Key result
A new supervised exercise program plus at-home therapy significantly improved 6-minute walking distance (P<0.001) and quality of life (P<0.05) at 6 months compared to usual care.
Why the study?
Does a new individual supervised exercise program plus at home nonsupervised exercise therapy improve functional status and quality of life in patients with peripheral arterial disease post-lower-limb bypass surgery?
RCT (n=117)
Does a new individual supervised exercise program plus at home nonsupervised exercise therapy improve functional status and quality of life in patients with peripheral arterial disease post-lower-limb bypass surgery?
p-value: p=<0.001
A new supervised exercise program combined with home exercise significantly improves walking distance and quality of life in patients with PAD after lower limb bypass surgery.
Supports supervised exercise plus home therapy in post-bypass PAD care; extends RCT evidence for walking and QoL gains.
OBJECTIVE: The aim of this study was to evaluate the effectiveness of a supervised exercise program (SEP) plus at home nonsupervised exercise therapy (non-SET) on functional status, quality of life (QoL) and hemodynamic response in post-lower-limb bypass surgery patients. RESULTS: One hundred and seventeen patients were randomized to an intervention (n = 57) or a control group (n = 60). A new individual SEP was designed for patients with peripheral arterial disease (PAD) and applied to the studied subjects of the intervention group who also continued non-SET at home, whereas those assigned to the control group received just usual SEP according to a common cardiovascular program. The participants of the study were assessed by a 6-min walking test (6 MWT), an ankle-brachial index (ABI), and the Medical Outcomes Study Short Form-36 (SF-36) of QoL at baseline, at 1 and 6 months after surgery. A significant improvement was observed in the walked distance in the intervention group after 6 months compared with the control group (p < 0.001). The intervention group had significantly higher QoL score in the physical and mental component of SF-36 (p < 0.05). CONCLUSIONS: A 6-month application of the new SEP and non-SET at home has yielded significantly better results in walking distance and QoL in the intervention group than in the controls.
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Jakubsevičienė et al. (2014) conducted an RCT in Peripheral arterial disease post-lower-limb bypass surgery (n=117). New individual supervised exercise program (SEP) plus at-home nonsupervised exercise therapy (non-SET) vs. Usual SEP according to a common cardiovascular program was evaluated on Walked distance (6 MWT) and Quality of Life (SF-36) (p=<0.001). A new supervised exercise program plus at-home therapy significantly improved 6-minute walking distance (P<0.001) and quality of life (P<0.05) at 6 months compared to usual care.
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