title: Effectiveness of a new exercise program after lower limb arterial blood flow surgery in patients with peripheral arterial disease: a randomized clinical trial.
abstract: OBJECTIVE
  The aim of this study was to evaluate the effectiveness of a supervised exercise program (SEP) plus at home nonsupervised exercise therapy (non-SET) on functional status, quality of life (QoL) and hemodynamic response in post-lower-limb bypass surgery patients.
  
  
  RESULTS
  One hundred and seventeen patients were randomized to an intervention (n = 57) or a control group (n = 60). A new individual SEP was designed for patients with peripheral arterial disease (PAD) and applied to the studied subjects of the intervention group who also continued non-SET at home, whereas those assigned to the control group received just usual SEP according to a common cardiovascular program. The participants of the study were assessed by a 6-min walking test (6 MWT), an ankle-brachial index (ABI), and the Medical Outcomes Study Short Form-36 (SF-36) of QoL at baseline, at 1 and 6 months after surgery. A significant improvement was observed in the walked distance in the intervention group after 6 months compared with the control group (p < 0.001). The intervention group had significantly higher QoL score in the physical and mental component of SF-36 (p < 0.05).
  
  
  CONCLUSIONS
  A 6-month application of the new SEP and non-SET at home has yielded significantly better results in walking distance and QoL in the intervention group than in the controls.
authors.affiliation: Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania. edita.gegznaite@gmail.com.
authors.forename: Edita
authors.initials: E
authors.lastname: Jakubsevičienė
authors.affiliation: Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania. donatas.vasiliauskas@lsmuni.lt.
authors.forename: Donatas
authors.initials: D
authors.lastname: Vasiliauskas
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania. lvelicka@gmail.com.
authors.forename: Linas
authors.initials: L
authors.lastname: Velička
authors.affiliation: Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių St. 2, Kaunas 50009, Lithuania. raimondas@efarmacija.lt.
authors.forename: Raimondas
authors.initials: R
authors.lastname: Kubilius
authors.affiliation: Viršužiglis Hospital of Rehabilitation, Hospital of Lithuanian University of Health Sciences, Viršužiglis 53193, Lithuania. egle.milinaviciene@kaunoklinikos.lt.
authors.forename: Eglė
authors.initials: E
authors.lastname: Milinavičienė
authors.affiliation: Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukilėlių St. 17, Kaunas 50161, Lithuania. j.vencloviene@gmf.vdu.lt.
authors.forename: Jonė
authors.initials: J
authors.lastname: Venclovienė
mesh_terms: D000368:Aged; D055109:Ankle Brachial Index; D005081:Exercise Therapy; D006439:Hemodynamics; D006801:Humans; D008097:Lithuania; D035002:Lower Extremity / Q000502:physiology* / Q000601:surgery*; D008297:Male; D058729:Peripheral Arterial Disease / Q000601:surgery / Q000628:therapy*; D011788:Quality of Life; D016138:Walking
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