ClinicalTrials.gg
Not yet recruitingNCT07919483STRETCH PADUpdated Nov 5, 2026

Daily Stretching to Improve Walking in Older Patients With Peripheral Artery Disease: The STRETCH PAD Study

An interventional study of Therapeutic calf stretching and Sham calf stretching in Peripheral Artery Disease (PAD) and Intermittent Claudication, sponsored by Penn State University. Not yet recruiting at 2 sites in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Primary conditionIntermittent ClaudicationRegistry: Peripheral Arterial DiseaseReclassifiedWhy we changed it
Registry
Peripheral Arterial Disease — the first condition term the registry derived for this study.
ClinicalTrials.gg
Intermittent Claudication
Why
  1. The study's listed conditions name Intermittent Claudication, a narrower term within Peripheral Arterial Disease.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Penn State University · Not applicable, Interventional, and Treatment

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

The goal of this multi-center clinical trial is to assess the effects of passive calf muscle stretching in older adults diagnosed with peripheral artery disease (PAD). The main questions it aims to answer are:

  1. To determine how calf muscle stretching at home affects treadmill walk performance and daily physical activity level after 4 weeks and 6 months in these patients.
  2. To determine how calf muscle stretching at home affects calf muscle vascular function and walking gait.

Participants will use inflatable ankle stretch boots for 30 minutes a day, 5 days a week for 4-weeks

Read the detailed description

Patients with peripheral artery disease will passively stretch their calf muscles using a stretch device on both feet while seated for 30 minutes a day for 4 weeks at home. Peak treadmill walk time, calf macro- and micro-vascular function, walking gait pattern, and daily physical activity will be measured at baseline, 4 weeks, and 6 months.

02

Conditions studied

  • Peripheral Artery Disease (PAD)
  • Intermittent Claudication

Browse trials for

Keywords

  • 6 min walk test
  • Microcirculation
  • Muscular stretching
03

In context

Intermittent Claudication Reclassified

309 studies on the registry are indexed under Intermittent Claudication; 46 are open to participants now.

This study's planned enrollment of 300 is above the median of 74 across 242 interventional studies indexed under Intermittent Claudication.

Browse Intermittent Claudication studies →

Lead sponsor

Penn State University is the lead sponsor of 270 studies on the registry; 53 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 11 (73%) have results posted.

Compared within Intermittent Claudication, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Peripheral Arterial Disease. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult male or female. Women must not be pregnant, nor plan to become pregnant or be breast feeding
  • Agree to participate voluntarily and sign an IRB approved consent form.
  • ≥50 years of age
  • Individuals with peripheral artery disease. Objective evidence of PAD: ankle brachial index (ABI)\<0.9 at rest; or any other diagnostic test confirming PAD including but not limited to hemodynamic or imaging modalities confirming PAD.
  • PAD presentation or symptomatology consistent with Fontaine Stage IIa or IIb (intermittent claudication pain).
  • PAD symptoms must be stable for at least 3 months to exclude acute thrombotic events.
  • A peak walking time (PWT) \< 360 seconds on a graded 6-minutes treadmill walking protocol

Exclusion criteria

Exclusion Criteria:

  • Terminal illness (\<12-month )
  • Inability to provide inform consent
  • Uncontrolled arrhythmias
  • Inability to cooperate during exams
  • Significant infection or inflammation
  • Currently engaged in a structured, organized, and supervised physical training program
  • Enrolled in an interventional trial on PAD
  • Scheduled to undergo revascularization or major elective surgery within the next 6 months
  • Current critical limb ischemia or above/below-knee amputation, wheelchair-bound, or requires the use of a walker or cane
  • Underwent lower extremity revascularization, or coronary artery bypass surgery within 3 months of screening
  • Underwent major orthopedic surgery within 6 months of screening
  • End stage renal disease (requiring dialysis)
  • Significant hepatic dysfunction ( and/or ALT >5xULN, >2xULN)
  • Parkinson's disease
  • Recent history of alcohol or drug abuse
  • Inability to walk on a treadmill
  • Advanced heart failure: (NYHA) class III or IV, or last known \< 30%),
  • Severe or very severe (forced expiratory volume (FEV-1) ≤ 50%)
  • Severe pulmonary condition that requires oxygen
  • Resting SpO₂ ≤92% or ≥4% desaturation with exercise
  • ≥1 mm ST depression/elevation (abnormal finding)
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Therapeutic calf stretching

    Seated bilateral static calf stretching at 90% of maximal tolerated stretch intensity with both feet resting on a second chair (knees extended). This will be performed at home 30 minutes per day, 5 days per week, for 4 weeks.

    Behavioral: Therapeutic calf stretching

  • Sham comparator
    Sham calf stretching

    Seated bilateral static calf stretching at a minimal stretch intensity with both feet resting on the floor (knees bent). This will be performed at home 30 minutes per day, 5 days per week, for 4 weeks.

    Behavioral: Sham calf stretching

Interventions

  • BehavioralTherapeutic calf stretching

    Participants will wear calf stretch boots for 4 weeks (30 minutes per day, 5 days per week) at 90% of maximal tolerable stretch.

  • BehavioralSham calf stretching

    Participants will wear calf stretch boots for 4 weeks (30 minutes per day, 5 days per week) at approximately 10% of maximal tolerable stretch.

06

What researchers measure

Primary outcomes

  1. Change in peak treadmill walking distance

    Change from baseline in continuous walking distance (meters) during the treadmill walking test protocol

    Time frame: Baseline, 4 weeks, and 24 weeks

  2. Change in calf muscle microvascular function

    Change from baseline in calf muscle re-oxygenation (%SmO2) after the 5 minute vascular occlusion test

    Time frame: Baseline, 4 weeks, and 24 weeks

  3. Change in peak normalized average forefoot force during a self-selected walking pace

    Change from baseline in ground reaction force during a self-selected level ground walking pace

    Time frame: Baseline, 4 weeks, and 24 weeks

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: Yes — IPD will be shared under controlled-access conditions. De-identified individual participant data from published results will be made available to qualified researchers upon reasonable request and following completion of an appropriate data use agreement.

Supporting information: Study protocol, Informed consent form

Time frame: Start date will be one year after completion of primary data collection (December 2032). End date will be December 2035 (3 years after completion of primary data collection).

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07919483
Responsible party
David N. Proctor, PhD (Professor, Penn State University) — Principal investigator
First posted
Nov 5, 2026
Start date
Jan 2027 (estimated)
Primary completion
Dec 2031 (estimated)
Completion
Dec 2032 (estimated)
Last update
Nov 5, 2026

Study contacts

David N Proctor, PhD
Contact
dnp3@psu.edu
814-571-5234
Gerd Brunner, PhD
Contact
gbrunner@pennstatehealth.psu.edu
717-531-0003 ext. 289803
David N Proctor, PhD
principal investigator · The Pennsylvania State University
Gerd Brunner, PhD
principal investigator · Pennsylvania State University College of Medicine
Carl Ade, PhD
principal investigator · Kansas State University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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