Ankle Brachial Index
Clinical application: decisions about use of compression, and use
of sharp debridement. Prognostic for wound healing.
Ankle SBP / Brachial SBP
Must have a doppler US to hear SBP at the dorsalis pedis artery.
Cuff goes around calf).
For normal persons, leg SBP is higher than brachial SBP.
arterial disease (intermittent claudication pain)
arterial disease (claudication pain at rest)
arterial disease (risk of gangrene)
According to O’Sullivan, S.B. and Schmitz T.J. (Eds.). (2007). Physical rehabilitation: assessment and treatment (5th ed.). Philadelphia: F. A. Davis Company. p.660
||Peripheral Arterial Disease
|0.8 - 0.5
According to Watchie, J. (2010). Cardiovascular and Pulmonary Physical Therapy. (2nd ed.). Philadelphia: Saunders-Elsevier. p.253
Falsely high values that
are > 1.2 may indicate arteriosclerosis (diabetes), because
the vessels are calcified and non-compressible by the BP cuff. Referral
for other testing would be appropriate.