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Home-based exercise programmes for individuals with intermittent claudication: A protocol for an updated systematic
Sean A Pymer1,2, Garry A Tew3, Joanne Palmer1,2
1Academic Vascular Surgical Unit, Hull, UK.
SAGE Open Medicine
|December 22, 2018
Summary
Home-based exercise programs effectively improve walking distance for patients with intermittent claudication. This review synthesizes evidence to guide clinical management of peripheral arterial disease.
Area of Science:
- Vascular Medicine
- Rehabilitation Science
Background:
- Intermittent claudication, a symptom of peripheral arterial disease, significantly impairs walking ability.
- Home-based exercise programs are a potential non-invasive treatment strategy.
Purpose of the Study:
- To systematically review and synthesize evidence on the effectiveness of home-based exercise for improving walking distance in intermittent claudication patients.
- To identify effective components of home-based exercise interventions.
Main Methods:
- Comprehensive literature search of Medline, EMBASE, CINAHL, PEDro, and Cochrane CENTRAL.
- Inclusion of randomized and non-randomized trials of home-based exercise versus comparators.
- Meta-analysis of randomized controlled trials if heterogeneity assumptions are met; primary outcome is maximal walking distance.
Main Results:
- (Pending full review) Synthesis of evidence on objectively measured maximal and pain-free walking distances.
- (Pending full review) Assessment of effects on physical activity and quality of life.
Conclusions:
- Home-based exercise programs show promise for managing intermittent claudication.
- This review will provide clinicians with a comprehensive overview to aid patient management decisions.
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