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Vol 24, No 2 (2018)
Case report
Published online: 2018-07-04

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Respiratory endurance training by means of a Spirotiger in extending intermittent claudication distance — a case study

Wojciech Pasiak12, Anna Stelmach2, Przemysław Pasiak3, Marek Banbula4, Tomasz Zubilewicz1
Acta Angiologica 2018;24(2):54-56.


According to Fontaine’s classification, intermittent claudication is a symptom of the 2nd stage of peripheral
arterial occlusive disease. Intermittent claudication is described as muscle pain that occurs during walking. Patients
experiencing it observe major reduction of exercise tolerance. Rehabilitation of patients with peripheral arterial
occlusive disease uses many different training programs which lead to extension of intermittent claudication
distance. Respiratory training is one of them and it is the training of the respiratory muscles that improves their
endurance, force, speed, coordination, and elasticity. Respiration therapy causes delayed metaboreflex, which
in turn the blood flow in lower limbs increases..
We present a case of a patient who underwent percutaneous balloon angioplasty of iliac artery and then conducted
respiratory training by means of Spirotiger what resulted in further increase of claudication distance.

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