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

Scandinavian journal of medicine & science in sports
March 1, 2017
E P Monteiro et al. (11 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of Nordic walking training (NW) and Free walk (FW) on functional parameters and mobility in Parkinson's disease (PD) patients.

Results Summary

Both NW and FW groups showed improvements in motor symptoms, balance, and functional mobility, but the NW group demonstrated significantly greater improvements in functional mobility compared to the FW group.

Population

33 patients with idiopathic Parkinson's disease (Hoehn and Yahr stages 1-4).

Effective Dosage

Not specified

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Nordic walking training
increase
UPDRS III
Parkinson's disease patients
P < 0.001
improvements
#1
Nordic walking training
increase
balance scores
Parkinson's disease patients
P < 0.035
improvements
#2
Nordic walking training
increase
TUGSS distance
Parkinson's disease patients
P < 0.001
improvements
#3
Nordic walking training
increase
TUGFS distance
Parkinson's disease patients
P < 0.001
improvements
#4
Nordic walking training
increase
SSW
Parkinson's disease patients
P < 0.001
improvements
#5
Nordic walking training
increase
LRI
Parkinson's disease patients
P < 0.001
improvements
#6
Free walk
increase
UPDRS III
Parkinson's disease patients
P < 0.001
improvements
#7
Free walk
increase
balance scores
Parkinson's disease patients
P < 0.035
improvements
#8
Free walk
increase
TUGSS distance
Parkinson's disease patients
P < 0.001
improvements
#9
Free walk
increase
TUGFS distance
Parkinson's disease patients
P < 0.001
improvements
#10
Free walk
increase
SSW
Parkinson's disease patients
P < 0.001
improvements
#11
Free walk
increase
LRI
Parkinson's disease patients
P < 0.001
improvements
#12
Nordic walking training
increase
functional mobility
Parkinson's disease patients
P < 0.001
showed significant differences
#13
Abstract

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.

Medical Subject Headings (MeSH)
AgedExercise TherapyFemaleHumansMaleMiddle AgedParkinson DiseaseSeverity of Illness IndexWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations75
Citations/Year9.4
Relative Citation Ratio4.96
NIH Percentile92.9%
Research Impact Scores
APT Score0.95
Weight Score2.19
Normalized Score0.70
Related Supplements
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