[The effect of training by walking in relation to age and comorbidity using the Essen model].
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Biomedical subjects
Publications and source records attributed to U Klemp.
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Patients suffering from intermittant claudiation should be treated mainly by walking. Following the example of Weidinger and Bachl, who established in Vienna 1981 for these patients walking groups, we also started with this treatment in Essen. Since 1988 117 patients, 68 men and 49 women took part regularly at least 3 months in one of the walking groups. Only 9% of the patients could not improve their walking distance.
64 patients (60 to 83 years old) with intermittent claudication underwent a six months lasting supervised exercise walk training. Most of them suffered from concomitant disease impairing walking performance or just weakness by age. Walking distance was measured in the beginning and after 3 and 6 months. We found an improvement in walking distance in all groups (60-64 years: 273%; 75-83 years: 196.6%) So we recommend to apply walk training to a much more patients even with concomitant disease are of old age.
Heparinassociated thrombocytopenia has been reported for over 35 years. This reaction can result in serious thromboembolic complications. The primary mechanism responsible for this reaction is thought to be an immunologic process. The author reports a severe thrombocytopenia, acute thrombotic occlusion of the leg, acute aortal thrombosis, deep-vein thrombosis and pulmonary emboli occurred simultaneously in a 75-year-old woman within 11 days of starting a subcutaneous low-dose heparin prophylaxis.