EFFECTIVENESS OF NORDIC WALKING IN THE REHABILITATION OF ELDERLY PATIENTS WITH MYOCARDIAL INFARCTION
DOI:
https://doi.org/10.11603/2411-1597.2025.1.15232Keywords:
nursing diagnosis, nurse autonomy, nurse with extended powers, nursingAbstract
Introduction. Nordic walking is an effective rehabilitation method for elderly patients with myocardial infarction, improving physical endurance and functional status. The 6-minute walk test is used to evaluate its effectiveness, providing an objective measurement of exercise tolerance.
The aim of the study – to evaluate the effectiveness of Nordic walking in the rehabilitation of elderly patients with myocardial infarction based on changes in physical endurance as measured by the 6-minute walk test.
The main part. The study involved 23 elderly patients after myocardial infarction (mean age – (68.42±1.45) years). The first group, consisting of 11 patients, received only pharmacological treatment, while the second group, consisting of 12 patients, underwent rehabilitation with Nordic walking in addition to standard therapy. This rehabilitation included warm-up exercises, gradual walking distance increases, and monitoring of physical parameters. The effectiveness of rehabilitation was assessed using the 6-minute walk test before the start of rehabilitation and after 3 months. The results of the 6-minute walk test showed that at the beginning of the study, both groups had equal performance, with an average distance of (344.10±8.34) m, indicating a homogeneous level of physical fitness. After three months of treatment, the first group, which received only pharmacological therapy, showed an improvement of 4.17 % (up to (363.20±10.22) m), which was not statistically significant (p>0.05). In contrast, the second group, where patients additionally engaged in Nordic walking, demonstrated a 49.79 % increase in distance (up to (511.00±11.93) m), which was statistically significant (p<0.05). This highlights the high effectiveness of rehabilitation using Nordic walking.
Conclusions. The use of Nordic walking during the rehabilitation of elderly patients after myocardial infarction significantly improves the results of the 6-minute walk test. The results obtained indicate the feasibility of using Nordic walking in the rehabilitation program of such patients.
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