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Spiroergometric exercise test and a six-minute march test are methods for assessing the exercise capacity. They are used to determine diagnostic and prognostic information, treatment and its effectiveness. The article presents the main parameters evaluated during the tests. The examined disease entities were presented and described, and conclusions from the research were drawn.

Objetivos – Averiguar se o Four Square Step Test (FSST) e o L-Test constituem uma alternativa ao 6-Minute Walk Test (6MWT) para a avaliação de desempenho em amputados de membro inferior. Métodos – Estudo transversal e analítico com 19 participantes amputados de membro inferior avaliados por meio do FSST, L-Test e 6MWT. Resultados – Houve uma correlação negativa moderada entre o FSST e o 6MWT (r=-0,611; p=0,005) e uma correlação negativa forte entre o L-Test e o 6MWT (r=-0,798; p=0,000). Dos preditores do 6MWT, apenas foi identificado como tal o L-Test, obtendo-se para este modelo um R2 ajustado =0,616 (R2 Change=0,637, F Change (1, 17)=29,827; p=0,00001). Conclusões – Os participantes que obtiveram os melhores resultados no L-Test foram os que obtiveram melhores resultados na distância percorrida, sendo que um segundo a mais no L-Test corresponde a uma diminuição em média de 9,537 metros no 6MWT. Foi possível verificar que o L-Test constitui uma alternativa ao 6MWT, o que por si só constitui uma enorme vantagem, pois precisa de um espaço e tempo bastante mais reduzidos para a sua realização; em ortoprotesia constitui uma mais-valia, pois na maior parte dos casos os espaços existentes são de pequena dimensão.

The study conducted research aimed at assessing the influence of physical activity on peak expiratory flow (PEF) and the 6-minute walk test (6MTW). The research was carried out at the Department of Systemic Rehabilitation - Post Covid at the Pj-Med Rehabilitation Hospital in Popielówek from June 2021 to April 2022. The inclusion criteria for the studies was a positive PCR test performed up to one year after the end of treatment. Exclusion criteria - active inflammation (CRP

Kocjan Janusz. Wpływ ćwiczeń rozciągających na wartości uzyskiwane w 6-minutowym teście marszowym wśród osób zdrowych = The effect of stretching exercises on the results obtained in the 6-minute walk test among healthy individuals. Journal of Education, Health and Sport. 2016;6(9):539-545. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.154754 http://ojs.ukw.edu.pl/index.php/johs/article/view/3879 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2016. Revised 25.08.2016. Accepted: 21.09.2016. WPŁYW ĆWICZEŃ ROZCIĄGAJĄCYCH NA WARTOŚCI UZYSKIWANE W 6-MINUTOWYM TEŚCIE MARSZOWYM WŚRÓD OSÓB ZDROWYCH THE EFFECT OF STRETCHING EXERCISES ON THE RESULTS OBTAINED IN THE 6-MINUTE WALK TEST AMONG HEALTHY INDIVIDUALS Janusz Kocjan Studium Doktoranckie Wydziału Lekarskiego w Katowicach, Śląski Uniwersytet Medyczny w Katowicach Doctoral Studium of School of Medicine, Medical University of Silesia, Katowice, Poland STRESZCZENIE Celem pracy była ocena wpływu ćwiczeń rozciągających na rezultaty uzyskiwane w 6-minutowym teście marszowym (6MWT) wśród osób zdrowych. Badaniem objęto 40 pracowników biurowych u których nie występowały żadne schorzenia przewlekłe, których losowo przydzielono do jednej z dwóch grup: badanej (wykonującej ćwiczenia rozciągające przez okres 2 miesięcy) oraz kontrolnej (nie wykonującej ćwiczeń rozciągających, lecz kontynuujących dotychczasową aktywność). Średnie wartości uzyskane podczas wyjściowego 6MWT wyniosły odpowiednio: grupa badana: 584,61 ± 75,84 metrów, vs grupa kontrolna: 601,22 ± 80,95 metrów. W grupie badanej nie zaobserwowano istotnych statystycznie różnic pod wpływem wykonywanych przez okres 2 miesięcy ćwiczeń rozciągających na wartości odnotowane w 6MWT, jak również parametry krążeniowo-oddechowe. Brak zależności dotyczył również grupy kontrolnej. SUMMARY The aim of the study was to evaluate the effect of stretching exercises on the results achieved in the 6-minute walk test (6MWT) among healthy individuals. The study included 40 office workers without chronic diseases, who were randomly assigned to one of two study groups (performing stretching exercises for 2 months) and a control (not performing stretching exercises, but continuing the daily phydical activity). The mean values obtained during the initial 6MWT were, respectively: the study group: 584.61 ± 75.84 meters, vs the control group: 601.22 ± 80.95 meters. In the study group, there was no statistically significant difference after two months period of stretching exercises to the value recorded in the 6MWT, as well as cardio-respiratory parameters. No relationship was also noted in the control group. Słowa kluczowe: test 6-minutowy, 6-MWT, ćwiczenia rozciągające. Key words: 6-minute walk test, 6-MWT, stretching exercises.

