出版社：Pontifícia Universidade Católica do Rio Grande do Sul
摘要：Introduction: The non-supervised rehabilitation for individuals with peripheral artery disease (PAD) has as objective to motivate patients to practice physical exercise, fundamental for the improvement of the claudicating symptom and functional capacity.Objective: To evaluate the results of a non-supervised exercise in individuals with PAD regarding functional capacity, muscle resistance, and self-perception of functionality.Materials and Methods: This is a retrospective study, which evaluated data from medical records of 11 individuals with PAD who underwent remote unsupervised vascular rehabilitation for two months, with monthly guidelines and reevaluations. The rehabilitation was composed by guidelines on how the individual should perform the exercise, log journal to control their performance and modified Borg scale to quantify the intensity. For the evaluations the Heel-Rise test (HRT), Incremental Shuttle Walk Test (ISWT), and the Walking Impairment Questionnaire (WIQ) were used.Results: A statistically significant improvement was observed in the first month of non-supervised physical activity in comparison to the initial evaluation, regarding the number of repetitions (36.73±13.89 repetitions and 49.91±21.88 repetitions, p=0.0001), HRT repetition rate (0.68±017 repetitions/second and 0.84±020 repetitions/second, p=0.004), the walk distance (207.27±97.68 meters and 266.36±113.87 meters, p=0.0001), ISWT walk economy (2.07±1.02 meters/heart rate, and 2.59±1.08 meters/heart rate, p=0.001) and in the WIQ pain graduation (15.91±12.61% and 43.18±25.23%, p=0.0001) and walk speed (21.84±26.91% and 38.59±27.49%, p=0.017).Conclusion: The non-supervised training, with systematic orientations, is a safe therapeutic option, and presents satisfactory results on functional capacity, muscle resistance, and self-perception of functionality.
