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

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 implementing a larger‐scale study ex...

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Bibliographic Details
Published in:International wound journal 2018-10, Vol.15 (5), p.822-828
Main Authors: Klonizakis, Markos, Gumber, Anil, McIntosh, Emma, King, Brenda, Middleton, Geoff, Michaels, Jonathan A, Tew, Garry A
Format: Article
Language:English
Subjects:
Adult
aerobic exercise
Aged
Aged, 80 and over
exercise progression
Exercise Therapy - methods
Exercise Therapy - psychology
Female
Humans
intervention fidelity
Male
Middle Aged
Original
Patient Participation - psychology
safety
Varicose Ulcer - therapy
venous ulcers
Wound Healing - physiology
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Summary: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 implementing a larger‐scale study exploring the effects of a supervised exercise programme in patients with venous ulcers being treated with compression therapy, it is important to assess exercise safety as well as fidelity and progression in a feasibility study. Eighteen participants randomised in the exercise group were asked to undertake 36 (3 times/week for 12 weeks) 60‐min exercise sessions, each comprising moderate‐intensity aerobic, resistance, and flexibility exercise components. For the purposes of this paper, we analysed the data collected during the exercise sessions. The overall session attendance rate was 79%, with 13 of 18 participants completing all sessions. No in‐session adverse events were reported; 100% aerobic components and 91% of resistance components were completed within the desired moderate‐intensity target. Similarly, 81% of aerobic components and 93% of flexibility components were completed within the prescribed duration targets. Our data showed that patients with venous ulcers could safely follow a supervised exercise programme incorporating moderate‐intensity aerobic, resistance, and flexibility components.
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.12933