Related Experiment Video
Updated: Mar 29, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
12.9K
Supervised In-Person versus Home-Based Exercise in Peripheral Artery Disease: A Pilot Comparative Study
Andrea Lara M1, Sergio Martínez-Huenchullán2, Cristian Jara D3
1Unidad de Kinesiología, Facultad De Medicina, Universidad Austral de Chile. Instituto Aparato Locomotor y Rehabilitación, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.
Annals of Vascular Surgery
|March 27, 2026
Summary
Supervised in-person exercise significantly improved functional capacity and strength in Peripheral Artery Occlusive Disease (PAD) patients compared to home-based programs. In-person training demonstrated superior adherence and greater gains in walking distance and lower-limb function.
Area of Science:
- Vascular Medicine
- Exercise Physiology
- Rehabilitation Science
Background:
- Peripheral Artery Occlusive Disease (PAD) significantly impairs physical function and quality of life.
- Exercise is a cornerstone therapy for PAD, but optimal delivery remains unclear.
- Limited data exists comparing supervised in-person versus home-based exercise programs for PAD.
Purpose of the Study:
- To compare the effectiveness of supervised in-person versus home-based exercise programs.
- To evaluate impacts on physical function, vascular function, and quality of life in PAD patients.
- To assess adherence rates between the two exercise modalities.
Main Methods:
- A pilot study involving 15 adults with PAD, randomized into in-person (n=8) and home-based (n=7) groups.
- Both groups underwent an 8-week aerobic and resistance training program (3 sessions/week).
- Assessed outcomes included vascular function (PVR), physical function (6MWT, 1-min STST), and quality of life (EQ-5D VAS).
Main Results:
- The in-person group exhibited significantly greater improvements in 6-minute walk test (6MWT) distance and 1-minute sit-to-stand test (1-min STST) performance.
- Higher adherence rates were observed in the in-person group (91.7%) compared to the home-based group (41%).
- While pain-free walking improved in both, the in-person group showed more substantial gains; quality of life saw minor improvements in both.
Conclusions:
- Supervised in-person exercise is highly effective for improving functional capacity, strength, and vascular function (PVR) in PAD patients.
- The in-person protocol demonstrated superior adherence and functional outcomes compared to the home-based approach.
- These findings support the implementation of supervised in-person exercise for PAD management in clinical settings.
Related Concept Videos
01:27Peripheral Artery Disease III: Interprofessional Care
554
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
554
01:26Peripheral Artery Disease IV: Nursing Management
596
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
596
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
653
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
653
01:30Peripheral Artery Disease I: Introduction
604
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
604
01:23Peripheral Artery Disease V: Postoperative Nursing Management
562
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
562
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
956
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
956