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Noumairi M, Bouallala A, EL Mir S, Allam A, EL Oumri A. Rehabilitation of patients with peripheral arterial disease. Ann Med Surg (Lond) 2021; 70:102864. [PMID: 34584689 PMCID: PMC8452755 DOI: 10.1016/j.amsu.2021.102864] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/12/2021] [Accepted: 09/13/2021] [Indexed: 11/26/2022] Open
Abstract
Vascular rehabilitation is an essential and effective treatment of peripheral arterial obstructive disease (PAOD). It is recommended in the first line by the European and American scientific societies. The rehabilitation to the walk remains the basic treatment of the arteriopathy of the lower limbs. Different walking protocols can be proposed. For similar effectiveness, vascular rehabilitation consists of an outpatient or specialized institution management program based on a comprehensive approach involving all or many of the following techniques: relaxation, active analytical exercises, gait rehabilitation, exercise re-entry, physical activities adapted to the patient's daily life and illness, respiratory physiotherapy, therapeutic education of the patient, smoking cessation aid. Vascular rehabilitation of arteritis requires a variety of skills but still faces a clear lack of suitable structures; it remains poorly prescribed and poorly known by usual prescribers (general practitioner, vascular surgeon).
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Affiliation(s)
- M. Noumairi
- Department of Physical Medicine and Rehabilitation,university Hospital, MOHAMMED VI OUJDA, Morocco
| | - A. Bouallala
- Department of Vascular Surgery,university Hospital, MOHAMMED VI OUJDA Morocco
| | - S. EL Mir
- Department of Physical Medicine and Rehabilitation,university Hospital, MOHAMMED VI OUJDA, Morocco
| | - A. Allam
- Department of Physical Medicine Rheumatology and Rehabilitation Faculty of Medicine Tanta University, Egypt
| | - A.A. EL Oumri
- Department of Physical Medicine and Rehabilitation,university Hospital, MOHAMMED VI OUJDA, Morocco
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Mahé G, Boge G, Bura-Rivière A, Chakfé N, Constans J, Goueffic Y, Lacroix P, Le Hello C, Pernod G, Perez-Martin A, Picquet J, Sprynger M, Behar T, Bérard X, Breteau C, Brisot D, Chleir F, Choquenet C, Coscas R, Detriché G, Elias M, Ezzaki K, Fiori S, Gaertner S, Gaillard C, Gaudout C, Gauthier CE, Georg Y, Hertault A, Jean-Baptiste E, Joly M, Kaladji A, Laffont J, Laneelle D, Laroche JP, Lejay A, Long A, Loric T, Madika AL, Magnou B, Maillard JP, Malloizel J, Miserey G, Moukarzel A, Mounier-Vehier C, Nasr B, Nelzy ML, Nicolini P, Phelipot JY, Sabatier J, Schaumann G, Soudet S, Tissot A, Tribout L, Wautrecht JC, Zarca C, Zuber A. Disparities Between International Guidelines (AHA/ESC/ESVS/ESVM/SVS) Concerning Lower Extremity Arterial Disease: Consensus of the French Society of Vascular Medicine (SFMV) and the French Society for Vascular and Endovascular Surgery (SCVE). Ann Vasc Surg 2021; 72:1-56. [DOI: 10.1016/j.avsg.2020.11.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 11/05/2020] [Indexed: 12/24/2022]
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Short interval or continuous training programs to improve walking distance for intermittent claudication: Pilot study. Ann Phys Rehabil Med 2020; 63:466-473. [DOI: 10.1016/j.rehab.2020.03.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 02/10/2020] [Accepted: 03/03/2020] [Indexed: 12/23/2022]
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Garrigues D, Ferrari B, Petrissans Ferrando N, Guiraut T. [Vascular rehabilitation in lower-extremity artery diseasein 2018]. Presse Med 2018; 47:66-71. [PMID: 29395558 DOI: 10.1016/j.lpm.2017.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 11/27/2017] [Indexed: 10/17/2022] Open
Abstract
WHAT WE KNEW The vascular rehabilitation is an effective treatment for patients with an intermittent claudication linked to lower-extremity artery disease. This treatment increases the claudication distance of 180% with the Gardner's protocol (30 to 60 minutes of walking at least 3 times a week, walking until appearance of a mild pain) and allows also to control the vascular risk factors. This treatment is not enough prescribed for many reasons and often requires a hospitalization in a rehabilitation centre. WHAT WE KNOW NOW Walking rehabilitation remains the base of the treatment of lower-extremity artery disease. Many walking protocols can be proposed. For a similar efficiency, patients are not obliged to walk until appearance of a pain but only until appearance of a discomfort. Exercises other than walking have been tested and can be used. Heart Rehabilitation Centres will propose more often vascular rehabilitation including hospitalisations for complex patients or out-management for non-complex patients. With a lower cost, the walking rehabilitation could be also realised at home by the patient himself with a certain degree of supervision with good results. Supervision means the use of a podometer, weekly advices given by phone by a Vascular Physician or a Physiotherapist, one walking session once a week in a rehabilitation centre. Connected devices could be also helpful allowing increasing of the patients' motivation. Simultaneously, it is necessary that the patients observe the recommendations of the World Health Organisation by performing weekly 150 minutes of mild-intensity endurance's activity in order to minimise their long-term vascular risk. Finally, the respective place of the revascularisations and walking rehabilitation remains to be clarify in case of intermittent claudication due to a superficial femoral artery lesion.
