Vascular rehabilitation in lower-extremity artery disease in 2017.

[Vascular rehabilitation in lower-extremity artery disease in 2017]. Presse Med. 2018 Jan 26;: Authors: Garrigues D, Ferrari B, Petrissans Ferrando N, Guiraut T Abstract WHAT WE KNEW: The vascular rehabilitation is an effective treatment for patients with an intermittent claudication linked to lower-extremity artery disease. This treatment increases the claudication distance of 180% with the Gardner's protocol (30 to 60 minutes of walking at least 3 times a week, walking until appearance of a mild pain) and allows also to control the vascular risk factors. This treatment is not enough prescribed for many reasons and often requires a hospitalization in a rehabilitation centre. WHAT WE KNOW NOW: Walking rehabilitation remains the base of the treatment of lower-extremity artery disease. Many walking protocols can be proposed. For a similar efficiency, patients are not obliged to walk until appearance of a pain but only until appearance of a discomfort. Exercises other than walking have been tested and can be used. Heart Rehabilitation Centres will propose more often vascular rehabilitation including hospitalisations for complex patients or out-management for non-complex patients. With a lower cost, the walking rehabilitation could be also realised at home by the patient himself with a certain degree of supervision with good results. Supervision means the use of a podometer, weekly advices given by phone by a Vascular Physician or a Physiotherapist, one...
Source: Presse Medicale - Category: General Medicine Authors: Tags: Presse Med Source Type: research

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Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
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Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
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