Effects of Nordic Walking Training on Functional, Clinical and Biomechanics Parameters in Parkinson's Disease: a Randomized Controlled Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Parkinson Disease
- Sponsor
- Federal University of Rio Grande do Sul
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- Test Timed Up and Go
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The aim of this study was to evaluate and compare the effects of a Nordic and free walking training program on clinical, functional and biomechanical parameters of gait, in people with PD.
Outcomes: Motor symptoms: Staging and severity of PD, balance, walking functional mobility, self-selected walking velocity, and rehabilitation index. Non-Motor symptoms: Cognitive function, depressive symptoms, and quality of life (QL). Outcomes Biomechanics: Kinematic parameters (spatiotemporal and dynamic stability of walking) and neuromuscular parameters (amplitude of the electromyography signal, initial and final activation threshold, activation time and co-contraction index, of the following muscles: Vastus Lateralis (VL), Biceps Femoris (BF), Tibialis Anterior (TA), Gastrocnemius Medialis (GM).
Detailed Description
Introduction: Changes in clinical, functional and biomechanical parameters of gait are remarkable features in Parkinson's disease (PD). Such changes are disabling for the performance of daily living activities (DLAs) as they represent a high risk of falls and impair quality of life (QL) in this population. Although exercise is recommended as an effective model of therapeutic intervention, to minimize the symptoms of this disease, little is known about the effects of Nordic walking on motor and non-motor symptoms in patients with PD. Purpose: The aim of this study was to evaluate and compare the effects of a Nordic and free walking training program on clinical, functional and biomechanical parameters of gait, in people with PD. Experimental Design: Randomized controlled clinical trial (RCT). Study Site: Physical Education School of the Federal University of Rio Grande do Sul and the Clinical Hospital of Porto Alegre, in Porto Alegre, Rio Grande do Sul, Brazil. Methods: The sample comprised 33 participants, aged above 50 years, of both sexes, with a clinical diagnosis of idiopathic PD, with the staging of 1-4 in the Hoehn and Yahr scale (H\&Y). The participants received two types of intervention: Nordic walking training program (NW, n = 16) and free walking training program (FW, n = 17), during six weeks. Aiming to evaluate the effects of the training program, the participants underwent the tests in the following period: pre-training + pre-familiarization (T1); post-familiarization + pre-training (T2); post-training (T3).
Investigators
Leonardo A. Peyré-Tartaruga
Adjunct Professor
Federal University of Rio Grande do Sul
Eligibility Criteria
Inclusion Criteria
- •volunteers aged over 50 years, of both sexes, with a clinical diagnosis of idiopathic PD and staging between 1 and 4 in Hoehn and Yahr Scale (H\&Y).
Exclusion Criteria
- •Show chronic pain or presence of a migraine or nausea in daily life;
- •History of labyrinthitis;
- •Deep Brain Stimulation (DBS);
- •The frequency of training below of 75%.
Outcomes
Primary Outcomes
Test Timed Up and Go
Time Frame: Change from baseline at 9 weeks
This teste evaluate the mobility functional in three meters of self-selected speed (TUGSS) or at forced speed (TUGFS)
Secondary Outcomes
- Locomotor Rehabilitation Index(Change from baseline at 9 weeks)
- Self-selected walking speed - SSWS(Change from baseline at 9 weeks)
- Optimal Walking Speed (OPT)(Change from baseline at 9 weeks)
- Quality of life (QoL)(Change from baseline at 9 weeks)
- Cognitive function(Change from baseline at 9 weeks)
- Depressive symptoms(Change from baseline at 9 weeks)