Twelve-months follow-up of supervised exercise after percutaneous transluminal angioplasty for intermittent claudication: a randomised clinical trial

Int J Environ Res Public Health. 2013 Nov 11;10(11):5998-6014. doi: 10.3390/ijerph10115998.

Abstract

The aim of this study was to explore the effects during 12 months follow-up of 12 weeks of supervised exercise therapy (SET) after percutaneous transluminal angioplasty (PTA) compared to PTA alone on physical function, limb hemodynamics and health-related quality of life (HRQoL) in patients with intermittent claudication. Fifty patients were randomised to an intervention or a control group. Both groups received usual post-operative care and follow-up measurements at three, six and 12 months after PTA. The intervention group performed 12 weeks of SET after PTA. The control group did not receive any additional follow-up regarding exercise. During the 12 months' follow-up, the members of the intervention group had significantly better walking distance than the control group. The intervention group had a significantly higher HRQoL score in the physical component score of the SF-36, and the domains of physical function, bodily pain and vitality. For limb hemodynamics, there was a non-significant trend towards better results in the intervention group compared to the control group.

Conclusion: SET after PTA yielded statistically significantly better results for walking distance and HRQoL in the intervention group than the control group during the 12 months of follow-up.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Angioplasty / rehabilitation*
  • Arm / blood supply
  • Exercise Therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Intermittent Claudication* / surgery
  • Lower Extremity / blood supply
  • Male
  • Middle Aged
  • Motor Activity*
  • Norway
  • Prospective Studies
  • Quality of Life*
  • Regional Blood Flow*
  • Time Factors