{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:03:25Z","timestamp":1793325805609,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T00:00:00Z","timestamp":1249084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasc Med"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:p>Abstract<\/jats:p>\n                  <jats:p>The efficacy of treadmill walking training to improve pain-free (PFWD) and maximal (MWD) walking distance in patients with claudication is well documented. The effects of aerobic arm-ergometry to improve PFWD and MWD compared to treadmill walking or usual care are not known. Forty-one participants (29 male, 12 female, mean age 67.7 years, 92.7% smoking history, 36.6% with diabetes) with lifestyle-limiting claudication were randomized to 12 weeks of 3 hours\/week of supervised exercise training using either arm-ergometry, treadmill walking, or a combination, versus control. PFWD and MWD were assessed before and after training, and after 12 weeks of follow-up. The 12-week MWD increased significantly in the arm-ergometry (+53%), treadmill (+69%), and combination (+68%) groups ( p\u00a0&lt;\u00a00.002 versus control). The 24-week MWD was maintained in the arm-ergometry ( p\u00a0=\u00a00.009) and treadmill ( p\u00a0=\u00a00.019) groups, whereas the combination group declined ( p\u00a0=\u00a00.751) versus control. The 12-week PFWD increased significantly in the arm-ergometry group (+82%; p\u00a0=\u00a00.025 versus control). Change in PFWD in treadmill (+54%; p\u00a0=\u00a00.196 versus control) and combination (+60%; p\u00a0=\u00a00.107 versus control) groups did not reach statistical significance. PFWD improvement was maintained in the arm-ergometry group after a 12-week follow-up (+123%; p\u00a0=\u00a00.011 versus control). In conclusion, these pilot data demonstrate for the first time that dynamic arm exercise training can improve walking capability in people with peripheral arterial disease (PAD)-induced claudication compared to participants receiving usual care and that improvement was not different from that seen with treadmill walking exercise training. Dynamic arm exercise may be a therapeutic exercise option for patients with PAD.<\/jats:p>","DOI":"10.1177\/1358863x08101858","type":"journal-article","created":{"date-parts":[[2009,8,3]],"date-time":"2009-08-03T06:33:12Z","timestamp":1249281192000},"page":"203-213","source":"Crossref","is-referenced-by-count":112,"title":["Efficacy of arm-ergometry versus treadmill exercise training to improve walking distance in patients with claudication"],"prefix":"10.1177","volume":"14","author":[{"given":"Diane","family":"Treat-Jacobson","sequence":"first","affiliation":[{"name":"University of Minnesota School of Nursing; Center for Gerontological Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf G","family":"Bronas","sequence":"additional","affiliation":[{"name":"University of Minnesota School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur S","family":"Leon","sequence":"additional","affiliation":[{"name":"University of Minnesota School of Kinesiology, Laboratory of Physiological Hygiene and Exercise Science"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2009,8,3]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01123.x"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.12.010"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.71.3.510"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199202063260605"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(96)80136-5"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(05)80018-8"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1097\/00001573-199110000-00013"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.81.2.602"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(05)80040-0"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X9700200313"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra021135"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.90.4.1866"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1097\/00008483-200205000-00011"},{"key":"atypb14","first-page":"CD000990","volume":"2","author":"Leng GC","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1987.62.6.2383"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.104104"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.08.021"},{"key":"atypb18","volume-title":"Guidelines for exercise testing and prescription.","author":"American College of Sports Medicine","year":"1986"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X9600100112"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530120067043"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200434140-00004"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1249\/00005768-198820020-00006"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1007\/BF00421760"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1007\/BF02337178"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000176346.94747.49"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.2002.01055.x"},{"key":"atypb27","first-page":"201","volume":"128","author":"Holm J","year":"1973","journal-title":"Scand J Clin Lab Invest Suppl"}],"container-title":["Vascular Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1358863X08101858","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1358863X08101858","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:23:02Z","timestamp":1777692182000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1358863X08101858"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1177\/1358863X08101858"],"URL":"https:\/\/doi.org\/10.1177\/1358863x08101858","relation":{},"ISSN":["1358-863X","1477-0377"],"issn-type":[{"value":"1358-863X","type":"print"},{"value":"1477-0377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,8]]}}}