IJCS | Volume 32, Nº6, November / December 2019

649 1. Petto J, Almeida FOB, Vasques LMR. Eficácia de um programa de condicionamento físico intervalado sobre a tolerância a caminhada em um indivíduo comdoença arterial obstrutiva periférica. Salvador Fisioter Bras. 2011;12(6):459-62. 2. Brandão AC, Trindade DM, Pinhel MA, Anacleto AM, Godoy JMP, GodoyMF, et al. Avaliação do perfil lipídico na doença arterial periférica. J Vasc Br. 2005;4(2):129-36. 3. Nunes JLB, Araujo Filho JS, Silvany Neto AM, Andrade CS, Duque BC, Costa FPM, et al. Doença Arterial Oclusiva Periférica de membros inferiores em hospitais públicos de salvador-perfil dos pacientes e do atendimento. J Vasc Bras. 2013;1(3):201-6. 4. Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, Carvalho T, et al. Diretriz sul-americana de prevenção e reabilitação cardiovascular. Arq Bras Cardiol. 2014;103(2Suppl.1):1-31. 5. Murphy TP, CutlipDE, Regensteiner, JG, Mohler ER, CohenDJ, Reynolds RR, et al. Supervised exercise versus primary stenting for claudication eesulting From Aortoiliac Peripheral Artery Disease. Circulation. 2012;125(1):130-9. 6. Hirsch AT, Hackal ZJ, Hertzer NR, Bakal CW, Creager MA, Halpern JL, et al. ACC/AHA Guidelines for the management of PAD. J Am Coll Cardiol. 2006;47(6):1239–312. 7. ConteMS, Pomposelli FB, Clair DG, Geraghty PJ, McKinsey JF, McKinsey et al. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication.. J Vasc Surg. 2015;61(3):2S-41S. 8. Locatelli EC, Pelizzari S, Scapini KB, Leguisamo CP, Silva AB. Exercício físico na doença arterial obstrutiva periférica. J Vasc Bras. 2009;8(3):247- 54. 9. Gavin TP. Basal and exercise-Induced regulation of skeletal muscle capillarization. Exerc Sport Sci Rev. 2009;37(2):86-92. References levels resulted in a reduction of up to 15% in the risk of mortality due to cardiovascular diseases. The evidence currently available in the literature is enough to routinely refer patients with lower-limb PAOD to CMR services before having them submitted to more invasive procedures, such as revascularization or angioplasty. The interdisciplinary treatment should be the first option, as it increases the chance of clinical and functional condition improvement, reduces the administration of drugs and prevents surgical treatment and amputations in this population. Conclusion According to this case report, a supervised exercise program on a treadmill combined with neuromuscular exercises was effective in the healing process of the lower- limb PAOD-related skin ulcer and in the control of the modifiable risk factors that lead to this condition, such as diabetes mellitus and dyslipidemia. This report also aims to encourage more health professionals to prioritize interdisciplinary treatment by referring their patients with PAOD to supervised physical exercise programs. Author contributions Conception and design of the research: Petto J, Farias JBF, Rosa EA. Acquisition of data: Petto J, Almeida FOB. Analysis and interpretation of the data: Petto J, Sacramento MS, Almeida FOB, Farias JBF, Rosa EA. Statistical analysis: Petto J, Sacramento MS. Writing of the manuscript: Petto J, SacramentoMS. Critical revision of the manuscript for intellectual content: Petto J, Farias JBF, Rosa EA. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associated with any thesis or dissertation work. Ethics approval and consent to participate This study was approved by the Ethics Committee of the Universidade Estadual de Feira de Santana under the protocol number 0033.059.000-11. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study. Petto et al. Physical exercise for skin ulceration secondary to peripheral disease Int J Cardiovasc Sci. 2019;32(6):645-649 Case Report This is an open-access article distributed under the terms of the Creative Commons Attribution License