Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication
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...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/9/2826 |
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| author | Wioletta Dziubek Małgorzata Stefańska Katarzyna Bulińska Katarzyna Barska Rafał Paszkowski Katarzyna Kropielnicka Ryszard Jasiński Anna Rachwalik Marek Woźniewski Andrzej Szuba |
| author_facet | Wioletta Dziubek Małgorzata Stefańska Katarzyna Bulińska Katarzyna Barska Rafał Paszkowski Katarzyna Kropielnicka Ryszard Jasiński Anna Rachwalik Marek Woźniewski Andrzej Szuba |
| author_sort | Wioletta Dziubek |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T16:39:22Z |
| format | Article |
| id | doaj.art-08c0e8ae8a014c589c7529942090657a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T16:39:22Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-08c0e8ae8a014c589c7529942090657a2023-11-20T12:04:45ZengMDPI AGJournal of Clinical Medicine2077-03832020-08-0199282610.3390/jcm9092826Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent ClaudicationWioletta Dziubek0Małgorzata Stefańska1Katarzyna Bulińska2Katarzyna Barska3Rafał Paszkowski4Katarzyna Kropielnicka5Ryszard Jasiński6Anna Rachwalik7Marek Woźniewski8Andrzej Szuba9Department of Physiotherapy, University School of Physical Education, 35 Paderewskiego Street, 51-612 Wrocław, PolandDepartment of Physiotherapy, University School of Physical Education, 35 Paderewskiego Street, 51-612 Wrocław, PolandDepartment of Physiotherapy, University School of Physical Education, 35 Paderewskiego Street, 51-612 Wrocław, PolandDepartment of Cardiology, Jelenia Góra Valley Provincial Hospital Center, Ogińskiego 6, 58-501 Jelenia Góra, PolandDepartment of Angiology, Diabetology and Hypertension, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandWROVASC—An Integrated Cardiovascular Centre, Specialist District Hospital in Wroclaw, Centre for Research and Development, H. Kamieńskiego 73a, 51-124 Wroclaw, PolandDepartment of Physiotherapy, University School of Physical Education, 35 Paderewskiego Street, 51-612 Wrocław, PolandDepartment of Angiology, Diabetology and Hypertension, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandDepartment of Physiotherapy, University School of Physical Education, 35 Paderewskiego Street, 51-612 Wrocław, PolandDepartment of Angiology, Diabetology and Hypertension, Wroclaw Medical University, Borowska 213, 50-556 Wrocław, PolandChronic 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.https://www.mdpi.com/2077-0383/9/9/2826peripheral arterial diseasegait analysisNordic walkingresistance training |
| spellingShingle | Wioletta Dziubek Małgorzata Stefańska Katarzyna Bulińska Katarzyna Barska Rafał Paszkowski Katarzyna Kropielnicka Ryszard Jasiński Anna Rachwalik Marek Woźniewski Andrzej Szuba Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication Journal of Clinical Medicine peripheral arterial disease gait analysis Nordic walking resistance training |
| title | Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication |
| title_full | Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication |
| title_fullStr | Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication |
| title_full_unstemmed | Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication |
| title_short | Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication |
| title_sort | effects of physical rehabilitation on spatiotemporal gait parameters and ground reaction forces of patients with intermittent claudication |
| topic | peripheral arterial disease gait analysis Nordic walking resistance training |
| url | https://www.mdpi.com/2077-0383/9/9/2826 |
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