Intermittent claudication, a common symptom of peripheral arterial disease, results in insufficient blood flow and oxygen supply to lower extremity muscles. Compared to men, women with peripheral arterial disease have a higher rate of mobility loss with peripheral arterial disease due to poorer lower extremity functioning. This study evaluates the effect of supervised pain-free treadmill exercise on improving performance in women with intermittent claudication due to peripheral arterial disease in comparison to men. A total of 26 participants (women, n = 9, 34.62%; mean age = 67.58 ± 5.59 years; averaging 23.46 ± 3.91 visits and 10.46 ± 0.99 weeks in the program) diagnosed with peripheral arterial disease, with symptoms of intermittent claudication, partook in a 45 min treadmill walk, twice per week, below the participant's minimal pain threshold. Female participants' change scores showed 752%, 278% and 115% improvement in mean walking distance, duration and rate, respectively. Men improved 334%, 149% and 80%, respectively. Significant differences (p   0.80). Our results suggest that women reap similar benefits from this low-intensity treadmill program in comparison to men.

Pain-free treadmill exercise for patients with intermittent claudication: Are there gender differences?

Chapter 19 – Medical Treatment of Peripheral Artery Disease

https://www.centreepic.org/wp-content/uploads/2015/04/2012_Guiraud_T_Whats_New_In_CardiacRehab.pdf

Non-pharmacological strategies in cardiovascular prevention: 2011 highlights.

Réadaptation dans l'artériopathie des membres inférieurs

Vascular rehabilitation is an essential and effective treatment of peripheral arterial obstructive disease (PAOD). It is recommended in the first line by the European and American scientific societies. The rehabilitation to the walk remains the basic treatment of the arteriopathy of the lower limbs. Different walking protocols can be proposed. For similar effectiveness, vascular rehabilitation consists of an outpatient or specialized institution management program based on a comprehensive approach involving all or many of the following techniques: relaxation, active analytical exercises, gait rehabilitation, exercise re-entry, physical activities adapted to the patient's daily life and illness, respiratory physiotherapy, therapeutic education of the patient, smoking cessation aid. Vascular rehabilitation of arteritis requires a variety of skills but still faces a clear lack of suitable structures; it remains poorly prescribed and poorly known by usual prescribers (general practitioner, vascular surgeon).

Rehabilitation of patients with peripheral arterial disease.

New rehabilitation program for intermittent claudication: Interval training with active recovery: pilot study.

Étude pilote du réentraînement des artériopathes en ischémie d’effort : travail classique versus travail par intervalles sur tapis roulant

Background. – Peripheral arterial disease (PAD) is one of the complications of atherosclerosis. Intermittent claudication is the second stage of PAD. In controlled studies on patients with Stage II PAD, intensive rehabilitation training has proved effective for improving the walking distance in this population. The objective of this prospective study was to determine the effects of treadmill interval training followed by active recovery (low-intensity exercise). Methods and results. – Eleven patients with Stage II peripheral arterial disease were included in a rehabilitation program (mean age 68.3 10.3 years) for five days a week during two weeks including global exercises, exercises below and above the level of injury. The interval training program consisted of treadmill training for 30 minutes twice a day (morning and evening) with a progressively increased intensity: the first week speed was increased and the second week slope was increased. Each session included five six-minute cycles. Each cycle was made of three minutes of active workout followed by three minutes of active recovery. Results. – All patients improved their walking distance, from a mean of 610 m (120–1930) at the beginning of the program to a mean of 1252 m (320–2870) at the end (P = 0.003). All patients were very motivated by the rehabilitation training program No adverse event was reported. Conclusion. – This study showed that an interval training program with active recovery was effective and safe for patients with Stage II peripheral arterial disease, the patients’ motivation was high. This study must now be validated by a clinical trial. # 2011 Published by Elsevier Masson SAS.

New rehabilitation program for intermittent claudication: Interval training with active recovery. Pilot study Nouveau programme de réentraînement intensif et fractionné de la marche pour l'ischémie d'effort des membres inférieurs : étude pilote

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New rehabilitation program for intermittent claudication: Interval training with active recovery: pilot study.

Étude pilote du réentraînement des artériopathes en ischémie d’effort : travail classique versus travail par intervalles sur tapis roulant

New rehabilitation program for intermittent claudication: Interval training with active recovery. Pilot study Nouveau programme de réentraînement intensif et fractionné de la marche pour l'ischémie d'effort des membres inférieurs : étude pilote