Compare and contrast the effects of peripheral arterial disease and deep vein thrombosis on movement performance, and outline appropriate exercise modifications for each condition. (5 marks)
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Sample Answer
Similarities:
- Both conditions affect blood vessels and impair circulation to the legs.
- Both cause leg pain that limits movement performance.
- Both require medical clearance before exercise participation.
- Both need careful monitoring during physical activity.
Differences:
- PAD affects arteries (oxygen delivery) while DVT affects veins (blood return).
- PAD pain is predictable during exertion; DVT pain is constant with swelling.
- PAD allows intermittent exercise; DVT initially restricts all leg movement.
- PAD pain resolves with rest; DVT poses clot migration risk during activity.
Exercise Modifications for PAD:
- Use interval training with rest when claudication pain occurs.
- Maintain moderate intensity (40-60% HRmax).
- Progress walking duration gradually as tolerance improves.
Exercise Modifications for DVT:
- Begin with upper body exercises only until medically cleared.
- Start with very low intensity (20-30% HRmax).
- Progress slowly from seated to standing to walking activities.
- Avoid high-impact activities that could dislodge clots.
Show Worked Solution
Sample Answer
Similarities:
- Both conditions affect blood vessels and impair circulation to the legs.
- Both cause leg pain that limits movement performance.
- Both require medical clearance before exercise participation.
- Both need careful monitoring during physical activity.
Differences:
- PAD affects arteries (oxygen delivery) while DVT affects veins (blood return).
- PAD pain is predictable during exertion; DVT pain is constant with swelling.
- PAD allows intermittent exercise; DVT initially restricts all leg movement.
- PAD pain resolves with rest; DVT poses clot migration risk during activity.
Exercise Modifications for PAD:
- Use interval training with rest when claudication pain occurs.
- Maintain moderate intensity (40-60% HRmax).
- Progress walking duration gradually as tolerance improves.
Exercise Modifications for DVT:
- Begin with upper body exercises only until medically cleared.
- Start with very low intensity (20-30% HRmax).
- Progress slowly from seated to standing to walking activities.
- Avoid high-impact activities that could dislodge clots.