Supervised exercise therapy versus non-supervised exercise therapy for intermittent claudication

Early Outcomes From a Randomized, Controlled Trial of Supervised Exercise, Angioplasty, and Combined Therapy in Intermittent Claudication

“…On the other hand, evidence shows that SEP is superior to best medical therapy and unsupervised exercise. 16 A Cochrane Review showed that SEP resulted in increased walking distances, 6 while a meta-analysis suggested that the most effective SEPs involve exercising to the point of maximal claudication pain, with sessions lasting longer than 30 minutes, three times per week for at least 3 months. 14 Comparisons of SEP and PTA are relatively scarce and are often limited by small sample size.…”

One-year effect of a supervised exercise programme on functional capacity and quality of life in peripheral arterial disease

“…Exercise interventions have resulted in significant increases in treadmill walking distances [ 3 ] but the effects of these increases on quality of life and functional capacity in the community setting are unclear [4 ]. In addition the longterm benefits in this patient population are also uncertain [3].…”

Lower Extremity Peripheral Arterial Disease

“…However, due to lack of reimbursement access to this important therapeutic intervention has been limited. In a Cochrane review of 8 RCT's evaluating supervised and unsupervised exercise among 319 participants with IC, statistically significant and clinically relevant improvements in maximal treadmill www.intechopen.com walking distance occurred with supervised compared with non-supervised exercise therapy during 12 weeks to 12 months of follow up (Bendermacher et al 2006). Unsupervised therapy may be less effective than supervised therapy due to lack of motivation, compliance with recommended exercise, lack of progression of workload in the absence of professional supervision and concern for personal safety to advance the moderate claudication discomfort severity.…”