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Int. J. Environ. Res. Public Health 2013, 10(11), 5998-6014; doi:10.3390/ijerph10115998
Article

Twelve-Months Follow-up of Supervised Exercise after Percutaneous Transluminal Angioplasty for Intermittent Claudication: A Randomised Clinical Trial

1,2,* , 3
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1 Faculty of Health Sciences, Oslo and Akershus University, Pilestredet 46, 0130 Oslo, Norway 2 Faculty of Medicine, University of Oslo, Klaus Torgårdsvei 3, 0372 Oslo, Norway 3 Section of Vascular Investigations, Oslo Vascular Centre, Oslo University Hospital Aker, Trondheimsveien 235, 0586 Oslo, Norway 4 Department of Vascular Surgery, Oslo Vascular Centre, Oslo University Hospital Aker, Trondheimsveien 235, 0586 Oslo, Norway 5 Department of Radiology and Nuclear Medicine, Oslo University Hospital Aker, Trondheimsveien 235, 0586 Oslo, Norway
* Author to whom correspondence should be addressed.
Received: 29 August 2013 / Revised: 4 November 2013 / Accepted: 6 November 2013 / Published: 11 November 2013
(This article belongs to the Special Issue Health Care for Old People)
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Abstract

The aim of this study was to explore the effects during 12 months follow-up of 12 weeks of supervised exercise therapy (SET) after percutaneous transluminal angioplasty (PTA) compared to PTA alone on physical function, limb hemodynamics and health-related quality of life (HRQoL) in patients with intermittent claudication. Fifty patients were randomised to an intervention or a control group. Both groups received usual post-operative care and follow-up measurements at three, six and 12 months after PTA. The intervention group performed 12 weeks of SET after PTA. The control group did not receive any additional follow-up regarding exercise. During the 12 months’ follow-up, the members of the intervention group had significantly better walking distance than the control group. The intervention group had a significantly higher HRQoL score in the physical component score of the SF-36, and the domains of physical function, bodily pain and vitality. For limb hemodynamics, there was a non-significant trend towards better results in the intervention group compared to the control group. Conclusion: SET after PTA yielded statistically significantly better results for walking distance and HRQoL in the intervention group than the control group during the 12 months of follow-up.
Keywords: exercise; PTA; intermittent claudication; follow-up; randomised clinical trial exercise; PTA; intermittent claudication; follow-up; randomised clinical trial
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Bø, E.; Hisdal, J.; Cvancarova, M.; Stranden, E.; Jørgensen, J.J.; Sandbæk, G.; Grøtta, O.J.; Bergland, A. Twelve-Months Follow-up of Supervised Exercise after Percutaneous Transluminal Angioplasty for Intermittent Claudication: A Randomised Clinical Trial. Int. J. Environ. Res. Public Health 2013, 10, 5998-6014.

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