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2022 | OriginalPaper | Hoofdstuk

4. Vasculaire aandoeningen – claudicatio intermittens

Auteurs: MSc L. H. M. Marcellis, BCS F. Reichenfeld, PhD, FT n.p. T. J. Hoogeboom

Gepubliceerd in: Geriatrie in de fysiotherapie en kinesitherapie - praktijk

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

In dit hoofdstuk wordt een casus besproken van een patiënt met klachten van claudicatio intermittens, ook wel bekend als etalagebenen, als symptoom van perifeer arterieel vaatlijden (PAV), een vorm van atherosclerose (slagaderverkalking). De huisarts verwijst naar een fysiotherapeut van Chronisch ZorgNet voor gesuperviseerde (loop)training en leefstijlbegeleiding. Realistische behandeldoelen worden vastgesteld met de persoonlijke voorspelling van het KomPas. Tijdens het therapeutisch proces wordt aandacht besteed aan het verbeteren van het ziekte-inzicht, zodat de patiënt beter begrijpt wat de functie en het doel zijn van de training. De inhoud van de training (zoals loopbandtraining, zelfstandig wandelen en huiswerkoefeningen gericht op kracht) wordt vastgesteld in overleg met de patiënt. Naast fysieke training vormt het beïnvloeden van risicofactoren (begeleiding van leefstijlverandering) een wezenlijk onderdeel van de behandeling. Waar nodig is de behandeling multidisciplinair.
Literatuur
1.
go back to reference Oostindjer, A., & Snoeijen, A. (2014). Perifeer arterieel vaatlijden. Tijdschrift voor Praktijkondersteuning, 9, 8–15. CrossRef Oostindjer, A., & Snoeijen, A. (2014). Perifeer arterieel vaatlijden. Tijdschrift voor Praktijkondersteuning, 9, 8–15. CrossRef
2.
go back to reference Beers, M. H., Berga, S. L., & Batterink, J. (2005). Merck Manual Medisch Handboek. Bohn Stafleu van Loghum. Beers, M. H., Berga, S. L., & Batterink, J. (2005). Merck Manual Medisch Handboek. Bohn Stafleu van Loghum.
3.
go back to reference Bartelink, M. E. L., Elsman, B. H. P., Oostindjer, A., Stoffers, H. E. J. H., Wiersma, T. J., & Geraets, J. J. X. R. (2014). NHG-Standaard Perifeer arterieel vaatlijden. Huisarts en Wetenschap, 57(2), 81. Bartelink, M. E. L., Elsman, B. H. P., Oostindjer, A., Stoffers, H. E. J. H., Wiersma, T. J., & Geraets, J. J. X. R. (2014). NHG-Standaard Perifeer arterieel vaatlijden. Huisarts en Wetenschap, 57(2), 81.
4.
go back to reference Norgren, L., Hiatt, W. R., Dormandy, J. A., Nehler, M. R., Harris, K. A., Fowkes, F. G., & TASC II Working Group (2007). Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Journal of vascular surgery, 45(Suppl S), S5–S67. Norgren, L., Hiatt, W. R., Dormandy, J. A., Nehler, M. R., Harris, K. A., Fowkes, F. G., & TASC II Working Group (2007). Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Journal of vascular surgery, 45(Suppl S), S5–S67.
5.
go back to reference Sigvant, B., Wiberg-Hedman, K., Bergqvist, D., Rolandsson, O., Andersson, B., Persson, E., & Wahlberg, E. (2007). A population-based study of peripheral arterial disease prevalence with special focus on critical limb ischemia and sex differences. Journal of Vascular Surgery, 45(6), 1185–1191. PubMedCrossRef Sigvant, B., Wiberg-Hedman, K., Bergqvist, D., Rolandsson, O., Andersson, B., Persson, E., & Wahlberg, E. (2007). A population-based study of peripheral arterial disease prevalence with special focus on critical limb ischemia and sex differences. Journal of Vascular Surgery, 45(6), 1185–1191. PubMedCrossRef
6.
