Search

BACKGROUND. Congenital heart diseases are the most frequent malformation that occur during birth. Due to the extraordinary advances in diagnosis and treatment, nowadays, a huge number of children reach adulthood, however, evidence demonstrates that these children are involved in some functional and cognitive limitations, outlining lower physical condition and quality of life. Implementing a cardiac rehabilitation program for those patients has shown an improvement of quality of life and cardiopulmonary endurance, even though, an insignificant percentage of children around the world take part in what of them. This may be explained by a lack of adaptation to the interest of the child, thus decreasing his motivation. OBJECTIVE. This clinical trial aims to assess whether a game-based outdoor cardiac rehabilitation program based on Nordic walking and plyometrics improves the health-related quality of life in congenital heart disease paediatrics population, in comparison to those who participate in a conventional cardiac rehabilitation program. DESIGN. A prospective, randomized, controlled and open-label intervention clinical trial, carried out in Cardiac Rehabilitation Unit in Parc Hospitalari Martí i Julià. PARTICIPANTS. Participants included in this study are children from 8 to 12 years old with a diagnosis of congenital heart disease in the Region of Girona. The sample size will be 106 patients, with 53 in each group. METHODS. 106 patients will be recruited in a random simple sampling from the Hospital database, and contacted with their legal guardians by phone. Patients will be randomized into two groups, an experimental group that will be undergoing a game-based outdoor cardiac rehabilitation program based on Nordic walking and plyometrics; and a control group that will take part in a conventional cardiac rehabilitation program. Apart from the training exercise, both programs will be equally. Patients will be assessed for measure endpoints of the study before starting the program, in 6-week, finishing the program (12-week), in 6- month and 12-month follow-ups. Results will be analysed and compared in both groups

[CA] Aquest projecte tracta de potenciar el turisme de Pego gracies a la creació d'un nou atractiu que incentiva les visites. Mitjançant un treball de camp sobre el territori, i amb l'ajuda del programa de visor cartogràfic de la Generalitat s'identifiquen les diferents vies pecuàries que envolten el poble per a valorar el territori que dona pas a la creació d'una ruta circular d'interès turístic de la modalitat esportiva marxa nòrdica. Ajuntant quatre d¿aquests camins aconseguim formar una senda circular que transita per un paisatge natural complementat en dos antigues ermites. Aquest projecte proposa oficialitzar el camí com a una ruta circular professional i contar en l¿aprovació de la Federació d¿Esports de Muntanya i Escalada de la Comunitat Valenciana per a catalogar-la i registrar-la com a una ruta de marxa nòrdica de modalitat fàcil i anunciar-la al portal de rutes Wikiloc. En aquesta nova ruta es pretén ampliar una oferta turística esportiva que ja existeix a Pego en un nou producte adaptat per a famílies i esportistes amateurs que també puga complementar-se en altres atractius ja existents al poble com el parc natural, el centre històric i la gastronomia per tal de poder presentar una oferta turística mes completa i variada., [EN] This project intends to promote tourism in the village of Pego through the creation of a new attractive tourist point which, in addition to do so, also becomes complimentary to other tourist attractions currently existing in this village. This tourist point will consist in a nordic walking circular route. In the first stage of the study, the diverse, ancient roads surrounding Pego will be identified through consequent fieldwork, alongside the use of the ¿Visor Cartogràfic de la Generalitat¿ software. Once this is completed, this area¿s value will be raised and a new hiking circular route will be defined and subsequently created that will be of interest to the tourist visiting Pego in the future. This complementarity to the current resources in Pego mentioned will be based, mainly, upon The Natural Park, and its gastronomy. Notwithstanding, it will be based on further resources appealing to tourists as well. This concept of ¿umbrella¿ turism is the base for bringing value to Pego as a turisistic location. Finally, that route will potentially become a Nordic Walking route and will be pushed through the Valencian federation FEMECV to become an officially recognised Nordic Walking route. Furthermore, routes by GPS into the Hiking web portal Wikiloc will be introduced in this study.

