Cochrane Database of Systematic Reviews 2005
DOI: 10.1002/14651858.cd005263
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Supervised exercise therapy versus non-supervised exercise therapy for intermittent claudication

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Cited by 68 publications
(96 citation statements)
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“…BMT is initiated in all patients, followed by either SEP or PTA depending on the nature of the lesion, severity of symptoms and suitability for treatment2, 4, 8, 11. Both SEP and PTA have been shown to improve clinical and QoL outcomes when compared to conservative medical treatment and unsupervised exercise14, 19, 22–28. Previous trials comparing PTA and SEP were underpowered and hence inconclusive12, 13, 15, 27.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…BMT is initiated in all patients, followed by either SEP or PTA depending on the nature of the lesion, severity of symptoms and suitability for treatment2, 4, 8, 11. Both SEP and PTA have been shown to improve clinical and QoL outcomes when compared to conservative medical treatment and unsupervised exercise14, 19, 22–28. Previous trials comparing PTA and SEP were underpowered and hence inconclusive12, 13, 15, 27.…”
Section: Discussionmentioning
confidence: 99%
“…PTA was associated with a high incidence of restenosis, adding both the costs of reintervention and the potential for complications 10 . SEP provided an equally effective alternative, with relatively lower costs 19 ; however, patients needed commitment to the programme (3 times a week for 3 months) for an optimal outcome 11,23 . Currently, these services are not provided in the community.…”
Section: Discussionmentioning
confidence: 99%
“…Exercise programmes and PTA are widely accepted therapies for IC7, 8. Two systematic reviews demonstrated the superiority of supervised exercise therapy (SET) over standard care or unsupervised ET in increasing both pain‐free and maximum walking distance (MWD)9, 10. PTA is attractive as an initial therapy as it is instantly effective and durable, especially in patients with iliac artery disease7, 11.…”
Section: Introductionmentioning
confidence: 99%
“…The mechanisms of improvement in walking distance following exercise training have yet to be fully elucidated; the reader is referred to Hamburg and Balady [84] for a comprehensive review on the topic. Most studies have indicated that supervised exercise training results in greater improvement in walking distance and cardiovascular risk profile and is more cost effective in terms of cost per quality-adjusted life year than unsupervised exercise training [85][86][87][88]. In contrast to these findings, a study by Gardner et al [89•] showed similar improvement in walking distance following a quantified home-based exercise program using accelerometers as compared to a supervised exercise program.…”
Section: Lifestyle Interventionsmentioning
confidence: 99%