Effects of continuous vs. interval exercise training on blood pressure and arterial stiffness in treated hypertension
Exercise is an effective intervention for treating hypertension and arterial stiffness, but little is known about which exercise modality is the most effective in reducing arterial stiffness and blood pressure in hypertensive subjects. Our purpose was to evaluate the effect of continuous vs. interval exercise training on arterial stiffness and blood pressure in hypertensive patients. [...]
Multicenter randomized clinical trial of supervised exercise therapy with or without feedback versus walking advice for intermittent claudication.
The initial treatment for intermittent claudication is supervised exercise therapy (SET). Owing to limited capacity and patient transports costs of clinic-based SET, a concept of SET provided by local physiotherapists was developed. We hypothesized that provision of daily feedback with an accelerometer in addition to SET would further increase walking distance. This multicenter randomized trial [...]
Exercise-based interventions and health-related quality of life in intermittent claudication: a 20-year (1989-2008) review.
Peripheral arterial disease (PAD) is a chronic, progressive disease with significant cardiovascular risk. Symptoms include pain in leg muscles on walking, relieved by rest (intermittent claudication). Treatment aims to maintain or improve quality of life (QoL) by minimising ischaemic symptoms and preventing progression to vascular occlusion. Management strategies include exercise-based interventions. Research from 1989 to [...]
Site of maximum neovascularisation correlates with the site of pain in recalcitrant mid-tendon Achilles tendinopathy
Neovascularisation is associated with pain in Achilles tendinopathy (AT). The anatomical relationship between ultrasound (US)-defined indicators of tendinopathy and clinically determined pain sites has not been investigated. The objective of this study was to measure the spatial correlation between the sites of maximum palpated tenderness, site of patient-indicated pain, maximum US-determined neovascularisation and maximum antero-posterior [...]
Resistive exercise versus resistive vibration exercise to counteract vascular adaptations to bed rest.
Bed rest results in marked vascular adaptations, and resistive vibration exercise (RVE) has been shown to be an effective countermeasure. As vibration exercise has practical and logistical limitations, the use of resistive exercise (RES) alone has the preference under specific circumstances. However, it is unknown if RES is sufficient to prevent vascular adaptations to bed [...]
Maximal strength training improves walking performance in peripheral arterial disease patients
The aim of this study was to examine the effects of maximal strength training (MST) on walking economy and walking performance in PAD patients. Ten patients with mild to moderate-severe claudication, classified as Fontaine stage II PAD and with functional limitations from intermittent claudication were recruited and went through an 8-week control period followed by [...]
Short-term aerobic exercise reduces arterial stiffness in older adults with type 2 diabetes, hypertension, and hypercholesterolemia.
Madden KM, Lockhart C, Cuff D, Potter TF, Meneilly GS. The relationship between increased arterial stiffness and cardiovascular mortality is well established in type 2 diabetes. This study examined whether aerobic exercise could reduce arterial stiffness in older adults with type 2 diabetes complicated by comorbid hypertension and hyperlipidemia. 36 older adults with diet-controlled or [...]
Australian association for exercise and sports science position statement on exercise and hypertension.
Sharman JE, Stowasser MHypertension (high blood pressure; BP) is a leading contributor to premature death and disability from cardiovascular disease. Lifestyle modification that includes regular physical activity is often recommended to patients with hypertension as one of the first line treatments for lowering BP, as well as improving overall risk for cardiovascular events. It is [...]
Intermittent claudication: clinical effectiveness of endovascular revascularization versus supervised hospital-based exercise training–randomized controlled trial.
Spronk S, Bosch JL, den Hoed PT, Veen HF, Pattynama PM, Hunink MG. The purpose of this study was to compare clinical success, functional capacity, and quality of life during 12 months after revascularization or supervised exercise training in patients with intermittent claudication. 151 consecutive patients who presented with symptoms of intermittent claudication were randomly [...]
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