go back to reference Hooi, J. D., Kester, A. D., Stoffers, H. E., Overdijk, M. M., Van Ree, J. W., & Knottnerus, J. A. (2001). Incidence of and risk factors for asymptomatic peripheral arterial occlusive disease: a longitudinal study. American Journal of Epidemiology, 153(7), 666–672. PubMedCrossRef Hooi, J. D., Kester, A. D., Stoffers, H. E., Overdijk, M. M., Van Ree, J. W., & Knottnerus, J. A. (2001). Incidence of and risk factors for asymptomatic peripheral arterial occlusive disease: a longitudinal study. American Journal of Epidemiology, 153(7), 666–672. PubMedCrossRef
8.
go back to reference Merry, A. H. H., Teijink, J. A. W., Jongert, M. W. A., Poelgeest, A, Van der Voort, S. S. E. M., Bartelink, M. E. L. et al. (2017). KNGF-richtlijn Symptomatisch perifeer arterieel vaatlijden. Koninklijk Nederlands Genootschap voor Fysiotherapie. Merry, A. H. H., Teijink, J. A. W., Jongert, M. W. A., Poelgeest, A, Van der Voort, S. S. E. M., Bartelink, M. E. L. et al. (2017). KNGF-richtlijn Symptomatisch perifeer arterieel vaatlijden. Koninklijk Nederlands Genootschap voor Fysiotherapie.
9.
go back to reference Song, P., Rudan, D., Zhu, Y., Fowkes, F. J. I., Rahimi, K., Fowkes, F. G. R., et al. (2019). Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015: An updated systematic review and analysis. Lancet Global Health, 7(8), e1020–e1030. PubMedCrossRef Song, P., Rudan, D., Zhu, Y., Fowkes, F. J. I., Rahimi, K., Fowkes, F. G. R., et al. (2019). Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015: An updated systematic review and analysis. Lancet Global Health, 7(8), e1020–e1030. PubMedCrossRef
10.
go back to reference Caro, J., Migliaccio-Walle, K., Ishak, K. J., & Proskorovsky, I. (2005). The morbidity and mortality following a diagnosis of peripheral arterial disease: Long-term follow-up of a large database. BMC Cardiovascular Disorders, 5, 14. PubMedPubMedCentralCrossRef Caro, J., Migliaccio-Walle, K., Ishak, K. J., & Proskorovsky, I. (2005). The morbidity and mortality following a diagnosis of peripheral arterial disease: Long-term follow-up of a large database. BMC Cardiovascular Disorders, 5, 14. PubMedPubMedCentralCrossRef
11.
go back to reference Kügler, C., & Rudofsky, G. (2003). The role of comorbidity burden for patients with symptomatic peripheral arterial disease (PAD). A quantitative approach. International angiology: A journal of the International Union of Angiology, 22(3), 290–301. Kügler, C., & Rudofsky, G. (2003). The role of comorbidity burden for patients with symptomatic peripheral arterial disease (PAD). A quantitative approach. International angiology: A journal of the International Union of Angiology, 22(3), 290–301.
12.
go back to reference Insull, W., Jr. (2009). The pathology of atherosclerosis: Plaque development and plaque responses to medical treatment. The American Journal of Medicine, 122(1 Suppl), S3–S14. PubMedCrossRef Insull, W., Jr. (2009). The pathology of atherosclerosis: Plaque development and plaque responses to medical treatment. The American Journal of Medicine, 122(1 Suppl), S3–S14. PubMedCrossRef
13.
go back to reference Bernards, J. A., & Bouwman, L. N. (1994). Fysiologie van de mens. Bohn Scheltema en Holkema. Bernards, J. A., & Bouwman, L. N. (1994). Fysiologie van de mens. Bohn Scheltema en Holkema.
14.
go back to reference Vahl, A. C., Teijink, J. A. W., Elsman, B. H. P., Reekers, J. A., Monajemi, H., Bartelink, M. E. L., et al. (2016). Perifeer Arterieel Vaatlijden (PAV). Federatie Medisch Specialisten. Vahl, A. C., Teijink, J. A. W., Elsman, B. H. P., Reekers, J. A., Monajemi, H., Bartelink, M. E. L., et al. (2016). Perifeer Arterieel Vaatlijden (PAV). Federatie Medisch Specialisten.
