Improving maximum walking distance in early peripheral arterial disease: Randomised controlled trial

Fowler, B, Jamrozik, K, Norman, P, Allen, Y and Wilkinson, E (2002) Improving maximum walking distance in early peripheral arterial disease: Randomised controlled trial. Australian Journal of Physiotherapy, 48 4: 269-275. doi:10.1016/S0004-9514(14)60166-5

Author Fowler, B
Jamrozik, K
Norman, P
Allen, Y
Wilkinson, E
Title Improving maximum walking distance in early peripheral arterial disease: Randomised controlled trial
Journal name Australian Journal of Physiotherapy   Check publisher's open access policy
ISSN 0004-9514
Publication date 2002
Sub-type Article (original research)
DOI 10.1016/S0004-9514(14)60166-5
Open Access Status DOI
Volume 48
Issue 4
Start page 269
End page 275
Total pages 7
Place of publication St Kilda
Publisher Australian Physiotherapy Assoc
Language eng
Abstract The purpose of this study was to determine the impact of increased physical activity and cessation of smoking on the natural history of early peripheral arterial disease, We conducted a randomised controlled trial in Perth, Western Australia, involving 882 men with early peripheral arterial disease identified via population-based screening using the Edinburgh Claudication Questionnaire and the ankle:brachial index. Members of the control group (n = 441) received usual care from their general practitioner while members of the intervention group (n = 441) were allocated to a stop smoking and keep walking regime - a combined community-based intervention of cessation of smoking (where applicable) and increased physical activity. Postal follow-up occurred at two and 12 months post-entry into the trial. The main outcome of interest was maximum walking distance. There were no statistically significant differences in the characteristics of the intervention and usual care groups at recruitment. Follow-up information at two and 12 months was available for 85% and 84% of participants, respectively. At 12 months, more men allocated to the intervention group had improved their maximum walking distance (23% vs 15%; chi(2) = 9.74, df = 2, p = 0.008). In addition, more men in the intervention group reported walking more than three times per week for recreation (34% vs 25%, p = 0.01). Although not statistically significant, more men in the intervention group who were smokers when enrolled in the trial had stopped smoking (12% vs 8%, p = 0.43). It is concluded that referral of older patients with intermittent claudication to established physiotherapy programs in the community can increase levels of physical activity and reduce disability related to peripheral arterial disease. A combination of simple and safe interventions that are readily available in the community through physiotherapists and general practitioners has the potential to improve early peripheral arterial disease.
Keyword Rehabilitation
Sport Sciences
Peripheral Vascular Diseases
Randomized Controlled Trials
Smoking Cessation
Exercise Therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
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Created: Mon, 13 Aug 2007, 13:19:55 EST