Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report
Introduction and Objectives: We report a non-invasive and innovative treatment method with blood flow restricted training (BFR) in a 62-year-old man with short-distance claudication of the right calf (Rutherford 3), and post-thrombotic deep vein syndrome of the same limb. This is the first described...
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Univeristy of Physical Education in Krakow
2023-05-01
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| Series: | Rehabilitacja Medyczna |
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| Online Access: | http://rehmed.pl/gicid/01.3001.0053.4244 |
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| author | Mikołaj Maga Aleksandra Włodarczyk Rafał Piliński Agnieszka Śliwka |
| author_facet | Mikołaj Maga Aleksandra Włodarczyk Rafał Piliński Agnieszka Śliwka |
| author_sort | Mikołaj Maga |
| collection | DOAJ |
| description | Introduction and Objectives: We report a non-invasive and innovative treatment method with blood flow restricted training (BFR) in a 62-year-old man with short-distance claudication of the right calf (Rutherford 3), and post-thrombotic deep vein syndrome of the same limb. This is the first described case of BFR training used in the rehabilitation of a patient with lower limb ischaemia.Material and Methods: The patient, undertaking frequent physical activity, a previous cigarette smoker, with a history of deep vein thrombosis, was diagnosed with occlusion of the popliteal and anterior tibial arteries causing intermittent, short-distance claudication. An invasive approach was not possible, as the patient refused any vascular surgery interventions, open or endovascular. Due to recently diagnosed hip joint degeneration, accompanied by degeneration and dyscopathy of the lumbosacral vertebral column, regular supervised walking training could not be implemented. Experimental blood flow restricted low-intensity training, with the use of a cross-trainer tool accompanied by cooling, was introduced. The 21-minute training, 3 times per week for 3 months, was performed in a seated position with a special low-pressure cuff placed on the arms and legs.Results: The patient’s limb symptoms were promptly reduced and the vascular parameters significantly improved, allowing surgical treatment of the right hip joint. The patient continued the non-invasive treatment for peripheral arterial disease in the form of walking training.Conclusions: Blood flow restriction training may be individually considered for patients with peripheral arterial disease having limited possibilities of classic walking training and revascularization, but this should be done with great caution and after detailed consultation with a vascular medicine specialist. |
| format | Article |
| id | doaj-art-a31cfe78a374434bb158e27ad26020fb |
| institution | Kabale University |
| issn | 1427-9622 1896-3250 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Univeristy of Physical Education in Krakow |
| record_format | Article |
| series | Rehabilitacja Medyczna |
| spelling | doaj-art-a31cfe78a374434bb158e27ad26020fb2025-08-20T03:38:59ZengUniveristy of Physical Education in KrakowRehabilitacja Medyczna1427-96221896-32502023-05-01272636610.5604/01.3001.0053.424401.3001.0053.4244Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case ReportMikołaj Maga0Aleksandra Włodarczyk1Rafał Piliński2Agnieszka Śliwka3Department of Rehabilitation in Internal Diseases, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland / Clinical Department of Angiology, University Hospital in Krakow, Kraków, PolandDepartment of Angiology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, PolandDepartment of Rehabilitation in Internal Diseases, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, PolandDepartment of Rehabilitation in Internal Diseases, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, PolandIntroduction and Objectives: We report a non-invasive and innovative treatment method with blood flow restricted training (BFR) in a 62-year-old man with short-distance claudication of the right calf (Rutherford 3), and post-thrombotic deep vein syndrome of the same limb. This is the first described case of BFR training used in the rehabilitation of a patient with lower limb ischaemia.Material and Methods: The patient, undertaking frequent physical activity, a previous cigarette smoker, with a history of deep vein thrombosis, was diagnosed with occlusion of the popliteal and anterior tibial arteries causing intermittent, short-distance claudication. An invasive approach was not possible, as the patient refused any vascular surgery interventions, open or endovascular. Due to recently diagnosed hip joint degeneration, accompanied by degeneration and dyscopathy of the lumbosacral vertebral column, regular supervised walking training could not be implemented. Experimental blood flow restricted low-intensity training, with the use of a cross-trainer tool accompanied by cooling, was introduced. The 21-minute training, 3 times per week for 3 months, was performed in a seated position with a special low-pressure cuff placed on the arms and legs.Results: The patient’s limb symptoms were promptly reduced and the vascular parameters significantly improved, allowing surgical treatment of the right hip joint. The patient continued the non-invasive treatment for peripheral arterial disease in the form of walking training.Conclusions: Blood flow restriction training may be individually considered for patients with peripheral arterial disease having limited possibilities of classic walking training and revascularization, but this should be done with great caution and after detailed consultation with a vascular medicine specialist.http://rehmed.pl/gicid/01.3001.0053.4244peripheral arterial diseaseblood flow restricted training (BFRT)intermittent claudication |
| spellingShingle | Mikołaj Maga Aleksandra Włodarczyk Rafał Piliński Agnieszka Śliwka Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report Rehabilitacja Medyczna peripheral arterial disease blood flow restricted training (BFRT) intermittent claudication |
| title | Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report |
| title_full | Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report |
| title_fullStr | Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report |
| title_full_unstemmed | Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report |
| title_short | Blood Flow Restricted Training as the Last-Opportunity, Non-Invasive Treatment for a Patient Suffering from Peripheral Arterial Disease Without Possibility for Implementing Conventional Walking Exercise Rehabilitation – a Case Report |
| title_sort | blood flow restricted training as the last opportunity non invasive treatment for a patient suffering from peripheral arterial disease without possibility for implementing conventional walking exercise rehabilitation a case report |
| topic | peripheral arterial disease blood flow restricted training (BFRT) intermittent claudication |
| url | http://rehmed.pl/gicid/01.3001.0053.4244 |
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