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Randomized clinical trial comparing Nordic pole walking and a standard home exercise programme in patients with intermittent claudication
Oleh:
Spafford, C.
;
Oakley, C.
;
Beard, J.D.
Jenis:
Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi:
BJS: British Journal of Surgery vol. 101 no. 07 (Jun. 2014)
,
page 760-767.
Topik:
peripheral arterial disease
;
intermittent claudication
;
obesity
;
cardiovascular fitness
;
diabetes
;
cardiac disease
;
exercise therapy
;
life expectancy
;
exercise programmes
Ketersediaan
Perpustakaan FK
Nomor Panggil:
B15.K
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Background This was a randomized clinical trial to determine whether Nordic pole walking (NPW) is more effective in improving walking distance than a standard home exercise programme (HEP) in patients with intermittent claudication. Methods Fifty-two patients with stable claudication were allocated randomly to a standard HEP or NPW group, and asked to complete three 30-min walks per week for 12?weeks. Claudication distance (CD) and maximum walking distance (MWD) were measured at 0 (baseline), 4, 8 and 12?weeks. Patients in the NPW group were tested with (NPW+) and without (NPW–) poles. Results For NPW+, CD increased immediately from a median (range) of 124 (71–248)?m to 148 (116–426)?m, and MWD from 248 (149–900) to 389 (194–1099)?m (P?=?0·004 and P < 0·001 respectively). By 12?weeks, CD had further increased to 199 (118–550)?m and MWD had more than doubled to 538 (250–1750)?m (P?0·001 and P = 0·001). For NPW–, CD at 12?weeks had increased significantly to 151 (100–328)?m and MWD to 400 (200–900)?m (P?0·001 and P?=?0·006 respectively). At 12?weeks the changes in the standard HEP group were not significant, despite excellent compliance: CD from 107 (56–332) to 153 (59–321)?m and MWD from 355 (92–600) to 334 (149–874)?m (P?=?0·030 and P?=?0·260 respectively). Conclusion A 12-week exercise programme using Nordic poles significantly improved walking distance in claudicants compared with a standard HEP.
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