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Nordic pole walking improves walking capacity in patients with intermittent claudication: a randomized controlled trial [with consumer summary]
Bulinska K, Kropielnicka K, Jasinski T, Wojcieszczyk-Latos J, Pilch U, Dabrowska G, Skorkowska-Telichowska K, Kalka D, Zywar K, Paszkowski R, Wozniewski M, Szuba A, Jasinski R
Disability and Rehabilitation 2016;38(13):1318-1324
clinical trial
3/10 [Eligibility criteria: No; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: The aim of the study was to compare the efficacy of Nordic pole walking (NPW) training with traditional treadmill training (TT) on a claudication (CD) and maximum walking distance (MWD) in patients with peripheral arterial disease (PAD). METHOD: Patients with intermittent claudication (IC) (n = 70; age 68.27) in the Fontaine class II were randomized into a two three-month rehabilitation programs performed three times per week. TT were finished by 31 patients, NPW by 21. Walking capacity was measured by an exercise treadmill test (ETT) with the Gardner-Skinner protocol (before and after the program) and six minute walk test (6MWT) (before, during and after the program). RESULTS: In an ETT both groups reached significant increase in CD and MWD (p <= 0.005). In 6MWT NPW group reached significant increase in both CD (p = 0.001) and MWD (p = 0.001), whereas the TT group only in MWD (p = 0.001). CONCLUSIONS: NPW has been shown to be as effective as the standard TT and is much less expensive. It should be the preferred method of exercise for PAD patients with IC.

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