Data showed improvements secondary to exercise in ' physical function ' and ' general health ' .
The other domains - ' role physical ' , ' bodily pain ' , ' vitality ' , ' social ' , ' role emotional ' , and ' mental health ' - did not show improvement at six months .
Although results showed significant heterogeneity between trials , population s and outcomes were comparable overall , with findings relevant to the claudicant population .
High- quality evidence shows that exercise programmes provided important benefit compared with placebo or usual care in improving both pain-free and maximum walking distance in people with leg pain from IC who were considered to be fit for exercise intervention .
Exercise did not improve ABI , and we found no evidence of an effect of exercise on amputation or mortality .
Exercise may improve quality of life when compared with placebo or usual care .
BACKGROUND Exercise programmes are a relatively inexpensive , low-risk option compared with other , more invasive therapies for treatment of leg pain on walking ( intermittent claudication ( IC ) ) .
This is the fourth up date of a review first published in 1998 .
OBJECTIVES Our goal was to determine whether an exercise programme was effective in alleviating symptoms and increasing walking treadmill distances and walking times in people with intermittent claudication .
Secondary objectives were to determine whether exercise was effective in preventing deterioration of underlying disease , reducing cardiovascular events , and improving quality of life .
The Birmingham rehabilitation uptake maximisation study (BRUM): a randomised controlled trial comparing home-based with centre-based cardiac rehabilitation
Objective : To compare the outcomes of home-based ( using the Heart Manual ) and centre-based cardiac rehabilitation programmes . Design : R and omised controlled trial and parallel economic evaluation . Setting : Predominantly inner-city , multi-ethnic population in the West Midl and s , Engl and . Patients : 525 patients referred to four hospitals for cardiac rehabilitation following myocardial infa rct ion or coronary revascularisation . Interventions : A home-based cardiac rehabilitation programme compared with centre-based programmes . Main outcome measures : Smoking cessation , blood pressure ( systolic blood pressure ( SBP ) , diastolic blood pressure ( DBP ) ) , total cholesterol ( TC ) and high-density lipoprotein (HDL)-cholesterol , psychological status ( HADS anxiety and depression ) and exercise capacity ( incremental shuttle walking test , ISWT ) measured at 12 months . Health service re source use , quality of life utility and costs were quantified . Results : There were no significant differences in the main outcomes when the home-based was compared with the centre-based programme at 12 months . Adjusted mean difference ( 95 % CI ) for SBP was 1.94 mm Hg ( −1.1 to 5.0 ) ; DBP 0.42 mm Hg ( −1.25 to 2.1 ) ; TC 0.1 mmol/l ( −0.05 to 0.24 ) ; HADS anxiety −0.02 ( −0.69 to 0.65 ) ; HADS depression −0.35 ( −0.95 to 0.25 ) ; distance on ISWT −21.5 m ( −48.3 to 5.2 ) . The relative risk of being a smoker in the home arm was 0.90 . The cost per patient to the NHS was significantly higher in the home arm at £ 198 , ( 95 % CI 189 to 208 ) compared to £ 157 ( 95 % CI 139 to 175 ) in the centre-based arm . However when the patients ’ cost of travel was included , these differences were no longer significant . Conclusions A home-based cardiac rehabilitation programme does not produce inferior outcomes when compared to traditional centre-based programmes as provided in the United Kingdom
Data showed improvements secondary to exercise in ' physical function ' and ' general health ' .
The other domains - ' role physical ' , ' bodily pain ' , ' vitality ' , ' social ' , ' role emotional ' , and ' mental health ' - did not show improvement at six months .
Although results showed significant heterogeneity between trials , population s and outcomes were comparable overall , with findings relevant to the claudicant population .
High- quality evidence shows that exercise programmes provided important benefit compared with placebo or usual care in improving both pain-free and maximum walking distance in people with leg pain from IC who were considered to be fit for exercise intervention .
Exercise did not improve ABI , and we found no evidence of an effect of exercise on amputation or mortality .
Exercise may improve quality of life when compared with placebo or usual care .
BACKGROUND Exercise programmes are a relatively inexpensive , low-risk option compared with other , more invasive therapies for treatment of leg pain on walking ( intermittent claudication ( IC ) ) .
This is the fourth up date of a review first published in 1998 .
OBJECTIVES Our goal was to determine whether an exercise programme was effective in alleviating symptoms and increasing walking treadmill distances and walking times in people with intermittent claudication .
Secondary objectives were to determine whether exercise was effective in preventing deterioration of underlying disease , reducing cardiovascular events , and improving quality of life .