Influence of upper- and lower-limb exercise training on cardiovascular function and walking distances in patients with intermittent claudication

Walker, Richard; Nawaz, Shah; Wilkinson, C. H.; Saxton, John; Pockley, A. Graham; Wood, R. F.

doi:10.1067/mva.2000.104104

Cited by 110 publications

(121 citation statements)

References 15 publications

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“…Since this study a number of randomised controlled trials (Table I) have shown similar results. 8,19,22,23,25,29,30,35,36,41,44 It is clear from Table I that exercise training improves walking tolerance in patients with PVD. Indeed when comparing the effects of exercise training with PTA, exercise training was more beneficial after a 6-month period.…”

Section: Exercise Training As a Treatment For Patients With Pvdmentioning

confidence: 99%

“…A wide variety of treadmill walking tests have been used to quantify improvements in walking distances and functional capacity following training in patients with intermittent claudication (Table I). 8,19,28,29,30,41 REvIEW ARTIClE …”

Section: Measurement Of Walking Tolerance In Patients With Intermittementioning

confidence: 99%

“…Polestriding, a stationary form of exercise similar to skiing has proved to be beneficial to patients with intermittent claudication, as has upper-limb cycle ergometry. 7,41,44 The effect of upperlimb and lower-limb cycle ergometry on walking tolerance in patients with intermittent claudication was assessed in the United Kingdom. 41,44 Patients were randomised to an upperlimb cycle ergometry group or a lower-limb cycle ergometry group and trained twice a week for 6 weeks.…”

Section: Mode Of Training Used In Patients With Pvdmentioning

confidence: 99%

“…41 Patients walk back and forth between 2 cones placed 10 m apart. The speed at which the patients walk is controlled by audible tones recorded on a cassette.…”

Section: Introductionmentioning

confidence: 99%

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The effects of exercise training in patients with peripheral vascular disease - a review

Parr¹,

Derman²

2006

S. Afr. j. sports med.

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Patients with peripheral vascular disease (PVD) suffer from the symptom of intermittent claudication and are therefore intolerant to walking. Exercise training has been shown to be a beneficial treatment for patients with PVD. Therefore studies have aimed to assess the efficacy of exercise training programmes. This review summarises the data on the efficacy of exercise training programmes in patients with PVD. Recommendations are made for the mode, duration, frequency and intensity of exercise training programmes. A systematic review of Medline, Pubmed and Science Direct was done of studies on exercise training and patients with PVD, particularly those using randomised controlled trials. Exercise training improves walking tolerance in patients with PVD. The common mode of training in patients with PVD in the past decade has been walking on a treadmill; however recently an upper-limb cycle ergometry programme proved to be as effective as lower-limb cycle ergometry in improving walking tolerance in patients with PVD. As weight-bearing walking programmes are uncomfortable for patients with PVD, this is an important development in exercise prescription for these patients. Most successful exercise programmes have been 3-6 months in duration for a period of 30 minutes to 1 hour, 2-3 times per week. However, 1 study showed that a shorter period (6 weeks) was of sufficient duration to improve functional capacity in patients with PVD. This is helpful for practitioners as exercise programmes of 3 or 6 months can be daunting for a patient to embark on. Finally, patients should exercise to maximal claudication pain in order to elicit the best training response. South African Journal of Sports Medicine Vol. 18 (4) 2006: pp. 116-121

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Section: Exercise Training As a Treatment For Patients With Pvdmentioning

confidence: 99%

Section: Measurement Of Walking Tolerance In Patients With Intermittementioning

confidence: 99%

Section: Mode Of Training Used In Patients With Pvdmentioning

confidence: 99%

“…41 Patients walk back and forth between 2 cones placed 10 m apart. The speed at which the patients walk is controlled by audible tones recorded on a cassette.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effects of exercise training in patients with peripheral vascular disease - a review

Parr¹,

Derman²

2006

S. Afr. j. sports med.

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“…Exercise therapy is useful in improving claudication distance and while walking is not physically possible in more severe cases of PAD, upper body exercise may provide similar bene ts. 4 Conservative means to increase blood ow are needed in cases of multiple revascularization procedures, limbs with graft infections, and when distal arterial beds offer no suitable site for anastomosis. 5 In ischemic limbs, IPC can increase blood ow, relieve rest pain, and limit tissue damage.…”

Section: Introductionmentioning

confidence: 99%

Intermittent pneumatic compression for the treatment of lower extremity arterial disease: a systematic review

2002

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This study aimed to identify the role of intermittent pneumatic compression in treating peripheral arterial disease and to investigate the types of treatment programs that are most effective. Data was sourced from English-language articles which were identi ed by a computer search using MEDLINE from 1966 to 2001, followed by extensive bibliography review. Studies were included if they contained pertinent material involving a compression device and arterial ow dynamics in lower limbs. A total of 26 English-language studies were identi ed that met the inclusion criteria. The diverse patient criteria and methods used in the studies provided an opportunity to examine the effectiveness of each, but made it dif cult to compare one study with another. To assist in focusing on overall trends in improvement, patient type and treatment type disparities must be identi ed. In conclusion, it is evident that an intermittent pneumatic compression program appears promising and may be used in patients with severe peripheral arterial disease who are not candidates for revascularization using surgery or percutaneous angioplasty. It is now the goal to establish randomized, prospective, controlled trials to clarify the most bene cial regimen for treating such disease.

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Exercise for intermittent claudication

Watson¹,

Ellis²,

Leng³

2008

Cochrane Database of Systematic Reviews

212

171

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Influence of upper- and lower-limb exercise training on cardiovascular function and walking distances in patients with intermittent claudication

Abstract: Carefully prescribed upper-limb exercise training can evoke a rapid symptomatic improvement in patients with claudication, while avoiding the physical discomfort experienced when performing lower-limb weight-bearing exercise.

Cited by 110 publications

References 15 publications

The effects of exercise training in patients with peripheral vascular disease - a review

The effects of exercise training in patients with peripheral vascular disease - a review

Intermittent pneumatic compression for the treatment of lower extremity arterial disease: a systematic review

Exercise for intermittent claudication

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