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Impact of twelve weeks march field training on intermittent claudication in patients with peripheral artery disease after endovascular procedures

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Kostewicz M. W., Kostewicz W.
Advances in Rehabilitation
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2019
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vol. 33
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issue 1
15-21
EN
Introduction March Training (MT) is one of the ways to improve the results of treatment in patients with peripheral artery disease (PAD). The aim of this study was to investigate the effect of 12 weeks of march training on the claudication distance in patients with PAD who underwent endovascular surgery. Material and methods The study included 30 patients with peripheral arterial disease (PAD) and evaluated the claudication distance on a treadmill: before endovascular surgery, 3 days and 3 months after the surgery. The maximum claudication distance (MCD) was measured during each test on a treadmill. Patients were randomly divided into 2 groups of 15: group A consisted of patients who were not recommended to march after endovascular surgery and group B consisted of patients to whom training was recommended. Patients in group B were recommended march training at home for 3 months according to the following schedule: walking at a regular walking pace of 60-120 feet’s per minute for at least 30 minutes, 3 times a day, 3 days a week, supervised by a physiotherapist. Results Group A - MCD before surgery: 103,23m , MCD 3 days after surgery: 179m, MCD 3 months after treatment: 136,67m , p <0.001. Conclusions MCD carried out for 3 months after endovascular treatment of patients with PAD is better in group of patient systematically doing march training compared to patients without such training.
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Cystic Adventitial Disease - A Three Cases Report

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Stępień J., Bodzenta P., Polańska E.
Polish Journal of Surgery
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2007
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vol. 79
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issue 11
711-715
EN
This study presents three cases of cystic adventitial disease, a rarely occurring vascular pathology that mainly affects the arteries. The nature of the disease consists in the occurrence of adventitial cysts filled with mucous, and leads towards vascular destruction and stenosis as well as limb ischemia. The popliteal artery is most often concerned in this etiology, and male patients predominate. However, the etiology of the disease remains unknown. One can observe a similar chemical content of adventitial and Baker's cysts, and their occurrence near the joints. Adventitial cystic disease may result in atypical intermittent claudication. This disease is characterized by the absence of pulse during flexion of the knee joint. Duplex color ultrasonography plays an important role in the diagnosis of the disease, as well as arteriogaphy, where one can observe hourglass or semilunar vascular lumen stenosis. Surgical management is the method of choice. This study presents three cases of cystic adventitial disease. Two cases concerned the popliteal artery and one the common femoral artery. All three patients were male with symptoms of lower limb ischemia. The three patients underwent surgical treatment and were diagnosed with cysts - localized intravascularly - that were constricting the vessels and filled with a jelly-like content. Two patients with significant lesions required surgical excision of the changed vascular fragment and bypass grafting. The third patient was subjected to local cyst excision. Percutaneous cystic content aspiration is also a method of treatment.
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Evaluation of the Dependency Between the Claudication Distance Reported by the Patient and the Ankle-Brachial Index at Rest, and the Distance Covered on the Treadmill Test in Patients with Lower Limb Ischemia

100%
Grzela T., Migdalski A., Jawień A., Piotrowicz R., Szotkiewicz A.
Polish Journal of Surgery
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2008
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vol. 80
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issue 4
184-189
EN
Views concerning the dependency between the claudication distance and ankle-brachial index values are ambiguous.The aim of the study was to determine the correlation between the distance covered during the treadmill test and ankle-brachial index, and the distance covered during the treadmill test and claudication distance reported by the patient.Material and method. The study group contained 75 patients of both genders, above the age of 40 years, treated at the Vascular Disease Outpatient Clinic, diagnosed with one or both-sided intermittent claudication, and with an ankle-brachial index below 0.9. In all patients we evaluated the ankle-brachial index at rest, considering both lower limbs, as well as the claudication distance on the treadmill test (3.2 km/h, 12° gradient). We determined the distance traveled until the manifestation of pain (distance free of pain), and the distance until complete stop (total walking distance). Analysis always considered one (the worse) lower limb of the patient.Results. There was no correlation between the ankle-brachial index and distance covered during the treadmill test. However, there was a statistically significant dependency between the claudication distance reported by the patient, and that observed during the treadmill test. A moderate correlation was observed between the total walking distance and the claudication distance reported by the patient (r= 0.441, p=0.001).Conclusions. 1. The ankle-brachial index at rest should not be used as a measure of the intensification of lower limb ischemia symptoms in patients with intermittent claudication. 2. The claudication distance reported by the patient only moderately correlates with the total observed walking distance.
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