Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Apr 28:20:e20200117.
doi: 10.1590/1677-5449.200117.

The impact of peripheral arterial disease on exercise tolerance and quality of life in the elderly and the role of cardiovascular physiotherapy: review article

Ana Leticia Gonçalves Lourenço  1 , Josicléia Leôncio da Silva  1 , Jéssica Costa Leite  1
Affiliations
Review

The impact of peripheral arterial disease on exercise tolerance and quality of life in the elderly and the role of cardiovascular physiotherapy: review article

Ana Leticia Gonçalves Lourenço et al. J Vasc Bras. .

Abstract
in English, Portuguese

The primary symptom of peripheral arterial its intermittent claudication; a condition that causes functional disabilities, compromising quality of life. This review aimed to survey the impacts of this disease on the elderly, investigating possible contributions that cardiovascular physiotherapy has to offer. Searches were run on the MEDLINE, LILACS, SciELO, Scopus, Science Direct, and PEDro databases, identifying 7,587 studies. Seven of these met the eligibility criteria and were grouped and analyzed according evidence level, recommendation grade, and methodological quality. It was observed that this disease is responsible for considerable impact on exercise tolerance and quality of life. Regarding the therapeutic approach to these outcomes, the studies reported that there were improvements in walking and quality of life, increased functional capacity, and reduced pain. With regard to the treatment modality, most research included aerobic exercises.

Resumo: A doença arterial periférica tem como principal sintoma a claudicação intermitente, fator que resulta em incapacidade funcional, comprometendo a qualidade de vida. Esta revisão objetivou fazer um levantamento sobre os impactos ocasionado pela doença nos idosos, investigando as possíveis contribuições da fisioterapia cardiovascular. Para isso, realizou-se uma busca nas bases de dados MEDLINE, LILACS, SciELO, Scopus, Science Direct e PEDro, a qual identificou 7.587 estudos. Desses, sete atenderam aos critérios de elegibilidade, sendo então agrupados e analisados conforme o nível de evidência, grau de recomendação e qualidade metodológica. Pôde-se observar um considerável impacto da doença sobre a tolerância ao exercício e a qualidade de vida. Quanto à abordagem terapêutica desses desfechos, os estudos relataram que houve melhora na deambulação e na qualidade de vida, aumento da capacidade funcional e redução da dor. No que se refere à modalidade de tratamento, a maioria das pesquisas incluíram exercícios aeróbicos.

Keywords: exercise tolerance; peripheral arterial disease; quality of life.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest:No conflicts of interest declared concerning the publication of this article.

Figures

Figure 1
Figure 1. Flow diagram for the article search and selection process.
Figura 1
Figura 1. Fluxograma do processo de busca e seleção dos artigos.
See this image and copyright information in PMC

References

    1. Alvim RO, Dias FAL, Oliveira CM, et al. Prevalence of peripheral artery disease and associated risk factors in a Brazilian rural population: the Baependi Heart Study. Int J Cardiovasc Sci. 2018;31:405–413. doi: 10.5935/2359-4802.20180031. - DOI
    1. Corrêa UAC, Vidal AA, Gonçalves PEO, Sady ERR, Flumignan RLG, Cisneros LL. Fisioterapia intra-hospitalar para pacientes com isquemia crítica de membro inferior: consenso de especialistas. Fisioter Pesqui. 2019;26(2):151–157. doi: 10.1590/1809-2950/18006426022019. - DOI
    1. Geiger MA, Guillaumon AT. Primary stenting for femoropopliteal peripheral arterial disease: analysis up to 24 months. J Vasc Bras. 2019;18:e20160104. - PMC - PubMed
    1. Mendez CB, Salum NC, Junkes C, Amante LN, Mendez CML. Mobile educational follow-up application for patients with peripheral arterial disease. Rev Lat Am Enfermagem. 2019;27:e3122. doi: 10.1590/1518-8345.2693-3122. - DOI - PMC - PubMed
    1. Nunes S, Gouveia C. Afinal, não era preciso amputar! Um caso clínico. Rev Port Med Geral Fam. 2018;34(5):307–311. doi: 10.32385/rpmgf.v34i5.11834. - DOI

LinkOut - more resources