A Community-based Exercise Program to Improve Walking Outcomes in Patients With Peripheral Artery Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Change in peak walking time (PWT)
研究概览
简要总结
The primary aim of the study is to determine the effect of a community-based walking exercise program with detailed training, monitoring, and coaching (TMC) exercise components enhanced by community-based participatory research (CBPR) practices (TMC+) on the primary outcome of peak walking time (PWT) in patients with peripheral artery disease (PAD).
详细描述
The investigators will test the hypothesis that PAD patients randomized to the exercise program in the community setting incorporating TMC+ will improve walking ability compared with patients who receive the standard of care (exercise advice). Secondary hypotheses include a significant improvement in patient-reported outcomes, an improvement in functional ability or a significant increase in volume of physical activity for patients who complete community-based walking exercise when compared with patients receiving the standard of care. Exploratory hypotheses include a significant improvement in PWT for 1) patients receiving a combination of lower extremity endovascular therapy (ET) and community-based walking exercise or 2) open peripheral intervention and community-based walking exercise compared to patients who do not receive endovascular therapy or open intervention and receive only the standard of care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and women diagnosed with atherosclerotic PAD
- •≥40 years of age
- •An abnormal ankle-brachial index (ABI) of ≤.90
- •For patients with an ABI >.90 and <1.00, a post-exercise ABI drop of 15% or more compared to the resting ABI
- •Patients receiving lower extremity ET or peripheral open intervention
- •Patients not receiving lower extremity ET or peripheral open intervention but present with stable claudication and an abnormal ABI
排除标准
- •Lower extremity amputation(s), including a toe amputation, which interfere (s) with walking on the treadmill
- •Individuals with critical limb ischemia defined by ischemic rest pain or ischemic ulcers/gangrene on the lower extremities
- •PAD of non-atherosclerotic nature (e.g., fibromuscular dysplasia, irradiation, endofibrosis)
- •Coronary artery bypass grafts or major surgical procedures within 6 months prior to screening
- •Individuals whose walking exercise is primarily limited by symptoms of chronic obstructive pulmonary disease, angina, or heart failure
- •Individuals who are unable to walk on the treadmill at a speed of at least 2 mph for at least 1 minute
- •Individuals who have had a myocardial infarction within 3 months prior to screening
- •Individuals who demonstrate symptoms consistent with acute coronary syndrome
- •Individuals who exhibit ischemia as documented on the 12-lead electrocardiogram including horizontal or down-sloping ST-segment depression ≥0.5 mm at rest and >1 mm with exercise in 2 contiguous leads, relative to the PR-segment (ST-segment measured 0.08 seconds after the J point, ST-segment elevation ≥1 mm)
- •Individuals who have had a transient ischemic attack or stroke 3 months prior to screening
- •Individuals with left bundle branch block or sustained ventricular tachycardia (>30 sec) during screening
- •Individuals with uncontrolled hypertension (≥180 systolic or ≥100 diastolic resting blood pressure) during screening
- •Treatment with pentoxifylline or cilostazol for the treatment of claudication 4 weeks prior to screening; Patients can be reconsidered for study inclusion following a 1 month washout period from these medications
- •Electrolyte abnormalities (e.g., potassium <3.3 mmol∙Lˉ1 )
- •Pregnancy, fertility without protection against pregnancy (for women of childbearing potential, a serum pregnancy test will be performed at screening)
- •Incarcerated individuals
- •Individuals acutely impaired by alcohol or other illicit drugs
- •Poorly controlled diabetes defined as glycated hemoglobin >12%
- •Severely anemic patients (Hgb <11 g∙dLˉ1 for women and <10 g∙dLˉ1 for men)
- •For patients who have not received peripheral revascularization, an ABI of >0.90
- •For patients with equivocal resting ABIs (0.91-0.99), a drop of <15% in the post-exercise ABI
- •For individuals with non-compressible vessels (ABI >1.39) who have a toe- brachial index (TBI) >0.70
- •Inability to speak English
- •Other clinically significant disease that is, in the opinion of the study team, not stabilized or may otherwise confound the results of the study
研究组 & 干预措施
Exercise therapy
Claudication, no peripheral revasc
干预措施: Exercise therapy (Behavioral)
Exercise advice
Claudication, no peripheral revasc
干预措施: Exercise therapy (Behavioral)
lower extremity ET, exercise therapy
干预措施: Exercise therapy (Behavioral)
lower extremity ET, exercise therapy
干预措施: lower extremity ET (Procedure)
lower extremity ET, exercise advice
干预措施: lower extremity ET (Procedure)
Peripheral open intervention, exercise therapy
干预措施: Exercise therapy (Behavioral)
Peripheral open intervention, exercise therapy
干预措施: peripheral open intervention (Procedure)
Peripheral open intervention, exercise advice
干预措施: peripheral open intervention (Procedure)
结局指标
主要结局
Change in peak walking time (PWT)
时间窗: Baseline, post-revascularization (ET or open intervention) (4 weeks, if applicable), post-12 weeks (exercise and control groups), 6 months following intervention time period
次要结局
- Change in claudication onset time (COT)(Baseline, post-revascularization (ET or open intervention), post-12 weeks (exercise and control groups), 6 months following intervention time period)
- Change in patient-reported outcomes(Baseline, post-revascularization (ET or open intervention), post-12 weeks (exercise and control groups), 6 months following intervention time period)
- Change in peak oxygen uptake(Baseline, post-revascularization (ET or open intervention), post-12 weeks (exercise and control groups), 6 months following intervention time period)
- Change in functional ability(Baseline, post-revascularization (ET or open intervention), post-12 weeks (exercise and control groups), 6 months following intervention time period)
- Evaluation of total volume of activity(post-12 weeks (exercise and control groups))
- Evaluation of exercise adherence(post-12 weeks (exercise and control groups))