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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...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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,...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...

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

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Published on: December 11, 2013

Supervised exercise for intermittent claudication - an under-utilised tool.

Joseph Shalhoub1, Maher Hamish, Alun H Davies

  • 1Imperial Vascular Unit, 4th Floor, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London W6 8RF, UK. j.shalhoub@imperial.ac.uk

Annals of the Royal College of Surgeons of England
|June 30, 2009
PubMed
Summary

Supervised exercise for intermittent claudication is recommended but rarely available. Lack of resources prevents implementation, despite evidence of its effectiveness and cost-efficiency.

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Area of Science:

  • Vascular Surgery
  • Exercise Physiology
  • Public Health

Background:

  • Supervised exercise is a Grade A recommendation for intermittent claudication management by TASC II and SIGN guidelines.
  • Guidelines emphasize making supervised exercise available as initial treatment for peripheral artery disease patients.

Purpose of the Study:

  • To assess the current availability and implementation of supervised exercise programs for intermittent claudication among vascular surgeons in the UK.
  • To identify barriers to the provision of supervised exercise for patients with intermittent claudication.

Main Methods:

  • A 10-question survey was mailed to members of the Vascular Society of Great Britain and Ireland (VSGBI).
  • The survey collected data on the availability, referral rates, contraindications, program structure, and staffing of supervised exercise programs.
  • Response data from returned questionnaires were entered into a spreadsheet for analysis.

Main Results:

  • Only 45% of surveyed surgeons responded, with 24% having access to supervised exercise programs.
  • Referral rates varied, with only 14% of members referring all eligible patients.
  • Lack of resources was cited as the reason for non-implementation in 72% of cases, despite evidence of program effectiveness.

Conclusions:

  • The study found a significant gap between recommended guidelines and clinical practice regarding supervised exercise for intermittent claudication.
  • Limited availability and low referral rates highlight challenges in implementing evidence-based practice.
  • Addressing resource limitations is crucial for translating research into effective patient care for intermittent claudication.