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Related Experiment Videos

Walking training for intermittent claudication in diabetes.

F L Ubels1, T P Links, W J Sluiter

  • 1Department of Internal Medicine, University Hospital Groningen, The Netherlands. f.l.ubels@int.azg.nl

Diabetes Care
|May 20, 1999
PubMed
Summary

Walking training (WT) effectively improves walking distance for intermittent claudication (IC) patients. Diabetic patients experienced a greater relative improvement in maximum walking distance compared to non-diabetic individuals.

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Area of Science:

  • Vascular Medicine
  • Diabetology
  • Rehabilitation

Background:

  • Intermittent claudication (IC) is often treated with walking training (WT).
  • Diabetic patients present unique vascular challenges, including distal lesions and microcirculatory disease, potentially affecting WT outcomes.
  • This study investigates WT efficacy in diabetic versus non-diabetic IC patients.

Purpose of the Study:

  • To compare the effectiveness of supervised walking training (WT) on walking distance in diabetic and non-diabetic patients with intermittent claudication (IC).
  • To assess if diabetes influences the relative gains in walking parameters following WT.

Main Methods:

  • A comparative study involving 33 diabetic patients and 136 non-diabetic control subjects with IC.
  • Participants underwent a six-month supervised WT program.

Related Experiment Videos

  • Walking parameters were measured bi-monthly; vascular parameters were assessed pre- and post-training.
  • Main Results:

    • Completion rates were 76% for diabetic patients and 64% for controls.
    • Both groups showed significant increases in symptom-free and maximum walking distances (MWD).
    • Diabetic patients demonstrated an 88% greater relative gain in MWD compared to controls, with comparable vascular parameter changes.

    Conclusions:

    • Supervised walking training (WT) is an effective treatment for intermittent claudication (IC) in both diabetic and non-diabetic patients.
    • Diabetic patients with IC achieve a significantly greater relative improvement in maximum walking distance (MWD) following WT.