Zusammenfassung
Die Behandlung der pAVK umfasst einen therapeutischen und rehabilitativen Ansatz. Im zentralen Fokus des physiotherapeutischen Konzeptes steht das Gehtraining über komplexe Beeinflussung des gesamten Gefäß- und Muskelsystems. Aerobes Training verbessert vaskuläre Transportkapazität, Bewegungsfreiheit sowie Lebensqualität und senkt die Schmerzen. Der klassische Gehstreckentest über Steuerung der Belastungsdauer (Steigung und Geschwindigkeit) wird mit 90 % der freien Gehstrecke als therapeutische Dosis eingesetzt. Alternativ sind Laufband, Armergometer, Nordic Walking und Krafttraining sowie die klassischen Rollübungen möglich. Vorgestellt wird ein praktisches Trainingskonzept als Einzel-, Gruppen- oder häusliche Therapie. Ergänzend werden Verfahren zur Nutzung gefäßregulatorischer Mechanismen und zur Belastungsverarbeitung vorgestellt.
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Smolenski, U. (2018). Gehtraining. In: Teichgräber, U., Aschenbach, R., Scheinert, D., Schmidt, A. (eds) Periphere arterielle Interventionen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55935-2_6
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DOI: https://doi.org/10.1007/978-3-662-55935-2_6
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