title: Heel-rise test in the assessment of individuals with peripheral arterial occlusive disease.
abstract: BACKGROUND
  The heel-rise test (HRT) is a clinical instrument relevant to vascular rehabilitation that has been proposed to assess the function of the triceps surae muscle. To use HRT in the assessment of individuals with peripheral arterial occlusive disease (PAOD), its ability to detect differences in the functional performance of patients with PAOD must be verified.
  
  
  OBJECTIVE
  To verify whether the test is sensitive in differentiating between individuals with PAOD with distinct functional capacities.
  
  
  METHODS
  A transversal study in which individuals with PAOD were assessed using the HRT, the Walking Impairment Questionnaire (WIQ), and the Shuttle Walk Test. The following variables were analyzed: number of plantar flexions performed in the HRT (time in seconds) and velocity (plantar flexions per second) when performing plantar flexions up to the point of volunteer fatigue, maximum distance walked in the Shuttle Walk Test, and scores obtained in each WIQ domain.
  
  
  RESULTS
  Twenty-five individuals (14 male) were included in the study, with a mean age of 63.36 ± 9.83 years. The variables number of plantar flexions and time to perform the HRT were sensitive enough to differentiate between distinct functional capacities in individuals with PAOD (P = 0.003 and P = 0.009, respectively). However, this result was not found for the variable of velocity in the HRT. The number of plantar flexions in the HRT was sensitive enough to differentiate individuals of extreme classes on the WIQ domain, stairs (P = 0.008).
  
  
  CONCLUSIONS
  The HRT can be applied in clinical practice as a valid assessment of the distinct function capacities of individuals with PAOD.
authors: Rehabilitation Sciences of the Universidade Federal de Minas Gerais, Belo Horizonte-MG, Brazil.
authors: Débora Pantuso
authors: DP
authors: Monteiro
authors: Raquel Rodrigues
authors: RR
authors: Britto
authors: Ana Clara Ribeiro
authors: AC
authors: Lages
authors: Marluce Lopes
authors: ML
authors: Basílio
authors: Monize Cristine
authors: MC
authors: de Oliveira Pires
authors: Maria Luiza Vieira
authors: ML
authors: Carvalho
authors: Ricardo Jayme
authors: RJ
authors: Procópio
authors: Danielle Aparecida Gomes
authors: DA
authors: Pereira
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005080:Exercise Test; D017079:Exercise Tolerance; D005260:Female; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D009119:Muscle Contraction; D018763:Muscle Fatigue; D018482:Muscle, Skeletal / Q000098:blood supply* / Q000503:physiopathology*; D058729:Peripheral Arterial Disease / Q000175:diagnosis* / Q000503:physiopathology; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013997:Time Factors; D016138:Walking
keywords: functional capacity; heel-rise test; peripheral arterial disease; shuttle walk test; walking impairment questionnaire
references: Scand J Rehabil Med. 1998 Jun;30(2):73-80
references: 9606768
references: Thromb Res. 2002 Jun 1;106(6):V295-301
references: 12359342
references: J Vasc Surg. 1996 Jan;23(1):104-15
references: 8558725
references: J Am Geriatr Soc. 2008 Apr;56(4):724-9
references: 18284536
references: Phys Med Rehabil Clin N Am. 2009 Nov;20(4):627-56
references: 19781503
references: Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7
references: 12091180
references: Lancet. 1997 Nov 15;350(9089):1459-65
references: 9371181
references: Can J Cardiol. 2008 Feb;24(2):131-5
references: 18273487
references: Phys Ther. 1995 Aug;75(8):694-8
references: 7644573
references: J Vasc Surg. 2012 Jun;55(6):1662-73.e2
references: 22608041
references: Circulation. 2011 Jan 4;123(1):87-97
references: 21200015
references: Eur J Cardiovasc Prev Rehabil. 2010 Apr;17(2):140-54
references: 20215969
references: Circulation. 1994 Oct;90(4):1866-74
references: 7923674
references: J Appl Physiol (1985). 1996 Aug;81(2):780-8
references: 8872646
references: Arq Bras Cardiol. 2009 Feb;92(2):136-49
references: 19360247
references: Eur J Vasc Endovasc Surg. 2007 Mar;33(3):325-9
references: 17137808
references: Thorax. 1992 Dec;47(12):1019-24
references: 1494764
references: Lancet. 2001 Oct 13;358(9289):1257-64
references: 11675083
references: J Endovasc Ther. 2007 Oct;14(5):743-4
references: 17924742
references: J Vasc Surg. 2004 Jul;40(1):73-8
references: 15218465
references: Clin Cornerstone. 2002;4(5):1-15
references: 12425180
references: Circulation. 1993 Feb;87(2):413-21
references: 8425290
references: JAMA. 2009 Jan 14;301(2):165-74
references: 19141764
references: Med Sci Sports Exerc. 2001 Dec;33(12):2016-21
references: 11740293
references: Clin Rehabil. 2005 May;19(3):339-44
references: 15859535
references: J Am Geriatr Soc. 2007 Mar;55(3):400-6
references: 17341243
references: Circulation. 2004 Jun 1;109(21):2617-25
references: 15173044
references: JAMA. 1995 Sep 27;274(12):975-80
references: 7674529
references: Sports Med. 2010 May 1;40(5):433-47
references: 20433214