title: The effect of Nordic Walking on joint status, quality of life, physical ability, exercise capacity and pain in adult persons with haemophilia.
abstract: Nordic Walking is an exercise form requiring significant energy consumption, but where the use of poles minimizes the risk of injury. The aim of this pilot study was to examine the effect of 3 months of Nordic Walking on males (>40 years of age) with haemophilia, regarding joint function (Haemophilia Joint Health Score), physical ability (Haemophilia Exercise Project - Test-Questionnaire), exercise capacity (6-min walking test), pain (visual analogue scale) and quality of life (the Swedish version of The Short Form Health Survey, SF-36). Pre-interventional and post-interventional scores of above-mentioned parameters were analysed, using Wilcoxon Signed Ranks Test. Eleven participants were recruited to the study. Statistically significant improvements were observed in physical ability (P value: 0.01) and body perception (P value: 0.02). The intervention did not increase number of bleedings or factor consumption. This is the first study ever evaluating Nordic Walking in persons with haemophilia. Our results suggest that Nordic Walking is safe and efficient, also in patients with haemophilic arthropathy.
authors.affiliation: aCoagulation Unit, Department of Translational Medicine, Lund University, Skane University Hospital, Malmö bInstitute of Neuroscience and Physiology, Section for Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Maryem
authors.initials: M
authors.lastname: Salim
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Brodin
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Spaals-Abrahamsson
authors.forename: Erik
authors.initials: E
authors.lastname: Berntorp
authors.forename: Eva
authors.initials: E
authors.lastname: Zetterberg
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image / Q000523:psychology; D005081:Exercise Therapy / Q000379:methods*; D006467:Hemophilia A / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007596:Joints / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000503:physiopathology / Q000523:psychology*; D058748:Pain Perception; D010807:Physical Endurance / Q000502:physiology; D010865:Pilot Projects; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D013548:Sweden; D016138:Walking