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Accession Number:
AD0647537
Title:
CHARACTERISTIC PACE - A POTENTIAL TOOL FOR VASCULAR SURGEONS,
Descriptive Note:
Corporate Author:
ARMY MEDICAL RESEARCH LAB FORT KNOX KY
Report Date:
1966-12-07
Pagination or Media Count:
16.0
Abstract:
The purpose of the present paper was to investigate the relevancy, availability, and effectiveness of providing the vascular surgeon access to a valid and reliable behavioral measure. 1 Operations for femoral-popliteal occlusive disease are frequently indicated by a particularly elusive symptom--claudication. A reliable measure of walking behavior was shown to provide a meaningful basis for a quantifying the subjective evaluations inherent in claudication as one of the primary indicants for surgery b differentiating, comparing and grouping patients on the basis of extent of claudication c describing and communicating more fully and objectively the results of an operation and d comparing the results of a particular operation with norms developed from the results of comparable and also different surgical techniques. 2 A tracking-treadmill procedure was described which provides the basis for a valid and reliable behavioral measure--the patients characteristic or comfortable-but-determined C-D pace, stable on any given day and, after practice, from day to day, yet patients C-D paces differ significantly from each other. 3 Applying the tracking-treadmill procedure and obtaining C-D pace measures in an actual case provided the surgeon the opportunity to a evaluate intermittent claudication following bilateral autogenous saphenous vein bypass grafts for femoral-popliteal occlusive disease b describe the degree of walking impairment in quantitative terms c relate the degree of impairment to a certain set of norms and d specify realistic work situations in which the patient could not be expected to function. Author
Distribution Statement:
APPROVED FOR PUBLIC RELEASE