Resumen: En pacientes en hemodiálisis crónica (HC), se ha demostrado que ejercicios aeróbicos y de resistencia mejoran la capacidad física, parámetros metabólicos y cardiovasculares. Objetivo: evaluar en pacientes en HC, el impacto de una rutina de ejercicios de resistencia sobre fuerza muscular, calidad de vida y parámetros metabólicos. Pacientes y método: treinta y un pacientes del centro de diálisis realizaron rutina de ejercicios dinámicos y estáticos de resistencia progresiva para tren inferior y abdomen y aeróbico a baja carga con pedalera, 45 minutos de duración, 3 sesiones/semana por 20 semanas. Se midió al inicio y final: peso, glicemia, perfil lipídico, test de marcha de 6 minutos y cuestionario de calidad de vida SF36. En siete de ellos se evaluó fuerza extensora de rodilla mediante la máxima contracción voluntaria. La escala de Borg se utilizó para graduar la progresión de la carga. Resultados: diecinueve pacientes (11 hombres/8 mujeres), completaron 47 ± 6,4 sesiones. No hubo diferencias significativas entre la medición basal y final en los parámetros evaluados. La escala de Borg aumentó significativamente a las semanas 10 (p 30 metros en el test de marcha. Conclusión: aunque esta rutina de ejercicios no determinó cambios estadísticamente significativos en los parámetros evaluados, el aumento en algunos pacientes en su capacidad de marcha es relevante. Más estudios son necesarios para establecer el tipo de rutina de ejercicios que beneficiará a estos pacientes. Abstract: In patients in chronic hemodialysis (CH), aerobic and resistance exercises have been shown to improve fitness, metabolic and cardiovascular parameters. Objective: to evaluate in patients in CH, the impact of a resistance training routine on muscle strength, quality of life and metabolic parameters. Patients and method: thirty one patients from the dialysis unit performed a routine of dynamic and static progressive resistance training for lower body and abdomen, and low-load aerobics with a pedal board in 45 minute sessions, 3 sessions/week for 20 weeks. Weight, glycemia, lipids, 6-minute walk test and SF36 quality of life questionnaire were measured at the beginning and at the end. In seven patients, knee extensor strength was evaluated by means of the maximum voluntary contraction. The Borg scale was used to evaluate load progression. Results: nineteen patients (11 M/8F), completed 47 ± 6.4 sessions. There were no significant differences between baseline and final measurements for the evaluated parameters. The Borg scale increased significantly at weeks 10 (p

Introduction: Complex cardiac rehabilitation is a basic procedure of therapeutic treatment for patients after cardiac surgeries. The course of operations depends on many factors. The aim of this article is to investigate connections between type 2 diabetes and results of 6-minute walk test among patients after cardiac surgery. Materials and methods: This research was conducted among 111 patients who had cardiac surgery. Those patients were qualified to stay at a stationary cardiac rehabilitation facility. They were divided into two groups: patients with and without diabetes. In the analysis, patients’ medical data and 6-minute walk test results before and after complex rehabilitation were taken into consideration. Results: On the basis of our analysis it was found that patients who have diabetes achieve worse results of 6-minute walk test before (OR=0.995; p=0.005) and after (OR=0.994, p=0.006) complex cardiac rehabilitation in comparison with patients without diabetes. Conclusions: Type 2 diabetes has impact on physical effort tolerance among patients after cardiac surgery. Despite improvement of 6-minute walk test results thanks to complex cardiac rehabilitation, patients with type 2 diabetes walked shorter distance than patients without diabetes.

