Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial
| Autor: | Raimondas Kubilius, Eglė Milinavičienė, Edita Jakubsevičienė, Linas Velička, Jonė Venclovienė, Donatas Antanas Vasiliauskas |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Haemodynamic response Arterial disease Health Toxicology and Mutagenesis Hemodynamics lcsh:Medicine Walking Article law.invention Quality of life Randomized controlled trial physical therapy program lower-limb bypass surgery peripheral arterial disease law Intervention (counseling) medicine Humans Ankle Brachial Index Aged business.industry lcsh:R Public Health Environmental and Occupational Health Lithuania Exercise Therapy Surgery Peripheral Lower Extremity Bypass surgery Quality of Life Physical therapy business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 11, Iss 8, Pp 7961-7976 (2014) International Journal of Environmental Research and Public Health; Volume 11; Issue 8; Pages: 7961-7976 International Journal of Environmental Research and Public Health |
| ISSN: | 1660-4601 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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