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  1. Carter, Cleve DPT, PT
  2. Martinez, Mirna DPT, PT
  3. Purnell, Gentry DPT, PT
  4. Chesbro, Steven B. PT, DPT, EdD, GCS


Purpose: Peripheral arterial disease (PAD) is common in older adults, African Americans, adults with a history of cardiovascular disease, diabetes, and obesity, and those who smoke. Residents of long-term care facilities are generally at high risk for PAD. The purpose of this study was to identify residents of a long-term care facility who had no previous diagnosis of the disease.


Methods: Fifty of 117 residents of a long-term care facility in Alabama who were able to provide consent agreed to participate in this study. Ages of participants ranged from 50 to 99 years. Three raters calculated ankle-brachial index (ABI) scores for each of the residents.


Results: Screening residents of this long-term care facility led to the identification of 23 participants who had abnormal ABI values. Twenty-seven participants had a normal ABI (56%), 1 was identified as having severe PAD (2%), 17 (34%) had mild to moderate PAD, 2 had borderline PAD, (4%), and 2 had noncompressible vessels (4%). Hypertension was a predominant risk factor for those with abnormal ABI values. Diabetes and smoking were other identifiable risk factors associated with abnormal ABI values.


Conclusion: The screening of ABI may identify residents of long-term care facilities who had no previous diagnosis of PAD.