Monteiro E P, Franzoni L T, Cubillos D M, de Oliveira Fagundes A, Carvalho A R, Oliveira H B, Pantoja P D, Schuch F B, Rieder C R, Martinez F G, Peyré-Tartaruga L A
Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Neurosciences and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Scand J Med Sci Sports. 2017 Mar;27(3):351-358. doi: 10.1111/sms.12652. Epub 2016 Feb 2.
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.
我们比较了北欧式健走训练（NW）和自由行走（FW）对帕金森病（PD）患者功能参数（运动症状、平衡）和功能移动性（自选速度定时起立行走测试 - TUGSS，以及强制速度下的TUGFS；自选步行速度，SSW；运动康复指数，LRI）的影响。该研究纳入了33例临床诊断为特发性PD且Hoehn和Yahr量表（H&Y）分期为1至4期的患者，随机分为两组：NW组（N = 16）和FW组（N = 17），为期6周。通过单因素方差分析比较基线特征。使用广义估计方程（GEE）并采用Bonferroni事后检验分析结果。数据使用SPSS v.20.0进行分析。两组患者在帕金森病统一评分量表第三部分（UPDRS III）（P < 0.001）、平衡评分（P < 0.035）、TUGSS距离（P < 0.001）、TUGFS距离（P < 0.001）、SSW（P < 0.001）和LRI（P < 0.001）方面均有改善。然而，在功能移动性方面，NW组与FW组相比显示出显著差异（P < 0.001）。我们得出结论，NW改善了功能参数和步行移动性，表明NW与FW一样有效，包括对PD患者功能移动性的有益影响。
