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Updated: Jul 12, 2026
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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
The Circulation Foundation and Society of Vascular Nurses Joint Intermittent Claudication Study: an Observational
Matthew A Popplewell1, Ruth A Benson2, Alison Kite2
1University Hospitals of Coventry and Warwickshire, Coventry, UK; Black Country Vascular Network, New Cross Hospital, Wolverhampton, UK; Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Summary
Supervised exercise therapy (SET) uptake remains low for intermittent claudication (IC) patients in the UK due to barriers like travel and preference for home therapy. Despite poor adherence, SET significantly improved walking distance and quality of life.
Area of Science:
- Vascular Medicine
- Rehabilitation Therapy
- Public Health
Background:
- Supervised exercise therapy (SET) is recommended for intermittent claudication (IC) but uptake and adherence in the UK are suboptimal.
- Geographical variations in SET provision and patient engagement exist across UK vascular centres.
Purpose of the Study:
- To assess barriers to SET uptake among patients with IC in the UK.
- To evaluate adherence and effectiveness of SET on walking distance and quality of life.
Main Methods:
- Prospective cohort study across four UK vascular centres (January 2018 - March 2020).
- Screened patients with IC, recorded SET uptake, barriers, and adherence.
- Assessed health-related quality of life (EQ-5D-5L, EQ VAS, VascuQoL) and walking distance at baseline, 3, and 12 months.
Main Results:
- Of 576 eligible patients, only 207 (35.9%) agreed to SET.
- Primary barriers included travel, personal reasons, and preference for home-based therapy.
- SET adherence was 43.9%; however, walking distance significantly improved (p < .001) and quality of life metrics showed sustained gains.
Conclusions:
- Significant barriers hinder access and completion of SET for UK patients with IC.
- Despite challenges, SET demonstrates effectiveness in improving functional capacity and quality of life.
- Addressing barriers like travel and promoting tailored therapy options is crucial for improving SET outcomes.
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