Introduction: Comprehensive cardiac rehabilitation is a standard therapeutic procedure in patients after cardiac surgery. Its course depends on many factors. One of them is smoking. Exposure of the body to tobacco compounds reduces the supply of oxygen to the organs, which in turn has a damaging effect on the heart tissue.Objective: The aim of this study is to determine the effect of smoking on the effectiveness of rehabilitation in patients after cardiac surgery.Materials and methods: The research was carried out at the Department of Cardiac Surgery, SPSK 2, Pomeranian Medical University in Szczecin. The research was conducted among 35 patients, divided into 3 groups. The first group of 9 people (26%) were non-smokers. The second group was assigned to 11 people (31%) who were heavy smokers. The third group consisted of 15 people (43%) who had been addicted to cigarettes in the past. The research tool used in the study was the 6-minute walk test.Results: Non-smokers achieved a greater improvement in the 6-minute test score compared to the group of smokers and ex-smokers, whose mean score was lower by 39.17 m (± 100.80) and 85.74 m (± 80.56), respectively.Conclusion: Smoking may have an impact on the exercise capacity and exercise tolerance in patients after cardiac surgery.

Introduction. Although Chagas disease causes high levels of morbidity, the muscle function and tolerance to physical activity in Chagas disease patients are still not completely understood. Objective. To compare health-related fitness of patient groups with acute Chagas disease versus chronic Chagas disease. Materials and methods. We conducted a cross-sectional study involving 18 patients. The data were obtained from patient´s records, and functional capacity was measured with the sixminute walk test, the peripheral muscle strength with handgrip strength, and respiratory muscle strength using the maximum inspiratory pressure and the maximum expiratory pressure. Results. The 18 patients were divided in two groups: acute Chagas disease (n=9) and chronic Chagas disease (n=9). The distance walked in the six-minute walk test was lower than the predicted distance walked in both groups (p < 0.0001). The maximum expiratory pressure was lower than the predicted one (p = 0.005), and statistically significant for chronic Chagas disease patients (p = 0.02). Heart rate increased faster in the chronic Chagas disease group within the first two minutes of the six-minute walk test (p = 0.04). The sixminute walk test in the acute Chagas disease group presented a strong correlation with peripheral muscle strength (p = 0.012) and maximum inspiratory pressure (p = 0.0142), while in the chronic Chagas disease group, only peripheral muscle strength and maximum inspiratory pressure were correlated (p = 0.0259). Conclusion. The results suggest lowered functional capacity and reduced respiratory and peripheral muscle strength in patients with Chagas disease, although no differences were observed between groups. The early increase in heart rate during exercise in the chronic Chagas disease group implies a greater myocardial overload.

Introduction: SARS-CoV-2 acutely affects human pulmonary function, and respiratory alterations may persist after overcoming the infection. Objectives: To characterize the pulmonary function among Colombian survivors of COVID-19. Methods: A pilot study was conducted where pulmonary function was assessed using a MiniBox™ device, aerobic fitness with a six-minute walk test, and fatigue perception with the Multidimensional Fatigue Inventory (MFI-20). Results: Out of an initial group of 70 participants, only 39 completed the study, with a disease course ranging from mild to moderate. Women comprised the majority (51%) of the participants, and no abnormal values were found in pulmonary function. The total fatigue score was 39 ± 9.2; for general fatigue, it was 5 ± 0, the same as for physical fatigue (5 ± 0); for mental fatigue, the score was 8.56 ± 3.5; for reduced activity, it was 11.2 ± 2.96, and for reduced motivation, it was 9.38 ± 4.4. Additionally, the peak oxygen co sumption (VO2 peak) was 19.51 ml/kg/min ± 2.8 ml/kg/min. Conclusions: Pulmonary function and fatigue levels in Colombian COVID-19 survivors residing in Bogotá who did not require ventilatory support were normal according to the tests performed, while cardiopulmonary fitness was low.

