Design of the multicenter standardized supervised exercise training intervention for the claudication: exercise vs
Ulf G Bronas1, Alan T Hirsch, Timothy Murphy
1School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA. brona001@umn.edu
Vascular Medicine (London, England)
|October 8, 2009
Summary
The CLEVER study is the first trial comparing supervised exercise with revascularization for claudication. It establishes standardized methods for supervised exercise training in peripheral arterial disease (PAD).
Area of Science:
- Cardiology
- Vascular Surgery
- Rehabilitation Medicine
Background:
- Claudication due to peripheral arterial disease (PAD) significantly impacts quality of life.
- Treatment options include supervised exercise and revascularization procedures, but comparative data is limited.
Purpose of the Study:
- To describe the methods and dissemination of supervised exercise training in the CLaudication: Exercise Vs Endoluminal Revascularization (CLEVER) study.
- To evaluate the efficacy, safety, and cost-effectiveness of supervised exercise training for claudication in PAD.
Main Methods:
- The CLEVER study is a randomized, controlled, multicenter clinical trial.
- 217 participants are randomized to optimal medical care, aortoiliac stenting, or supervised exercise training.
- Supervised exercise follows a standardized protocol developed by a central committee and implemented across sites.
Main Results:
- This report focuses on the methodology of the supervised exercise intervention.
- Weekly reviews by the exercise training committee ensure protocol adherence and monitor participant progress.
Conclusions:
- The CLEVER study pioneers a multicenter approach to standardize and evaluate supervised exercise training for PAD-related claudication.
- Findings will define the role of supervised exercise in PAD treatment and inform future clinical trials and practice.
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