Leg strength in peripheral arterial disease: associations with disease severity and lower-extremity performance. McDermott MM, Criqui MH, Greenland P, et al. Relation of systemic and local muscle exercise capacity to skeletal muscle characteristics in men with congestive heart failure. Massie BM, Simonini A, Sahgal P, Wells L, Dudley GA. Peripheral muscle weakness in patients with chronic obstructive pulmonary disease. Aging Clin Exp Res 2002 14: 37–46.īernard S, Leblanc P, Whittom F, et al. Postural balance in elderly people: changes over a five-year follow-up and its predictive value for survival. J Gerontol A Biol Sci Med Sci 2002 57A: M289–93.Įra P, Heikkinen E, Gause-Nilsson I, Schroll M. Change in physical performance over time in older women: the women’s health and aging study. J Gerontol A Biol Sci Med Sci 2003: 58A: M525–30. Changes in postural stability in women aged 20 to 80 years. IEEE Trans Biomed Eng 1996 43: 956–66.Ĭhoy N, Brauer S, Nitz J. Measures of postural steadiness: differences between healthy young and elderly adults. Prieto T, Myklebust J, Hoffman R, Lovett E, Myklebust B. Postural sway during standing and unexpected disturbance of balance in random samples of men of different ages. In addition, as diminished pedal pulses are frequently associated with impaired lower extremity circulation, our results have also produced information on the possible pathophysiological mechanisms of balance deterioration in older people, which warrant further study.Įra P, Heikkinen E. The association was observed both cross-sectionally and longitudinally. Conclusions: According to our study, the absence of both dorsal pedal artery pulses is associated with impaired balance in older people. At ten years, however, the interaction term became significant for the normal standing eyes-closed position (p=0.025 for anteroposterior velocity and p=0.026 for mediolateral velocity), indicating greater balance deterioration among those with both dorsal pedal artery pulses absent. Balance deterioration was observed at five years (p<0.001for time) but without group-by-time interaction. The risk of being unable to do the full tandem stance was twofold (OR=2.20, 95% CI 1.29–3.78) for persons without palpable dorsal pedal arteries compared with those with normal pulse status. Results: Cross-sectionally, persons with both dorsal pedal artery pulses absent were found to sway more (p=0.047 anteroposterior velocity, normal standing eyes-open position). A total of 419 individuals aged 75 or 80 at baseline, with known lower extremity pulse status and balance tests performed on a force platform, were eligible for analysis. Methods: Prospective, population-based cohort study of older residents in the city of Jyväskylä, Finland. Use the doppler machine to listen to arterial flow.Background and aims: The purpose of this study was to determine the relationship between abnormal pedal pulse status and postural balance in older people.Mark the location of the artery with a pen.Place the linear ultrasound probe over where you would expect the artery to pass. Mark the locations of the DP and PT arteries for easier localization with the doppler probe. 1–3įind and mark your pedal pulses using ultrasound You’re rightfully concerned about possible vascular injury to an upper or lower extremity, but you can’t palpate a dorsalis pedis (DP) or posterior tibialis (PT) pulse! You spend minutes, whisking the doppler probe, attempting to hear a waveform in a busy ED. Unfortunately you can’t seem to hear the “whoosh,” making accurate it nearly impossible for you to measure ankle-brachial indices (ABI). The Problem: A patient is rolled in to your ED by EMS with extremity trauma.
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