A new role of home-based exercise program in peripheral arterial disease patients

Paper

Wang, J., Zhou, S., Bronks, R., Graham, J., Myers, S. and Silk, A.. 2004. "A new role of home-based exercise program in peripheral arterial disease patients." Australian Conference of Science and Medicine in Sport (2004). Alice Springs, Australia 06 - 09 Oct 2004 Australia. https://doi.org/10.1016/S1440-2440(04)80178-6
Paper/Presentation Title

A new role of home-based exercise program in peripheral arterial disease patients

Presentation TypePaper
AuthorsWang, J. (Author), Zhou, S. (Author), Bronks, R. (Author), Graham, J. (Author), Myers, S. (Author) and Silk, A. (Author)
Journal or Proceedings TitleJournal of Science and Medicine in Sport
Journal Citation7 (4 (Supplement 1)), pp. 72-72
Number of Pages1
Year2004
PublisherElsevier
Place of PublicationAustralia
ISSN1440-2440
1878-1861
Digital Object Identifier (DOI)https://doi.org/10.1016/S1440-2440(04)80178-6
Web Address (URL) of Paperhttp://www.jsams.org/article/S1440-2440(04)80178-6/fulltext
Conference/EventAustralian Conference of Science and Medicine in Sport (2004)
Event Details
Australian Conference of Science and Medicine in Sport (2004)
Event Date
06 to end of 09 Oct 2004
Event Location
Alice Springs, Australia
Abstract

There has been growing evidence supporting the effectiveness of supervised exercise program in rehabilitation and treatment for patients with peripheral arterial disease (PAD). However, the efficacy of home-based exercise program in PAD patients remains to be evaluated. The purpose of this study was to investigate the effects of a 24-week home-based exercise program on the maintenance of improved functional capacity after a 12-week supervised training in PAD patients. Seventeen PAD patients were recruited, with an average age of 71.4 years, range 57-80, resting ankle-to-brachial index (ABI)<0.61, pain free walking time (PFWT) 119 59s, and maximal walking time (MWT) 287 113s at baseline. The program included a 12-week control stage without prescribed exercise, followed by a 12-week supervised exercise
program, then a 24-week of home-based exercise program. No significant changes were found in the measured functional variables after the control stage. The supervised training significantly improved the PFWT by 178%, MWT by 159%, peak VO2 by 14.5%, and walking economy by 23.9% (p<0.05, repeated measures ANOVA). The improved functional capacity was well maintained after the 24-week home-based exercise, with PFWT 377 258s, MWT 675 175s, peak VO2 14.40 2.74ml/kg/min, and walking economy 808 186ml VO2/min, all non-significant as compared with that of post-supervised training (p>0.05), but significantly better than of the baseline level (p<0.05). In summary, the results of this study suggested a new and effective way to utilise the home-based exercise program in rehabilitation and treatment for PAD patients.

Keywordsarterial disease; exercise
ANZSRC Field of Research 2020420702. Exercise physiology
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Byline AffiliationsSouthern Cross University
St Vincent's Hospital, Lismore, Australia
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