Applicability of global positioning system for the assessment of walking ability in patients with arterial claudication.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.