PROGRESSION OF NEUROPATHY IN PERIPHERAL ARTERIAL-DISEASE

被引:45
|
作者
ENGLAND, JD
FERGUSON, MA
HIATT, WR
REGENSTEINER, JG
机构
[1] UNIV COLORADO,SCH MED,DEPT MED,VASC MED SECT,DENVER,CO
[2] UNIV COLORADO,SCH MED,DEPT NEUROL,DENVER,CO
关键词
PERIPHERAL VASCULAR DISEASES; POLYNEUROPATHY; ISCHEMIA; ELECTROMYOGRAPHY; EXERCISE TRAINING;
D O I
10.1002/mus.880180403
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Atherosclerotic peripheral arterial disease (PAD) can cause muscle denervation, but whether it is associated with more severe peripheral nerve disease is not clear, Equally unclear is the effect of exercise training on the neuromuscular aspects of this disease. We performed serial electrophysiologic studies (nerve conduction studies and quantitative electromyography) and muscle strength assessment on 16 patients with moderately severe PAD, Seven of the patients were assigned to a natural history (control) group and 9 to an exercise training group, Over study periods ranging from 3 to 23 months, 6 of 7 patients in the control group and 8 of 9 patients in the exercise training group showed progression of multifocal neuropathic disease in their ischemic legs, For equivalent lengths of time, the degree of neuropathic progression was not significantly different between the control and exercise training groups, There was a significant decline in muscle strength for the control group but not for the exercise training group, These results demonstrate that PAD can be associated with the development of a multifocal predominantly motor neuropathy, which is most likely ischemic in etiology. Furthermore, exercise training does not pose an additional risk for the development of neuropathy in patients with moderately severe PAD. (C) 1995 John Wiley and Sons, Inc.
引用
收藏
页码:380 / 387
页数:8
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