Autor: |
Passos-Monteiro E; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil.; Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, Brazil.; Human Movement Sciences Graduate Program, School of Physical Education, Universidade Federal do Pará (UFPA), Castanhal 66075-110, PA, Brazil., B Schuch F; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil.; Department of Sports Methods and Techniques, Universidade Federal de Santa Maria (UFSM), Santa Maria 97105-900, RN, Brazil., T Franzoni L; Postgraduate Program in Medical Science, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil., R Carvalho A; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil.; Physical Therapy College, Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel 85819-170, PA, Brazil., A Gomeñuka N; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil.; Departamento de Investigación de la Facultad de Ciencias de la Salud, Universidad Católica de las Misiones, Posadas (UCAMI), Misiones N3300, Argentina., Becker M; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil., Rieder CRM; Movement Disorders Clinics, Division of Neurology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil., Andrade A; Laboratory of Psychology of Sport and Exercise, Department of Physical Education, Center of Health Sciences and Sports, Santa Catarina State University (UDESC), Florianópolis 89223-100, SC, Brazil., G Martinez F; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil., S Pagnussat A; Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, Brazil.; Rehabilitation Sciences Graduate Program, Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFSCPA), Porto Alegre 90050-170, RS, Brazil., A Peyré-Tartaruga L; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil.; Human Movement Sciences Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre 90040-060, RS, Brazil. |
Abstrakt: |
Nordic walking's (NW) degree of effectiveness regarding health-related parameters in people with Parkinson's Disease (PD) is a subject of debate. While NW seems to improve functionality, a clear non-motor benefit has not been demonstrated. The aim of this randomized controlled trial was to compare the effects of 9-week NW and free walking (FW) training programs on quality of life, cognitive function, and depressive symptoms in individuals with PD. Thirty-three people with PD, (Hoehn and Yahr 1-4) were randomized into two groups: NW ( n = 16) and FW ( n = 17). We analyzed quality of life, cognitive function, depressive symptoms, and motor symptoms. Significant improvements were found in the overall, physical, psychological, social participation, and intimacy domains of quality of life, as well as in cognitive function and depressive symptoms for both groups. Only the NW group showed improvement in the autonomy domain. Individuals with PD had a similar enhancement of non-motor symptoms after walking training, with or without poles. However, the NW group showed a more significant improvement in the autonomy domain, strengthening the applied and clinical potential of NW in people with PD. Future studies are needed to determine the efficacy of walking training without poles in subjects with PD. |