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Affiliation(s)
- Damien Garrigues
- Clinique de Saint-Orens, centre de réadaptation cardiovasculaire et pulmonaire, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France.
| | | | - Nicole Petrissans Ferrando
- Clinique de Saint-Orens, centre de réadaptation cardiovasculaire et pulmonaire, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France
| | - Thibaut Guiraut
- Clinique de Saint-Orens, centre de réadaptation cardiovasculaire et pulmonaire, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France; Inserm, UMR-1048, institut des maladies métaboliques et cardiovasculaires, 31432 Toulouse, France
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Dipnarine K, Barak S, Martinez CA, Carmeli E, Stopka CB. Pain-free treadmill exercise for patients with intermittent claudication: Are there gender differences? Vascular 2015. [PMID: 26209234 DOI: 10.1177/1708538115592800] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Intermittent claudication, a common symptom of peripheral arterial disease, results in insufficient blood flow and oxygen supply to lower extremity muscles. Compared to men, women with peripheral arterial disease have a higher rate of mobility loss with peripheral arterial disease due to poorer lower extremity functioning. This study evaluates the effect of supervised pain-free treadmill exercise on improving performance in women with intermittent claudication due to peripheral arterial disease in comparison to men. A total of 26 participants (women, n = 9, 34.62%; mean age = 67.58 ± 5.59 years; averaging 23.46 ± 3.91 visits and 10.46 ± 0.99 weeks in the program) diagnosed with peripheral arterial disease, with symptoms of intermittent claudication, partook in a 45 min treadmill walk, twice per week, below the participant's minimal pain threshold. Female participants' change scores showed 752%, 278% and 115% improvement in mean walking distance, duration and rate, respectively. Men improved 334%, 149% and 80%, respectively. Significant differences (p < 0.05) in pre and post measurements within each group support positive outcomes. No significant differences between groups were observed (Cohen's d effect size > 0.80). Our results suggest that women reap similar benefits from this low-intensity treadmill program in comparison to men.
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Affiliation(s)
- Krishna Dipnarine
- Department of Health Education and Behavior, University of Florida, Gainesville, Florida, USA
| | - Sharon Barak
- The Edmond and Lily Safra Children's Hospital, Ramat Gan, Israel The Chaim Sheba Medical Center, Ramat Gan, Israel Kaye Academic College of Education, Beer-Sheba, Israel
| | - Coleen A Martinez
- Department of Health Education and Behavior, University of Florida, Gainesville, Florida, USA
| | - Eliezer Carmeli
- Department of Physical Therapy, University of Haifa, Haifa, Israel
| | - Christine B Stopka
- Department of Health Education and Behavior, University of Florida, Gainesville, Florida, USA
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Gommans LN, Fokkenrood HJ, van Dalen HC, Scheltinga MR, Teijink JA, Peters RJ. Safety of supervised exercise therapy in patients with intermittent claudication. J Vasc Surg 2015; 61:512-518.e2. [DOI: 10.1016/j.jvs.2014.08.070] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Accepted: 08/11/2015] [Indexed: 12/21/2022]
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Non-pharmacological strategies in cardiovascular prevention: 2011 highlights. Ann Phys Rehabil Med 2012; 55:342-74. [DOI: 10.1016/j.rehab.2012.03.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2012] [Revised: 03/16/2012] [Accepted: 03/16/2012] [Indexed: 11/18/2022]
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Arroyo-Morales M, Rodríguez LD, Rubio-Ruiz B, Olea N. Influence of Gender in the Psychoneuroimmunological Response to Therapeutic Interval Exercise. Biol Res Nurs 2012; 14:357-63. [DOI: 10.1177/1099800412448120] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Interval exercise has been used as an alternative modality to continuous exercise in patients with various conditions. Although interval exercise can improve health status, it may also exert deleterious effects. Few data are available on differences in psychoneuroimmunological response to high-intensity interval exercise, and it is not known whether males and females differ in their responses to a similar physical stress task. The aim of this study was to evaluate the differences between the psychoneuroimmunological responses of healthy active males and females to a high-intensity interval exercise protocol. Fifty healthy active subjects (25 females) underwent 2 exercise protocol sessions at least 2 weeks apart and at the same time of the day. The first session familiarized participants with the protocol. In the second, after a baseline measurement, subjects performed an exercise protocol with a standardized warm-up followed by three 30-s Wingate tests and an active recovery period. Baseline and postintervention data were gathered on the following: Holter electrocardiogram recordings (standard deviation of normal-to-normal interval [SDNN], square root of mean squared differences of successive NN intervals [RMSSD]); heart rate variability (HRV) index; salivary total protein and immunoglobulin A levels; pressure pain thresholds in masseter and upper trapezius muscles; and profile of mood states. After the exercise protocol, mood disturbance was significantly greater in the males than in the females, while the salivary immunoglobulin A level relative to total proteins was significantly lower in the males. These results suggest that high-intensity interval exercise induces a worse psychoneuroimmunological state in males than in females.
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Affiliation(s)
- Manuel Arroyo-Morales
- Department of Physical Therapy, School of Health Sciences, University of Granada, Granada, Spain
| | - Lourdes Díaz Rodríguez
- Department of Nursing, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Belen Rubio-Ruiz
- Department of Pharmaceutical Chemistry and Organic Chemistry, School of Pharmacy, University of Granada, Granada, Spain
| | - Nicolas Olea
- Laboratorio Investigaciones Científicas, Hospital Clínico Universitario San Cecilio, Granada, Spain
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