Exercise has been shown to improve walking ability in individuals with arterial claudication. This study compared the effects of an on-site supervised exercise program and a home exercise program on quality of life and psychological outcomes in these individuals. Sixty individuals were randomly assigned to a 12-week on-site or a 12-week home-based exercise program. Quality of life, mood and pain symptoms, and walking ability were examined at baseline, posttreatment, and at 6 months follow-up. Individuals in the on-site exercise program showed significantly greater improvements in walking ability. Although sample size limited the ability to detect significant differences between groups on quality of life and psychological measures, both groups were comparable on improvements in quality of life and in mood. These data suggest that a home exercise program with weekly feedback may provide improved quality of life and mood benefits for individuals with arterial claudication but does not provide improvements in walking equivalent to those provided by an on-site exercise program.
B.M. Pinto. B.H. Marcus, and M. Roberts are with the Division of Behavioral and Preventive Medicine. The Miriam Hospital. Providence. Rl 02906. R.B. Patterson. A. Colucci. and C. Braun are with the Division of Vascular Surgery. The Miriam Hospital. B.M. Pinto. B.H. Marcus, and R.B. Patterson are also with the Brown University School of Medicine.