Exercise to improve lower limb ischemia

2017-03-10

Health newspaper

  
      Lower limb ischemia is a common vascular disease, mostly caused by arteriosclerosis obliterans and thromboangiitis obliterans. The early stage of the disease mainly for intermittent claudication, with the exacerbation of the condition and rest pain and acromegaly, light affect life and work, severe cases due to amputation and disability, and even life-threatening. In addition to surgical treatment, many scholars believe that physical exercise has the initiative, the nature and nature of the characteristics of peripheral vascular disease treatment and rehabilitation have a certain role, especially for lower limb ischemia caused by intermittent claudication have a good effect.

      Clinical practice has found that smoking cessation and walking exercise combined with drug therapy can not only significantly reduce or cure intermittent claudication, improve patient quality of life, but also as an adjunctive adjuvant therapy and to cure residual mild intermittent claudication after surgery Best effect.

      Exercise prescription should be based on the patient's age, gender, physical, disease, disease and whether the merger and other comprehensive determination. Exercise intensity and exercise time determine the amount of exercise. Generally use small strength, long exercise prescription. Exercise intensity to exercise heart rate of 100 to 110 times / minute, net heart rate (exercise heart rate minus the heart rate difference when the difference) is less than 30 times / minute is appropriate. Exercise time to 30 to 60 minutes, the frequency of exercise to 1 to 2 times a day is appropriate.

      Foreign scholars observed that intermittent claudication in patients with exercise should be close to the maximum pain when the effect is better. If the patient after exercise in less than 30 minutes of the time the maximum pain, indicating that the exercise intensity is too large, should be appropriate to reduce; if the maximum pain after exercise more than 60 minutes, indicating that the exercise intensity is too small, should be appropriate to increase , So that after the movement near the maximum pain time adjustment in 30 to 60 minutes is appropriate. At the end of each movement should not stop, to gradually slow down until the stop. Exercise prescriptions should vary from person to person. At the beginning of exercise should be carried out in the care of health care workers or family members in order to adjust the exercise prescription and prevent accidents at any time.

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      There are many forms of physical exercise to walk as the main movement. Walk can be divided into two sections of flat sections and slope sections, with flat sections. Walking exercise speed is divided into three types:

      Slow: 70 to 100 steps / min

      Medium speed: 100 to 120 steps / minute

      Fast: 120 to 140 steps / min

      As the majority of patients for the elderly, and more complicated with cardiovascular and cerebrovascular diseases, so more use of moderate walking exercise.

      Indications: lower extremity arteriosclerosis obliterans, diabetic arteriosclerosis obliterans, thrombosis obliterans caused by a stage, two patients with lower limb ischemia.

      Contraindications: fever, limb or wound infection, deep vein thrombosis and aneurysm and other patients, to avoid infection spread, thrombosis and bleeding.

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