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      Effects of Nordic walking training on functional parameters in Parkinson's disease: a randomized controlled clinical trial

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          Health benefits of Nordic walking: a systematic review.

          Modern lifestyle, with its lack of everyday physical activity and exercise training, predisposes people to chronic diseases such as diabetes mellitus, obesity, hypertension, and coronary artery diseases. Brisk walking as a simple and safe form of exercise is undisputedly an effective measure to counteract sedentary lifestyle risks even in the most unfit and could lead to a reduction of the prevalence of chronic diseases in all populations. The purpose of this review is to systematically summarize, analyze, and interpret the health benefits of Nordic walking (walking with poles), and to compare it to brisk walking and jogging.
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            Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study.

            The benefits of rehabilitation in heart failure (HF) patients are well established. Little is known about Nordic walking (NW) training in HF patients especially in those with cardiovascular implantable electronic devices (CIEDs).
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              Long-term effect of body weight-supported treadmill training in Parkinson's disease: a randomized controlled trial.

              To investigate whether body weight-supported treadmill training (BWSTT) is of long-term benefit for patients with Parkinson's disease (PD). Randomized controlled trial. Inpatient rehabilitation unit for neurologic diseases in Japan. Twenty-four patients (Hoehn and Yahr stages 2.5 or 3) who were not demented (Mini-Mental State Examination score, >27). Patients were randomized to receive either a 45-minute session of BWSTT (up to 20% of body weight supported) or conventional physical therapy (PT) for 3 days a week for 1 month. Outcome measures were evaluated at baseline and at 1, 2, 3, and 6 months. Measures included the Unified Parkinson's Disease Rating Scale (UPDRS), ambulation speed (s/10 m), and number of steps taken for a 10-m walk as a parameter for stride length. Four patients needed modification of medications in the follow-up period. Twenty patients (BWSTT, n=11; PT, n=9) without modified medications were analyzed for functional outcome. Age, duration of PD, gender, and doses of medications were comparable. There was no difference in the baseline UPDRS (BWSTT=33.3; PT=32.6), speed (BWSTT=10.8; PT=11.5), and steps (BWSTT=23.4; PT=22.8). The BWSTT group had significantly greater improvement than the PT group (Mann-Whitney U test, Bonferroni adjustment for multiple comparison) in ambulation speed at 1 month (BWSTT=8.5; PT=10.8; P<.005); and in the number of steps at 1 (BWSTT=20.0; PT=22.7; P<.005), 2 (BWSTT=19.5; PT=22.4; P<.005), 3 (BWSTT=20.1; PT=23.1; P<.005), and 4 months (BWSTT=21.0; PT=23.0; P=.006). BWSTT has a lasting effect specifically on short-step gait in PD. Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
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                Author and article information

                Journal
                Scandinavian Journal of Medicine & Science in Sports
                Scand J Med Sci Sports
                Wiley
                09057188
                March 2017
                March 2017
                February 02 2016
                : 27
                : 3
                : 351-358
                Affiliations
                [1 ]Exercise Research Laboratory; Escola de Educação Física; Fisioterapia e Dança; Universidade Federal do Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
                [2 ]Neurosciences and Rehabilitation Laboratory; Universidade Federal de Ciências da Saúde de Porto Alegre; Porto Alegre Rio Grande do Sul Brazil
                [3 ]Sleep and Movement Disorders Clinics; Division of Neurology; Hospital de Clínicas de Porto Alegre; Universidade Federal do Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
                Article
                10.1111/sms.12652
                26833853
                46c65062-dcdb-4645-881a-a3df275b1fad
                © 2016

                http://doi.wiley.com/10.1002/tdm_license_1

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