Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492013000200004
Jornal Vascular Brasileiro
Original Article

Effects of walking and strength training on walking capacity in individuals with claudication: meta-analysis

Efeitos do treinamento de caminhada e forca na capacidade de caminhada de claudicantes: meta-analise

Alessandra de Souza Miranda; Lausanne Barreto de Carvalho Cahu Rodrigues; Sergio Luiz Cahu Rodrigues; Crivaldo Gomes Cardoso Junior; Maryela Oliveira Menacho; Diego Giulliano Destro Christofaro; Raphael Mendes Ritti-Dias

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Abstract

CONTEXT: Over the past few years, several clinical trials have been performed to analyze the effects of exercise training on walking ability in patients with intermittent claudication (IC). However, it remains unclear which type of physical exercise provides the maximum benefits in terms of walking ability. OBJECTIVE: To analyze, by means of a meta-analysis, the effects of walking and strength training on the walking capacity in patients with IC. METHODS: Papers analyzing the effects of walking and strength training programs in patients with IC were browsed on the Medline, Lilacs, and Cochrane databases. Randomized clinical trials scoring >4 on the Physiotherapy Evidence Database (PEDro) scale and assessing claudication distance (CD) and total walking distance (TWD) were included in the review. RESULTS: Walking and strength training yielded increases in CD and TWD (P < 0.05). However, walking training yielded greater increases than strength training (P = 0.02). CONCLUSION: Walking and strength training improve walking capacity in patients with IC. However, greater improvements in TWD are obtained with walking training.

Keywords

exercise, vascular diseases, peripheral arterial disease

Resumo

CONTEXTO: Ao longo dos últimos anos, diversos ensaios clínicos têm sido realizados sobre os efeitos do treinamento físico na capacidade de caminhada de pacientes com claudicação intermitente (CI). No entanto, ainda permanece incerto, qual modalidade de treinamento físico promove maiores aumentos na capacidade de caminhada dos pacientes. OBJETIVO : Analisar, por meio de meta-análise, os efeitos do treinamento de caminhada e de força na capacidade de locomoção de pacientes com CI. MÉTODOS: Foi realizada pesquisa bibliográfica de artigos que analisaram os efeitos do treinamento de caminhada e de força em pacientes com CI nas bases de dados Medline, Lilacs e Cochrane. Foram incluídos na revisão estudos clínicos randomizados com escore > 4 na escala de PEDro e que quantificaram a distância de claudicação (DC) e a distância total de caminhada (DTC). RESULTADOS: Os treinamentos de caminhada e de força promoveram aumentos na DC e na DTC (P < 0,05). No entanto, os aumentos obtidos com o treinamento de caminhada foram superiores aos obtidos com o treinamento de força (P = 0,02). CONCLUSÃO : Os treinamentos de caminhada e de força promovem aumento na capacidade de locomoção de pacientes com CI. No entanto, efeitos são mais acentuados com o treinamento de caminhada.

Palavras-chave

exercicio, doencas vasculares, doenca arterial periferica

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