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Home-based Circuit Training for People With Intermittent Claudication (WALKSTRONG)

C

Coventry University

Status

Completed

Conditions

Peripheral Artery Disease
Intermittent Claudication

Treatments

Behavioral: Exercise group

Study type

Interventional

Funder types

Other

Identifiers

NCT05059899
P123339

Details and patient eligibility

About

The purpose of the study is to assess the feasibility of undertaking a randomised controlled trial investigating the effectiveness of a 12-week home-based exercise programme for people with intermittent claudication.

Full description

30 participants with PAD will be randomised to one of two groups: either exercise or usual care. The 12 week exercise intervention will consist of a home-based circuit programme, including both resistance exercises and walking. This will be combined with promoting free-living walking throughout the rest of the week. Exercise will be regulated via the use of a wearable activity monitor. Biweekly phone calls will address compliance with the intervention. The primary outcomes are feasibility and acceptability, which will be determined after 12 weeks via recruitment and attrition rates, protocol adherence and with participant interviews. Secondary outcomes include changes in pain-free and maximal walking distances with both a graded treadmill test and six-minute walk test, hand grip strength, physical activity behaviour (measured with an accelerometer), quality of life (measured with the SF-36, VascuQol and E5-5D-5L questionnaires) after 12 and 24 weeks. Investigators will also assess changes in markers of inflammation, vascular remodeling, mitochondrial biogenesis and oxidative stress at 12 and 24 weeks. Other outcomes include changes in time spent resting during a six-minute walk test and time to pain cessation following a graded treadmill test at 12 and 24 weeks.

Enrollment

30 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Ankle/brachial index (ABPI) < 0.9 at rest or a drop of 20mmHg after exercise testing
  • Ability to walk independently
  • English speaking
  • Able to follow instructions
  • ≥ 18 years of age

Exclusion criteria

  • Unable to provide informed consent
  • Walking impairment for a reason that is not PAD
  • Critical limb ischaemia
  • Asymptomatic PAD
  • Active cancer treatment
  • Severe mental or physical limitations precluding participation safely in the home environment

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

30 participants in 2 patient groups

Exercise group
Experimental group
Description:
Home-based circuit and community walking exercise
Treatment:
Behavioral: Exercise group
Usual care
No Intervention group
Description:
Usual activity/healthcare

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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