Introduction: Exercise capacity is highly age-dependent and influenced by factors such as physical activity level and smoking. The aim of the study was to analyze the relationship between physical activity level, smoking and exercise capacity in people over 60 years of age. Materials and methods: The study involved 100 participants (50 female and 50 male) over 60 years of age (mean age 68.2 years). Based on the answers provided to a questionnaire about smoking and physical activity level, participants were divided into four groups: exercising non-smokers, exercising smokers, non-exercising non-smokers, and non-exercising smokers. Each group consisted of 25 subjects. Exercise capacity was measured using the 6-minute walk test and the Borg scale. Results: Intergroup comparison showed statistically significant differences between the average results of each group, both in the 6-minute walk test (p=0.010) and on the Borg scale (p

Resumen: Introducción: La tromboendarterectomía pulmonar es el tratamiento de elección y potencialmente curativo de la hipertensión pulmonar tromboembólica crónica; el tratamiento médico quedaría limitado a los pacientes considerados inoperables. Este estudio evalúa los resultados a largo plazo con ambos tratamientos en una Unidad de Referencia Nacional. Métodos: Desde febrero de 1996 hasta diciembre del 2015 se ha valorado a 292 pacientes, intervenido 142 (grupo 1) y considerado inoperables 116 (grupo 2). El seguimiento finalizó en diciembre del 2016. Resultados: La supervivencia a los 3 años fue del 92% en el grupo 1 y del 86% en el grupo 2, a los 5 años el 91 y el 78%, respectivamente (p = 0,001). En el análisis multivariante la supervivencia en ambos grupos estuvo relacionada con la tromboendarterectomía (HR 0,37; IC del 95% 0,19-0,72; p = 0,003), el antecedente de embolia aguda de pulmón (HR 0,50; IC del 95% 0,27-0,92; p = 0,026), el test de la marcha de 6 min (HR 0,79; IC del 95% 0,73-0,85; p = 0,001), la historia de cáncer (HR 2,57; IC del 95% 1,22-5,43; p = 0,013) y las resistencias vasculares pulmonares (HR 1,19; IC del 95% 1,02-1,39; p = 0,024). En el grupo 1 la supervivencia se relacionó con el test de 6 min (HR 0,84; IC del 95% 0,79-0,96; p = 0,009) y el gasto cardiaco (HR 0,61; IC del 95% 0,39-0,96; p = 0,033); en el grupo 2 únicamente con el test de 6 min (HR 0,81; IC del 95% 0,71-0,92; p = 0,001). Conclusiones: Los pacientes con hipertensión pulmonar tromboembólica crónica intervenidos con tromboendarterectomía tienen una supervivencia excelente y significativamente superior a la de los pacientes tratados médicamente. En la presente serie la tromboendarterectomía es el factor predictor de supervivencia más importante. Abstract: Introduction: Although medical treatment can clinically improve inoperable patients, pulmonary endarterectomy surgery is the treatment of choice for patients with chronic thromboembolic pulmonary hypertension, and is potentially curative. An evaluation was made of the long-term outcomes in medical and surgical populations at a national Unit of Reference. Methods: A total of 292 patients were evaluated from February 1996 until December 2015, of whom 142 were had surgery (group 1) and 116 were considered inoperable (group 2). The follow-up ended in December 2016. Results: Survival rate after 3 3 years was 92% in group 1 and 86% in group 2, and after 5 5 years it was 91% and 78%, respectively (P=.001). The multivariate analysis results showed that survival in patients with chronic thromboembolic pulmonary hypertension was related to surgery (HR 0.37; 95% CI; 0.19-0.72; P=.003), history of acute pulmonary embolism (HR 0.50; 95% CI; 0.27-0.92; P=.026), distance walked in the six-minute walk test (HR 0.79; 95% CI; 0.73-0.85; P=.001), history of cancer (HR 2.57; 95% CI; 1.22-5.43; P=.013), and pulmonary vascular resistance (HR 1.19; 95% CI; 1.02-1.39; P=.024). In group 1, the variables associated with survival were the six-minute walk test (HR 0.84; 95% CI; 0.79-0.96; P=.009), and the cardiac output (HR 0.61; 95% CI; 0.39-0.96; P=.033), and in group 2, the variable associated was the six-minute walk test (HR 0.81; 95% CI; 0.71-0.92; P=.001). Conclusion: Patients with chronic thromboembolic pulmonary hypertension who received pulmonary endarterectomy surgery have an excellent survival rate, and significantly superior to that of patients treated medically. In the present series, pulmonary endarterectomy surgery was the most important predictive survival factor. Palabras clave: Hipertensión pulmonar, Embolia pulmonar, Tromboendarterectomía pulmonar, Keywords: Pulmonary hypertension, Pulmonary embolism, Pulmonary thromboendarterectomy

