Abstract
Presurgery conditioning interventions (prehabilitation) in adults undergoing lower limb surgery for peripheral arterial disease
Highlights
Description of the conditionLower-limb peripheral arterial disease (PAD) is a type of cardiovascular disease in which the blood vessels that carry blood to the legs are hardened and narrowed, or blocked by build-up of fatty plaques on the arterial wall (Hiatt 2001)
Patients with intermittent claudication (IC) often have a reduction in their physical activity, walking capacity, and quality of life
Current treatment for PAD is focused on preventing cardiovascular events, symptom relief, restoring mobility, improving functional ability, and improving overall quality of life
Summary
Description of the conditionLower-limb peripheral arterial disease (PAD) is a type of cardiovascular disease in which the blood vessels (arteries) that carry blood to the legs are hardened and narrowed, or blocked by build-up of fatty plaques on the arterial wall (atherosclerosis) (Hiatt 2001). The most common symptom of PAD is intermittent claudication (IC). This is a muscle pain, fatigue, or discomfort in the calves, thigh, or buttocks that occurs during exercise and is relieved by rest. It occurs because there is an inability to match blood flow to demand and results in a lack of oxygen supply. Current treatment for PAD is focused on preventing cardiovascular events, symptom relief, restoring mobility, improving functional ability, and improving overall quality of life. Treatment options include risk factor management using pharmacotherapy, supervised exercise, smoking cessation, weight management, and surgical procedures (Norgren 2007).
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