Abstract
Medically supervised exercise has been shown to effectively improve exercise performance, including increased claudicationonset time and peak walking time in patients afflicted with peripheral artery disease (PAD). Although supervised exercise is currently a treatment recommended by the American College of Cardiology and the American Heart Association, reimbursement by health insurance companies is not yet provided. Therefore, patients experiencing PAD-associated claudication could benefit from an exercise alternative in the community setting, such as a home-based walking program. In this study, 119 participants with PAD experiencing intermittent claudication were randomized into 1 of 3 groups: nonexercise as the usual care, supervised exercise, or home-based exercise. There were no significant differences among the groups in baseline characteristics. The study was strengthened by utilizing a randomized, controlled design and a step-activity monitor to directly measure exercise adherence and to quantify the amount of exercise completed. The purpose of the study was to compare the changes among the 3 groups with regard to exercise performance and daily ambulatory activity. Patients were followed for 12weeks, duringwhich time supervised and home-based participants exercised 3 times per week, at 2 miles per hour or at a self-selected pace, respectively. The initial
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
