Effects of Nordic walking training on functional parameters in Parkinson's disease: a randomized controlled clinical trial | Zendy

Monteiro E.P. | Zendy; Franzoni L.T. | Zendy; Cubillos D.M. | Zendy; Oliveira Fagundes A. | Zendy; Carvalho A.R. | Zendy; Oliveira H.B. | Zendy; Pantoja P.D. | Zendy; Schuch F.B. | Zendy; Rieder C.R. | Zendy; Martinez F.G. | Zendy; PeyréTartaruga L.A. | Zendy

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Effects of Nordic walking training on functional parameters in Parkinson's disease: a randomized controlled clinical trial

Author(s) -

Monteiro E.P.,

Franzoni L.T.,

Cubillos D.M.,

Oliveira Fagundes A.,

Carvalho A.R.,

Oliveira H.B.,

Pantoja P.D.,

Schuch F.B.,

Rieder C.R.,

Martinez F.G.,

PeyréTartaruga L.A.

Publication year - 2017

Publication title -

scandinavian journal of medicine and science in sports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.575

H-Index - 115

eISSN - 1600-0838

pISSN - 0905-7188

DOI - 10.1111/sms.12652

Subject(s) - medicine , balance (ability) , randomized controlled trial , gee , parkinson's disease , bonferroni correction , post hoc analysis , physical therapy , analysis of variance , preferred walking speed , physical medicine and rehabilitation , rehabilitation , repeated measures design , generalized estimating equation , disease , mathematics , statistics

We compare the effects of Nordic walking training ( NW ) and Free walk ( FW ) on functional parameters (motor symptoms, balance) and functional mobility (Timed Up and Go at Self‐selected Speed – TUGSS , and at forced speed, TUGFS ; Self‐selected Walking Speed, SSW ; locomotor rehabilitation index, LRI ) of Parkinson's disease ( PD ) patients. The study included 33 patients with clinical diagnosis of idiopathic PD , and staging between 1 and 4 in the Hoehn and Yahr scale (H&Y) randomized into two groups: NW ( N = 16) and FW ( N = 17) for 6 weeks. Baseline characteristics were compared trough a one‐way ANOVA . Outcomes were analyzed using the Generalized Estimation Equations ( GEE ) with a Bonferroni post‐hoc. Data were analyzed using SPSS v.20.0. Improvements in UPDRS III ( P < 0.001), balance scores ( P < 0.035), TUGSS distance ( P < 0.001), TUGFS distance ( P < 0.001), SSW ( P < 0.001), and LRI ( P < 0.001) were found for both groups. However, the NW group showed significant differences ( P < 0.001) when compared to the FW group for the functional mobility. We conclude the NW improves functional parameters and walking mobility demonstrating that NW is as effective as the FW , including benefits for FW on the functional mobility of people with PD .

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