Improving patients with chronic lower limb arterial ischaemia

Anna Karpińska, Ewa Karpińska


Atherosclerosis of the lower limb arteries is the cause of ischemia in their area. Improper supply of nutrients to the leg muscles by blood results in pain, in particular those that intensify during exercise, when the nutritional need increases in the contracting muscles. The task of the physiotherapist is to improve the patient's quality of life. At the beginning, proper diagnostics should be performed to assess the level of ischemia, its severity and the patient's physical abilities. To assess these properties, a 6-minute gait test, ABI index and intermittent claudication distance test can be used. In therapy, special attention should be given to training on the treadmill, cycloergometer, walks and resistance exercises. The basic premise of improvement is to extend the patient's pain-free distance.


physiotherapy; PAD; atherosclerosis; intermittent claudication

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Piotrowska R, Dobosz M, Halena G, Książek J. Edukacja terapeutyczna w leczeniu chorych na miażdżycę tętnic kończyn dolnych. Pielęgniarstwo Chirurgiczne i Angiologiczne. 2011; 1: 13-17.

Spannbauer A, Berwecki A, Ridan T, Mika P, Chwała M. Miażdżycowe niedokrwienie kończyn dolnych- o czym powinni wiedzieć fizjoterapeuta i pielęgniarka. Pielęgniarstwo Chirurgiczne i Angiologiczne. 2017; 11(4): 117- 127.

Kowalewska- Twardela T, Wnuk B, Urbanek T, Ziaja D, i wsp. Wartość diagnostyczna 6- minutowego testu korytarzowego chodu u pacjentów kwalifikowanych do zabiegów naczyniowych. Chirurgia Polska. 2005; 7(3): 146- 151.

Neubauer- Geryk J, Bieniaszewski L. Wskaźnik kostka- ramię w ocenie pacjentów z ryzykiem miażdżycy. Choroby Serca i Naczyń. 2007; 4(1): 1-5.

Pymer S, Tew GA, Palmer J, Ingle L, et al. Home- based exercise programmes for indivuals with intermittent claudication: A protocol for an updated systematic review and meta- analysis. Sage open medicine. 2018; 6: 1-5.

Bulińska K, Kropielnicka K, Jasiński T, Dąbrowska G, i in. Kompleksowa rehabilitacja pacjentów z chromaniem przestankowym w przewlekłym niedokrwieniu kończyn dolnych. Fizjoterapia. 2010; 20(4): 3-16.

Mika P, Spodaryk K, Cencora A, Mika A. Red Blood Cell Deformabili-ty in Patients With Claudication After Pain – free Treadmill Training. Clin J Sport Med 2006; 16: 335-340.

Weitz JI, Byrne J, Clagett GP, et al. Diagnosis and treatment of chronicarteria insufficiency of the lower extremities: acritical review. Circulation. 1996; 94: 3026-3049.

Brzostek T, Mika P, Bromboszcz J. Miażdżyca tętnic kończyn dolnych –patofizjologia, klinika, leczenie irehabilitacja. Rehabilitacja. 2004; 34: 983-1003.

Mika P, Spodaryk K, Cencora A. Zmiany dystansu marszu i prze-pływu tętniczego w kończynach dolnych podczas treningu marszowego u pacjentów z chromaniem przestankowym. Rehabilitacja Medyczna. 2005; 9: 9-15.

Gardner AW, Parker DE, Montgomery PS i wps. Efficacy of Quan-tified Home-Based Exercise and Supervised Exercise in Patients With Intermittent Claudication. Circulation 2011; 123: 491-498.

Konik A., Mika P., Nowobilski R. i in. Mechanizmy zmniejszenia chromania przestankowego po treningu marszowym. Acta Angiol. 2010; 16(2): 49-66.

Bodzoń, W., Krzanowski, M., Maga, P., Wandzilak, M., & Szczeklik, A. (2007). Endovascular treatment of severe lower leg ischemia in patients not suitable for open surgery. Polish Surgery/Chirurgia Polska, 9(1); 18-24.

Wilson, H., & Roome, N. W. (1936). Passive vascular exercise: Observations on its value in the treatment of peripheral vascular diseases. Journal of the American Medical Association, 106(22), 1885-1888.

Chang, C. F., Chang, C. C., & Chen, M. Y. (2015). Effect of Buerger’s exercises on improving peripheral circulation: A systematic review. Open Journal of Nursing, 5(02), 120.



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