Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial

Edita Jakubsevičienė, Donatas Vasiliauskas, Linas Velička, Raimondas Kubilius, Eglė Milinavičienė and Jonė Venclovienė
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Edita Jakubsevičienė: Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania
Donatas Vasiliauskas: Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania
Linas Velička: Department of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania
Raimondas Kubilius: Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania
Eglė Milinavičienė: Viršužiglis Hospital of Rehabilitation, Hospital of Lithuanian University of Health Sciences, Viršužiglis 53193, Lithuania
Jonė Venclovienė: Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania

IJERPH, 2014, vol. 11, issue 8, 1-16

Abstract: 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.

Keywords: physical therapy program; lower-limb bypass surgery; peripheral arterial disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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