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Applicability of global positioning system for the assessment of walking ability in patients with arterial claudication.

Journal of vascular surgery
October 1, 2014
Marie Gernigon et al. (5 authors)
Clinical TrialJournal ArticleMulticenter StudyResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the clinical applicability of GPS-monitored community-based walking ability assessment in patients with peripheral artery disease (PAD).

Results Summary

GPS recordings were technically satisfactory in 85% of patients on the first attempt and 93% after a second attempt. The study found that GPS-measured walking distances were significantly higher than self-reported distances, and walking speed was consistent with few variations.

Population

Patients with peripheral artery disease (PAD) who complained of intermittent claudication.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
GPS-monitored community-based walking ability assessment
neutral
walking ability assessment
patients with peripheral artery disease (PAD) who complained of intermittent claudication
-
determined the clinical applicability
#1
GPS device
neutral
GPS recordings
patients with peripheral artery disease (PAD) who complained of intermittent claudication
85%
recordings were technically satisfactory
#2
GPS device
neutral
GPS recordings
patients with peripheral artery disease (PAD) who complained of intermittent claudication
93%
recordings were technically satisfactory
#3
community-based outdoor walk
neutral
distance between two stops
patients with peripheral artery disease (PAD) who complained of intermittent claudication
678 m (IQR, 381-1333 m)
measured distance between two stops
#4
self-reported maximal walking distance
neutral
maximal walking distance
patients with peripheral artery disease (PAD) who complained of intermittent claudication
250 m (IQR, 150-400 m)
was
#5
community-based outdoor walk
neutral
walking speed
patients with peripheral artery disease (PAD) who complained of intermittent claudication
3.6 km/h (IQR, 3.1-3.9 km/h)
walking speed was
#6
community-based outdoor walk
neutral
stop durations
patients with peripheral artery disease (PAD) who complained of intermittent claudication
<10 minutes in all but one individual
stop durations were
#7
Abstract

OBJECTIVE: This study determined for the first time the clinical applicability of a global positioning system (GPS)-monitored community-based walking ability assessment in a large cohort of patients with peripheral artery disease (PAD). METHODS: A multicenter study was conducted among PAD patients who complained of intermittent claudication. Patients equipped with a GPS device performed a community-based outdoor walk. We determined the number of technically satisfactory GPS recordings (attempt No. 1). Patients with unsatisfactory GPS recordings were asked to perform a second attempt (attempt No. 2). From the satisfactory recordings obtained after attempts No. 1 and No. 2, we analyzed several GPS parameters to provide clinical information on the patients' walking ability. Results are reported as median (interquartile range). RESULTS: A total of 218 patients performed an outdoor walk. GPS recordings were technically satisfactory in 185 patients (85%) and in 203 (93%) after attempts No. 1 and No. 2, respectively. The highest measured distance between two stops during community walking was 678 m (IQR, 381-1333 m), whereas self-reported maximal walking distance was 250 m (IQR, 150-400 m; P < .001). Walking speed was 3.6 km/h (IQR, 3.1-3.9 km/h), with few variations during the walk. Among the patients who had to stop during the walk, the stop durations were <10 minutes in all but one individual. CONCLUSIONS: GPS is applicable for the nonsupervised multicenter recording of walking ability in the community. In the future, it may facilitate objective community-based assessment of walking ability, allow for the adequate monitoring of home-based walking programs, and for the study of new dimensions of walking in PAD patients with intermittent claudication.

Medical Subject Headings (MeSH)
AgedEquipment DesignExercise TestFemaleFollow-Up StudiesGaitGeographic Information SystemsHumansIntermittent ClaudicationLegMaleMonitoring, PhysiologicPatient SatisfactionReproducibility of ResultsRetrospective StudiesSelf ReportSurveys and QuestionnairesUltrasonography, DopplerWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations20
Citations/Year1.8
Relative Citation Ratio0.98
NIH Percentile49.6%
Research Impact Scores
APT Score0.75
Weight Score1.63
Normalized Score0.70
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