Background - The practice of regular physical activity has a better impact on the global physical condition of the elderly people. Purpose - The mentoring of this study is to analyse if the practice of regular physical activity has any influence on the grip force, the lower body strength and the functional capacity of the inhabitants of Loures district age over 60. Methods - A questionnaire was applied to a selected sample of elderly persons, age over 60, from Loures district. A random sample of 60 inhabitants, age between 60 and 91 were selected, out of which 30 practiced regular physical activity and the other 30 didn’t. The authors evaluated: the grip force using a portable dynamometer Biometrics E-Link, the lower body strength through the chair sit-to-stand test, the functional capacity through six-minute walk test and the perceived exertion through Borg´s scale. Results - We recorded that the regular practice of physical activity influences significantly: the Peak Force on the left grip (p=0,037) as well as on the right grip (p=0,022), the Endurance on the left grip (p=0,017), the number of correct performances realized in the chair sit-to‑stand test (p=0,00), the total distance performed in the six-minute walk test (p=0,00), and the perceived exertion mentioned in the six-minute walk test. Respectively to the values of Time to Peak on the left (p=0,630) and right (p=0,570) grip as well as the endurance on the right grip (p=0,219), there were not found significant differences between the two groups. Conclusion - The authors came to the conclusion that the practice of physical activity in this random sample contributed for a better physical condition which leads to a higher performance that fulfils body functions, body strength and less physical fatigue.

Abstract: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide, and outpatient pulmonary rehabilitation (OPR) has shown positive results. The aim of this study was to investigate the effects of home or community-based pulmonary rehabilitation (HCPR) in individuals with COPD. This systematic review and meta-analysis of randomized clinical trials compared HCPR to controls and HCPR to OPR according to functional capacity, dyspnea, and quality of life in individuals with COPD. 3,172 citations were identified in databases, and 23 were included in this review. HCPR proved superior to controls based on functional capacity in the 6-Minute Walk Test and Incremental Shuttle Walk Test, and based on dyspnea and quality of life in the Saint George's Respiratory Questionnaire and the Chronic Respiratory Questionnaire. When HCPR and OPR were compared, there were no effect differences in functional capacity or quality of life. Improvement was greater in patients with more bronchial obstruction measured by FEV1. HCPR improves functional capacity and quality of life and decreases the sensation of dyspnea. Its benefits in functional capacity and quality of life are comparable to those obtained with OPR in individuals with COPD.

Background: Sarkopenia as a disease has relatively recently become the object of research and the work of the academic community. Despite this, sarcopenia is an increasingly serious social problem, it can be seen in a large number of statistics and epidemiological studies. Among geriatric patients, along with their multiformity and the associated use of a large amount of medicines, it causes many negative effects related to the functioning of the whole organism as well as the quality of life of the patient himself. Material and methods: Analysis of available literature, articles in the Google Scholar and PubMed database using keywords: sarcopenia, geriatrics, rehabilitation, loss of muscle mass. Results: Among the studies and recommendations concerning sarcopenia, a continuous lack of clear, transparent and confirmed diagnostic criteria can be stated. At the diagnosis of this disease, an X-ray or a bioelectrical impedance analysis is used. Other methods used are functional tests, including a six-minute walk test or "Timed-Up and Go" test (TUG). In the case of rehabilitation of people with sarcopenia, the most effective form of kinesitherapy is individually selected resistive training, which has a positive effect not only on muscle mass growth, but also the body's protein metabolism and the improvement of the endocrine system. Physiotherapy is the most commonly used method of physical therapy, among other methods of rehabilitation there are also therapeutic massage, aqua aerobics, vibratory training, and Nordic Walking and diet supplementation. Conclusions: Sarcopenia in geriatric patients, especially with ineffective treatment and rehabilitation, has a destructive impact on both the physical and mental sphere of the patient. There is a great need for more extensive research, both on the whole disease process and the effectiveness of forms of assistance to patients.

