[Arterial vascular training]

By means of a specific arterial vessel training--indoor or outdoor--it is in any case possible to improve the individual walking performance. In the first phase of the training there is an increase of the arterial maximal flow, which then remains constant and may even rapidly decline without further training. The continual increase can be explained through metabolic, hemorheologic, and possibly microcirculatoric changes (microbiopsy studies, not yet published). At the moment it is only Germany where you can find the complete offer of all different vessel training. In Austria there is only the indoor training which works at the moment. The different German health-insurance pay the training-programs, the criteria for the education of "the vessel-trainer" are established by the health-insurance, by the "Deutsche Gesellschaft für Angiologie" and the "Deutsche Gesellschaft für Gefässsport (vessel training)". The vessel trainer has to achieve his diploma via the "A" and "coronar certificate". In Austria there are no obligatory criteria for this education--neither for the coronary nor for the vessel training--there is no observation of the education and no payment-system.