Eccentric strength and endurance in patients with unilateral intermittent claudication

OBJECTIVE: To analyze concentric and eccentric strength and endurance in patients with unilateral intermittent claudication. INTRODUCTION: Basic motor tasks are composed of concentric, isometric, and eccentric actions, which are related and contribute to physical performance. In previous studies of...

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Main Authors: Márcio Basyches, Nelson Wolosker, Raphael Mendes Ritti-Dias, Lucas Caseri Câmara, Pedro Puech-Leão, Linamara Rizzo Battistella
Format: Article
Language:English
Published: Elsevier España 2009-04-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000400009
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author Márcio Basyches
Nelson Wolosker
Raphael Mendes Ritti-Dias
Lucas Caseri Câmara
Pedro Puech-Leão
Linamara Rizzo Battistella
author_facet Márcio Basyches
Nelson Wolosker
Raphael Mendes Ritti-Dias
Lucas Caseri Câmara
Pedro Puech-Leão
Linamara Rizzo Battistella
author_sort Márcio Basyches
collection DOAJ
description OBJECTIVE: To analyze concentric and eccentric strength and endurance in patients with unilateral intermittent claudication. INTRODUCTION: Basic motor tasks are composed of concentric, isometric, and eccentric actions, which are related and contribute to physical performance. In previous studies of patients with intermittent claudication, the disease-related reduction in concentric and isometric muscular strength and endurance resulted in poorer walking performance. To date, no study has evaluated eccentric muscle action in patients with intermittent claudication. METHODS: Eleven patients with unilateral intermittent claudication performed isokinetic concentric and eccentric actions at the ankle joints to assess peak torque and total work in both symptomatic and asymptomatic legs. RESULTS: Concentric peak torque and total work were lower in the symptomatic than in the asymptomatic leg (80 ± 32 vs. 95 ± 41 N/m, P = 0.01; 1479 ± 667 vs. 1709 ± 879 J, P = 0.03, respectively). There were no differences in eccentric peak torque and total work between symptomatic and asymptomatic legs (96 ± 30 vs. 108 ± 48 N/m; 1852 ± 879 vs. 1891 ± 755 J, respectively). CONCLUSION: Strength and endurance in the symptomatic leg were lower during concentric compared to eccentric action. Future studies are recommended to investigate the mechanisms underlying these responses and to analyze the effects of interventions to improve concentric strength and endurance on functional limitations in patients with intermittent claudication.
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spelling doaj.art-8d2ed000e90443789f239b30899840072022-12-22T02:42:25ZengElsevier EspañaClinics1807-59321980-53222009-04-0164431932210.1590/S1807-59322009000400009Eccentric strength and endurance in patients with unilateral intermittent claudicationMárcio BasychesNelson WoloskerRaphael Mendes Ritti-DiasLucas Caseri CâmaraPedro Puech-LeãoLinamara Rizzo BattistellaOBJECTIVE: To analyze concentric and eccentric strength and endurance in patients with unilateral intermittent claudication. INTRODUCTION: Basic motor tasks are composed of concentric, isometric, and eccentric actions, which are related and contribute to physical performance. In previous studies of patients with intermittent claudication, the disease-related reduction in concentric and isometric muscular strength and endurance resulted in poorer walking performance. To date, no study has evaluated eccentric muscle action in patients with intermittent claudication. METHODS: Eleven patients with unilateral intermittent claudication performed isokinetic concentric and eccentric actions at the ankle joints to assess peak torque and total work in both symptomatic and asymptomatic legs. RESULTS: Concentric peak torque and total work were lower in the symptomatic than in the asymptomatic leg (80 ± 32 vs. 95 ± 41 N/m, P = 0.01; 1479 ± 667 vs. 1709 ± 879 J, P = 0.03, respectively). There were no differences in eccentric peak torque and total work between symptomatic and asymptomatic legs (96 ± 30 vs. 108 ± 48 N/m; 1852 ± 879 vs. 1891 ± 755 J, respectively). CONCLUSION: Strength and endurance in the symptomatic leg were lower during concentric compared to eccentric action. Future studies are recommended to investigate the mechanisms underlying these responses and to analyze the effects of interventions to improve concentric strength and endurance on functional limitations in patients with intermittent claudication.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000400009Peripheral arterial diseaseAtherosclerosisMuscle contractionIsokineticsResistance training
spellingShingle Márcio Basyches
Nelson Wolosker
Raphael Mendes Ritti-Dias
Lucas Caseri Câmara
Pedro Puech-Leão
Linamara Rizzo Battistella
Eccentric strength and endurance in patients with unilateral intermittent claudication
Clinics
Peripheral arterial disease
Atherosclerosis
Muscle contraction
Isokinetics
Resistance training
title Eccentric strength and endurance in patients with unilateral intermittent claudication
title_full Eccentric strength and endurance in patients with unilateral intermittent claudication
title_fullStr Eccentric strength and endurance in patients with unilateral intermittent claudication
title_full_unstemmed Eccentric strength and endurance in patients with unilateral intermittent claudication
title_short Eccentric strength and endurance in patients with unilateral intermittent claudication
title_sort eccentric strength and endurance in patients with unilateral intermittent claudication
topic Peripheral arterial disease
Atherosclerosis
Muscle contraction
Isokinetics
Resistance training
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000400009
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