Role of physical therapy in peripheral arterial disease: systematic review
DOI:
https://doi.org/10.33233/fb.v24i5.4883Keywords:
peripheral arterial disease, intermittent claudication, physical therapy, exercise, trainingAbstract
Introduction: Peripheral Obstructive Arterial Disease (PAOD) is a disease resulting from an occlusion caused by an atherosclerotic plaque in blood vessels, designated by increased morbidity and mortality, limitations in functional capacity and decreased Quality of Life (QoL). Objective: This study aims to investigate physiotherapeutic approaches related to exercise therapy in the treatment of PAOD. Methods: This is a systematic review, in which the Bireme and PubMed databases were consulted and scientific articles in English from journals indexed in the Medline, Scielo, Lilacs and Physiotherapy Evidence Database (PEDro) databases, published between the years from 2010 to 2022, evaluated according to methodological quality using the JADAD Quality Scale. For the construction of the work, studies that were available in full were included, that the target population consisted of individuals with PAOD, aged ≥ 60 years, with ankle-brachial index (ABI) ≤ 0.9 at rest or after exercise. Results: Physical therapy based on exercises can provide significant improvements in patients who have Intermittent Claudication (IC) or are asymptomatic and acts to improve gait, increase blood flow, improve QoL and prognosis, which reduces pain, improves functionality and successively helps personal and occupational life. Conclusion: The supervised exercise program on a treadmill is the most indicated and after twelve weeks of intervention, an improvement in the clinical condition of these patients is already obtained. More high-quality studies are needed to investigate physiotherapeutic approaches related to exercise therapy in the treatment of peripheral arterial occlusive disease.
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Copyright (c) 2023 Poliana Agnez Rodrigues, Thereza Maria Martins, Vânia Cristina dos Reis Miranda, Sandra Regina de Gouvêa Padilha Galera, Flávio de Pádua Oliveira Sá Nery, Elaine Cristina Martinez Teodoro
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