Abraham P, Desvaux B, Saumet J L
Laboratoire d'explorations vasculaires et de medecine du sport, Centre hospitalier universitaire, Angers, France.
Clin Physiol. 1998 Jul;18(4):321-6. doi: 10.1046/j.1365-2281.1998.00100.x.
Previous works have focused on the normal ankle and arm pressure response to maximum bicycle exercise or moderate walking tests. The aim of the present work was to compare the normal ankle and arm pressure and ankle-brachial index response to incremental maximum bicycle and treadmill exercise in 13 athletes (11 men, two women, 24 +/- 11 years) No difference was found at rest on both ankle pressure 139 +/- 21 vs. 163 +/- 22 mmHg and ankle-brachial index 1.18 +/- 0.09 vs. 1.17 +/- 0.10 between bicycle and treadmill tests respectively (mean +/- SD). One minute after maximum exercise, no difference in arm pressure was found between bicycle (182 +/- 16 mmHg) and treadmill tests (190 +/- 17 mmHg), whereas ankle pressure was 139 +/- 21 vs. 163 +/- 22 mmHg respectively (P < 0.05). As a result, a significant difference was found in the ankle-brachial index 0.76 +/- 0.10 vs. 0.86 +/- 0.10 (P < 0.05) between bicycle and treadmill ergometers during the first minute of the recovery period. Although performed at comparable workloads, a significant difference was noted between running and cycling tests. Thereby, the limit cut-off point for the diagnosis of lower extremity arterial disease in athletes defined for maximum bicycle tests may not apply to maximum incremental treadmill tests.
以往的研究主要关注正常踝关节和手臂对最大强度自行车运动或中等强度步行测试的压力反应。本研究的目的是比较13名运动员（11名男性，2名女性，年龄24±11岁）在递增式最大强度自行车运动和跑步机运动中正常踝关节和手臂压力以及踝臂指数的反应。在自行车测试和跑步机测试中，静息时踝关节压力分别为139±21 mmHg和163±22 mmHg，踝臂指数分别为1.18±0.09和1.17±0.10，均未发现差异（均值±标准差）。最大运动后1分钟，自行车测试（182±16 mmHg）和跑步机测试（190±17 mmHg）的手臂压力没有差异，而踝关节压力分别为139±21 mmHg和163±22 mmHg（P<0.05）。因此，在恢复期的第一分钟，自行车测力计和跑步机测力计之间的踝臂指数存在显著差异，分别为0.76±0.10和0.86±0.10（P<0.05）。尽管在相当的工作量下进行，但跑步和骑自行车测试之间仍存在显著差异。因此，为最大强度自行车测试定义的运动员下肢动脉疾病诊断的极限临界点可能不适用于最大递增式跑步机测试。
