Article

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.
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+/-4.5kg/m2). 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.
CI - Copyright (c) 2017. Published by Elsevier Masson SAS.

Langue : ANGLAIS