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

Klonizakis, Markos, Gumber, Anil, McIntosh, Emma , King, Brenda, Middleton, Geoff, 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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Item Type:Article
Item Status:Live Archive


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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