Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Maximum/pain-free walking distance | |||||
Systematic review |
94 people with chronic, stable intermittent claudication
4 RCTs in this analysis |
Mean increase in initial claudication distance
3 to 12 months
with exercise programmes with usual care or placebo Absolute results not reported |
Common difference of the mean (not further defined) 139 metres 95% CI 31 m to 247 m |
Effect size not calculated | Exercise |
Systematic review |
409 people 8 RCTs in this analysis |
Increase in pain-free walking distance
with supervised exercise therapy with usual care Absolute results not reported |
WMD 81.29 m 95% CI 35.45 m to 127.14 m P = 0.0005 |
Effect size not calculated | Exercise |
RCT |
57 men with stable intermittent claudication |
Change in pain-free walking distance
12 weeks
From 147 m to 225 m with 12-week supervised arm-crank exercise programme From 177 m to 192 m with control group |
P = 0.03 |
Effect size not calculated | Arm-crank exercise programme |
Systematic review |
322 people 6 RCTs in this analysis |
Mean increase in pain-free walking distance
with exercise with usual care or placebo Absolute results not reported |
Mean difference 82.19 m 95% CI 71.73 m to 92.65 m |
Effect size not calculated | Exercise |
Systematic review |
115 people 5 RCTs in this analysis |
Mean increase in absolute claudication distance
3 to 12 months
with exercise programmes with usual care or placebo Absolute results not reported |
Common difference of the mean (not further defined) 179 m 95% CI 60 m to 298 m |
Effect size not calculated | Exercise |
Systematic review |
499 people 9 RCTs in this analysis |
Increase in maximum walking distance
with supervised exercise therapy with usual care Absolute results not reported |
WMD 155.79 m 95% CI 80.84 m to 230.74 m P <0.0001 |
Effect size not calculated | Exercise |
Systematic review |
391 people 6 RCTs in this analysis |
Mean increase in maximal walking distance
with exercise with usual care or placebo Absolute results not reported |
Mean difference 113.2 m 95% CI 94.96 m to 131.43 m |
Effect size not calculated | Exercise |
RCT |
57 men with stable intermittent claudication |
Change in maximum walking distance
12 weeks
From 496 m to 661 m with 12-week supervised arm-crank exercise programme From 600 m to 626 m with control group |
P = 0.01 |
Effect size not calculated | Arm-crank exercise programme |
RCT 3-armed trial |
156 people |
Increase in walking distance (assessed by a 6-minute walk test; change from baseline)
6 months
+20.9 m with supervised treadmill exercise (3 times/week) –15.0 m with control |
Difference 35.9 m 95% CI 15.3 m to 56.5 m P <0.001 for treadmill v control |
Effect size not calculated | Exercise |
RCT 3-armed trial |
156 people |
Increase in walking distance (assessed by a 6-minute walk test; change from baseline)
6 months
–2.6 m with resistance training (3 times/week) –15.0 m with control |
Difference +12.4 m 95% CI –8.42 m to +33.3 m P = 0.24 for resistance training v control |
Not significant | |
Walking time | |||||
Systematic review |
255 people 7 RCTs in this analysis |
Mean change in walking time
136 minutes with exercise 119 minutes with usual care or placebo |
WMD 5.12 minutes 95% CI 4.51 minutes to 5.72 minutes |
Effect size not calculated | Exercise |
RCT 4-armed trial |
52 people with intermittent claudication |
Increase in walking duration from baseline
6 months
From 804 seconds to 2020 seconds with pole-striding exercise plus placebo From 612 seconds to 623 seconds with placebo |
P value not reported for pole-striding v placebo |