Reliability of ankle brachial index in patients with neurological deficits on ischemic episode of the limbs following Burgers exercises: open labelled clinical trial


  • Ganesh B. R. KLEU Institute of Physiotherapy, Belagavi, Karnataka
  • V. A. Kothiwale Jawaharlal Nehru Medical College, Belagavi, Karnataka



Ankle brachial index, Neurological deficits, Ischemia, Burgers exercises


Background: Peripheral arterial disease (PAD) is associated with significant morbidity and mortality and is an important marker of subclinical coronary heart disease. In some studies it has been found that surgical intervention alone or physical training alone does not provide good results. Aim of the study was to assess the reliability of ankle brachial index in patients with neurological deficits on ischemic episode of limbs following Burgers exercises.

Methods: It was an open labelled clinical trial. Total 35 patients of both male and females were included in this open labelled clinical trial. Two measuring technique ABI and VAS, one exercise program, unsupervised home exercise program and patients advice was part of procedure. Intervention was given at 1st day, 3rd month and 6th month.

Results: The study proves  that VAS,  ABI  showed  statistical significant difference when analyzed   between 1st  day to 3rd month, 1st day to 6th month  and  3rd month to 6th month  with ‛ p ’ value <0.0001.

Conclusions: Physical therapy in the form of Burger’s exercise with life style modification is significant in improving quality of life in the form of reducing severity of claudication pain and improving walking distance. Therefore the present study concludes that ABI is a reliable, simple, safe and standard gold diagnostic tool in assessing ischemic episode of the limbs in patients with neurological deficits following burgers exercises.



Ezekowitz MD. Major cardiovascular disorders, peripheral vascular disease. 205-14.

Selvin E, Erlinger TP. Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey. Circulation. 2004;110(6):738-43.

Premalatha G, Shanthirani S, Deepa R, Markovitz J, Mohan V. Prevalence and risk factors of peripheral vascular disease in a selected South Indian population: the Chennai Urban Population Study. Diabetes Care. 2000;23(9):1295-300.

Weitz JI, Byrne J, Clagett GP, Farkouh ME, Porter JM, Sackett DL, et al. Diagnosis and treatment of chronic arterial insufficiency of the lower extremities: a critical review. Circulation. 1996;94:3026-49.

Jelnes R, Gaardsting O, Hougaard Jensen K, Baekgaard N, Tonnesen KH, Schroeder T. Fate in intermittent claudication: outcome and risk factors. Br Med J (Clin Res Ed). 1986;293:1137-40.

Marston WA, Davies SW, Armstrong B, Farber MA, Mendes RC, Fulton JJ, et al. Natural history of limbs with arterial insufficiency and chronic ulceration treated without revascularization. J Vasc Surg. J Vasc Surg. 2006;44(1):108-14.

Athyros VG, Mikhailidis DP, Papageorgiou AA, Didangelos TP, Ganotakis ES, Symeonidis AN, et al. METS-GREECE Collaborative Group Prevalence of atherosclerotic vascular disease among subjects with the metabolic syndrome with or without diabetes mellitus: the METS-GREECE Multicentre Study. Curr Med Res Opin. 2004;20:1691-701.

Hamalainen H, Ronnemaa T, Halonen JP, Toikka T. Factors predicting lower extremity amputations in patients with Type 1 or Type 2 diabetes mellitus: a population based 7-year follow-up study. J Intern Med. 1999;246:97-103.

Lu JT, Creager MA. The relationship of cigarette smoking to peripheral arterial disease. Rev Cardiovasc Med. 2004;5:189-93.

Price JF, Mowbray PI, Lee AJ, Rumley A, Lowe GD, Fowkes FG. Relationship between smoking and cardiovascular risk factors in the development of peripheral arterial disease and coronary artery disease: Edinburgh Artery Study. Eur Heart J. Eur Heart J. 1999;20(5):344-53.

Ridker PM, Stampfer MJ, Rifai N. Novel risk factors for systemic atherosclerosis: a comparison of C-reactive protein, fibrinogen, homocysteine, lipoprotein(a), and standard cholesterol screening as predictors of peripheral arterial disease. JAMA. 2001;285:2481–5.

Cui R, Iso H, Yamagishi K, Tanigawa T, Imano H, Ohira T, et al. Relationship of smoking and smoking cessation with ankle-to-arm blood pressure index in elderly Japanese men. Eur J Cardiovasc Prev Rehabil. 2006;13(2):243-8.

Mukherjee D, Yadav JS. Update on peripheral vascular diseases: from smoking cessation to stenting. Cleve Clin J Med. 2001;68:723-33.

Milani RV, Lavie CJ. the role of exercise training in peripheral arterial disease. Vascular medicine. 2007;12:351-8.




How to Cite

B. R., G., & Kothiwale, V. A. (2017). Reliability of ankle brachial index in patients with neurological deficits on ischemic episode of the limbs following Burgers exercises: open labelled clinical trial. International Journal of Research in Medical Sciences, 4(8), 3440–3443.



Original Research Articles