Supervised exercise training as an adjunct therapy for venous leg ulcers: a randomised controlled feasibility trial

Klonizakis, M. and Tew, G. A. and Gumber, A. and Crank, H. and King, B. and Middleton, G. and Michaels, J. A. (2018) Supervised exercise training as an adjunct therapy for venous leg ulcers: a randomised controlled feasibility trial. British Journal of Dermatology, 178 (5). pp. 1072-1082. ISSN 0007-0963

Full content URL: https://doi.org/10.1111/bjd.16089

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Abstract

Background: Almost 70% of all leg ulcers have a venous component. Venous leg ulcers (VLU’s) are typically painful and heal slowly, resulting in an impaired quality of life (QoL), social isolation and reduced work productivity. Compression therapy offers high healing rates, however, iproeets are’t usuall sustaied. Exercise is a low-cost, low-risk, and effective strategy for improving physical and mental health. However, little is currently known about the feasibility and efficacy of supervised exercise training used in combination with compression therapy in this patient group. Objectives: To assess the feasibility of a 12-week supervised exercise programme combining aerobic, resistance and flexibility exercises as an adjunct therapy to compression in patients ith VLU’s. Methods: This was a two-centre, two-arm, parallel-group, randomised feasibility trial. Thirty-nine patients with venous ulcers were recruited and randomised 1:1 either to exercise (3 sessions per week) and compression therapy or compression only. Progress/success criteria included exercise attendance rate, loss to follow-up and patiets’ preference. Baseline assessments were repeated at 12 weeks, 6 months and 1 year following baseline, with healing rate and time, ulcer recurrence and infection incidents also being documented. Intervention and healthcare utilisation costs were calculated. Qualitative data was collected to assess participants' experiences.

Keywords:Venous ulcers, Venous insufficiency, Physical therapy, Exercise therapy, Rehabilitation, Randomized controlled trial, Feasibility studies
Subjects:L Social studies > L510 Health & Welfare
B Subjects allied to Medicine > B900 Others in Subjects allied to Medicine
Divisions:College of Social Science > School of Sport and Exercise Science
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ID Code:29315
Deposited On:01 Nov 2017 08:32

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