eISSN: 2084-9850
ISSN: 1897-3116
Pielęgniarstwo Chirurgiczne i Angiologiczne/Surgical and Vascular Nursing
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4/2017
vol. 11
 
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abstract:

Atherosclerotic ischaemia of the lower limbs – what the physiotherapist and the nurse should know

Anna Spannbauer
,
Arkadiusz Berwecki
,
Tomasz Ridan
,
Piotr Mika
,
Maciej Chwała

Pielęgniarstwo Chirurgiczne i Angiologiczne 2017; 11 (4): 117-127
Online publish date: 2018/01/22
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Peripheral arterial disease (PAD) narrows and closes the main vessels supplying blood to the lower limbs. A typical symptom of PAD is intermittent claudication. Physical activity-induced muscle pain is associated with transient ischaemia and leads to decreased physical activity of the patient.

Current guidelines for the treatment of atherosclerotic ischaemia are based primarily on the TASC II guidelines (Inter Society Consensus for the Management of Peripheral Arterial Disease). Treatment of patients with intermittent claudication is mainly a conservative therapy aimed at reducing the risk of cardiovascular complications and improving the quality of life by easing and thereby lengthening the claudication distance. Rehabilitation includes: supervised walk training on the treadmill and cycle ergometer training, lower limb muscle resistance exercises, upper limb exercises, and physical therapy.

Education of patients with PAD should be conducted not only by angiologists or vascular surgeons but also by physiotherapists and nurses.
keywords:

arterial occlusive disease of the lower limbs, rehabilitation, gait training
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