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Using wearable monitors to assess daily walking limitations induced by ischemic pain in peripheral artery disease

Purpose To develop, assess the feasibility of, and determine the clinical validity of an event‐based analysis method using wearable monitors to quantify walking pain manifestations (WPMs) and stops induced by walking pain (SIWPs) during daily life walking in people with peripheral artery disease (PA...

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Published in:Scandinavian journal of medicine & science in sports 2019-11, Vol.29 (11), p.1813-1826
Main Authors: Chaudru, Ségolène, Jehannin, Pierre, de Müllenheim, Pierre‐Yves, Klein, Hélène, Jaquinandi, Vincent, Mahé, Guillaume, Le Faucheur, Alexis
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cited_by cdi_FETCH-LOGICAL-c3881-509b7ca13a5139c163f9b4704cb3af632d16f8dde2b928a2276785882437453d3
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container_end_page 1826
container_issue 11
container_start_page 1813
container_title Scandinavian journal of medicine & science in sports
container_volume 29
creator Chaudru, Ségolène
Jehannin, Pierre
de Müllenheim, Pierre‐Yves
Klein, Hélène
Jaquinandi, Vincent
Mahé, Guillaume
Le Faucheur, Alexis
description Purpose To develop, assess the feasibility of, and determine the clinical validity of an event‐based analysis method using wearable monitors to quantify walking pain manifestations (WPMs) and stops induced by walking pain (SIWPs) during daily life walking in people with peripheral artery disease (PAD). Methods The following two conditions were studied: a standardized outdoor walking session (OWS) and a seven‐day free‐living measurement (FLM) period. The PAD participants (n = 23) wore an accelerometer and a watch. They were asked to press the event marker button on the watch to indicate events related to WPMs and SIWPs. To assess the clinical validity of the method, the computed pain‐free walking time (PFWT) and maximal walking time (MWT) were compared with the PFWT and MWT assessed using standard treadmill walking protocols, respectively. Results Following OWSs, the PFWT[OWS] and MWT[OWS] were significantly correlated with the PFWT[Strandness] (r = .955, P 
doi_str_mv 10.1111/sms.13511
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Methods The following two conditions were studied: a standardized outdoor walking session (OWS) and a seven‐day free‐living measurement (FLM) period. The PAD participants (n = 23) wore an accelerometer and a watch. They were asked to press the event marker button on the watch to indicate events related to WPMs and SIWPs. To assess the clinical validity of the method, the computed pain‐free walking time (PFWT) and maximal walking time (MWT) were compared with the PFWT and MWT assessed using standard treadmill walking protocols, respectively. Results Following OWSs, the PFWT[OWS] and MWT[OWS] were significantly correlated with the PFWT[Strandness] (r = .955, P &lt; .001) and MWT[Strandness] (r = .821, P &lt; .001), respectively. During the FLM, PAD participants experienced only 2 WPMs/day and 1 SIWP/day, although severely limited on the treadmill and during the OWS. The average WPMs/day were moderately correlated with the PFWT[Strandness] (r = −.54, P = .016). The PFWT[FLM] was on average 12 times longer than the PFWT[Strandness]. Interestingly, the intensity of the walking bouts as assessed by the accelerometer counts during the FLM was significantly lower than that during the OWS (45 ± 15 vs 66 ± 20 counts/s, P &lt; .001). Conclusion This new method offers opportunities for studies investigating the experience of living with PAD and the assessment of daily life walking capacity for both diagnostic and therapeutic purposes.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/sms.13511</identifier><identifier>PMID: 31271680</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Accelerometry ; Aged ; Cross-Sectional Studies ; event history analysis ; Exercise ; Exercise Test ; Exercise Tolerance ; Female ; Fitness equipment ; Humans ; intermittent claudication ; Male ; Middle Aged ; Pain ; Pain - etiology ; Peripheral Arterial Disease - complications ; physical activity ; Walking ; Wearable computers ; Wearable Electronic Devices</subject><ispartof>Scandinavian journal of medicine &amp; science in sports, 2019-11, Vol.29 (11), p.1813-1826</ispartof><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2019 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3881-509b7ca13a5139c163f9b4704cb3af632d16f8dde2b928a2276785882437453d3</citedby><cites>FETCH-LOGICAL-c3881-509b7ca13a5139c163f9b4704cb3af632d16f8dde2b928a2276785882437453d3</cites><orcidid>0000-0003-1318-4745 ; 0000-0002-3688-6574</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31271680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chaudru, Ségolène</creatorcontrib><creatorcontrib>Jehannin, Pierre</creatorcontrib><creatorcontrib>de Müllenheim, Pierre‐Yves</creatorcontrib><creatorcontrib>Klein, Hélène</creatorcontrib><creatorcontrib>Jaquinandi, Vincent</creatorcontrib><creatorcontrib>Mahé, Guillaume</creatorcontrib><creatorcontrib>Le Faucheur, Alexis</creatorcontrib><title>Using wearable monitors to assess daily walking limitations induced by ischemic pain in peripheral artery disease</title><title>Scandinavian journal of medicine &amp; science in sports</title><addtitle>Scand J Med Sci Sports</addtitle><description>Purpose To develop, assess the feasibility of, and determine the clinical validity of an event‐based analysis method using wearable monitors to quantify walking pain manifestations (WPMs) and stops induced by walking pain (SIWPs) during daily life walking in people with peripheral artery disease (PAD). Methods The following two conditions were studied: a standardized outdoor walking session (OWS) and a seven‐day free‐living measurement (FLM) period. The PAD participants (n = 23) wore an accelerometer and a watch. They were asked to press the event marker button on the watch to indicate events related to WPMs and SIWPs. To assess the clinical validity of the method, the computed pain‐free walking time (PFWT) and maximal walking time (MWT) were compared with the PFWT and MWT assessed using standard treadmill walking protocols, respectively. Results Following OWSs, the PFWT[OWS] and MWT[OWS] were significantly correlated with the PFWT[Strandness] (r = .955, P &lt; .001) and MWT[Strandness] (r = .821, P &lt; .001), respectively. During the FLM, PAD participants experienced only 2 WPMs/day and 1 SIWP/day, although severely limited on the treadmill and during the OWS. The average WPMs/day were moderately correlated with the PFWT[Strandness] (r = −.54, P = .016). The PFWT[FLM] was on average 12 times longer than the PFWT[Strandness]. Interestingly, the intensity of the walking bouts as assessed by the accelerometer counts during the FLM was significantly lower than that during the OWS (45 ± 15 vs 66 ± 20 counts/s, P &lt; .001). Conclusion This new method offers opportunities for studies investigating the experience of living with PAD and the assessment of daily life walking capacity for both diagnostic and therapeutic purposes.</description><subject>Accelerometry</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>event history analysis</subject><subject>Exercise</subject><subject>Exercise Test</subject><subject>Exercise Tolerance</subject><subject>Female</subject><subject>Fitness equipment</subject><subject>Humans</subject><subject>intermittent claudication</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain - etiology</subject><subject>Peripheral Arterial Disease - complications</subject><subject>physical activity</subject><subject>Walking</subject><subject>Wearable computers</subject><subject>Wearable Electronic Devices</subject><issn>0905-7188</issn><issn>1600-0838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp10ctu1TAQBmALgeihsOAFkCU2sEhre5LYWaKqXKRWLNquLSeeUBfnUk-io7w9bk9hgVRvZuFPv0bzM_ZeihOZ3ykNdCKhkvIF28laiEIYMC_ZTjSiKrQ05oi9IboTQuqmrF6zI5BKy9qIHbu_oTD-4nt0ybUR-TCNYZkS8WXijgiJuHchbnzv4u8HGcMQFreEaSQeRr926Hm78UDdLQ6h47MLY_7gM6Yw32Jykbu0YNq4D4SO8C171btI-O5pHrObr-fXZ9-Li5_ffpx9uSg6MEYWlWha3TkJrpLQdLKGvmlLLcquBdfXoLyse-M9qrZRximla20qY1QJuqzAwzH7dMid03S_Ii12yEtijG7EaSWrVAUgRV2WmX78j95NaxrzdlaBqEELUCqrzwfVpYkoYW_nFAaXNiuFfejB5h7sYw_ZfnhKXNsB_T_59_AZnB7APkTcnk-yV5dXh8g_IWqRxQ</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Chaudru, Ségolène</creator><creator>Jehannin, Pierre</creator><creator>de Müllenheim, Pierre‐Yves</creator><creator>Klein, Hélène</creator><creator>Jaquinandi, Vincent</creator><creator>Mahé, Guillaume</creator><creator>Le Faucheur, Alexis</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1318-4745</orcidid><orcidid>https://orcid.org/0000-0002-3688-6574</orcidid></search><sort><creationdate>201911</creationdate><title>Using wearable monitors to assess daily walking limitations induced by ischemic pain in peripheral artery disease</title><author>Chaudru, Ségolène ; Jehannin, Pierre ; de Müllenheim, Pierre‐Yves ; Klein, Hélène ; Jaquinandi, Vincent ; Mahé, Guillaume ; Le