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A primary care walking exercise program for patients with intermittent claudication.

M Wullink1, H E Stoffers, H Kuipers

  • 1Department of Movement Sciences and Department of General Practice, Maastricht University, Maastricht, The Netherlands.

Medicine and Science in Sports and Exercise
|October 3, 2001
PubMed
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A home-based walking program with coaching significantly improved walking distances for patients with intermittent claudication (IC). This approach shows promise for improving mobility and quality of life in individuals with IC.

Area of Science:

  • Cardiovascular Medicine
  • Exercise Physiology
  • Rehabilitation Science

Background:

  • Intermittent claudication (IC) is a common manifestation of peripheral artery disease (PAD), characterized by exercise-induced leg pain.
  • Limited walking capacity significantly impacts patients' quality of life and functional independence.
  • Current treatment strategies often involve supervised exercise programs, which may have accessibility limitations.

Purpose of the Study:

  • To evaluate the effectiveness of a home-based walking exercise program with structured coaching in improving walking performance and adherence in patients with IC.
  • To test the hypothesis that a home-based intervention can enhance pain-free and maximum walking distances.

Main Methods:

  • A pilot study involving 31 patients with IC (rest ankle-brachial pressure index < 0.90).

Related Experiment Videos

  • A 24-week home-based walking program guided by the Health Counseling Model (HCM), with instructions to walk at least 9 times per week and 'walk through the pain'.
  • Assessment of pain-free (initial claudication distance - ICD) and maximum walking distance (absolute claudication distance - ACD) using treadmill tests, corridor tests, a walking diary, and the Walking Impairment Questionnaire (WIQ).
  • Main Results:

    • Twenty-four participants completed the program, reporting an average walking frequency of 7.4 times per week.
    • Significant improvements were observed in both ICD and ACD on treadmill and corridor tests (P < 0.05 and P < 0.01, respectively).
    • The average maximum walking distance reported in the diary increased, and the WIQ score for walking distance showed improvement.

    Conclusions:

    • A home-based walking exercise program incorporating structured coaching (HCM) led to significant improvements in walking distances for patients with IC.
    • This intervention appears to be a promising, accessible approach for managing IC symptoms.
    • Further validation through a randomized controlled trial is recommended to confirm these findings.