self-paced walking within a diverse topographical environment elicits an appropriate training stimulus for cardiac rehabilitation patients自学行走在不同地形环境中引出一个适当的训练刺激心脏康复的病人.pdfVIP

Hindawi Publishing Corporation Rehabilitation Research and Practice Volume 2012, Article ID 140871, 5 pages doi:10.1155/2012/140871 Clinical Study Self-Paced Walking within a Diverse Topographical Environment Elicits an Appropriate Training Stimulus for Cardiac Rehabilitation Patients James Faulkner,1 Johannes Gerhard,2 Lee Stoner,1 and Danielle Lambrick3 1 School of Sport and Exercise, Massey University, Private Bag 756, Wellington 6140, New Zealand 2 Institute for Sport Sciences, Julius-Maximilians-University, 97070 Wuerzburg, Germany 3 Institute of Food, Nutrition and Human Health, Massey University, Wellington, New Zealand Correspondence should be addressed to James Faulkner, j.faulkner@massey.ac.nz Received 2 April 2012; Accepted 28 May 2012 Academic Editor: Nicola Smania Copyright © 2012 James Faulkner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To assess the effect of a self-paced walking intervention within a topographically varied outdoor environment on physiological and perceptual markers in cardiac rehabilitation (CR) patients. Methods. Sixteen phase II CR patients completed twelve self-paced one-mile walking sessions over a four-week period within a community-based CR programme. Walking velocity, heart rate (HR), and ratings of perceived exertion (RPE) were reported at eight stages throughout the self-paced walks. Results. The study showed a significant increase in walking velocity from week 1 (∼4.5 km/h) to week 4 (∼5.1 km/h) of the self-paced walking programme (P .05). A significantly higher HR was also observed in week 4 (111 ± 13 b·min−1; ∼69% of maximal HR) compared