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


- Chair and Department of Vascular Surgery and Angiology, Medical University of Lublin, Poland, Staszica 11, 20-081 Lublin, Poland
- Division of Rehabilitation and Physiotherapy, Department of Rehabilitation, Physiotherapy and Balneotherapy,, ul. Magnoliowa 2, 20-081 Lublin, Poland
- ANGIO-REH Lublin Vascular & Therapeutic Rehabilitation, Towarowa 5, 20-205 Lublin, Poland
- Dalriada Urgent Care, United Kingdom of Great Britain and Northern Ireland, 20 Larne Rd Link, BT42 3AG Ballymena, United Kingdom
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Abstract
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.
Abstract
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.
Keywords
intermittent claudication, respiratory training by means of a Spirotiger


Title
Respiratory endurance training by means of a Spirotiger in extending intermittent claudication distance — a case study
Journal
Issue
Article type
Case report
Pages
54-56
Published online
2018-07-04
Page views
565
Article views/downloads
895
Bibliographic record
Acta Angiologica 2018;24(2):54-56.
Keywords
intermittent claudication
respiratory training by means of a Spirotiger
Authors
Wojciech Pasiak
Anna Stelmach
Przemysław Pasiak
Marek Banbula
Tomasz Zubilewicz


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- Chiappa GR, Roseguini BT, Vieira PJC, et al. Inspiratory muscle training improves blood flow to resting and exercising limbs in patients with chronic heart failure. J Am Coll Cardiol. 2008; 51(17): 1663–1671.
- McConnell AK, Lomax M. The influence of inspiratory muscle work history and specific inspiratory muscle training upon human limb muscle fatigue. J Physiol. 2006; 577(Pt 1): 445–457.
- Witt JD, Guenette JA, Rupert JL, et al. Inspiratory muscle training attenuates the human respiratory muscle metaboreflex. J Physiol. 2007; 584(Pt 3): 1019–1028.