Article

OBJECTIVE: To evaluate the effects of home-based supervised exercise vs
hospital-based supervised exercise, and the effects of home-based supervised
exercise vs unsupervised "go home and walk advice" on daily life and
corridor-walking capacity, health-related quality of life and patient-reported
functional walking capacity in patients with intermittent claudication. DATA SOURCES: Systematic literature searches were conducted in PubMed, EMBASE,
ProQuest, the Cumulative Index to Nursing and Allied Health Literature (CINAHL),
the Allied and Complementary Medicine Database (AMED), the Cochrane Library, and
a number of Health Technology Assessment (HTA)-databases in October 2014. STUDY
SELECTION: Randomized controlled trials and non-randomized controlled trials (>
100 patients) were considered for inclusion. DATA EXTRACTION: Data extraction and
risk of bias assessment was performed independently and discussed in meetings.
DATA SYNTHESIS: Seven randomized controlled trials and 2 non-randomized
controlled studies fulfilled the inclusion criteria. The included studies had
some, or major, limitations. CONCLUSION: Based on a low quality of evidence,
home-based supervised exercise may lead to less improvement in maximum and
pain-free walking distance, and in more improvement in daily life walking
capacity, compared with hospital-based supervised exercise. Home-based supervised
exercise may improve maximum and pain-free walking distance compared with "go
home and walk advice" and result in little or no difference in health-related
quality of life and functional walking capacity compared with hospital-based
supervised exercise or "go home and walk advice". Further research is needed to
establish the optimal exercise modality for these patients.

Langue : ANGLAIS