15.
go back to reference Collins, R., Burch, J., Cranny, G., Aguiar-Ibáñez, R., Craig, D., Wright, K., Berry, E., Gough, M., Kleijnen, J., & Westwood, M. (2007). Duplex ultrasonography, magnetic resonance angiography, and computed tomography angiography for diagnosis and assessment of symptomatic, lower limb peripheral arterial disease: systematic review. BMJ (Clinical research ed.), 334(7606), 1257. CrossRef Collins, R., Burch, J., Cranny, G., Aguiar-Ibáñez, R., Craig, D., Wright, K., Berry, E., Gough, M., Kleijnen, J., & Westwood, M. (2007). Duplex ultrasonography, magnetic resonance angiography, and computed tomography angiography for diagnosis and assessment of symptomatic, lower limb peripheral arterial disease: systematic review. BMJ (Clinical research ed.), 334(7606), 1257. CrossRef
16.
go back to reference Fontaine, R., Kim, M., & Kieny, R. (1954). Die chirurgische Behandlung der peripheren Durchblutungsstörungen [Surgical treatment of peripheral circulation disorders]. Helvetica Chirurgica Acta, 21(5–6), 499–533. PubMed Fontaine, R., Kim, M., & Kieny, R. (1954). Die chirurgische Behandlung der peripheren Durchblutungsstörungen [Surgical treatment of peripheral circulation disorders]. Helvetica Chirurgica Acta, 21(5–6), 499–533. PubMed
17.
go back to reference Aboyans, V., Ricco, J. B., Bartelink, M., Björck, M., Brodmann, M., Cohnert, T., et al. (2018). 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries. European Heart Journal, 39(9), 763–816. PubMedCrossRef Aboyans, V., Ricco, J. B., Bartelink, M., Björck, M., Brodmann, M., Cohnert, T., et al. (2018). 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries. European Heart Journal, 39(9), 763–816. PubMedCrossRef
18.
go back to reference Leng, G. C., Fowler, B., & Ernst, E. (2000). Exercise for intermittent claudication. The Cochrane Database of Systematic Reviews, (2), CD000990. Leng, G. C., Fowler, B., & Ernst, E. (2000). Exercise for intermittent claudication. The Cochrane Database of Systematic Reviews, (2), CD000990.
19.
go back to reference Fakhry, F., Fokkenrood, H. J., Spronk, S., Teijink, J. A., Rouwet, E. V., & Hunink, M. (2018). Endovascular revascularisation versus conservative management for intermittent claudication . The Cochrane Database of Systematic Reviews, 3(3), CD010512. Fakhry, F., Fokkenrood, H. J., Spronk, S., Teijink, J. A., Rouwet, E. V., & Hunink, M. (2018). Endovascular revascularisation versus conservative management for intermittent claudication . The Cochrane Database of Systematic Reviews, 3(3), CD010512.
20.
go back to reference Klaphake, S., Buettner, S., Ultee, K. H., Van Rijn, M. J., Hoeks, S. E., & Verhagen, H. J. (2018). Combination of endovascular revascularization and supervised exercise therapy for intermittent claudication: A systematic review and meta-analysis. The Journal of Cardiovascular Surgery, 59(2), 150–157. PubMedCrossRef Klaphake, S., Buettner, S., Ultee, K. H., Van Rijn, M. J., Hoeks, S. E., & Verhagen, H. J. (2018). Combination of endovascular revascularization and supervised exercise therapy for intermittent claudication: A systematic review and meta-analysis. The Journal of Cardiovascular Surgery, 59(2), 150–157. PubMedCrossRef
21.
