Diagnosing external iliac endofibrosis by postexercise ankle to arm index in cyclists

FERNÁNDEZ-GARCÍA, BENJAMÍN; ALVAREZ FERNÁNDEZ, JAVIER; VEGA GARCÍA, FLORENTINO; TERRADOS, NICOLÁS; RODRÍGUEZ-ALONSO, MANUEL; ALVAREZ RODRÍGUEZ, EMILIA; JAVIER RODRÍGUEZ OLAY, JOSÉ; MANUEL LLANEZA COSO, JOSE; ANTONIO CARREÑO MORRONDO, JOSE; ÁNGELES MENENDEZ-HERRERO, MARIA; MARÍA GUTIERREZ JULIÁN, JOSE

Medicine & Science in Sports & Exercise: February 2002 - Volume 34 - Issue 2 - pp 222-227
CLINICAL SCIENCES: Clinically Relevant

FERNÁNDEZ-GARCÍA, B., J. ALVAREZ FERNÁNDEZ, F. VEGA GARCÍA, N. TERRADOS CEPEDA, M. RODRÍGUEZ ALONSO, E. ALVAREZ RODRÍGUEZ, J. J. RODRÍGUEZ OLAY, J. M. LLANEZA COSO, J. A. CARREÑO MORRONDO, M. Á. MENENDEZ-HERRERO, and J. M. GUTIERREZ JULIÁN. Diagnosing external iliac endofibrosis by postexercise ankle to arm index in cyclists. Med. Sci. Sports Exerc., Vol. 34, No. 2, pp. 222–227, 2002.

Purpose: The aim of this study was to determine a noninvasive method of evaluating external iliac endofibrosis in cyclists.

Methods: Eighteen highly trained male cyclists were divided into two groups: a pathology group (PG; 3 professional and 4 elite) and a control group (CG; 6 professional and 5 elite). Mean age was 26 ± 6.1 yr for the PG and 24 ± 4.09 for the CG. We studied humeral and tibial posterior pressure by using Doppler ultrasound and the ankle to arm index (AAI) before and after an incremental exercise test, performed on bike-ergometer until exhaustion. A Wilcoxon test was used to compare pressures and AAI in the PG. A Mann-Whitney test was used to compare the PG with the CG. Fisher discriminant analysis was done to obtain a classification of the legs in ill or normal legs.

Results: The minimal AAI achieved in the PG was 0.76 ± 0.13 for the normal leg (NL) and 0.35 ± 0.04 for the ill leg (IL). We found significant differences (P < 0.01) from the 1st to 4th minute after exercise between the NL and the IL in the PG, and from the 1st to 10th minute after exercise between the IL and CG. We found significant differences in leg pressures between NL and IL in PG from the 1st to 4th minute (P < 0.01), and from the 1st to the 10th minute after exercise between CG and IL in the PG. Through discriminant analysis, we obtained a classification of the legs as ill or normal by applying a mathematical function at each recovery time studied.

Conclusions: AAI and leg pressures response to maximal exercise is a valid and noninvasive method for the evaluation of external iliac endofibrosis.

Sports Medicine Department, Fundación Deportiva Municipal de Avilés, and Department of Functional Biology, Oviedo University, Oviedo, SPAIN; Vascular Surgery Department, Central Hospital of Asturias, SPAIN; Radiology Department, Central Hospital of Oviedo, Oviedo, SPAIN; and ONCE Pro-Cycling Team

Submitted for publication October 2000.

Accepted for publication May 2001.

© 2002 Lippincott Williams & Wilkins, Inc.