Effects of a Nordic Walking Program on Arm Swing Asymmetry and Temporospatial Gait Parameters Compared to Free Walking in People With Parkinson's Disease
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 28
- 主要终点
- Change in the amplitude of arm swing
研究概览
简要总结
People with Parkinson's Disease(PD) present a series of alterations such as muscle stiffness and motor slowing, which gradually affect the swinging movement of the arms and legs, altering the ability to walk, increasing the risk of falling, and reducing functionality. This implies a higher energy cost and a greater probability of developing freezing of the gait.
Nordic walking (NW) is a form of physical exercise characterized by the use of walking poles, which could contribute positively to arm swing movement and, thus, gait.
This clinical trial aims to compare Nordic Walking with free walking (FW) protocol training and investigate their effects on arm swing and gait parameters in people with PD.
The study hypothesizes that NW training will reduce asymmetry and increase arm swing amplitudes during gait to a greater extent than FW. Also, improvements in arm swing could positively influence lower limb performance during regular gait, increasing gait speed, stride length, functional mobility, and quality of life.
People with PD will complete 24 supervised NW or FW training sessions for 12 weeks. Both trainings will be identical in volume and intensity, the only difference will be the use of poles in the NW group. Blinded researchers will conduct evaluations at baseline (T0), post-intervention (T1), and in one-month follow-up (T2).
详细描述
Primary aims: To compare the effects of Nordic Walking (NW) with a free walking (FW) protocol training on arm swing in people with Parkinson's disease.
Secondary aims: To compare the effects of NW and FW protocol training on the performance of lower limbs during walking, functional mobility, and quality of life in people with Parkinson's disease.
Methodology Study design: randomized controlled clinical trial, parallel, single-blinded. The participants will be invited through posters disseminating the research. Each interested person will be contacted by telephone and invited to the Human Movement Sciences Laboratory of the University of Talca. After signing informed consent, the baseline evaluations will be carried out. A brief questionnaire containing bio-demographic information and health history will be completed to verify the inclusion and exclusion criteria. To establish the disease's stage, the Hoehn and Yahr scale will be applied. The cognitive status will be assessed with the Montreal Cognitive Assessment (MoCA).
After the baseline evaluation, a number will be assigned a number to each participant, and performed a randomization process into blocks of four participants to assign them to study groups.
Twenty-eight people with PD, stages 1-3 on the Hoehn and Yahr scale, will be randomly assigned to the NW training (n = 14) or FW training group (n = 14), according to a sample size calculation, with a 1:1 allocation ratio, matched by disease stage (stages I, II, and III). The distribution will be blinded to the evaluators and statisticians.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of idiopathic PD, confirmed by a neurologist following the criteria of the Parkinson disease Society Brain Bank Criteria
- •Age between 50-80 years
- •Disease stage between I and III according to Hoehn and Yahr (Hoehn and Yahr)
- •To be able to walk without technical aids.
排除标准
- •Cognitive impairment (score < 26 in the Montreal Cognitive Assessment MoCA).
- •Surgery lasting less than three months or deep brain stimulation (DBS).
- •Presence of comorbidities that contraindicate moderate to high-intensity physical exercise.
- •Participate in any walking training two or more times per week.
- •Diagnosis of any other neurological or musculoskeletal condition that can cause motor compromise and interfere with locomotion.
研究组 & 干预措施
Nordic Walking group
The group will be training with a Nordic Walking protocol for 12- weeks, two times a week, completing 24 one-hour sessions.
干预措施: Nordic walking training (Other)
Free Walking group
The group will be training with a Free Walking protocol for 12- weeks, two times a week, completing 24 one-hour sessions.
干预措施: Free Walking training (Other)
结局指标
主要结局
Change in the amplitude of arm swing
时间窗: Before, after 12-weeks of training, and after one-month of follow-up.
It is the movement of the arms in the antero-posterior direction during walking. Measurements will be made through accelerometers, and the unit of measurement will be degrees.
Change in the arm swing asymmetry
时间窗: Before, after 12-weeks of training, and after one-month of follow-up.
Asymmetry of the amplitude of movement between left and right swings during walking (0% means no asymmetry) \[%\]
次要结局
- Change in the temporospatial measurements during walking including measurements of Gait speed [m/s] and step length [m].(Before, after 12-weeks of training, and after one-month of follow-up.)
- Change in the functional mobility will be measured through the Timed up and go (TUG).(Before, after 12-weeks of training, and after one-month of follow-up.)
- Change in the quality of life(Before, after 12-weeks and after one-month of follow-up.)
研究者
Jéssica Espinoza Araneda
Professor
University of Talca