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Related Experiment Video

Updated: Feb 10, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Preferred exercise modalities in patients with intermittent claudication.

Amy Elizabeth Harwood1, Louise Helen Hitchman1, Lee Ingle2

  • 1Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, UK.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|May 12, 2018
PubMed
Summary

Most patients with intermittent claudication prefer home-based exercise programs over traditional supervised programs. Individualizing exercise therapy and understanding patient needs are crucial for improving engagement and adherence to treatment.

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Area of Science:

  • Vascular Medicine
  • Rehabilitation Science
  • Patient-Centered Care

Background:

  • Conventional supervised exercise programs (SEPs) for intermittent claudication have low patient uptake despite proven effectiveness.
  • Alternative, more acceptable exercise program formats are needed to improve patient adherence.

Purpose of the Study:

  • To explore patient preferences for exercise modalities and delivery methods for intermittent claudication on a national level.
  • To inform the design of patient-centered exercise interventions within the UK's National Health Service.

Main Methods:

  • A questionnaire survey was administered to patients with stable intermittent claudication.
  • Data were collected using the Bristol Online Survey tool and analyzed descriptively.
  • Thirty complete questionnaires were analyzed.

Main Results:

  • Most participants (87%) had not previously engaged in an exercise program, but 73% were willing to participate.
  • A preference for home exercise programs (50%) over hospital-based SEPs was indicated.
  • A majority preferred exercising 3 days per week with walking-based programs, but duration and intensity lacked consensus.

Conclusions:

  • Supervised exercise programs for intermittent claudication require a patient-centered approach, moving beyond traditional hospital-based models.
  • Individualizing exercise therapy based on patient preferences is essential for improving engagement and treatment outcomes.
  • Healthcare providers and commissioning groups should prioritize understanding and meeting patient needs in exercise program design.