Table of Contents Author Guidelines Submit a Manuscript
Rehabilitation Research and Practice
Volume 2015 (2015), Article ID 124023, 10 pages
http://dx.doi.org/10.1155/2015/124023
Review Article

Spatiotemporal Changes Posttreatment in Peripheral Arterial Disease

1Center for Research in Human Movement Variability, School of Health, Physical Education, and Recreation, University of Nebraska Omaha, 6160 University Drive South, Omaha, NE 68182-0860, USA
2College of Public Health, Department of Biostatistics, University of Nebraska Medical Center, 984355 Nebraska Medical Center, Omaha, NE 68198, USA
3Department of Surgery, Omaha Veterans Affairs Medical Center, 4101 Woolworth Avenue (121), Omaha, NE 68105, USA
4College of Medicine, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198, USA

Received 20 September 2015; Accepted 16 November 2015

Academic Editor: Velio Macellari

Copyright © 2015 Sara A. Myers et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Accumulating evidence suggests revascularization of peripheral arterial disease (PAD) limbs results in limited improvement in functional gait parameters, suggesting underlying locomotor system pathology. Spatial and temporal (ST) gait parameters are well studied in patients with PAD at baseline and are abnormal when compared to controls. The purpose of this study was to systematically review and critically analyze the available data on ST gait parameters before and after interventions. A full review of literature was conducted and articles were included which examined ST gait parameters before and after intervention (revascularization and exercise). Thirty-three intervention articles were identified based on 154 articles that evaluated ST gait parameters in PAD. Four articles fully assessed ST gait parameters before and after intervention and were included in our analysis. The systematic review of the literature revealed a limited number of studies assessing ST gait parameters. Of those found, results demonstrated the absence of improvement in gait parameters due to either exercise or surgical intervention. Our study demonstrates significant lack of research examining the effectiveness of treatments on ST gait parameters in patients with PAD. Based on the four published articles, ST gait parameters failed to significantly improve in patients with PAD following intervention.