Girold Sébastien, Rousseau Jérome, Le Gal Magalie, Coudeyre Emmanuel, Le Henaff Jacqueline
Department of Physical and rehabilitation Medicine, Clermont-Ferrand University Hospital, Hospital of Clermont-Ferrand, Cébazat, France.
The Moulin Vert Rehabilitation Center, 86340 Nieuil L'Espoir, France.
Ann Phys Rehabil Med. 2017 Jul;60(4):223-229. doi: 10.1016/j.rehab.2016.12.004. Epub 2017 Mar 27.
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).
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.
We included 42 patients (35 men; mean age 57.2±11 years and BMI 26.5±4.5kg/m). 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.
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.
使用越野行走，即手持手杖行走，比不持手杖行走能走得更远、速度更快，但这种活动对心血管疾病患者是否有益尚不清楚。
本随机对照试验旨在确定越野行走在步行距离方面是否比不持手杖行走更有效，以支持急性冠状动脉综合征（ACS）和外周动脉闭塞性疾病（PAOD）患者的康复训练。
在一家私立心血管疾病专业康复中心招募患者。整个方案，包括患者招募，于2013年9月至10月的2个月内完成。我们将患者分为两组：越野行走组（NWG，n = 21）和不持手杖行走组（WG，n = 21）。除了持或不持手杖行走外，所有患者在4周内遵循相同的方案。主要结局是6分钟步行试验中的步行距离。次要结局是运动期间的最大心率以及跑步机压力试验中的步行距离和功率输出。
我们纳入了42例患者（35名男性；平均年龄57.2±11岁，体重指数26.5±4.5kg/m）。在训练期结束时，两组在6分钟步行试验和治疗压力试验中的步行距离以及跑步机压力试验中的功率均有所改善（P<0.05）。越野行走组的步行距离显著长于不持手杖行走组（P<0.05）。ACS组和PAOD组均有改善，但仅PAOD患者的改善具有显著性。
经过4周的训练期后，对于ACS和PAOD患者，在6分钟步行试验中，越野行走训练在增加步行距离方面似乎比不持手杖行走训练更有效。
