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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 |
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container_issue | 11 |
container_start_page | 1813 |
container_title | Scandinavian journal of medicine & science in sports |
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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 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2253310644</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2306370322</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3881-509b7ca13a5139c163f9b4704cb3af632d16f8dde2b928a2276785882437453d3</originalsourceid><addsrcrecordid>eNp10ctu1TAQBmALgeihsOAFkCU2sEhre5LYWaKqXKRWLNquLSeeUBfnUk-io7w9bk9hgVRvZuFPv0bzM_ZeihOZ3ykNdCKhkvIF28laiEIYMC_ZTjSiKrQ05oi9IboTQuqmrF6zI5BKy9qIHbu_oTD-4nt0ybUR-TCNYZkS8WXijgiJuHchbnzv4u8HGcMQFreEaSQeRr926Hm78UDdLQ6h47MLY_7gM6Yw32Jykbu0YNq4D4SO8C171btI-O5pHrObr-fXZ9-Li5_ffpx9uSg6MEYWlWha3TkJrpLQdLKGvmlLLcquBdfXoLyse-M9qrZRximla20qY1QJuqzAwzH7dMid03S_Ii12yEtijG7EaSWrVAUgRV2WmX78j95NaxrzdlaBqEELUCqrzwfVpYkoYW_nFAaXNiuFfejB5h7sYw_ZfnhKXNsB_T_59_AZnB7APkTcnk-yV5dXh8g_IWqRxQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2306370322</pqid></control><display><type>article</type><title>Using wearable monitors to assess daily walking limitations induced by ischemic pain in peripheral artery disease</title><source>Wiley-Blackwell Read & Publish Collection</source><source>SPORTDiscus</source><creator>Chaudru, Ségolène ; Jehannin, Pierre ; de Müllenheim, Pierre‐Yves ; Klein, Hélène ; Jaquinandi, Vincent ; Mahé, Guillaume ; Le Faucheur, Alexis</creator><creatorcontrib>Chaudru, Ségolène ; Jehannin, Pierre ; de Müllenheim, Pierre‐Yves ; Klein, Hélène ; Jaquinandi, Vincent ; Mahé, Guillaume ; Le Faucheur, Alexis</creatorcontrib><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 < .001) and MWT[Strandness] (r = .821, P < .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 < .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 & science in sports, 2019-11, Vol.29 (11), p.1813-1826</ispartof><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & 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 & 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 < .001) and MWT[Strandness] (r = .821, P < .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 < .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 & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of medicine & 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 & 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 < .001) and MWT[Strandness] (r = .821, P < .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 < .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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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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