Las alteraciones cognitivas, motoras y funcionales de la enfermedad de Parkinson (EP) causan un gran impacto en la calidad de vida de los pacientes. Aunque muchos estudios muestran los beneficios motores y funcionales de la práctica de marcha nórdica (MN), poco se ha estudiado sobre su impacto a nivel cognitivo en pacientes con Parkinson. El principal objetivo de este estudio será evaluar los efectos de un programa de MN sobre los síntomas motores y no motores de la EP. De forma secundaria se explora la viabilidad y seguridad de la intervención. Método: 254 pacientes con EP leve-moderado serán asignados aleatoriamente a un Grupo Control (GC, n=127) y a un Grupo Experimental (GE, n=127). El entrenamiento consistirá en 2 sesiones por semana durante 3 meses. Funciones motoras, cognitivas, fatiga, calidad de vida serán evaluados, además de controlar y registrar la tensión arterial (TA). Resultados: Esperamos cambios significativos en las funciones ejecutivas, la atención, la memoria, la visuoespacialidad, la fatiga, la coordinación, la alternancia motora, el equilibrio y la calidad de vida. Además, esperamos que la práctica de ejercicio controle la TA de los participantes. No esperamos que el programa produzca efectos adversos. El programa de MN tiene beneficios cognitivos y funcionales, además de motores. También está asociado con beneficios cardiovasculares. Estos resultados sugieren que esta práctica debería ser incluida en el tratamiento de la EP. Cognitive, motor and functional alterations cause great impact on quality of life (QoL) in Parkinson's disease (PD) patients. Although several studies show motor and functional benefits of Nordic Walking (NW) practice, less is studied about its cognitive impact in PD patients. The main purpose of this study will be to assess the effects of a NW program on motor and non-motor symptoms of PD. Method: 254 patients with mild-moderate PD will be randomly assigned to Control Group (CG, n=127) and Experimental Group (EG, n=127). The training will consist in 2 sessions per week for 3 months. Motor and cognitive functions, fatigue and QoL will be assessed, as well as controlling and recording blood pressure (BP). Results: We expect significant changes in executive functions, attention, memory, visuospatiality, fatigue, coordination, motor alternations, balance and QoL. Moreover, we expect the practice of exercise controls the BP of the participants. We don't expect the NW program to produce adverse effects. The NW program has cognitive, motor and functional benefits. Also it is associated with cardiovascular benefits. This results suggest that this practice should be included in treatment of PD. Les alteracions cognitives, motores i funcionals de la malaltia de Parkinson (EP) causen un gran impacte en la qualitat de vida dels pacients. Encara que molts estudis mostren els beneficis motors i funcionals de la pràctica de marxa nòrdica (MN), poc s'ha estudiat sobre el seu impacte a escala cognitiva en pacients amb Parkinson. El principal objectiu d'aquest estudi serà avaluar els efectes d'un programa de MN sobre els símptomes motors i no motors de l'EP. De forma secundària s'explora la viabilitat i seguretat de la intervenció. Mètode: 254 pacients amb MP lleu-moderat seran assignats aleatòriament a un Grup Control (GC, n = 127) i a un Grup Experimental (GE, n = 127). L'entrenament consistirà en 2 sessions per setmana durant 3 mesos. Funcions motores, cognitives, fatiga, qualitat de vida seran avaluats, a més de controlar i registrar la tensió arterial (TA). Esperem canvis significatius en les funcions executives, l'atenció, la memòria, la visuoespacialitat, la fatiga, la coordinació, l'alternança motora, l'equilibri i la qualitat de vida. A més, esperem que la pràctica d'exercici controli la PA dels participants. No esperem que el programa produeixi efectes adversos. Conclusions: El programa de MN té beneficis cognitius i funcionals, a més de motors. També està associat amb beneficis cardiovasculars. Aquests resultats suggereixen que aquesta pràctica hauria de ser inclosa en el tractament de l'EP.

