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Intermittent claudication: is a supervised exercise class worth while?

P C Clifford, P W Davies, J A Hayne

    British Medical Journal
    |June 21, 1980
    PubMed
    Summary
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    Supervised exercise training significantly improves walking distance and reduces leg pain for patients with intermittent claudication. This simple, effective physiotherapy program enhances quality of life and physical function.

    Area of Science:

    • Vascular Medicine
    • Rehabilitation Therapy
    • Exercise Physiology

    Background:

    • Intermittent claudication is a common symptom of peripheral artery disease, causing exercise-related leg pain.
    • Patients often limit physical activity due to fear of pain, impacting quality of life.
    • Accurate diagnosis and localization of atherosclerotic occlusions are crucial for effective management.

    Purpose of the Study:

    • To evaluate the effectiveness of a supervised exercise training program for patients with intermittent claudication.
    • To assess the impact of physiotherapy on functional capacity and patient-reported health outcomes.

    Main Methods:

    • Twenty-one patients with disabling leg pain underwent a one-month supervised exercise training program.
    • Clinical diagnosis and localization of atherosclerotic occlusions were confirmed using pulse volume recordings and Doppler systolic pressure measurements.

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  • Functional outcomes were assessed at six months post-training.

    • Main Results:

    • Eighteen patients demonstrated significant improvements, walking 80% further and performing 75% more step-ups.
    • Patients reported feeling healthier and less restricted in their daily activities.
    • Two patients with worsening symptoms required arterial reconstruction.

    Conclusions:

    • Supervised exercise training is a simple and effective non-invasive treatment for intermittent claudication.
    • Physiotherapy can significantly improve functional capacity and quality of life in patients with peripheral artery disease.
    • Exercise programs should be considered as a primary treatment modality for intermittent claudication.