Introducción. El envejecimiento se ha relacionado con una mayor prevalencia de deterioro cognitivo. Las personas mayores con pérdida de funciones cognitivas presentan elevadas tasas de caídas. El desarrollo de las actividades de la vida diaria engloba dos o más tareas, siendo necesarios componentes cognitivos y motores. Objetivo. Analizar el rendimiento en pruebas sencillas y duales de sujetos en entorno residencial con diferentes grados de deterioro cognitivo. Materiales y métodos. Se realizó un estudio observacional de corte transversal en ancianos institucionalizados >65 años (n=80). Se evaluó el deterioro cognitivo con el Mini-Mental State Examination y se solicitó a los participantes realizar una tarea simple y dual en las pruebas Six-Minute Walk Test (6MWT) y Timed Up and Go (TUG). Resultados. Se distribuyeron los participantes en tres grupos. Se encontraron diferencias significativas entre los grupos con deterioro cognitivo y el grupo sin deterioro cognitivo para las pruebas 6MWT (p

Introducción: ninguna escala simple, por diseño, es lo suficientemente abarcadora para evaluar de forma integral la función motora de pacientes con enfermedad cerebrovascular (ECV); sin embargo, es posible la selección de una batería de ellas para controlar las distintas etapas del proceso de rehabilitación. El objetivo de este estudio fue identificar los criterios que sirven de referencia para la construcción de un instrumento de evaluación funcional en pacientes con ecv. Materiales y métodos: se realizó una búsqueda bibliográfica en las bases de datos PubMed, Rehabilitation Measures Database, ebsco y Medline, donde se incluyeron escalas de evaluación funcional dirigidas al control de la postura, marcha, equilibrio, tono muscular, miembros superiores e inferiores y actividades de la vida diaria. Resultados: para la construcción de un instrumento de evaluación funcional se identificaron un total de trece criterios de referencia agrupados en: 1) criterios psicométricos y 2) criterios de diseño y aplicación. Utilizando estos criterios, se seleccionaron las escalas: Barthel Index, Action Research Arm Test, Ashworth Scale y 10 Meter Walk Test. Conclusión: las escalas seleccionadas brindan información sobre cuatro aspectos relevantes para la evaluación funcional y la práctica terapéutica: autocuidado, función motora, tono muscular y rendimiento físico, estrechamente relacionados con las principales áreas de trabajo durante el proceso de rehabilitación en pacientes con ECV. Los recursos materiales necesarios para su aplicación son mínimos y el tiempo estimado, a partir de la integración de sus tiempos parciales, no sobrepasa los 30 minutos.

Peripheral arterial disease (PAD) has a high incidence in general population and 12% to 20% of population with more than 60 years has already clinical symptoms, such as intermittent claudication (IC), pain, loss of strength and functional incapacity. There are already some studies which suggest the possible positive effects of physical exercise in functional consequences of PAD. The purpose of this study was to verify the results of a home-based (HB) weekly supervised physical exercise program in patients with IC in consequence of PAD in lower limbs, and observe the medium number of diary steps walked by the subjects of our study. Fourteen subjects (72.4±6.7 years) with IC participated in our study. Through the 6 minutes walk test (6MWT) we have assessed the distance until claudication (DC) (distance walked until pain), maximal distance walked (MDW) (distance walked until maximal pain) and functional capacity (FC) (total number of meters walked in6MWT). We assessed also the rate of perceived exertion (RPE) with CR10 of Borg and the highest number of repetitions of heel elevation. We have applied a HB program during 8 weeks. This program included daily execution of heel elevations for leg muscles and a walk. Results show elevation in DC (178,8±75.5 vs 259.6±116.7; p=0.01), MDW (255.7±104.4 vs 326.5±137.9; p=0.008), FC (299.1±115.1 vs (389.6±102.1; p=0.000) and EH (42.1±14.7 vs 59.9±21.6; p=0.002), respectively before and after HB program. The RPE has also decreased (3.1±1.1 vs 2.6±0.6) but not significantly. The number of steps walked and observed with a pedometer was 4990±1872 steps a day. Conclusions – A weekly supervised HB program with walk and strength training of leg muscles shows effectiveness with these patients in the relief of symptoms of IC.