The role of kinesitherapy and electrotherapeutic procedures in non-operative management of patients with intermittent claudications

Marković, Milan; Marković, Danica M; Dragaš, Marko; Končar, Igor; Banzić, Igor; Ille, Mihailo; Davidović, Lazar

doi:10.1177/1708538115593651

Cited by 3 publications

(4 citation statements)

References 37 publications

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“…This review included 3695 participants and randomised controlled trials sample sizes ranged from seven [34] to 304 [53]. Randomised controlled trials were conducted in 16 countries: USA (n ¼ 11) [31,32,38,41,42,52,63,64,70,74,75], Brazil (n ¼ 10) [30,33,34,43,47,51,55,56,69,71], UK (n ¼ 6) [40,49,58,60,72,73], Poland (n ¼ 4) [29,50,57,61], The Netherlands (n ¼ 3) [39,44,53], Slovenia (n ¼ 2) [54,67], Norway (n ¼ 2) [28,62], New Zealand (n ¼ 1) [27], Ireland (n ¼ 1) [45], Serbia (n ¼ 1) [48], Italy (n ¼ 1) [46], Austria (n ¼ 1) [59], Australia (n ¼ 3) [35][36][37], France (n ¼ 1) …”

Section: Trial Characteristicsmentioning

confidence: 99%

“…Interventions were either (i) supervised and completed in a healthcare facility only (n ¼ 26) [27-29,34-37,41-45,49-51,53-55, 57-59,63,70,72] (ii) supervised at a healthcare facility and also at home by telephone (n ¼ 3) [32,52,64], (iii) supervised at a healthcare facility and unsupervised at home (n ¼ 6) [30,39,66,71,73,75] (iv) supervised remotely at home only(n ¼ 2) [38,40] or (v) unsupervised at home (n ¼ 3) [46,60,72]. Nine studies did not specify the intervention setting [31,33,48,56,61,62,[67][68][69] Interventions included treadmill training (n ¼ 16) [29,33,[35][36][37]39,41,42,44,50,52,54,57,63,69,75], outdoor walking programmes (n ¼ 13) [30,32,40,46,48,61,64,...…”

Section: Trial Characteristicsmentioning

confidence: 99%

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Inequity in exercise-based interventions for adults with intermittent claudication due to peripheral arterial disease: a systematic review

Bearne

Delaney

Nielsen

et al. 2022

Disability and Rehabilitation

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Purpose: To determine the equity in access to trials of exercise interventions for adults with intermittent claudication due to peripheral arterial disease. Methods: Systematic electronic database searches of MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Clinical Trials, PEDRO, Opengrey, ISRCTN and ClinincalTrials.gov for randomised controlled trials of exercise interventions for adults with intermittent claudication were conducted. Data extraction was informed by Cochrane's PROGRESS-Plus framework.Results: Searches identified 6412 records. Following the screening of 262 full texts, 49 trials including 3695 participants were included. All trials excluded potential participants on at least one equity factor. This comprised place of residence, language, sex, personal characteristics (e.g., age and disability), features of relationships (e.g., familial risk factors) and time-dependent factors, (e.g., time since revascularisation).Overall, 1839 of 7567 potential participants (24.3%) were excluded based on equity factors. Disability was the most frequently reported factor for exclusions. Conclusion:Trialists endeavour to enrol a representative sample in exercise trials whilst preserving the safety profile of the intervention. This review highlights that these efforts can inadvertently lead to inequities in access as all trials excluded potential participants on at least one equity factor. Future exercise trials should optimise participation to maximise generalisability of findings. PROSPERO registration no. CRD42020189965. � IMPLICATIONS FOR REHABILITATION� Equity factors influence health opportunities and outcomes. � All trials of exercise for people with intermittent claudication excluded adults on at least one equity factor. � Disability was the predominant factor for exclusions from trials. � Trials should optimise participation to maximise generalisability of results as these findings are used to inform treatment and service design.

