血流量受限训练作为外周动脉疾病患者无法进行常规步行运动康复的最后机会、无创治疗一例报告

Q4 Medicine Rehabilitacja Medyczna Pub Date : 2023-05-05 DOI:10.5604/01.3001.0053.4244
M. Maga, A. Włodarczyk, Rafał Piliński, A. Śliwka
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引用次数: 0

摘要

简介和目的:我们报道了一种无创和创新的治疗方法,即血流受限训练(BFR)治疗一名62岁男性右小腿短距离跛行(Rutherford 3),并伴有同肢血栓形成后深静脉综合征。这是第一例描述BFR训练用于下肢缺血患者康复的病例。材料与方法:该患者经常进行体力活动,既往吸烟,有深静脉血栓形成史,被诊断为腘动脉和胫骨前动脉闭塞,引起间歇性短距离跛行。由于患者拒绝任何血管手术干预,无论是开放的还是血管内的,侵入性方法是不可能的。由于最近诊断髋关节退行性变,并伴有腰骶椎退行性变和镜下病变,不能进行常规的监督步行训练。实验血流量受限的低强度训练,与使用交叉训练工具,并伴有冷却,被介绍。这种21分钟的训练,每周3次,持续3个月,以坐位进行,在手臂和腿部放置一个特殊的低压袖带。结果:患者肢体症状迅速减轻,血管参数明显改善,可对右髋关节进行手术治疗。患者继续以步行训练的形式对外周动脉疾病进行无创治疗。结论:对于经典步行训练和血运重建可能性有限的外周动脉疾病患者,可以单独考虑血流量限制训练,但应非常谨慎,并在与血管医学专家详细咨询后进行。
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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 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 patients 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.
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来源期刊
Rehabilitacja Medyczna
Rehabilitacja Medyczna Medicine-Rehabilitation
CiteScore
0.30
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊最新文献
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