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Vol 26, No 1 (2020)
Review paper
Published online: 2020-03-25

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The role of physical activity in prevention and treatment of peripheral vascular disorders

Jarosław Pasek1, Agata Stanek2, Grzegorz Cieślar2
Acta Angiologica 2020;26(1):19-27.


Peripheral vascular diseases constitute one of the most significant medical and social problems. Physiotherapy plays an important role among and in addition to various treatment modalities. Physiotherapy for vascular applied in vessel disease treatment primaliry consists of resonable and regular exercises and activities, and selected physical procedures. The review paper presents current data concerning the most commonly applied exercises and physical procedures in selected peripheral vascular diseases.

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  1. Wu Y. Construction of the vessel-collateral theory and its guidance for prevention and treatment of vasculopathy. Front Med. 2011; 5(2): 118–122.
  2. Menard JR, Smith HE, Riebe D, et al. Long-term results of peripheral arterial disease rehabilitation. J Vasc Surg. 2004; 39(6): 1186–1192.
  3. Jawień A, Grzela T, Migdalski T, et al. Progress in artery surgery in 2004. Practical Medicine. 2005; 1: 17–23.
  4. Brevetti G, Giugliano G, Brevetti L, et al. Inflammation in peripheral artery disease. Circulation. 2010; 122(18): 1862–1875.
  5. Gardner A. Exercise Rehabilitation Programs for the Treatment of Claudication Pain. JAMA. 1995; 274(12): 975.
  6. Perrin M, Guex JJ. Edema and leg volume: methods of assessment. Angiology. 2000; 51(1): 9–12.
  7. Gardner AW, Killewich LA, Montgomery PS, et al. Response to exercise rehabilitation in smoking and nonsmoking patients with intermittent claudication. J Vasc Surg. 2004; 39(3): 531–538.
  8. Pasek J, Mucha R, Sieroń A. Metabolic syndrome in industry area. Private Office. 2006; 9: 39–43.
  9. Davies JA, Bull RH, Farrelly IJ, et al. A home-based exercise programme improves ankle range of motion in long-term venous ulcer patients. Phlebology. 2007; 22(2): 86–89.
  10. Pasek J, Opara J, Pasek T, et al. Implications of assessement of Quality of Life in rehabilitation. Physiotherapy. 2007; 15(3): 3–8.
  11. Slovut DP, Sullivan TM. Critical limb ischemia: medical and surgical management. Vasc Med. 2008; 13(3): 281–291.
  12. Varu VN, Hogg ME, Kibbe MR. Critical limb ischemia. J Vasc Surg. 2010; 51(1): 230–241.
  13. Gutowski P. Critical limb ischemia at the base of TASC II. OPM. 2009; 4: 18–20.
  14. Ambrosetti M, Salerno M, Boni S, et al. Economic evaluation of a short-course intensive rehabilitation program in patients with intermittent claudication. Int Angiol. 2004; 23(2): 108–113.
  15. Edwards AT, Blann AD, Suarez-Mendez VJ, et al. Systemic responses in patients with intermittent claudication after treadmill exercise. Br J Surg. 1994; 81(12): 1738–1741.
  16. Devillers C, Vanhooteghem O, de la Brassinne M. Lymphedema and cutaneous diseases. Rev Med Suisse. 2007; 3(136): 2802–2805.
  17. Hiatt WR, Regensteiner JG, Wolfel EE, et al. Effect of exercise training on skeletal muscle histology and metabolism in peripheral arterial disease. J Appl Physiol (1985). 1996; 81(2): 780–788.
  18. Lam E, Giswold ME, Moneta GL. Venous and lymphatic disease. Schwartz’s Principles of Surgery. 8th ed. New York, NY. ; 2005: 823–825.
  19. Barwell JR, Davies CE, Deacon J, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. Lancet. 2004; 363(9424): 1854–1859.
  20. Partsch H, Blättler W. Compression and walking versus bed rest in the treatment of proximal deep venous thrombosis with low molecular weight heparin. J Vasc Surg. 2000; 32(5): 861–869.
  21. Chandra D, Parisini E, Mozaffarian D. Meta-analysis: travel and risk for venous thromboembolism. Ann Intern Med. 2009; 151(3): 180–190.
  22. Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008; 133(6 Suppl): 381S–453S.
  23. Lippi G, Favaloro EJ, Cervellin G. Prevention of venous thromboembolism: focus on mechanical prophylaxis. Semin Thromb Hemost. 2011; 37(3): 237–251.
  24. Haas SK, Hach-Wunderle V, Mader FH, et al. An evaluation of venous thromboembolic risk in acutely ill medical patients immobilized at home: the AT-HOME Study. Clin Appl Thromb Hemost. 2007; 13(1): 7–13.
  25. Sieroń A, Cierpka L, Rybak Z, Stanek A. Manual of angiology. α-medica press, Bielsko-Biała 2009: 106–109.
  26. Regensteiner JG, Steiner JF, Hiatt WR. Exercise training improves functional status in patients with peripheral arterial disease. J Vasc Surg. 1996; 23(1): 104–115.
  27. McDermott MM, Ferrucci L, Guralnik JM, et al. The ankle-brachial index is associated with the magnitude of impaired walking endurance among men and women with peripheral arterial disease. Vasc Med. 2010; 15(4): 251–257.
  28. Taylor-Piliae RE, Fair JM, Varady AN, et al. Ankle brachial index screening in asymptomatic older adults. Am Heart J. 2011; 161(5): 979–985.
