Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial

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 t...

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Main Authors: Elren Passos-Monteiro, Felipe B. Schuch, Leandro T. Franzoni, Alberito R. Carvalho, Natalia A. Gomeñuka, Marindia Becker, Carlos R. M. Rieder, Alexandro Andrade, Flávia G. Martinez, Aline S. Pagnussat, Leonardo A. Peyré-Tartaruga
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/5/4/82
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author Elren Passos-Monteiro
Felipe B. Schuch
Leandro T. Franzoni
Alberito R. Carvalho
Natalia A. Gomeñuka
Marindia Becker
Carlos R. M. Rieder
Alexandro Andrade
Flávia G. Martinez
Aline S. Pagnussat
Leonardo A. Peyré-Tartaruga
author_facet Elren Passos-Monteiro
Felipe B. Schuch
Leandro T. Franzoni
Alberito R. Carvalho
Natalia A. Gomeñuka
Marindia Becker
Carlos R. M. Rieder
Alexandro Andrade
Flávia G. Martinez
Aline S. Pagnussat
Leonardo A. Peyré-Tartaruga
author_sort Elren Passos-Monteiro
collection DOAJ
description 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 (<i>n</i> = 16) and FW (<i>n</i> = 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.
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spelling doaj.art-7cb57c7e09e9458ca2212221f318f2ed2023-11-20T20:29:34ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422020-11-015482010.3390/jfmk5040082Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical TrialElren Passos-Monteiro0Felipe B. Schuch1Leandro T. Franzoni2Alberito R. Carvalho3Natalia A. Gomeñuka4Marindia Becker5Carlos R. M. Rieder6Alexandro Andrade7Flávia G. Martinez8Aline S. Pagnussat9Leonardo A. Peyré-Tartaruga10Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilExercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilPostgraduate 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, BrazilExercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilExercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilExercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilMovement Disorders Clinics, Division of Neurology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, BrazilLaboratory 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, BrazilExercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilHealth Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, BrazilExercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, BrazilNordic 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 (<i>n</i> = 16) and FW (<i>n</i> = 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.https://www.mdpi.com/2411-5142/5/4/82quality of lifecognitivedepressionneurodegenerative diseasesParkinsonian disordersexercise therapy
spellingShingle Elren Passos-Monteiro
Felipe B. Schuch
Leandro T. Franzoni
Alberito R. Carvalho
Natalia A. Gomeñuka
Marindia Becker
Carlos R. M. Rieder
Alexandro Andrade
Flávia G. Martinez
Aline S. Pagnussat
Leonardo A. Peyré-Tartaruga
Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial
Journal of Functional Morphology and Kinesiology
quality of life
cognitive
depression
neurodegenerative diseases
Parkinsonian disorders
exercise therapy
title Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial
title_full Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial
title_fullStr Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial
title_full_unstemmed Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial
title_short Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial
title_sort nordic walking and free walking improve the quality of life cognitive function and depressive symptoms in individuals with parkinson s disease a randomized clinical trial
topic quality of life
cognitive
depression
neurodegenerative diseases
Parkinsonian disorders
exercise therapy
url https://www.mdpi.com/2411-5142/5/4/82
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