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Related Experiment Video

Updated: May 5, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Feasibility Randomized Controlled Trial of Remotely Supervised Exercise versus Self-Directed Exercise for

Enrico Mancuso¹, Laura Hayward¹, Deona Chan¹

¹Mid and South Essex Vascular Unit, Mid and South Essex NHS Foundation Trust, Basildon, UK.

Annals of Vascular Surgery

|May 4, 2025

Summary

This summary is machine-generated.

This study explored remotely supervised exercise (RSE) versus self-directed exercise (SDE) for claudication. While both improved walking distance, a future trial faces challenges due to high withdrawal rates.

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Area of Science:

Exercise Science
Clinical Trials
Peripheral Artery Disease

Background:

Investigated the feasibility of remotely supervised exercise (RSE) compared to self-directed exercise (SDE) for stable claudication.
Aims to inform the design of future large-scale randomized controlled trials.

Purpose of the Study:

To assess the feasibility of conducting a larger trial comparing RSE and SDE for stable claudication.
To evaluate the effectiveness of RSE and SDE on walking distance and quality of life.

Main Methods:

A randomized, single-center, assessor-blind feasibility trial involving 44 patients.
Intervention group received physiotherapist-guided RSE; control group performed SDE.
Primary endpoint was maximum walking distance; secondary outcomes included quality of life and adherence.

Main Results:

Both RSE and SDE groups showed improvements in maximum walking distance (+369m and +322m, respectively).
Quality of life gains were comparable between the two groups.
A high withdrawal rate (27%) was observed in the study.

Conclusions:

A large randomized controlled trial comparing RSE and SDE may be challenging with the current protocol.
High withdrawal rates and modest treatment effects indicate potential difficulties in implementing this protocol for a definitive trial.