PTRNOtherWestern journal of nursing research2021

Individual Differences in Response to Supervised Exercise Therapy for Peripheral Artery Disease.

Mary O Whipple, Erica N Schorr, Kristine M C Talley and 4 others

PMID 33334275

WHAT IT FOUND

After 12 weeks of supervised exercise therapy for peripheral artery disease, mean six-minute walking distance rose by 29.0 m, yet 31.8% did not improve.

Each participant improved in at least one outcome.

Key findings

01On the primary outcome, mean six-minute walk distance increased by 29.0 m, but 31.8% of participants had no improvement or a decline.

02Each participant improved in at least one outcome, but all but two were nonresponders on at least one outcome.

03Most participants who did not respond at 12 weeks had already not responded at 6 weeks (85.7%).

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for RNs

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What it does not show

There was no control group, so changes cannot be separated from natural variability, measurement error, or other care received during the 12 weeks. The sample was small and came from Midwestern hospital programs, and most participants were non-Hispanic white and male, so results may not apply to other populations. 8 participants did not complete the program and their outcomes were not included. 27% reached the maximum Short Physical Performance Battery score, leaving little room to show improvement on that test. Gait speed was judged using benchmarks from older adults rather than people with PAD, which may overestimate nonresponse. Nonresponse was outcome-specific; a patient could fail one measure but improve on another, so a single outcome can mislead.

Declared interests

The supplied article text does not include a conflict-of-interest or funding declaration; journal metadata lists NIH and non-U.S. government research support.

The easy way to misread this

Do not read the 29.0-m mean improvement as proof that supervised exercise works for every patient. This was a single-group pre-post analysis without a control group, and 31.8% did not improve on the primary outcome.

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