Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis

被引:3
|
作者
Manfredini, Fabio [1 ,2 ,5 ]
Zenunaj, Gladiol [3 ]
Traina, Luca [3 ]
Gasbarro, Vincenzo [3 ,4 ]
Lamberti, Nicola [1 ]
机构
[1] Univ Ferrara, Dept Neurosci & Rehabil, Ferrara, Italy
[2] Unit Rehabil Med, Ferrara, Italy
[3] Univ Hosp Ferrara, Unit Vasc & Endovascular Surg, Ferrara, Italy
[4] Univ Ferrara, Dept Med Sci, Ferrara, Italy
[5] Univ Ferrara, Dept Neurosci & Rehabil, Via Luigi Borsari 46, I-44121 Ferrara, Italy
关键词
Claudication; Exercise; Near-infrared spectroscopy; Rehabilitation; Thermography; Upper extremity arterial disease; TEST IN-TRAIN; NITRIC-OXIDE; PROGRAM; REHABILITATION; WALKING; HUMANS; IMPACT;
D O I
10.1016/j.jvscit.2023.101179
中图分类号
R61 [外科手术学];
学科分类号
摘要
We report the case of a 71-year-old woman diagnosed with giant cell arteritis with bilateral subclavian and axillary obstruction and severe arm claudication that occurred 3 months earlier and was non-regressed after corticosteroids. Before possible revascularization, the patient was initiated to a personalized home-based graded exercise program including walking, hand-bike pedaling, and muscle strength training. During the 9 months of treatment, the patient progressively improved radial pressure values (10 to 85 mmHg), hand temperature values by infrared-thermography ( thorn 2.1 & DEG;C), arm endurance, and forearm muscle oxygenation by near-infrared spectroscopy. Home-based graded exercise proved to be a noninvasive option for upper limb claudication. (J Vasc Surg Cases Innov Tech 2023;9:101179.)
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页数:4
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