Exercise for intermittent claudication

Watson, Lorna; Ellis, Brian; Leng, Gillian

doi:10.1002/14651858.cd000990.pub2

Cited by 213 publications

(196 citation statements)

References 69 publications

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“…Reviews of exercise therapy for intermittent claudication have concluded that average study numbers in this patient population range from 20-59 participants as most patients are elderly and co-morbidities are common [3,4 ]. Results demonstrated that participation in a supervised exercise programme resulted in improvements in functional capacity and quality of life at one year.…”

Section: Conclusion Conclusion Conclusionmentioning

confidence: 99%

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One-year effect of a supervised exercise programme on functional capacity and quality of life in peripheral arterial disease

Guidon

McGee

2012

Disability and Rehabilitation

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This Article is brought to you for free and open access by the School of Physiotherapy at e-publications@RCSI. It has been accepted for inclusion in School of Physiotherapy Articles by an authorized administrator of epublications@RCSI. For more information, please contact epubs@rcsi.ie. • to copy, distribute, display, and perform the work.• to make derivative works. Under the following conditions:• Attribution -You must give the original author credit.• Non-Commercial -You may not use this work for commercial purposes.• impact on functional capacity and quality of life (QoL). Exercise programmes result in significant improvements in walking distances but long-term effects are uncertain.The aim of this study was to assess the one-year effects of participation in a 12-week supervised exercise programme for PAD patients. Methods Methods MethodsMethods Patients were randomly allocated to a control (n=16) or an exercise (n=28) group. Data regarding functional capacity (Walking Impairment Questionnaire WIQ), disease-specific QoL (Intermittent Claudication Questionnaire ICQ) and generic QoL (SF-36) were collected at baseline, 12 weeks and one year. Results Results ResultsResults At 12 weeks, there was a trend towards improved QoL in both groups, greater in the exercise group (p=.066) and a trend towards improved functional capacity (WIQ Stair-climbing p=.093) in the exercise group. At one year, improvements in the exercise group (although reduced from those recorded immediately following the exercise programme) were maintained from baseline.Scores in the control group reflected a continuing deterioration in functional capacity and QoL. Conclusions Conclusions ConclusionsConclusions Participation in a supervised exercise programme results in improvements in functional capacity and QoL at one year post-participation.

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Section: Conclusion Conclusion Conclusionmentioning

confidence: 99%

“…Exercise interventions have resulted in significant increases in treadmill walking distances [ 3 ] but the effects of these increases on quality of life and functional capacity in the community setting are unclear [4 ]. In addition the longterm benefits in this patient population are also uncertain [3].…”

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confidence: 99%

One-year effect of a supervised exercise programme on functional capacity and quality of life in peripheral arterial disease

Guidon

McGee

2012

Disability and Rehabilitation

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“…[10,11] Diyabetik hasta grubunda ek olarak sıkı kan şekeri takibi önerilmektedir. Çoğu hasta grubunda tedavi algoritmasında başlangıçta yer alan medikal tedaviyle kronik asemptomatik hastalarda faydalanım yüksek iken, kritik bacak iskemisi olan hastalarda genellikle yetersiz kalabilmektedir.…”

Section: Discussionunclassified

Revascularization of amputation candidate diabetic feet

Uzun¹

2013

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada ileri evre distal periferik arter hastalığı olan amputasyon adayı diyabetik hastalarda uygulanan cerrahi distal revaskülarizasyon ile medikal tedavinin sonuçları karşılaştırıldı.Ça lış ma pla nı: Mart 2008 -Kasım 2010 tarihleri arasında diyabetik ayak ve kritik uzuv iskemisi nedeniyle kliniği-mize başvuran 40 hasta prospektif olarak çalışmaya dahil edildi. Tüm hastalar Fontaine sınıf 4 olarak sınıflandırıldı. Hastaların 21'ine (ort. yaş 63.5 yıl) diz altı cerrahi revaskü-larizasyon uygulanırken, 19'una (ort. yaş 67.9 yıl) medikal tedavi uygulandı. Medyan takip süresi 28 aydı (dağılım 16-47 ay). Hastaların klinik bulguları, amputasyon kayıtları ve greft açıklık oranları kaydedildi. Bul gu lar:Takip süresince cerrahi grubunda yedi hastada greft darlığı gözlendi. Cerrahi grubunda primer ve sekonder greft açıklık oranları sırasıyla %66.7 ve %80.9 idi. Ortalama uzuv kayıpsız geçen süre cerrahi grupta 42.3±2.7 ay iken medikal tedavi verilen hastalarda 31.5±4.1 ay idi. Ameliyat sonrası 12, 24 ve 30 aylık ekstremite korunması oranı sırasıy-la %90.5, %85.7 ve %81 idi. Medikal tedavi verilen hastalarda ise 12 ve 24 aylık ekstremite korunması oranı sırasıyla %78.9 ve %52.6 olarak saptandı (p<0.05).So nuç:Amputasyon adayı diyabetik hastalar distal yerleşimli periferik arter hastalığı mevcudiyetinde dahi cerrahi revaskülarizasyondan anlamlı fayda görebilirler. Cerrahi tedaviyle amputasyon oranları ve düzeyleri azaltılabilir ve uzuv kaybı olmadan zaman ve ekstremite kurtarma oranları artırılabilir.Anah tar söz cük ler: Ateroskleroz; diyabetik ayak; distal baypas; revaskülarizasyon.Background:In this study, we compared the results of distal surgical revascularization with medical therapy of amputation candidate diabetic patients with severe distal type peripheral arterial disease.

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“…Established strategies for PAD care include: reduction of atherosclerosis risk factors (Table 1), pharmacology (vasoactive agents, rheology improvement agents) and invasive treatment in advanced stages (endovascular therapy -percutaneous transluminal angioplasty or surgical interventions such as endarterectomy and lower extremity revascularization) [1,[7][8][9]. However, a key PAD treatment (used in stage II according to the Fontaine Classification, Table 2) which improves claudication distance is exercise training [10,11]. Regular aerobic exercise, more than any pharmacological or surgical intervention, has been shown to be an effective treatment option regardless of other atherosclerotic risk factors [12,13].…”

Section: Introductionmentioning

confidence: 99%