Effect of Supervised Exercise Therapy for Intermittent Claudication in Patients With Diabetes Mellitus

van Pul KM, Kruidenier LM, Nicolai SPA, et al (Atrium Med Ctr Parkstad, Heerlen, The Netherlands; Maxima Med Ctr, Veldhoven, The Netherlands; et al) Ann Vasc Surg 26:957-963, 2012^§

Abstract

Background

Primary treatment for patients with intermittent claudication is exercise therapy. Diabetes mellitus (DM) is a frequently occurring comorbidity in patients with intermittent claudication, and in these patients, exercise tolerance is decreased. However, there is little literature about the increase in walking distance after supervised exercise therapy (SET) in patients with both intermittent claudication and DM. The objective of this study was to determine the effectiveness of SET for intermittent claudication in patients with DM.

Methods

Consecutive patients with intermittent claudication who started SET were included. Exclusion criteria were Rutherford stage 4 to 6 and the inability to perform the standardized treadmill test. SET was administered according to the guidelines of the Royal Dutch Society for Physiotherapy. At baseline and at 1, 3, and 6 months of follow-up, a standardized treadmill exercise test was performed. The primary outcome measurement was the absolute claudication distance (ACD).

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