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Section: Trial Characteristicsmentioning

confidence: 99%

Section: Trial Characteristicsmentioning

confidence: 99%

Inequity in exercise-based interventions for adults with intermittent claudication due to peripheral arterial disease: a systematic review

Bearne

Delaney

Nielsen

et al. 2022

Disability and Rehabilitation

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“…This suggests that risk factors reduction alone is insufficient in controlling the disease course; therefore, other therapeutic measures can be beneficial. Antiplatelet drugs, such as ticlopidine, clopidogrel and aspirin, are indicated for their effectiveness in reducing, significantly, the incidence of major cardiovascular events in secondary prevention of patients with atherothrombotic disease [43]; this efficacy was not confirmed in primary prevention [44]. In presence of PAD associated with type 2 diabetes, some authoritative scientific organizations recommend a widespread use of aspirin (75-162 mg/day in primary prevention; 75-250 mg/day in secondary prevention [29,45,46].…”

Section: Pharmacological Therapymentioning

confidence: 99%

Main Findings on Therapeutic Management of Lower Extremity Artery Disease

Carbonara¹,

Ciccone²

2015

Cardiol Pharmacol

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Atherosclerosis can involve several areas, resulting in various degrees of the vascular disease. Patients with peripheral arterial disease of the lower limbs (LEAD, lower extremity artery disease) represent a significant percentage of the vascular disease population. Therefore, the main objective of physicians who examine a patient with LEAD is to intervene on the risk factors (common to all cardiovascular diseases) using different therapeutic approaches: exercise, specific drugs and ultimately the surgical or percutaneous revascularization. The aim of this review is to summarize the key findings and the updates in the field of diagnostic methods and non-surgical therapeutic approaches for this disease.

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“…Approaches include the modification of risk factors through optimum medical therapy (OMT) and supervised exercise therapy (SET) with endovascular (EVR) and open surgical revascularization reserved for those failing conservative measures. Further novel therapies including kinesitherapy and electrotherapeutic procedures have also been proposed [ 11 ]. While endovascular treatment offers a minimally invasive revascularization option for many patients data supporting its ability to improve long-term survival is lacking.…”

Section: Introductionmentioning

confidence: 99%

Comparing Supervised Exercise Therapy to Invasive Measures in the Management of Symptomatic Peripheral Arterial Disease

Aherne

McHugh

Kheirelseid

et al. 2015

Surgery Research and Practice

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Peripheral arterial disease (PAD) is associated with considerable morbidity and mortality. Consensus rightly demands the incorporation of supervised exercise training (SET) into PAD treatment protocols. However, the exact role of SET particularly its relationship with intervention requires further clarification. While supervised exercise is undoubtedly an excellent tool in the conservative management of mild PAD its use in more advanced disease as an adjunct to open or endovascular intervention is not clearly defined. Indeed its use in isolation in this cohort is incompletely reported. The aim of this review is to clarify the exact role of SET in the management of symptomatic PAD and in particular to assess its role in comparison with or as an adjunct to invasive intervention. A systematic literature search revealed a total 11 randomised studies inclusive of 969 patients. All studies compared SET and intervention with monotherapy. Study results suggest that exercise is a complication-free treatment. Furthermore, it appears to offer significant improvements in patients walk distances with a combination of both SET and intervention offering a superior walking outcome to monotherapy in those requiring invasive measures.

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The role of kinesitherapy and electrotherapeutic procedures in non-operative management of patients with intermittent claudications

Abstract: Methods of physical therapy presented valuable supplement in non-operative treatment of peripheral arterial occlusive disease patients, improving their functional ability and thus postponing surgical treatment. However, further investigations including larger number of patients are needed.

Cited by 3 publications

References 37 publications

Inequity in exercise-based interventions for adults with intermittent claudication due to peripheral arterial disease: a systematic review

Inequity in exercise-based interventions for adults with intermittent claudication due to peripheral arterial disease: a systematic review

Main Findings on Therapeutic Management of Lower Extremity Artery Disease

Comparing Supervised Exercise Therapy to Invasive Measures in the Management of Symptomatic Peripheral Arterial Disease

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