About this trial
The goal of this clinical trial is to assess the effects of passive calf muscle stretching in patients diagnosed with peripheral artery disease (PAD). The main question it aims to answer are:
1. To determine if daily calf muscle stretching at home improves calf muscle and vascular health. 2. To determine if daily calf muscle stretching at home improves walking performance.
Participants will use inflatable ankle splints for 30 minutes a day, 5 days a week for 4-weeks on both days and 4-weeks of no stretching.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Presence of PAD
Stable condition (PAD symptoms) for at least 3 months
Age 40-85
Men and women who are not pregnant or nursing
Disqualifiers
Ischemic leg pain at rest; critical limb ischemia (ulceration or gangrene)
Any condition other than PAD that limits the ability to walk
Major surgery or lower extremity revascularization surgery in the past 6 months
Myocardial infarction within past 6 months or unstable angina
Trial design
Crossover
Treatments tested in this trial
Passive calf muscle stretching device
DeviceModified night splints will be used to passive stretch the calf muscle.
Treatment groups
Trial outcomes
Primary outcomes
6-minute walk test distance
Submaximal exercise test used to assess aerobic capacity and endurance
Muscle to tendon ratio
The ratio of gastrocnemius muscle fascicle length to Achilles' tendon length will be measured using ultrasound
Endothelial function
Popliteal flow-mediated dilation will be measured as a index of macrovascular endothelial function in the leg.
Sponsors and contacts
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Penn State University
Lead sponsor
American Heart Association
Collaborator