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  • 1
    In: BMC Neurology, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: Parkinson’s disease (PD) causes motor and nonmotor disorders in patients. Unlike aerobic training, potential adaptations from the practice of dance are less understood in PD, particularly compared with better known exercise modes. This study aimed to verify and compare the effects of a Brazilian dance program, inspired by Samba and Forrró rhythms, and a walking program on functional mobility and spatiotemporal gait parameters in patients with PD. Methods Eighteen participants with PD were divided into a dance group (DG) and a walking group (WG) and were assessed before and after an intervention period of 24 1-h sessions, performed twice per week for 12 weeks. The timed-up-and-go test (TUG) and walking kinematics at self-selected speed (SSS) and fast speed (FS) were determined. The generalized estimating equation method was used to compare the DG and WG pre- and post-intervention and to evaluate the group*time interaction (α  〈   0.05). Results Both groups demonstrated a significant improvement in TUG test at SSS ( p  = 0.02; effect size [ES] = 0.42) and FS ( p  = 0.02; ES = 0.24). In general, spatiotemporal parameters remained unchanged, except at SSS, in which the DG increased the stride frequency ( p  = 0.011; ES = 0.72). At FS, the swing time demonstrated a significant group*time interaction ( p   〈   0.001; ES = 1.10), in which the two groups exhibited different behaviors: DG decreased ( p  = 0.015) and WG increased ( p  = 0.012). Conclusions Functional mobility improved similarly in both groups. The results suggest that a 12-week program of Brazilian dance was sufficient to produce improvements in functional mobility and gait in individuals with PD. Trial registration This study is registered with the International Clinical Trial Registry under number NCT03370315 . Registered December 28, 2017 - Retrospectively registered.
    Type of Medium: Online Resource
    ISSN: 1471-2377
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2041347-6
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  • 2
    In: Scandinavian Journal of Medicine & Science in Sports, Wiley, Vol. 32, No. 2 ( 2022-02), p. 290-297
    Abstract: In healthy adults, Nordic walking (NW) is known to increase the external mechanical energy fluctuations, though the external work is unaltered due to an improved pendulum‐like recovery in comparison with free walking (FW). We aimed to compare mechanical, pendulum‐like, and spatiotemporal parameters of gait at different speeds with and without NW poles in people with Parkinson's disease and healthy controls. The study included 11 people (aged 65.6 ± 7.0 years) with idiopathic Parkinson's disease, scoring between 1 and 1.5 on the Hoehn and Yahr scale (H & Y), and nine healthy controls (aged 70.0 ± 5.6 years). All the people were experienced Nordic walkers. Walking tests were performed at 1.8 km h −1 and 4.7 km h −1 , on eight 3D force platforms on a walkway. We found greater pendulum‐like energy recovery ( p   〈  0.05) in the Parkinson group during NW than in FW, while external mechanical work remained similar ( p   〉  0.05). People with Parkinson's disease showed a major increase in vertical and forward energy fluctuations using poles than in healthy controls. In addition, the Parkinson group showed increased stride frequency and reduced stride length compared to controls in the NW and FW conditions. Our findings partly justify the lower walking economy in Parkinson's disease due to reduced pendulum‐like mechanism at commonly used speeds. NW alters gait mechanics similarly in Parkinson group and healthy control, increasing the total mechanical work. Therefore, NW can be a compelling strategy for rehabilitation because of its potential for improving functional mobility, increasing pendulum‐like mechanism in Parkinson's disease.
    Type of Medium: Online Resource
    ISSN: 0905-7188 , 1600-0838
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2025503-2
    SSG: 31
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  • 3
    In: Sports Medicine - Open, Springer Science and Business Media LLC, Vol. 6, No. 1 ( 2020-12)
    Abstract: Nordic walking is an attractive method of endurance training. Nevertheless, the biomechanic response due to the additional contribution of using poles in relation to free walking training has been less explored in the elderly. Purpose: This randomized parallel controlled trial aimed to assess the effects of 8 weeks of Nordic walking and free walking training on the walking economy, mechanical work, metabolically optimal speed, and electromyographic activation in elderly. Methods Thirty-three sedentary elderly were randomized into Nordic walking ( n = 16) and free walking group ( n = 17) with equalized loads. Submaximal walking tests were performed from 1 to 5 km h −1 on the treadmill. Results Walking economy was improved in both free and Nordic walking groups ( x 2 4.91, p = 0.014) and the metabolically optimal speed was increased by approximately 0.5 km h −1 changing the speed-cost profile. The electromyographic activation in lower and upper limbs, pendular recovery, and total, external, and internal mechanical work remained unchanged ( p 〉 0.05). Interestingly, the internal mechanical work associated with arm movement was higher in the Nordic walking group than in the free walking group after training, while the co-contraction from upper limb muscles was reduced similarly to both groups. Conclusions Eight weeks of Nordic walking training effectively improved the walking economy and functionality as well as maintained the gait mechanics, similar to free walking training in elderly people. This enhancement in the metabolic economy may have been mediated by a reduction in the co-contraction from upper limb muscles. Trial registration ClinicalTrails.gov NCT03096964
    Type of Medium: Online Resource
    ISSN: 2199-1170 , 2198-9761
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2809942-4
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  • 4
    In: ConScientiae Saúde, University Nove de Julho, Vol. 18, No. 1 ( 2019-03-29), p. 105-115
    Abstract: Introdução: A doença de Parkinson (DP) é caracterizada por distúrbios motores, aumentando risco de quedas e inatividade física. Objetivo: Analisar perfil antropométrico e composição corporal, antes e após um programa de treinamento de caminhada nórdica (CN) e caminhada livre (CL). Métodos: Os 33 sujeitos foram randomizados em dois grupos experimentais: CL (n = 16) e CN (n = 17) para realização das 12 sessões de treinamento. Resultados: Relação cintura/quadril reduziu (2,2%, p = 0,022) para o CL. O somatório total das dobras cutâneas reduziu em 4,3% no grupo CN (p = 0,012), e 4,7% no grupo CL (p = 0,012), sem diferença entre os grupos. O período de treinamento não promoveu alterações significativas na massa corporal (p = 0,808), IMC (p = 0,392), nas massas magra (p = 0,834), gorda (p = 0,721) e óssea (p = 0,348), bem como nos percentuais de gordura (p = 0,887). Conclusão: O treinamento promoveu melhora antropométrica efetiva para ambos os grupos.
