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Bulinska K.,Wroclaw University | Bulinska K.,An Integrated Cardiovascular Center | Kropielnicka K.,Wroclaw University | Jasinski T.,Wroclaw University | And 10 more authors.
Disability and Rehabilitation | Year: 2016

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 RehabilitationNordic 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. © 2015 Taylor & Francis.

Dziubek W.,Wroclaw University | Bulinska K.,Wroclaw University | Bulinska K.,An Integrated Cardiovascular Center | Stefanska M.,Wroclaw University | And 13 more authors.
Maturitas | Year: 2015

Objectives The aim of this study is to compare values of force-velocity and functional walking capacity in elderly patients with intermittent claudication with respect to the control group. Materials and methods The study involved 135 individuals: 85-peripheral arterial disease (PAD) group diagnosed with stage II chronic lower limb ischemia, according to Fontaine's classification, and 50-control group. The studies included an assessment of walking capacity using a six-minute walk test (6MWT) and measurement of force-velocity parameters (peak torque - PTQ, total work - TW, average power - AVGP) of the lower limbs obtained by means of a functional dynamometry under isokinetic conditions. Results The peripheral arterial disease group is characterized by significantly lower values of force-velocity parameters compared to the control group (p < 0.005). Walking capacity in this group is significantly reduced due to significant differences in the distance covered (p < 0.0001), walking speed (p < 0.01), and its intensity (p < 0.01). Further, a positive correlation was found between the maximum distance specified in the six-minute walk test and lower limb muscle strength in the isokinetic test. Conclusions Mean values of all force-velocity parameters and walk distance were significantly higher in the control group than in the peripheral arterial disease group. In the PAD group, in both men and women, the value of the agonist/antagonist ratio of both lower limbs are lower in men and women comparing to the control group. A rehabilitation program for patients with intermittent claudication must consider exercises improving strength, exercise capacity, and endurance in patients with PAD. © 2015 The Authors. Published by Elsevier Ireland Ltd.

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