Faucheur, Alexis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3881-509b7ca13a5139c163f9b4704cb3af632d16f8dde2b928a2276785882437453d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accelerometry</topic><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>event history analysis</topic><topic>Exercise</topic><topic>Exercise Test</topic><topic>Exercise Tolerance</topic><topic>Female</topic><topic>Fitness equipment</topic><topic>Humans</topic><topic>intermittent claudication</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Pain - etiology</topic><topic>Peripheral Arterial Disease - complications</topic><topic>physical activity</topic><topic>Walking</topic><topic>Wearable computers</topic><topic>Wearable Electronic Devices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaudru, Ségolène</creatorcontrib><creatorcontrib>Jehannin, Pierre</creatorcontrib><creatorcontrib>de Müllenheim, Pierre‐Yves</creatorcontrib><creatorcontrib>Klein, Hélène</creatorcontrib><creatorcontrib>Jaquinandi, Vincent</creatorcontrib><creatorcontrib>Mahé, Guillaume</creatorcontrib><creatorcontrib>Le Faucheur, Alexis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of medicine &amp; science in sports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaudru, Ségolène</au><au>Jehannin, Pierre</au><au>de Müllenheim, Pierre‐Yves</au><au>Klein, Hélène</au><au>Jaquinandi, Vincent</au><au>Mahé, Guillaume</au><au>Le Faucheur, Alexis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using wearable monitors to assess daily walking limitations induced by ischemic pain in peripheral artery disease</atitle><jtitle>Scandinavian journal of medicine &amp; science in sports</jtitle><addtitle>Scand J Med Sci Sports</addtitle><date>2019-11</date><risdate>2019</risdate><volume>29</volume><issue>11</issue><spage>1813</spage><epage>1826</epage><pages>1813-1826</pages><issn>0905-7188</issn><eissn>1600-0838</eissn><abstract>Purpose To develop, assess the feasibility of, and determine the clinical validity of an event‐based analysis method using wearable monitors to quantify walking pain manifestations (WPMs) and stops induced by walking pain (SIWPs) during daily life walking in people with peripheral artery disease (PAD). Methods The following two conditions were studied: a standardized outdoor walking session (OWS) and a seven‐day free‐living measurement (FLM) period. The PAD participants (n = 23) wore an accelerometer and a watch. They were asked to press the event marker button on the watch to indicate events related to WPMs and SIWPs. To assess the clinical validity of the method, the computed pain‐free walking time (PFWT) and maximal walking time (MWT) were compared with the PFWT and MWT assessed using standard treadmill walking protocols, respectively. Results Following OWSs, the PFWT[OWS] and MWT[OWS] were significantly correlated with the PFWT[Strandness] (r = .955, P &lt; .001) and MWT[Strandness] (r = .821, P &lt; .001), respectively. During the FLM, PAD participants experienced only 2 WPMs/day and 1 SIWP/day, although severely limited on the treadmill and during the OWS. The average WPMs/day were moderately correlated with the PFWT[Strandness] (r = −.54, P = .016). The PFWT[FLM] was on average 12 times longer than the PFWT[Strandness]. Interestingly, the intensity of the walking bouts as assessed by the accelerometer counts during the FLM was significantly lower than that during the OWS (45 ± 15 vs 66 ± 20 counts/s, P &lt; .001). Conclusion This new method offers opportunities for studies investigating the experience of living with PAD and the assessment of daily life walking capacity for both diagnostic and therapeutic purposes.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>31271680</pmid><doi>10.1111/sms.13511</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-1318-4745</orcidid><orcidid>https://orcid.org/0000-0002-3688-6574</orcidid><oa>free_for_read</oa></addata></record>
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ispartof Scandinavian journal of medicine & science in sports, 2019-11, Vol.29 (11), p.1813-1826
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source Wiley-Blackwell Read & Publish Collection; SPORTDiscus
subjects Accelerometry
Aged
Cross-Sectional Studies
event history analysis
Exercise
Exercise Test
Exercise Tolerance
Female
Fitness equipment
Humans
intermittent claudication
Male
Middle Aged
Pain
Pain - etiology
Peripheral Arterial Disease - complications
physical activity
Walking
Wearable computers
Wearable Electronic Devices
title Using wearable monitors to assess daily walking limitations induced by ischemic pain in peripheral artery disease
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