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Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial

Author

Listed:
  • Edita Jakubsevičienė

    (Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania
    These authors contributed equally to this work.)

  • Donatas Vasiliauskas

    (Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania
    These authors contributed equally to this work.)

  • Linas Velička

    (Department of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania)

  • Raimondas Kubilius

    (Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania)

  • Eglė Milinavičienė

    (Viršužiglis Hospital of Rehabilitation, Hospital of Lithuanian University of Health Sciences, Viršužiglis 53193, Lithuania
    Department of Rehabilitation, Medical Academy, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania)

  • Jonė Venclovienė

    (Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania
    Department of Environmental Sciences, Vytautas Magnus University, Vileikos St. 8, Kaunas 44404, Lithuania
    These authors contributed equally to this work.)

Abstract

Objective : The aim of this study was to evaluate the effectiveness of a supervised exercise program (SEP) plus at home nonsupervised exercise therapy (non-SET) on functional status, quality of life (QoL) and hemodynamic response in post-lower-limb bypass surgery patients. Results : One hundred and seventeen patients were randomized to an intervention (n = 57) or a control group (n = 60). A new individual SEP was designed for patients with peripheral arterial disease (PAD) and applied to the studied subjects of the intervention group who also continued non-SET at home, whereas those assigned to the control group received just usual SEP according to a common cardiovascular program. The participants of the study were assessed by a 6-min walking test (6 MWT), an ankle-brachial index (ABI), and the Medical Outcomes Study Short Form-36 (SF-36) of QoL at baseline, at 1 and 6 months after surgery. A significant improvement was observed in the walked distance in the intervention group after 6 months compared with the control group ( p < 0.001). The intervention group had significantly higher QoL score in the physical and mental component of SF-36 ( p < 0.05). Conclusions : A 6-month application of the new SEP and non-SET at home has yielded significantly better results in walking distance and QoL in the intervention group than in the controls.

Suggested Citation

  • Edita Jakubsevičienė & Donatas Vasiliauskas & Linas Velička & Raimondas Kubilius & Eglė Milinavičienė & Jonė Venclovienė, 2014. "Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial," IJERPH, MDPI, vol. 11(8), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:8:p:7961-7976:d:38934
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    References listed on IDEAS

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    1. Elisabeth Bø & Jonny Hisdal & Milada Cvancarova & Einar Stranden & Jørgen J. Jørgensen & Gunnar Sandbæk & Ole J. Grøtta & Astrid Bergland, 2013. "Twelve-Months Follow-up of Supervised Exercise after Percutaneous Transluminal Angioplasty for Intermittent Claudication: A Randomised Clinical Trial," IJERPH, MDPI, vol. 10(11), pages 1-17, November.
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    Cited by:

    1. Edita Jakubsevičienė & Karolina Mėlinytė & Raimondas Kubilius, 2019. "A Novel, Individualized Exercise Program for Patients with Peripheral Arterial Disease Recovering from Bypass Surgery," IJERPH, MDPI, vol. 16(12), pages 1-12, June.

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    1. Edita Jakubsevičienė & Karolina Mėlinytė & Raimondas Kubilius, 2019. "A Novel, Individualized Exercise Program for Patients with Peripheral Arterial Disease Recovering from Bypass Surgery," IJERPH, MDPI, vol. 16(12), pages 1-12, June.

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