the relationship between the training change in the distance of claudication and the patient's current well-being. Material and methods. The study included 19 people with inter-mittent claudication treated at the Angiological Clinic of the University Hospital in Krakow. The research was last from 03.2017 to 04.2018. The inclusion criterion was the confirmed diagnosis of PAD in the Rutherford 2 and 3 scale. The patients have undergone supervised treadmill training for 3 months (3 trainings a week, total 36). The patient continued his effort on the treadmill until a medium intensity pain appeared, then he rested until the pain subsided completely. In order to assess the current well-being of the patients, an original quality of life questionnaire was made before the training, after 18th and 36th training.
Results. There was a significant difference in the assessment of life satisfaction between the first and third measurement (p = 0.048), the average difference was about 10 pts to 175. There was a positive relationship between the distance change and the quality of life (p = 0.02). The linear equation regression was determined, which allowed to determine the influence of such variables as: age, sex, smoking status, BMI, duration of the disease on improving the quality of life of patients with intermittent claudication undergoing supervised treadmill training. Conclusions. The post-training improvement of claudication distance improves the quality of life in patients with atherosclerosis of the lower limbs. It is a strong argument that supervised treadmill training should be a one of the important components of the conservative treatment of people with peripheral artery disease.

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