Exercise fidelity and progression in a supervised exercise programme for adults with venous leg ulcers

Klonizakis, Markos and Gumber, Anil and McIntosh, Emma and King, Brenda and Middleton, Geoff and Michaels, Jonathan A. and Tew, Garry A. (2018) Exercise fidelity and progression in a supervised exercise programme for adults with venous leg ulcers. International Wound journal, 15 (5). pp. 822-828. ISSN 1742-4801

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Background: Despite exercise being included in the recommended advice for patients with venous leg ulcers, there is a fear shared by clinicians and patients that exercise may be either inappropriate or harmful and actually delay rather than promote healing. Therefore, before embarking in a large trial exploring the effect of supervised exercise on healing outcomes, it is important to assess exercise safety as well as fidelity and progression in a feasibility study.
Objective: We aimed to evaluate the fidelity and exercise progression of a supervised exercise programme in patients with venous ulcers being treated with compression therapy.
Design: We analysed the data collected during the exercise sessions of patients with venous leg ulcers allocated to the exercise group of a randomised controlled trial exploring the feasibility of using exercise as an adjunct therapy to compression therapy.
Methods: Eighteen participants randomised in the exercise group were asked to undertake 36 (3 times/week for 12 weeks), 60-minute exercise sessions, each comprising moderate-intensity aerobic, resistance and flexibility exercise components.
Results: The overall session attendance rate was 79%, with 13/18 participants completing all 36 sessions. No in-session adverse events were reported. 100% aerobic components and 91% of resistance components were completed within the desired moderate-intensity target (Borg exertion rating of 12-14 on the 6-20 scale). Similarly, 81% of aerobic components and 93% of flexibility components were completed within the prescribed duration targets. The number of minutes spent on aerobic exercise increased through the 12-week period (e.g., baseline: 19 min (8) vs 29 min (3) at end-point).

Limitations: With this being a feasibility study, exercise results should be treated as indicative.
Conclusions: Our data showed that patients with venous ulcers could safely follow a supervised exercise programme incorporating moderate-intensity aerobic, resistance and flexibility components.

Keywords:Exercise, Venous leg ulcers, aerobic exercise, intervention fidelity, exercise progression, safety
Subjects:C Biological Sciences > C600 Sports Science
L Social studies > L510 Health & Welfare
Divisions:College of Social Science > School of Sport and Exercise Science
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ID Code:31716
Deposited On:20 Apr 2018 08:54

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