Effects of 12-week supervised treadmill training on spatio-temporal gait parameters in patients with claudication

Konik, Anita; Kuklewicz, Stanisław; Rosłoniec, Ewelina; Zając, M.; Spannbauer, Anna; Nowobilski, Roman; Mika, Piotr

doi:10.3109/09638288.2015.1075073

Cited by 2 publications

(5 citation statements)

References 23 publications

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“…However, it should be mentioned that these researchers used a protocol other than TASC II, which is recommended for the rehabilitation of patients with PAD, and another measurement system for gait analysis. An improvement in stride length, shorter stride duration in both lower limbs and a decrease in the frequency of steps was observed by Konik et al [15] following a three-month treadmill training program. In contrast, no changes in kinetic and kinematic parameters of gait were observed in a study by King et al [47] following a three-month rehabilitation program consisting of walking training supplemented with aerobic and strength exercises.…”

Section: Discussionmentioning

confidence: 63%

“…In addition to reducing the strength of the lower limb muscles [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26], chronic lower limb ischemia also changes the gait pattern. Compared to a group of healthy individuals, people with PAD exhibit an extended stance phase while simultaneously shortening the swing phase [8].…”

Section: Discussionmentioning

confidence: 99%

“…A small number of studies on the changes in gait pattern as a result of rehabilitation of PAD patients [15,16,47,48] prompted us to evaluate the effectiveness of three rehabilitation programs: standard treadmill training (S), Nordic walking (NW), and training that combines NW with resistance training under isokinetic conditions (NW + ISO).…”

Section: Discussionmentioning

confidence: 99%

“…The primary aims of physical rehabilitation are to extend the walking distance until claudication onset and to reduce pain, which can be achieved through regular physical training [12]. Treadmill training is the current gold standard for rehabilitation; however, researchers have observed a non-physiological gait pattern in people with PAD due to their fear of falling [13][14][15]. The most important element of physical rehabilitation is walking training.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication

Dziubek

Stefańska

Bulińska

et al. 2020

JCM

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Chronic ischemia of the lower extremities often presents as intermittent claudication characterized by lower limb pain which subsides after a short break. This study aimed to provide an assessment of the spatiotemporal parameters of gait and ground reaction forces in patients with PAD participating in three forms of supervised physical training. A total of 80 subjects completed a three-month supervised physical rehabilitation program with three sessions per week. The subjects were assigned to one of three programs: group 1—standard walking training on a treadmill (TT); group 2—Nordic walking (NW) training; group 3—strength and endurance training comprised of NW with isokinetic resistance training (NW + ISO). Gait biomechanics tests (kinematic and kinetic parameters of gait) and a six-minute walk test were carried out before and after three months of physical training. Nordic walking training led to the greatest improvements in the gait pattern of patients with PAD and a significant increase in the absolute claudication distance and total gait distance. Combined training (NW + ISO) by strengthening the muscles of the lower extremities increased the amplitude of the general center of gravity oscillation to the greatest extent. Treadmill training had little effect on the gait pattern. Nordic walking training should be included in the rehabilitation of patients with PAD as a form of gait training, which can be conducted under supervised or unsupervised conditions.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication

Dziubek

Stefańska

Bulińska

et al. 2020

JCM

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“…It also leads to morphological changes in muscle fibers, thanks to the improved capillary flow. Finally, training changes the perception of pain through increased supply of endorphins, leads to so-called "walking economy" improvement, and importantly causes pleiotropic changes in metabolism [25][26][27].…”

Section: Supervised Walking Training On the Treadmillmentioning

confidence: 99%

Intermittent Claudication in Physiotherapists’ Practice

Spannbauer

Chwała

Ridan

et al. 2019

BioMed Research International

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Intermittent claudication is a symptom of atherosclerosis of the lower limbs (peripheral arterial disease (PAD)) and is characterized by pain and cramps of lower limb muscles during exercise. Claudication leads to a reduction in physical activity of patients. PAD is a systemic disease. Atherosclerotic lesions located in the arteries of the lower limbs not only pose the risk of the ischemic limb loss, but above all, they are an important prognostic factor. Patients with claudication are at significant risk of cardiovascular complications such as infarcts or strokes. Comprehensive rehabilitation of patients with intermittent claudication based on the current TASC II (Inter-Society Consensus for the Management of Peripheral Arterial Disease) guidelines, ESC (European Society of Cardiology) guidelines, and AHA (American Heart Association) guidelines includes supervised treadmill training, training on a bicycle ergometer, Nordic Walking, resistance exercises of lower limb muscles, and exercises of upper limbs. A trained, educated, and motivated patient has a chance to improve life quality as well as life expectancy.

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Effects of 12-week supervised treadmill training on spatio-temporal gait parameters in patients with claudication

Cited by 2 publications

References 23 publications

Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication

Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication

Intermittent Claudication in Physiotherapists’ Practice

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