A lung transplantation (LT) is the last therapeutic option for those who suffer from respiratory chronic diseases. Respiratory rehabilitation plays a crucial role in improving the functional capacity and the quality of life during the different stages of the transplant. After the LT, the pulmonary functions of the receptors are commonly improved, but some limitations in their capacity to exercise and to perform physical activity still remain. The main objective of this study is to evaluate any improvement in effort capacity of patients with lung transplantation that follow a rehabilitation program based on Nordic walking.

Almost-experimental prospective study with comparison (before and after surgery). Sample: 8 patients with one year evolution after LT with normal pulmonary function, 5 men (65.5%) and 3 women (37.5%). Medium age of 59.75 years old (DE 4.34 years). Six of the patients had received a double-lung transplant (75%) and the other two, a left lung transplant (25%). The procedure consists in a rehabilitation program with Nordic walking (PRMN) as exercise type. The main variable is the distance walked during the 6minutes walking test (6′WT); the secondary ones will evaluate the strength of the respiratory muscles (PIM-PEM), the functional capacity (V02_pco and VO_2AT), the strength of the peripheral muscles (in claw dynamometry and quadriceps) and the quality of life (SF-36 questionnaire).

After 12 weeks of PRMN, significant differences have been found in: 6′WT [47m in mean P<0.05(P=0.035)]; in claw dynamometry (D: P=0.048/I: P=0.043); VO2_PICO % (P=0.035); VO_2AT (P=0.028) and in the vitality variable of the SF-36 (P=0.033). No significant differences have been observed in the rest of variables.

After a Nordic walking program the patients with LT improve the distances walked in the 6minutes walking test and the aerobic capacity. Moreover, there is an improvement in the patient's vitality after the procedure.