Lucia Cugusi1,2, Paolo Solla2,3, Roberto Serpe1, Tatiana Carzedda2, Luisa Piras2, Marcello Oggianu2, Silvia Gabba1, Andrea Di Blasio4, Marco Bergamin5, Antonino Cannas3, Francesco Marrosu1,3, Giuseppe Mercuro1,2. 1. Department of Medical Sciences 'M. Aresu', University of Cagliari, Cagliari, Italy. 2. Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy. 3. Movement Disorders Center, Institute of Neurology, University of Cagliari, Cagliari, Italy. 4. Department of Medicine and Aging Sciences 'G. d'Annunzio', University of Chieti-Pescara, Italy. 5. Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Italy.
Abstract
BACKGROUND: Several studies have clearly shown that physical exercise can reduce the progression of motor symptoms in Parkinson's Disease (PD). However, little is known about the effects of a Nordic Walking (NW) program in PD patients. OBJECTIVE: To determine the effects of a NW program on motor and non-motor symptoms, functional performances and body composition in PD patients. METHODS:Twenty PD patients (16M, 4F, 67.3±7.8 years) were enrolled and randomly assigned to NW group (NWg, n = 10) and Control group (Cg, n = 10). The training consisted in 2 sessions per week for 12 weeks. Training effects were assessed by functional and instrumental tests and motor and non-motor symptoms were assessed by UPDRS-III, Hoehn and Yahr scale, PD Fatigue Scale, Beck Depression Inventory-II, Starkstein Apathy Scale, and Non-Motor Symptoms Scale. RESULTS: Significant changes in resting HR, in walked distance (p < 0.05), and in lower limbs muscles strength (p < 0.005) were observed in NWg. Both balance abilities and safety with mobility were increased (p < 0.005). Significant variations in some circumferences and body composition were registered. Finally, a significant improvement in motor and non-motor symptoms was detected: UPDRS-III, HY scale, PFS-16, BDI-II, SAS, NMSS. CONCLUSIONS: A tailored exercise program including NW proved to be an effective way to improve daily activities and both motor and non-motor symptoms in PD patients.
RCT Entities:
BACKGROUND: Several studies have clearly shown that physical exercise can reduce the progression of motor symptoms in Parkinson's Disease (PD). However, little is known about the effects of a Nordic Walking (NW) program in PDpatients. OBJECTIVE: To determine the effects of a NW program on motor and non-motor symptoms, functional performances and body composition in PDpatients. METHODS: Twenty PDpatients (16M, 4F, 67.3±7.8 years) were enrolled and randomly assigned to NW group (NWg, n = 10) and Control group (Cg, n = 10). The training consisted in 2 sessions per week for 12 weeks. Training effects were assessed by functional and instrumental tests and motor and non-motor symptoms were assessed by UPDRS-III, Hoehn and Yahr scale, PD Fatigue Scale, Beck Depression Inventory-II, Starkstein Apathy Scale, and Non-Motor Symptoms Scale. RESULTS: Significant changes in resting HR, in walked distance (p < 0.05), and in lower limbs muscles strength (p < 0.005) were observed in NWg. Both balance abilities and safety with mobility were increased (p < 0.005). Significant variations in some circumferences and body composition were registered. Finally, a significant improvement in motor and non-motor symptoms was detected: UPDRS-III, HY scale, PFS-16, BDI-II, SAS, NMSS. CONCLUSIONS: A tailored exercise program including NW proved to be an effective way to improve daily activities and both motor and non-motor symptoms in PDpatients.
Entities:
Keywords:
Nordic Walking; Parkinson’s disease; body composition; functional performance; motor symptoms; non-motor symptoms
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