Katarzyna Bulińska1,2, Katarzyna Kropielnicka1, Tomasz Jasiński1, Joanna Wojcieszczyk-Latos1, Urszula Pilch1, Grażyna Dąbrowska1, Katarzyna Skórkowska-Telichowska3, Dariusz Kałka4, Katarzyna Zywar5, Rafał Paszkowski5, Marek Woźniewski1, Andrzej Szuba2,3, Ryszard Jasiński1. 1. a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland . 2. b WROVASC - An Integrated Cardiovascular Centre , Specialist District Hospital in Wroclaw, Centre for Research and Development , Wroclaw , Poland . 3. c Department of Internal Medicine , Fourth Military Clinical Hospital with a Polyclinic in Wroclaw , Wroclaw , Poland . 4. d Department of Pathophysiology , Medical University of Wroclaw , Wroclaw , Poland , and. 5. e Department of Angiology, Specialist District Hospital in Wroclaw , Centre for Research and Development , Wroclaw , Poland.
Abstract
PURPOSE: The aim of the study was to compare the efficacy of Nordic pole walking (NPW) training with traditional treadmill training (TT) on a claudication (CD) and maximum walking distance (MWD) in patients with peripheral arterial disease (PAD). METHOD: Patients with intermittent claudication (IC) (n = 70; age=68.27) in the Fontaine class II were randomized into a two three-month rehabilitation programs performed three times per week. TT were finished by 31 patients, NPW by 21. Walking capacity was measured by an exercise treadmill test (ETT) with the Gardner-Skinner protocol (before and after the program) and six minute walk test (6MWT) (before, during and after the program). RESULTS: In an ETT both groups reached significant increase in CD and MWD (p ≤ 0.005). In 6MWT NPW group reached significant increase in both CD (p = 0.001) and MWD (p = 0.001), whereas the TT group only in MWD (p = 0.001). CONCLUSIONS:NPW has been shown to be as effective as the standard TT and is much less expensive. It should be the preferred method of exercise for PAD patients with IC. IMPLICATIONS FOR REHABILITATION: Nordic walking training is a valuable form of rehabilitation for peripheral arterial disease (PAD) patients with intermittent claudication (IC). Nordic walking has been shown to be as efficient as traditional treadmill training. It is however more cost-effective method of rehabilitation in PAD patients.
RCT Entities:
PURPOSE: The aim of the study was to compare the efficacy of Nordic pole walking (NPW) training with traditional treadmill training (TT) on a claudication (CD) and maximum walking distance (MWD) in patients with peripheral arterial disease (PAD). METHOD:Patients with intermittent claudication (IC) (n = 70; age=68.27) in the Fontaine class II were randomized into a two three-month rehabilitation programs performed three times per week. TT were finished by 31 patients, NPW by 21. Walking capacity was measured by an exercise treadmill test (ETT) with the Gardner-Skinner protocol (before and after the program) and six minute walk test (6MWT) (before, during and after the program). RESULTS: In an ETT both groups reached significant increase in CD and MWD (p ≤ 0.005). In 6MWT NPW group reached significant increase in both CD (p = 0.001) and MWD (p = 0.001), whereas the TT group only in MWD (p = 0.001). CONCLUSIONS: NPW has been shown to be as effective as the standard TT and is much less expensive. It should be the preferred method of exercise for PAD patients with IC. IMPLICATIONS FOR REHABILITATION: Nordic walking training is a valuable form of rehabilitation for peripheral arterial disease (PAD) patients with intermittent claudication (IC). Nordic walking has been shown to be as efficient as traditional treadmill training. It is however more cost-effective method of rehabilitation in PAD patients.
Entities:
Keywords:
Intermittent claudication (IC); Nordic pole walking (NPW); treadmill training (TT)
Authors: Alessandro Grainer; Livio Zerbini; Carlo Reggiani; Giuseppe Marcolin; James Steele; Gaspare Pavei; Antonio Paoli Journal: Int J Environ Res Public Health Date: 2017-10-17 Impact factor: 3.390
Authors: Bogdan Pietraszewski; Marek Woźniewski; Ryszard Jasiński; Artur Struzik; Andrzej Szuba Journal: Biomed Res Int Date: 2019-05-27 Impact factor: 3.411
Authors: Katarzyna Kropielnicka; Wioletta Dziubek; Katarzyna Bulińska; Małgorzata Stefańska; Joanna Wojcieszczyk-Latos; Ryszard Jasiński; Urszula Pilch; Grażyna Dąbrowska; Katarzyna Skórkowska-Telichowska; Dariusz Kałka; Agnieszka Janus; Katarzyna Zywar; Rafał Paszkowski; Anna Rachwalik; Marek Woźniewski; Andrzej Szuba Journal: Biomed Res Int Date: 2018-09-23 Impact factor: 3.411
Authors: Grazia Maugeri; Velia D'Agata; Federico Roggio; Cristina Cortis; Andrea Fusco; Carl Foster; Mark M Mañago; Michael O Harris-Love; Veronica Vleck; Maria Francesca Piacentini; Giuseppe Musumeci Journal: J Funct Morphol Kinesiol Date: 2020-07-18