title: Nordic pole walking improves walking capacity in patients with intermittent claudication: a randomized controlled trial.
abstract: OBJECTIVE
  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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Nordic walking training is a valuable form of rehabilitation for peripheral arterial disease (PAD) patients with intermittent claudication (IC). Nordic walking has been shown to be as efficient as traditional treadmill training. It is however more cost-effective method of rehabilitation in PAD patients.
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .|b WROVASC - An Integrated Cardiovascular Centre , Specialist District Hospital in Wroclaw, Centre for Research and Development , Wroclaw , Poland .
authors: Katarzyna
authors: K
authors: Bulińska
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Katarzyna
authors: K
authors: Kropielnicka
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Tomasz
authors: T
authors: Jasiński
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Joanna
authors: J
authors: Wojcieszczyk-Latos
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Urszula
authors: U
authors: Pilch
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Grażyna
authors: G
authors: Dąbrowska
authors: c Department of Internal Medicine , Fourth Military Clinical Hospital with a Polyclinic in Wroclaw , Wroclaw , Poland .
authors: Katarzyna
authors: K
authors: Skórkowska-Telichowska
authors: d Department of Pathophysiology , Medical University of Wroclaw , Wroclaw , Poland , and.
authors: Dariusz
authors: D
authors: Kałka
authors: e Department of Angiology, Specialist District Hospital in Wroclaw , Centre for Research and Development , Wroclaw , Poland.
authors: Katarzyna
authors: K
authors: Zywar
authors: e Department of Angiology, Specialist District Hospital in Wroclaw , Centre for Research and Development , Wroclaw , Poland.
authors: Rafał
authors: R
authors: Paszkowski
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Marek
authors: M
authors: Woźniewski
authors: b WROVASC - An Integrated Cardiovascular Centre , Specialist District Hospital in Wroclaw, Centre for Research and Development , Wroclaw , Poland .|c Department of Internal Medicine , Fourth Military Clinical Hospital with a Polyclinic in Wroclaw , Wroclaw , Poland .
authors: Andrzej
authors: A
authors: Szuba
authors: a Department of Physiotherapy and Occupational Therapy in Conservative and Interventional Medicine , University of Physical Education in Wroclaw , Wroclaw , Poland .
authors: Ryszard
authors: R
authors: Jasiński
mesh_terms: D000368:Aged; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test / Q000379:methods; D017079:Exercise Tolerance / Q000502:physiology; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation; D008297:Male; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology*
keywords: Intermittent claudication (IC); Nordic pole walking (NPW); treadmill training (TT)