go back to reference Pandey, A., Cornwell, W. K., 3rd., Willis, B., Neeland, I. J., Gao, A., Leonard, D., DeFina, L., & Berry, J. D. (2017). Body mass index and cardiorespiratory fitness in mid-life and risk of heart failure hospitalization in older age: Findings from the Cooper Center Longitudinal Study. JACC Heart failure, 5(5), 367–374. PubMedCrossRef Pandey, A., Cornwell, W. K., 3rd., Willis, B., Neeland, I. J., Gao, A., Leonard, D., DeFina, L., & Berry, J. D. (2017). Body mass index and cardiorespiratory fitness in mid-life and risk of heart failure hospitalization in older age: Findings from the Cooper Center Longitudinal Study. JACC Heart failure, 5(5), 367–374. PubMedCrossRef
22.
go back to reference Gardner, A. W., Skinner, J. S., Cantwell, B. W., & Smith, L. K. (1991). Progressive vs single-stage treadmill tests for evaluation of claudication. Medicine and science in sports and exercise, 23(4), 402–408. PubMedCrossRef Gardner, A. W., Skinner, J. S., Cantwell, B. W., & Smith, L. K. (1991). Progressive vs single-stage treadmill tests for evaluation of claudication. Medicine and science in sports and exercise, 23(4), 402–408. PubMedCrossRef
23.
go back to reference Tudor-Locke, C., Craig, C. L., Thyfault, J. P., & Spence, J. C. (2013). A step-defined sedentary lifestyle index: < 5000 steps/day. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 38(2), 100–114. Tudor-Locke, C., Craig, C. L., Thyfault, J. P., & Spence, J. C. (2013). A step-defined sedentary lifestyle index: < 5000 steps/day. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 38(2), 100–114.
24.
go back to reference Womack, C. J. & Gardner, A. W. (2003). Peripheral arterial disease. Human Kinetics. Womack, C. J. & Gardner, A. W. (2003). Peripheral arterial disease. Human Kinetics.
25.
go back to reference Brunnekreef, J. J., Van Uden, C. J., Van Moorsel, S., & Kooloos, J. G. (2005). Reliability of videotaped observational gait analysis in patients with orthopedic impairments. BMC Musculoskeletal Disorders, 6, 17. PubMedPubMedCentralCrossRef Brunnekreef, J. J., Van Uden, C. J., Van Moorsel, S., & Kooloos, J. G. (2005). Reliability of videotaped observational gait analysis in patients with orthopedic impairments. BMC Musculoskeletal Disorders, 6, 17. PubMedPubMedCentralCrossRef
26.
go back to reference Haas, T. L., Lloyd, P. G., Yang, H. T., & Terjung, R. L. (2012). Exercise training and peripheral arterial disease. Comprehensive Physiology, 2(4), 2933–3017. PubMedPubMedCentralCrossRef Haas, T. L., Lloyd, P. G., Yang, H. T., & Terjung, R. L. (2012). Exercise training and peripheral arterial disease. Comprehensive Physiology, 2(4), 2933–3017. PubMedPubMedCentralCrossRef
27.
go back to reference Watson, L., Ellis, B., & Leng, G. C. (2008). Exercise for intermittent claudication. The Cochrane Database of Systematic Reviews, (4), CD000990. Watson, L., Ellis, B., & Leng, G. C. (2008). Exercise for intermittent claudication. The Cochrane Database of Systematic Reviews, (4), CD000990.
28.
go back to reference Parmenter, B. J., Raymond, J., Dinnen, P., & Singh, M. A. (2011). A systematic review of randomized controlled trials: Walking versus alternative exercise prescription as treatment for intermittent claudication. Atherosclerosis, 218(1), 1–12. PubMedCrossRef Parmenter, B. J., Raymond, J., Dinnen, P., & Singh, M. A. (2011). A systematic review of randomized controlled trials: Walking versus alternative exercise prescription as treatment for intermittent claudication. Atherosclerosis, 218(1), 1–12. PubMedCrossRef
Metagegevens
Titel
Vasculaire aandoeningen – claudicatio intermittens
Auteurs
MSc L. H. M. Marcellis
BCS F. Reichenfeld
PhD, FT n.p. T. J. Hoogeboom
Copyright
2022
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2785-0_4