Physical trainings in peripheral atherosclerosis: problems and ways of solution

Sumin A.N., Barbarash O.L.

Research Institute for Integrated Problems of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo, Russia

Physical trainings (PT) in patients with peripheral atherosclerosis (PA) improve quality of life and the prognosis. They are accompanied and followed by favourable shifts in metabolism of peripheral tissues. The currently existing guidelines are unequivocally in favour of the necessity of physical trainings in patients with signs of intermittent claudication (class I, level A evidence). However, there is a considerable gap between efficacy of regular physical exercises and readiness of patients to participate in them, with only a sparse number of patients with PA actually performing these programmes. The review gives a detailed consideration of both subjective and objective factors limiting the participation of PA patients in PT programmes. New approaches for solving this problem have recently been proposed. In order to prevent the development of painful sensations during PT, they propose to use low-intensity loads, also performing training of other muscular groups, integral trainings, including those using electrostimulation of skeletal muscles. Mention should be made of the beginning of PT in patients with subclinical manifestations of PA, behavioural therapy in PA patients. Revealing early forms of PA and carrying out active rehabilitative measures are more convenient to be performed by physicians specializing in neurosurgery, thus requiring new organizational approaches.

KEY WORDS: physical training, peripheral atherosclerosis.

P. 170

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