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Opara J.,Academy of Physical Education in Katowice | Opara J.,Repty Upper Silesian Rehabilitation Center | Kucio C.,Academy of Physical Education in Katowice | Socha T.,Academy of Physical Education in Katowice | Szczygiel J.,Repty Upper Silesian Rehabilitation Center
Rehabilitacja Medyczna | Year: 2012

The question of the role of physical activity in preventing disability in Multiple Sclerosis has to date not been described in Polish literature. It is well known that physical activity in Multiple Sclerosis patients is less than is the case in the general population. It is higher in patients with primary progressive (Primary Progressive Multiple Sclerosis - PPMS) than in the relapsing-remitting form (Relapsing Remitting Multiple Sclerosis - RRMS) of the disease. Numerous scientific studies have confirmed the low physical activity of people with MS. Most of them used an accelerometer, pedometer and questionnaires - the most widespread being: the Godin Leisure-Time Exercise Questionnaire - GLTEQ and the International Physical Activity Questionnaire - IPAQ. It has been found that behavioural methods lead to increased physical activity in patients. Improving physical activity delays the development of physical disability in multiple sclerosis patients and has the effect of increasing the quality of life. © UJCM, WSA Bielsko-Biała, ELIPSA-JAIM.


Rybicki J.R.,Repty Upper Silesian Rehabilitation Center | Leszczynska-Bolewska B.M.,Repty Upper Silesian Rehabilitation Center | Grochulska W.E.,Repty Upper Silesian Rehabilitation Center | Malina T.F.,Repty Upper Silesian Rehabilitation Center | And 4 more authors.
Kardiologia Polska | Year: 2015

Background: Nordic walking (NW) is an effective form of endurance training in cardiac rehabilitation (CR). The key parameter for the safety and effectiveness of the training is its intensity. Training intensity may be directly measured by the volume of oxygen consumption (VO2), and indirectly by chronotropic cardiac response to exercise. No data have been published on the rates of VO2 during NW in field conditions among patients rehabilitated after coronary events. Aim: To assess the intensity of NW training in field conditions by measuring VO2, energy expenditure (EE), and heart rate (HR) in comparison with a treadmill cardiopulmonary exercise test (CPET) in a group of patients rehabilitated after coronary events. Methods: Thirteen men after percutaneous coronary intervention due to an acute coronary syndrome (STEMI, NSTEMI, or UA), aged 53.2 ± 8.2 years, were evaluated and recruited for comprehensive CR at 30.3 ± 15.7 days after the incident. Left ventricular ejection fraction was evaluated and treadmill exercise test (ExT) using an individualised ramp protocol was performed during initial functional assessment. Following risk stratification, patients began training at 50% of HR reserve (HRR). Participants at low and moderate risk qualified for field NW training in the second week of CR. Treadmill CPET using a ramp protocol was performed after the patients had mastered the technique of walking with poles. Next day, HR, parameters of ventilation, and respiratory gas concentrations were measured during NW using a portable spiroergometry system. Results: Exercise tolerance estimated during initial ExT was 9.1 ± 2.5 MET. Peak VO2 was 27.5 ± 5.4 mL/min/kg during CPET vs. 26.2 ± 7.7 mL/min/kg during NW (p < 0.447). Mean VO2 during NW was 17.5 ± 4.5 mL/min/kg, which amounted to 59.4 ± 18.6% of VO2 reserve in CPET. Mean HR during NW was 104.8 ± 9.8 bpm, amounting to 63.7 ± 28.7% of HRR, and peak HR was 128.4 ± 13.7 bpm vs. 131.1 ± 18.0 bpm during CPET (p < 0.628). EE during 24.7 ± 9.7 min of NW was 210.7 ± 149.0 kcal (8.1 ± 2.7 kcal/min). Conclusions: The intensity of NW training in field conditions in patients after coronary events was 59% of VO2 reserve, and its peak instantaneous intensity reached values obtained during CPET on a treadmill. EE during NW in the study group was 8.1 kcal/min. Chronotropic response during NW was 64% of HRR, and its instantaneous increase reached the maximum HR obtained during CPET.


PubMed | Repty Upper Silesian Rehabilitation Center
Type: Journal Article | Journal: Kardiologia polska | Year: 2015

Nordic walking (NW) is an effective form of endurance training in cardiac rehabilitation (CR). The key parameter for the safety and effectiveness of the training is its intensity. Training intensity may be directly measured by the volume of oxygen consumption (VO), and indirectly by chronotropic cardiac response to exercise. No data have been published on the rates of VO during NW in field conditions among patients rehabilitated after coronary events.To assess the intensity of NW training in field conditions by measuring VO, energy expenditure (EE), and heart rate (HR) in comparison with a treadmill cardiopulmonary exercise test (CPET) in a group of patients rehabilitated after coronary events.Thirteen men after percutaneous coronary intervention due to an acute coronary syndrome (STEMI, NSTEMI, or UA), aged 53.2 8.2 years, were evaluated and recruited for comprehensive CR at 30.3 15.7 days after the incident. Left ventricular ejection fraction was evaluated and treadmill exercise test (ExT) using an individualised ramp protocol was performed during initial functional assessment. Following risk stratification, patients began training at 50% of HR reserve (HRR). Participants at low and moderate risk qualified for field NW training in the second week of CR. Treadmill CPET using a ramp protocol was performed after the patients had mastered the technique of walking with poles. Next day, HR, parameters of ventilation, and respiratory gas concentrations were measured during NW using a portable spiroergometry system.Exercise tolerance estimated during initial ExT was 9.1 2.5 MET. Peak VO2 was 27.5 5.4 mL/min/kg during CPET vs. 26.2 7.7 mL/min/kg during NW (p < 0.447). Mean VO during NW was 17.5 4.5 mL/min/kg, which amounted to 59.4 18.6% of VO reserve in CPET. Mean HR during NW was 104.8 9.8 bpm, amounting to 63.7 28.7% of HRR, and peak HR was 128.4 13.7 bpm vs. 131.1 18.0 bpm during CPET (p < 0.628). EE during 24.7 9.7 min of NW was 210.7 149.0 kcal (8.1 2.7 kcal/min).The intensity of NW training in field conditions in patients after coronary events was 59% of VO reserve, and its peak instantaneous intensity reached values obtained during CPET on a treadmill. EE during NW in the study group was 8.1 kcal/min. Chronotropic response during NW was 64% of HRR, and its instantaneous increase reached the maximum HR obtained during CPET.

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