High-intensity interval training for intermittent claudication in a vascular rehabilitation program

The role of exercise interval training in treating cardiovascular disease risk factors

“…Overall, this study showed an overall improvement in rehabilitation scores. Importantly, no adverse events occurred, suggesting that patients with peripheral artery disease can safely tolerate high-intensity exercise programs [16]. A potential reason for the improvement in patient scores is an improvement in the endothelial function of study participants.…”

“…Naturally, concern is warranted for higher-risk patients because higher intensities are used with interval training. Nonetheless, interval training has now been used successfully in several clinical populations, including the elderly (> 75 years) and patients with peripheral artery disease, intermittent claudication, coronary artery disease, COPD, and T2D, without adverse medical side effects or complications [16,24,27,[33][34][35][36][37][38]. Although interval training may not be useful for all patients, the training model does present new alternatives for patients with metabolic complications.…”

“…An intensity of 60% of peak heart rate is shown as an example, but intensities can range from 40% to 85% of maximal oxygen uptake reserve and heart rate reserve or 65% to 95% of maximal heart rate. point of maximal claudication pain [16]. Thus, instead of using a prescribed intensity, the investigators used the functional outcome of claudication-induced pain as the upper boundary of exercise intensity.…”

High Intensity Training (HIT) für die Verbesserung der Ausdauerleistungsfähigkeit von Normalpersonen und im Präventions- & Rehabilitationsbereich

“…Selbst Intensitäten von $90 % VO 2max während symptomlimitierten Belastungen sind mit nur wenigen ischä-mischen Perioden assoziiert [52]. Auch Adams konnte zeigen, dass Patienten mit peripherer arterieller Verschlusskrankheit wohlbehalten HIT-Programme durchführen können [53]. Kurze Intervalle (30-60 sec) erlauben hohe Stimuli für die Muskulatur, bei gleichzeitiger geringerer Beanspruchung des Herzens [50,54,55].…”

Initial Results of a 12-week, Institution-based, Supervised Exercise Rehabilitation Program for the Management of Peripheral Arterial Disease

“…Despite the abundance of literature documenting its effectiveness and the approved CPT code, few supervised exercise programs currently are available in the United States (estimated at fewer than 15 in 2004). 2,[11][12][13] The purpose of this study was to assess the effectiveness of a 12-week, institution-based, supervised exercise rehabilitation program with atherogenic risk factor modification in improving cardiovascular profile, ambulatory function, and quality of life of PAD patients by comparing pre-and postprogram measurements for patients completing the supervised program. The program was used either as a component of first-line therapy to improve PAD symptoms or as an adjunctive therapy in patients with prior vascular interventions to maintain arterial or graft patency and to improve PAD symptoms.…”