Journal article
Exercise & Sports Science Australia (ESSA) position statement on exercise prescription for patients with peripheral arterial disease and intermittent claudication
Journal of Science and Medicine in Sport, Vol.17(6), pp.623-629
2014
PMID: 24315956
Abstract
Objectives: Peripheral arterial disease (PAD) is characterised by atherosclerotic stenosis or occlusion of the arteries of the lower limbs, resulting in an impairment of blood flow to the legs. Patients with PAD have a significant reduction in their physical capacity and are limited during activities such as walking by intermittent claudication. Design: Position stand. Methods: Synthesis of published work within the field of exercise training and peripheral arterial disease. Results: Supervised exercise training is considered the most effective treatment for increasing exercise tolerance in patients with PAD, and is also associated with improvements in daily physical activity and quality of life, and a reduction is cardiovascular disease risk. Exercise should be prescribed and progressed for patients individually, taking into consideration their disease severity, exercise tolerance and relevant comorbidities. Conclusions: While walking programs are beneficial and frequently prescribed, other forms of aerobic exercise such as cycling or arm-cranking may also be incorporated as tolerated by patients. Forty minutes of accumulated aerobic activity, three times per week, is recommended for most patients. Patients should be encouraged to commence exercise at a moderate intensity, and should stop and rest if claudication pain becomes severe. Resistance training should also be included on at least two days per week with the goal of improving muscular strength and endurance. Comorbidities such as musculoskeletal complaints, hypertension, diabetes and peripheral neuropathy are common in patients with PAD and may exacerbate their functional limitations. Given the high cardiovascular risk associated with PAD, it is important that patients are appropriately monitored during exercise.
Details
- Title
- Exercise & Sports Science Australia (ESSA) position statement on exercise prescription for patients with peripheral arterial disease and intermittent claudication
- Authors
- Christopher D Askew (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringBelinda Parmenter (Author) - University of New South WalesAnthony S Leicht (Author) - James Cook UniversityPhilip J Walker (Author) - University of QueenslandJonathan Golledge (Author) - James Cook University
- Publication details
- Journal of Science and Medicine in Sport, Vol.17(6), pp.623-629
- Publisher
- Elsevier Australia
- Date published
- 2014
- DOI
- 10.1016/j.jsams.2013.10.251
- ISSN
- 1440-2440
- PMID
- 24315956
- Copyright note
- Copyright © 2014. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health - Sports & Exercise Science; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99448632302621
- Output Type
- Journal article
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