  29. Tomkowski WZ, Paje D. Diagnosis and treatment of venous thromboembolic disease. OPM. 2009; 4: 32–34.
  30. Naylor AR. Does the modern concept of 'best medical therapy' render carotid surgery obsolete? Eur J Vasc Endovasc Surg. 2004; 28(5): 457–461.
  31. Prinssen M, Wixon CL, Buskens E, et al. Surveillance after endovascular aneurysm repair: diagnostics, complications, and associated costs. Ann Vasc Surg. 2004; 18(4): 421–427.
  32. Pasek J, Wołyńska-Ślężyńska A, Ślężyński J, et al. Significance of corrective swimming and water exercises in physiotherapy. Physiotherapy. 2009; 17(1).
  33. Killewich LA, Macko RF, Montgomery PS, et al. Exercise training enhances endogenous fibrinolysis in peripheral arterial disease. J Vasc Surg. 2004; 40(4): 741–745.
  34. Crowther RG, Spinks WL, Leicht AS, et al. Effects of a long-term exercise program on lower limb mobility, physiological responses, walking performance, and physical activity levels in patients with peripheral arterial disease. J Vasc Surg. 2008; 47(2): 303–309.
  35. Hamburg NM, Balady GJ. Exercise rehabilitation in peripheral artery disease: functional impact and mechanisms of benefits. Circulation. 2011; 123(1): 87–97.
  36. Chierichetti F, Mambrini S, Bagliani A, et al. Treatment of Buerger's disease with electrical spinal cord stimulation--review of three cases. Angiology. 2002; 53(3): 341–347.
  37. Riccioni C, Sarcinella R, Izzo A, et al. Rehabilitative treatment in peripheral artery disease: protocol application and follow-up. Minerva Cardioangiol. 2010; 58(5): 551–565.
  38. Minar E. Peripheral arterial occlusive disease. Vasa. 2007; 36(3): 155–164.
  39. Regensteiner JG, Steiner JF, Hiatt WR. Exercise training improves functional status in patients with peripheral arterial disease. J Vasc Surg. 1996; 23(1): 104–115.
  40. Campbell B. Varicose veins and their management. BMJ. 2006; 333(7562): 287–292.
  41. Aldrich D, Hunt DP. When can the patient with deep venous thrombosis begin to ambulate? Phys Ther. 2004; 84(3): 268–273.
  42. Kahn SR, Shrier I, Kearon C. Physical activity in patients with deep venous thrombosis: a systematic review. Thromb Res. 2008; 122(6): 763–773.
  43. Warren AG, Brorson H, Borud LJ, et al. Lymphedema: a comprehensive review. Ann Plast Surg. 2007; 59(4): 464–472.
  44. Lee B, Andrade M, Bergan J, et al. International Union of Phlebology. Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2009. Int Angiol. 2010; 29(5): 454–470.
  45. Gloviczki P, Comerota AJ, Dalsing MC, et al. Society for Vascular Surgery, American Venous Forum. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011; 53(5 Suppl): 2S–48S.
  46. Kolluri R. Compression therapy for treatment of venous disease and limb swelling. Curr Treat Options Cardiovasc Med. 2011; 13(2): 169–178.
  47. Junkins-Hopkins JM. Biologic dressings. J Am Acad Dermatol. 2011; 64(1): e5–e7.
  48. de Godoy JM, Braile DM, Perez FB, et al. Effect of walking on pressure variations that occur at the interface between elastic stockings and the skin. Int Wound J. 2010; 7(3): 191–193.
  49. Mosti G, Partsch H. Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss. J Vasc Surg. 2010; 52(4): 925–931.
  50. Szolnoky G, Lakatos B, Keskeny T, et al. Intermittent pneumatic compression acts synergistically with manual lymphatic drainage in complex decongestive physiotherapy for breast cancer treatment-related lymphedema. Lymphology. 2009; 42(4): 188–194.
  51. Tan IC, Maus EA, Rasmussen JC, et al. Assessment of lymphatic contractile function after manual lymphatic drainage using near-infrared fluorescence imaging. Arch Phys Med Rehabil. 2011; 92(5): 756–764.e1.
  52. Stahel HU. Manual lymph drainage. Curr Probl Dermatol. 1999; 27: 148–152.
  53. Asdonk J. Effectiveness, indications and contraindications of manual lymph drainage therapy in painful edema. Z Lymphol. 1995; 19(1): 16–22.
  54. Pasek J, Cieślar G, Stanek A, et al. Health resort treatment – a new chance for treatment of diseases of peripheral vessels? Acta Angiol. 2010; 16: 99–113.
  55. Hiatt WR, Regensteiner JG, Wolfel EE, et al. Effect of exercise training on skeletal muscle histology and metabolism in peripheral arterial disease. J Appl Physiol (1985). 1996; 81(2): 780–788.
  56. Voronov NE, Grigor'ev II. Effectiveness of sanatorium-health resort treatment and the need for it in patients with diseases of the peripheral vessels. Vopr Kurortol Fizioter Lech Fiz Kult. 1974(1): 34–38.
  57. Pasek J, Sieroń A. Ledtherapy. Practical Physiotherapy and Rehabilitation. 2011; 13: 52–55.
  58. Pasek J, Cieslar G, Pasek T, et al. The treatment of polarized light – New chance of light therapy? Balneol Pol. 2008; 2(112): 93–9.
  59. Sieroń A, Pasek J, Mucha R. Magnetotherapy. Rehab w Prakt. 2006; 3: 29–32.
  60. Pasek J, Mucha R, Sieron A. Magnetostimulation – the new form in medicine and rehabilitation. Physiotherapy. 2006; 14(4): 3–8.
  61. Sieroń A, Pasek J, Mucha R. Magnetic fields and light therapy in medicine and rehabilitation – magnetoledtherapy. Balneol Pol. 2007; 1(107): 1–7.