Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

The Impact of Nordic Pole Walk Advice Alone or in Combination With Exercise Strategies on Daily Physical Activity in Patients With Intermittent Claudication: A Randomized Clinical Trial [with consumer summary]
Sandberg A, Nordanstig J, Cider A, Jivegard L, Hagstromer M, Back M
PTJ: Physical Therapy & Rehabilitation Journal 2023 Nov;103(11):pzad086
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: The impact of exercise interventions on physical activity remains undetermined in intermittent claudication, which is why it is important to include objectively measured physical activity as an additional endpoint. The aim of this pre-specified secondary analysis of a randomized clinical trial was to investigate the impact of unsupervised Nordic pole walk advice (WA) alone or in combination with hospital-based supervised exercise (SEP) or home-based structured exercise (HSEP) on physical activity inpatients with intermittent claudication. METHODS: In total, 166 patients with intermittent claudication (mean age 72 (SD 7.4) y; 41% women) were randomized to 3 intermittent claudication-treatment strategies: WA, WA plus SEP, or WA plus HSEP. All patients received Nordic poles and standardized WA (>= 30 min, 3 times weekly). Patients randomized to HSEP and SEP accepted participation in an additional 6-months exercise program. Physical activity was measured with an accelerometer-based activPAL3 monitor for 7 days at baseline and 3, 6, and 12 months. Physical activity outcomes were steps per day, time spent within a stepping cadence >= 100 steps per minute, time spent upright, number of body transitions from sitting to standing, and number of sitting bouts of > 30 minutes and > 60 minutes. RESULTS: At 1 year, no intergroup differences were observed in any of the physical activity variables, whereas significant intergroup differences were observed at 3 months regarding time spent within a stepping time cadence >= 100 steps per minute. The mean change for HSEP (2.47 (SD 10.85) min) was significantly different from the mean change for WA (-3.20 (SD 6.24) min). At 6 months, the number of sitting bouts (> 60 min) for SEP was significantly different from WA (mean change 0.24 (SD 0.69) versus -0.23 (SD 0.81)). CONCLUSION: This study indicates that the addition of 6 months of HSEP or SEP does not improve physical activity at 1 year, as compared to unsupervised WA alone. Factors of importance for increasing physical activity in patients with intermittent claudication require further investigation.

Full text (sometimes free) may be available at these link(s):      help