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J Phys Ther Sci. 2015 Jun;27(6):1855-9. doi: 10.1589/jpts.27.1855. Epub 2015 Jun 30.

Effect of in-hospital physical activity on cardiovascular prognosis in lower extremity bypass for claudication.

Journal of physical therapy science

Tomohiro Matsuo, Taichi Sakaguchi, Atsuhisa Ishida, Satoshi Yuguchi, Kazuya Saito, Masaharu Nakajima, Takuya Ujikawa, Tomoyuki Morisawa, Genta Chikazawa, Tetsuya Takahashi

Affiliations

  1. Department of Rehabilitation, The Sakakibara Heart Institute of Okayama, Japan.
  2. Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Japan.
  3. Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, Japan.
  4. Department of Physical Therapy, School of Health Sciences, Tokyo University of Technology, Japan.

PMID: 26180335 PMCID: PMC4499998 DOI: 10.1589/jpts.27.1855

Abstract

[Purpose] This study aimed to evaluate the effect of in-hospital physical activity on patient prognosis after lower extremity bypass surgery for peripheral arterial disease. [Subjects and Methods] A total of 13 patients (16 limbs; 11 males and 2 females; mean age [standard deviation], 72.8 [5.9] years) who underwent lower extremity bypass surgery for Fontaine stage 2 peripheral arterial disease were included in this study and assigned to either an active group (n = 6) to perform increased physical activity after surgery or an inactive group (n = 7) to perform decreased physical activity after surgery. Daily in-hospital physical activity levels were measured continuously with a triaxial accelerometer. The occurrence of adverse cardiovascular events within a 2 year follow-up period was compared between groups. [Results] At discharge, the patients in the active group were able to walk more steps daily than those in the inactive group. The incidence of adverse events was 16.7% in the active group and 71.4% in the inactive group. [Conclusion] A higher in-hospital physical activity level was associated with a better long-term prognosis after lower extremity bypass surgery in patients with peripheral arterial disease.

Keywords: Lower extremity bypass surgery; Peripheral arterial disease; Physical activity

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