The PAD-adapted 30-20-10 during Nordic walking: A new exercise training session in patients with symptomatic peripheral artery disease.
Medicine (Baltimore)
; 103(25): e38601, 2024 Jun 21.
Article
in En
| MEDLINE
| ID: mdl-38905371
ABSTRACT
This study aimed to investigate the feasibility of a peripheral artery disease (PAD)-adapted 30-20-10 Nordic walking session in patients with symptomatic PAD and to compare the cardiovascular response of this new training session to a traditional walking (TW) and 4â
×â
4 minutes Nordic walking session. This is a prospective observational study. Patients with Fontaine stage II PAD were included. Patients participated in Nordic walking sessions, which were randomly assigned as TW, 4â
×â
4 minute intervals, and peripheral artery disease adapted 30-20-10 exercise session (PAD-adapted 30-20-10 sessions). PAD-adapted 30-20-10 and 4â
×â
4 minutes sessions consisted of 4 repetitions of 4 minutes of effort followed by 3 minutes of passive recovery. PAD-adapted 30-20-10 session was characterized by 4 continuous 1-min repetitions at 3 different walking speeds [high (30 seconds), moderate (20 seconds) and low (10 seconds)]. During the 4â
×â
4 minutes session, patients were asked to cover the maximal distance at a constant speed. During TW session, patients were asked to walk at a speed inducing moderate-to-severe claudication pain. Heart rate, rating of perceived exertion (RPE) and claudication pain intensity using a visual analog scale were assessed. The perceived enjoyment of each session was assessed using a visual analog scale ranging from 0 (not enjoyable) to 10 (very enjoyable). Eleven patients with chronic symptomatic PAD were included (62â
±â
13 years; 54% women). The mean heart rate during the time of effort was significantly higher in PAD-adapted 30-20-10 group than in 4â
×â
4 minutes and TW groups (127â
±â
12, 122â
±â
12, 114â
±â
11 bpm, respectively; Pâ
≤â
.001). The mean rating of perceived exertion (16â
±â
1, 15â
±â
1, 13â
±â
1; Pâ
≤â
.001) and claudication pain intensity (8â
±â
1, 7â
±â
1; 7â
±â
1 mm; Pâ
≤â
.019) were significantly higher during PAD-adapted 30-20-10 sessions than during 4â
×â
4 minutes and TW sessions. The perceived enjoyment was similar among sessions (8.7â
±â
1.6 for TW, 8.6â
±â
1.7 for 4â
×â
4 minutes, and 8.8â
±â
1.8 mm for PAD-adapted 30-20-10 sessions; Pâ
=â
.935). The PAD-adapted 30-20-10 session is feasible and induces higher cardiovascular stimulation and claudication pain than 4â
×â
4 minutes and TW procedures in patients with symptomatic PAD. Despite these different responses, a similar perceived enjoyment among the sessions has been shown. Future investigations are needed to examine the effects of this new training session in these patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Walking
/
Exercise Therapy
/
Peripheral Arterial Disease
/
Intermittent Claudication
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Medicine (Baltimore)
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: