Santoyo-Medina Carme, Janer Cabo Montserrat, Xaudaró Dolors Fàbregas, Sanmillan Gaizka Loyola, Sanchez Pous Samuel, Cartaña Ingrid Galan, Meza Murillo Edwin Roger, Sastre-Garriga Jaume, Montalban Xavier
From the Neurology-Neuroimmunology Department and Neurorehabilitation Unit, Multiple Sclerosis Centre of Catalonia, Vall d'Hebron University Hospital Barcelona, Barcelona, Spain (CS-M, MJC, DFX, GLS, SSP, IGC, ERMM, JS-G, XM).
Department of Physiotherapy, School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain (CS-M).
Int J MS Care. 2023 May-Jun;25(3):118-123. doi: 10.7224/1537-2073.2021-070. Epub 2022 Oct 17.
Although there is emerging evidence that aerobic training improves walking capacity in persons with multiple sclerosis (MS), data are limited about the potential benefits of Nordic walking (NW) for this population. This study evaluates the effectiveness of outdoor NW training on walking capacity and related quality of life for people with MS compared with cycloergometer and treadmill aerobic training.
A single-blinded (evaluator), randomized, 2-arm clinical trial was designed.
A total of 57 patients with MS (38 women and 19 men; mean ± SD age, 51.98 ± 9.93 years; mean ± SD disease duration, 14.75 ± 8.52 years) were included. Both therapeutic modalities improved walking distance as measured by the 6-Minute Walk Test after the training period. The NW group showed significant improvement on the physical and emotional subscales of the Multiple Sclerosis Quality of Life-54 compared with the cycloergometer and treadmill group, which showed improvement only on the physical subscale.
Both training modalities proved to be of equal benefit in improving the walking capacity of people with MS, but outdoor NW training also seems to have a beneficial effect on the emotional component of health-related quality of life.
尽管越来越多的证据表明有氧训练可提高多发性硬化症（MS）患者的行走能力，但关于北欧健走（NW）对该人群潜在益处的数据有限。本研究评估了户外北欧健走训练与蹬车测力计及跑步机有氧训练相比，对MS患者行走能力及相关生活质量的有效性。
设计了一项单盲（评估者）、随机、双臂临床试验。
共纳入57例MS患者（38例女性和19例男性；平均±标准差年龄，51.98±9.93岁；平均±标准差病程，14.75±8.52年）。训练期后，两种治疗方式均使6分钟步行试验测得的行走距离有所改善。与蹬车测力计及跑步机组相比，北欧健走组在多发性硬化症生活质量-54的身体和情感子量表上有显著改善，而蹬车测力计及跑步机组仅在身体子量表上有所改善。
两种训练方式在改善MS患者行走能力方面被证明具有同等益处，但户外北欧健走训练似乎对健康相关生活质量的情感成分也有有益影响。
