Imperial College London
Alternate

Mr Colin D Bicknell BM MD FRCS

Faculty of Medicine, Department of Surgery & Cancer

Clinical Reader in Vascular Surgery
 
 
 
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Contact

 

+44 (0)20 3312 6428colin.bicknell

 
 
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Location

 

1020Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Chan:2021:10.1016/j.ejvs.2020.11.044,
author = {Chan, C and Sounderajah, V and Normahani, P and Acharya, A and Markar, SR and Darzi, A and Bicknell, C and Riga, C},
doi = {10.1016/j.ejvs.2020.11.044},
journal = {European Journal of Vascular and Endovascular Surgery},
pages = {676--687},
title = {Wearable activity monitors in home based exercise therapy for patients with intermittent claudication: a systematic review},
url = {http://dx.doi.org/10.1016/j.ejvs.2020.11.044},
volume = {61},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: Intermittent claudication (IC) can severely limit functional capacity and quality of life. Supervised exercise therapy is the recommended first line management; however, this is often limited by accessibility, compliance and cost. As such, there has been an increased interest in the use of wearable activity monitors (WAMs) in home based telemonitoring exercise programmes for claudicants. This review aims to evaluate the efficacy of WAM as a feedback and monitoring tool in home based exercise programmes for patients with IC. DATA SOURCES: A search strategy was devised. The databases MEDLINE, EMBASE, and Web of Science were searched through to April 2020. REVIEW METHODS: Randomised trials and prospective trials were included. Eligible trials had to incorporate WAMs as a feedback tool to target walking/exercise behaviour. The primary outcome was the change in walking ability. Study quality was assessed with risk of bias tool. RESULTS: A total of 1148 records were retrieved. Of these, eight randomised controlled trials and one prospective cohort study, all of which compared a WAM intervention against standard care and/or supervised exercise, met the inclusion criteria. Owing to heterogeneity between studies, no meta-analysis was conducted. WAM interventions improved measures of walking ability (heterogeneous outcomes such as maximum walking distance, claudication distance and six minute walk distance), increased daily walking activity (steps/day), cardiovascular metrics (maximum oxygen consumption), and quality of life. CONCLUSION: There is some evidence that home based WAM interventions are beneficial for improving walking ability and quality of life in patients with IC. However, existing studies are limited by inadequate sample size, duration, and appropriate power. Achieving consensus on outcome reporting and study methods, as well as maximising device adherence, is needed.
AU  - Chan,C
AU  - Sounderajah,V
AU  - Normahani,P
AU  - Acharya,A
AU  - Markar,SR
AU  - Darzi,A
AU  - Bicknell,C
AU  - Riga,C
DO  - 10.1016/j.ejvs.2020.11.044
EP  - 687
PY  - 2021///
SN  - 1078-5884
SP  - 676
TI  - Wearable activity monitors in home based exercise therapy for patients with intermittent claudication: a systematic review
T2  - European Journal of Vascular and Endovascular Surgery
UR  - http://dx.doi.org/10.1016/j.ejvs.2020.11.044
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33451865
UR  - https://www.sciencedirect.com/science/article/pii/S1078588420310686?via%3Dihub
UR  - http://hdl.handle.net/10044/1/85944
VL  - 61
ER  -
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