Parkinson Disease Clinical Trial
— WalkingOfficial title:
Effects of Nordic Walking Training on Functional, Clinical and Biomechanics Parameters in Parkinson's Disease: a Randomized Controlled Clinical Trial
Verified date | November 2017 |
Source | Federal University of Rio Grande do Sul |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this study was to evaluate and compare the effects of a Nordic and free walking
training program on clinical, functional and biomechanical parameters of gait, in people with
PD.
Outcomes: Motor symptoms: Staging and severity of PD, balance, walking functional mobility,
self-selected walking velocity, and rehabilitation index. Non-Motor symptoms: Cognitive
function, depressive symptoms, and quality of life (QL). Outcomes Biomechanics: Kinematic
parameters (spatiotemporal and dynamic stability of walking) and neuromuscular parameters
(amplitude of the electromyography signal, initial and final activation threshold, activation
time and co-contraction index, of the following muscles: Vastus Lateralis (VL), Biceps
Femoris (BF), Tibialis Anterior (TA), Gastrocnemius Medialis (GM).
Status | Completed |
Enrollment | 33 |
Est. completion date | July 30, 2014 |
Est. primary completion date | June 30, 2013 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years to 80 Years |
Eligibility |
Inclusion Criteria: volunteers aged over 50 years, of both sexes, with a clinical diagnosis
of idiopathic PD and staging between 1 and 4 in Hoehn and Yahr Scale (H&Y). Exclusion Criteria: - Show chronic pain or presence of a migraine or nausea in daily life; - History of labyrinthitis; - Deep Brain Stimulation (DBS); - The frequency of training below of 75%. |
Country | Name | City | State |
---|---|---|---|
Brazil | Federal University of Rio Grande do Sul | Porto Alegre | Rio Grande Do Sul |
Lead Sponsor | Collaborator |
---|---|
Federal University of Rio Grande do Sul | Federal University of Health Science of Porto Alegre, Hospital de Clinicas de Porto Alegre |
Brazil,
Monteiro EP, Franzoni LT, Cubillos DM, de Oliveira Fagundes A, Carvalho AR, Oliveira HB, Pantoja PD, Schuch FB, Rieder CR, Martinez FG, Peyré-Tartaruga LA. Effects of Nordic walking training on functional parameters in Parkinson's disease: a randomized co — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Motor symptoms | This outcome will be evaluated using Unified Parkinson's Disease Rating Scale. This Scale the clinician-scored monitored motor evaluation. Will be to considered 30% improvement in the Part III score hasbeen applied to de?ne "responders. The score in each item ranges from 0 to 4, and the indicates greater impairment by the disease and the minimum, normality. The 14 items in the motor vehicle (the numbering of which goes from 18 to 31). |
Change from baseline at 9 weeks | |
Other | Balance Dynamics | This outcome will be evaluated using Berg Balance Scale (BBS). This scale assessment of the individual's balance in 14 situations, representative of activities of the day to day, such as: stand up, get up, walk, to lean forward, to move, to turn, among others. The maximum score of a being reached of 56 points and each item has an ordinal scale of five alternatives ranging from 0 to 4 points, according to the degree of difficulty. | Change from baseline at 9 weeks | |
Other | Balance Static | This outcome will be evaluated using area of center of pressure (cm), with average velocity (IN cm/s) and root mean square (RMS). Assessments using unique measurements with force plat. | Change from baseline at 9 weeks | |
Other | Spatial Temporal Parameters | This outcome is measure a composite for: stride frequency (in Hetz), stride length (in meters), swing time (in second) and contact time (in second). This outcome will be measure through of the registered image movement analysis using the three-dimensional motion analysis system (VICON) of the walking test on treadmill at different speed of walking (SSWS, below and above of the SSWS), 3 minutes at each speed (in kilometros/hours). | Change from baseline at 9 weeks | |
Other | Dynamics Stability | This outcome will be evaluated using the coefficient of variation (CoV) of the Spatial Temporal Parameters: stride frequency (In Hertz), stride length (in meters), swing time (in seconds) and contact time(in seconds) in of the walking test on treadmill at different speed of walking (SSWS, below and above of the SSWS), 3 minutes at each speed. | Change from baseline at 9 weeks | |
Other | Anthropometric data | This outcome is a composite for: circumferences (in cm), height (in meters), body massa (in kilograms) and body mass index - BMI (weight and height will be combined to report BMI in kg/m^2. This outcome will be measure with balance, stadiometer and anthropometric tape. | Change from baseline at 9 weeks | |
Other | Electromyographic Parameters | This outcome is measure is a composite for: mean amplitude (in milivolts), onset (in seconds), offset (in seconds) and time of the signal and co-contraction (in seconds) of the muscles: vastus lateralis (VL), biceps femoris (BF), anterior tibial (AT) and medial gastrocnemius (MG) This outcome will be measured through Measuring the electromyographic activation during treadmill walking tests using an electromyograph. In of the walking test on treadmill at different speed of walking (SSWS, below and above of the SSWS), 3 minutes at each speed. | Change from baseline at 9 weeks | |
Other | Parameters of Pendular Mechanism | This outcome is measure a composite for:(external, internal and total mechanical work, Wext,Wint and Wtot, respectively, Recovery. This outcome will be measure through of the registered image movement analysis using the three-dimensional motion analysis system (VICON) of the walking test on treadmill at different speed of walking (SSWS, below and above of the SSWS), 3 minutes at each speed. | Change from baseline at 9 weeks | |
Primary | Test Timed Up and Go | This teste evaluate the mobility functional in three meters of self-selected speed (TUGSS) or at forced speed (TUGFS) | Change from baseline at 9 weeks | |
Secondary | Locomotor Rehabilitation Index | The Locomotor Rehabilitation Index is a method of determining how close is the SSW compared to the Optimum Speed (Vopt). | Change from baseline at 9 weeks | |
Secondary | Self-selected walking speed - SSWS | This outcome will be measure in test of walking treadmill | Change from baseline at 9 weeks | |
Secondary | Optimal Walking Speed (OPT) | This outcome will be measure through of the registered image movement analysis using the three-dimensional motion analysis system (VICON) of the walking test on treadmill. | Change from baseline at 9 weeks | |
Secondary | Quality of life (QoL) | The quality of life will be estimated using the World Health Organization Quality of Life. (WHOQOL-short domains: physical, psychological, social relationships, environment, and general quality of life) and (WHOQOL-Long domains: sensory abilities, autonomy, Past. Present and Future Activities, social participation, death and dying, intimacy, and general quality of life). | Change from baseline at 9 weeks | |
Secondary | Cognitive function | This outcome will be measure for Montreal Cognitive Assessment (MoCA). | Change from baseline at 9 weeks | |
Secondary | Depressive symptoms | This outcome will be measure for the Geriatric Depression Scale - 15 item. The scale consists of 15 dichotomous questions in which participants are asked to answer yes or no in reference to how they felt over the past week (for instance, "Do you feel that your life is empty?," Do you feel that your situation is hopeless?). Scores range from 0 to 15 with higher scores indicating more depressive symptoms. | Change from baseline at 9 weeks |
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