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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...

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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Supervised exercise therapy for intermittent claudication in daily practice.

Lotte M Kruidenier1, Saskia P Nicolaï, Erik J Hendriks

  • 1Department of Surgery, Atrium Medical Centre Parkstad, Heerlen, The Netherlands.

Journal of Vascular Surgery
|November 26, 2008
PubMed
Summary
This summary is machine-generated.

Community-based supervised exercise therapy (SET) significantly improves walking distance for intermittent claudication patients. However, the program experiences a high dropout rate, impacting long-term adherence.

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Area of Science:

  • Vascular Medicine
  • Rehabilitation Therapy
  • Public Health

Background:

  • Intermittent claudication (IC) is a common symptom of peripheral artery disease (PAD), significantly impacting quality of life.
  • Supervised exercise therapy (SET) is a first-line treatment for IC, with both hospital-based and community-based models available.
  • Community-based SET offers a potentially more accessible option for patients in regional areas.

Purpose of the Study:

  • To evaluate the one-year outcomes and functioning of community-based supervised exercise therapy (SET) for patients with intermittent claudication.
  • To assess the effectiveness of community-based SET in improving walking distance.
  • To identify factors contributing to patient adherence and dropout in community-based SET programs.

Main Methods:

  • A prospective cohort study was conducted in regional physiotherapeutic practices.
  • Patients with intermittent claudication (IC) referred for community-based SET were included, excluding those with rest pain or tissue loss.
  • The primary outcome was the change in absolute claudication distance (ACD) measured via a standardized treadmill protocol at baseline and up to 52 weeks.

Main Results:

  • A total of 272 patients with IC initiated the community-based SET program.
  • After one year, 129 patients (47.4%) were available for analysis; 143 patients discontinued the program for various reasons.
  • Absolute claudication distance (ACD) significantly increased from a median of 400m to 1100m (107.8% increase, P < .001) at 12 months.

Conclusions:

  • Community-based SET demonstrates comparable effectiveness to hospital-based approaches in improving walking distance for IC patients.
  • Despite its effectiveness, community-based SET is associated with a high patient dropout rate.
  • Further research is needed to address barriers to adherence and reduce dropout rates in community-based rehabilitation programs.