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Exercise training for intermittent claudication - a narrative review and summary of guidelines for practitioners409.17 kB
Published VersionCC BY-NC V4.0, Open Access
Journal article
Exercise training for intermittent claudication: a narrative review and summary of guidelines for practitioners
BMJ Open Sport & Exercise Medicine, Vol.6, pp.1-9
2020
Abstract
Peripheral artery disease (PAD) is caused by atherosclerotic narrowing of the arteries supplying the lower limbs often resulting in intermittent claudication, evident as pain or cramping while walking. Supervised exercise training elicits clinically meaningful benefits in walking ability and quality of life. Walking is the modality of exercise with the strongest evidence and is recommended in several national and international guidelines. Alternate forms of exercise such as upper- or lower-body cycling may be used, if required by certain patients, although there is less evidence for these types of programmes. The evidence for progressive resistance training is growing and patients can also engage in strength-based training alongside a walking programme. For those unable to attend a supervised class (strongest evidence), home-based or ‘self-facilitated’ exercise programmes are known to improve walking distance when compared to simple advice. All exercise programmes, independent of the mode of delivery, should be progressive and individually prescribed where possible, considering disease severity, comorbidities and initial exercise capacity. All patients should aim to accumulate at least 30 min of aerobic activity, at least three times a week, for at least 3 months, ideally in the form of walking exercise to near-maximal claudication pain.
Details
- Title
- Exercise training for intermittent claudication: a narrative review and summary of guidelines for practitioners
- Authors
- Amy E Harwood (Author) - Coventry UniversitySean Pymer (Author) - Hull York Medical SchoolLee Ingle (Author) - University of HullPatrick Doherty (Author) - University of YorkIan C Chetter (Author) - Hull York Medical SchoolBelinda Parmenter (Author) - UNSW AustraliaChristopher D Askew (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - LegacyGary A Tew (Author) - Northumbria University
- Publication details
- BMJ Open Sport & Exercise Medicine, Vol.6, pp.1-9
- Publisher
- B M J Group
- Date published
- 2020
- DOI
- 10.1136/bmjsem-2020-000897
- ISSN
- 2055-7647
- Copyright note
- © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Cancer Research Cluster; School of Health - Sports & Exercise Science; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99489008902621
- Output Type
- Journal article
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