Background: In healthy subjects, Nordic walking (NW) generates higher oxygen uptake (V˙O2) than standard walking at an equal rate of perceived exertion (RPE). The feasibility and positive outcomes of NW in patients with chronic obstructive pulmonary disease (COPD) have been reported. Objectives: The aim of the current study is to assess the physiological responses and RPE during NW in COPD patients. Methods: In 15 COPD patients [mean (SD) age 67 (9) years] with a forced expiratory volume in the 1st s of 55% (15)], V˙O2, minute ventilation and heart rate were measured with a portable system during the 6-min walking test (6MWT), incremental shuttle walking test (SWT), 6-min NW on solid ground (6mNWground) and 6-min NW on soft dry beach sand (6mNWsand). The RPE using a modified Borg scale was assessed after each test. Results: 6mNWground and 6mNWsand showed a higher V˙O2 plateau compared with the 6MWT and peak V˙O2 measured during SWT [mean (SD) V˙O2 21 (3), 22 (4), 18 (4) and 19 (5) ml·kg-1·min-1, respectively; p < 0.05 each]. However, no differences in RPE were observed among 6mNWground, 6MWT and SWT [modified Borg scale score for dyspnea 4.2 (2.0), 4.1 (1.8) and 4.3 (1.7), respectively; nonsignificant]. However, RPE in 6mNWsand was significantly higher than in all the other exercise protocols [modified Borg scale score for dyspnea 5.2 (2.2); p < 0.05]. Conclusions: In COPD patients, the use of Nordic poles generates higher V˙O2 than standard walking with no differences in the dyspnea score. The results indicate the potential to enhance community-based training programs in these patients.

Pregunta clínica: Una intervenció combinada utilitzant la marxa nòrdica i l’educació basada en la neurofisiologia del dolor en dones diagnosticades de Fibromiàlgia resulta ser més efectiva en la qualitat de vida, el dolor, la kinesiofòbia i la fatiga que l’abordatge realitzat a la unitat de Fibromiàlgia de l’Hospital Universitari de Santa Maria o comparat amb pacients que només realitzen marxa nòrdica? Objectiu general Avaluar l’efectivitat de la intervenció combinada en dones entre 45 i 65 anys diagnosticades de Fibromiàlgia en comparació al programa de la unitat de Fibromiàlgia de l’Hospital Universitari de Santa Maria o la realització només de marxa nòrdica Objectius específics: Comprovar si hi ha efectes o modificacions en la qualitat de vida, dolor, kinesiofòbia i fatiga. Metodologia: Es durà a terme un assaig clínic controlat i aleatoritzat a doble cec amb una mostra de pacients (n=92). Els subjectes es dividiran en tres grups (grup experimental 1, grup experimental 2 i grup control). El grup experimental 1 realitzarà la intervenció combinada de marxa nòrdica i educació basada en la neurofisiologia del dolor, el grup experimental 2 realitzarà una adaptació del programa de la unitat de Fibromiàlgia de l’Hospital Universitari de Santa Maria i el grup control realitzarà marxa nòrdica. Les tres intervencions tindran una freqüència de dos dies per setmana i es duran a terme durant un període de 15 setmanes. Es realitzaran quatre períodes de recollida de dades: un abans de la intervenció; un a la meitat; al finalitzar-la i l’últim post-intervenció. Clinical question: A combined intervention using Nordic Walking and Neurophysiology pain education in women with a fibromyalgia diagnosis shows major effects on the variables quality of life, pain, kinesiophobia and fatigue compared to the approach performed in the Fibromyalgia Unit of Hospital Santa Maria or Nordic walking only? General Aim: To evaluate the effectiveness of the combined intervention in women between 45 and 65 years old diagnosed of fibromyalgia compared to the program conducted in the Fibromyalgia unit of Hospital Santa Maria or Nordic Walking only Specific Aim: To check the effects or changes in quality of life, pain, kinesiophobia and fatigue. Methodology: A double-blinded, controlled and randomized clinical trial will be conducted with a sample of patients (n=92). Subjects will be divided into three groups (experimental group 1, experimental group 2 and control group). Experimental group 1 will perform the combined intervention of Nordic Walking and education on pain neurophysiology, experimental group 2 will perform an adaptation of the program implemented in the Fibromyalgia Unit of Hospital Santa Maria and Control grup will carry out Nordic walking only. The three interventions will be done twice a week and the program will last 15 weeks. There will be for measurements: the first one will be before the intervention, the second one will be in the middle, the third will be at the end and the last one will be post intervention.