Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial
Nordic walking versus walking without poles for rehabilitation with cardiovascular disease: Randomized controlled trial
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DOI：
10.1016/j.rehab.2016.12.004
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发表时间：
2017-07-01
影响因子：
4.6
通讯作者：
Le Henaff, Jacqueline
中科院分区：
文献类型：
--
作者：
Girold, Sebastien;Rousseau, Jerome;Le Henaff, Jacqueline
背景：与不带杆子的步行相比，采用北欧步行或带杆子步行的人可以走更远的距离和更快的速度，但这种活动是否对心血管疾病患者有益尚不清楚。目的：本随机对照试验旨在确定对于急性冠状动脉综合征（ACS）和外周动脉闭塞性疾病（PAOD）患者，在步行距离上，北欧步行是否比无撑杆步行更有效。方法：在一家私立心血管疾病专科康复中心招募患者。整个方案，包括患者招募，从2013年9月到10月进行了2个多月。我们将患者分为两组：北欧步行组（NWG, n = 21）和无拐杖步行组（WG, n = 21）。所有患者在4周内都遵循相同的计划，除了带或不带手杖的步行。6分钟步行测试的主要结果是步行距离。次要结果是运动时的最大心率、步行距离和跑步机压力测试的功率输出。结果：我们纳入了42例患者（男性35例，平均年龄57.2±11岁，BMI 26.5±4.5 kg/m(2)）。在训练结束时，两组在6分钟步行测试和治疗压力测试中的步行距离以及跑步机压力测试中的功率均有所改善（P < 0.05）。NWG组的步行距离显著大于WG组（P < 0.05）。ACS组和pad组均有改善，但只有pad组有显著改善。结论：经过4周的训练后，在ACS和pad患者的6分钟步行测试中，北欧步行训练比无手杖训练更有效地增加了步行距离。(C) 2017年由Elsevier Masson SAS出版。
Background: With Nordic walking, or walking with poles, one can travel a greater distance and at a higher rate than with walking without poles, but whether the activity is beneficial for patients with cardiovascular disease is unknown.Objective: This randomized controlled trial was undertaken to determine whether Nordic walking was more effective than walking without poles on walk distance to support rehabilitation training for patients with acute coronary syndrome (ACS) and peripheral arterial occlusive disease (PAOD).Methods: Patients were recruited in a private specialized rehabilitation centre for cardiovascular diseases. The entire protocol, including patient recruitment, took place over 2 months, from September to October 2013. We divided patients into 2 groups: Nordic Walking Group (NWG, n = 21) and Walking Group without poles (WG, n = 21). All patients followed the same program over 4 weeks, except for the walk performed with or without poles. The main outcome was walk distance on the 6-min walk test. Secondary outcomes were maximum heart rate during exercise and walk distance and power output on a treadmill stress test.Results: We included 42 patients (35 men; mean age 57.2 +/- 11 years and BMI 26.5 +/- 4.5 kg/m(2)). At the end of the training period, both groups showed improved walk distance on the 6-min walk test and treatment stress test as well as power on the treadmill stress test (P < 0.05). The NWG showed significantly greater walk distance than the WG (P < 0.05). Both ACS and PAOD groups showed improvement, but improvement was significant for only PAOD patients.Conclusions: After a 4-week training period, Nordic walking training appeared more efficient than training without poles for increasing walk distance on the 6-min walk test for patients with ACS and PAOD. (C) 2017 Published by Elsevier Masson SAS.