    Type of Medium: Online Resource
    ISSN: 1983-9324 , 1677-1028
    Language: Unknown
    Publisher: University Nove de Julho
    Publication Date: 2019
    detail.hit.zdb_id: 2654616-4
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  • 5
    In: Journal of Dance Medicine & Science, SAGE Publications, Vol. 27, No. 3 ( 2023-09), p. 153-159
    Abstract: Due to its multiple benefits in Parkinson’s Disease, Dance has been a widely recommended activity in rehabilitation. However, there is a gap in the literature on the use of Brazilian sytles in rehabilitation protocols. This study aimed to compare the effect of 2 different protocols of Brazilian dance, samba and forró, and samba on motor aspects and quality of life of individuals with Parkinson’s disease. Methods: In a nonrandomized clinical trial lasting 12 weeks, 69 individuals with Parkinson’s disease participated in the study: forró and samba group (FSG = 23), samba group (SG = 23), and control group (CG = 23). Results: Significant improvements were found after SG intervention in the UPDRSIII and in the subitem quality of life mobility. In intra-group comparisons of FSG, significant differences were found in the subtype of quality of life discomfort. In the intergroup analysis, significant differences were found between CG, SG, and FSG in the communication sub-item, showing a greater increase in the scores of the groups that participated in the SG and FSG. Conclusions: The findings of this study suggest that Brazilian dance practice is capable of improving the perception of some aspects of quality of life and motor symptoms in relation to controls in people with Parkinson’s disease.
    Type of Medium: Online Resource
    ISSN: 1089-313X , 2374-8060
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
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  • 6
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2021-01-12)
    Abstract: We systematically reviewed observational and clinical trials (baseline) studies examining differences in gait parameters between Parkinson’s disease (PD) in on-medication state and healthy control. Four electronic databases were searched (November-2018 and updated in October-2020). Independent researchers identified studies that evaluated gait parameters measured quantitatively during self-selected walking speed. Risk of bias was assessed using an instrument proposed by Downs and Black (1998). Pooled effects were reported as standardized mean differences and 95% confidence intervals using a random-effects model. A total of 72 studies involving 3027 participants (1510 with PD and 1517 health control) met the inclusion criteria. The self-selected walking speed, stride length, swing time and hip excursion were reduced in people with PD compared with healthy control. Additionally, PD subjects presented higher cadence and double support time. Although with a smaller difference for treadmill, walking speed is reduced both on treadmill (.13 m s −1 ) and on overground (.17 m s −1 ) in PD. The self-select walking speed, stride length, cadence, double support, swing time and sagittal hip angle were altered in people with PD compared with healthy control. The precise determination of these modifications will be beneficial in determining which intervention elements are most critical in bringing about positive, clinically meaningful changes in individuals with PD (PROSPERO protocol CRD42018113042).
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2615211-3
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  • 7
    In: Sport Sciences for Health, Springer Science and Business Media LLC, Vol. 18, No. 4 ( 2022-12), p. 1119-1127
    Type of Medium: Online Resource
    ISSN: 1824-7490 , 1825-1234
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2181783-2
    SSG: 31
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  • 8
    In: Symmetry, MDPI AG, Vol. 11, No. 12 ( 2019-12-04), p. 1481-
    Abstract: Individuals with Parkinson’s disease (PD) have gait asymmetries, and exercise therapy may reduce the differences between more and less affected limbs. The Nordic walking (NW) training may contribute to reducing the asymmetry in upper and lower limb movements in people with PD. We compared the effects of 11 weeks of NW aerobic training on asymmetrical variables of gait in subjects with mild PD. Fourteen subjects with idiopathic PD, age: 66.8 ± 9.6 years, and Hoehn and Yard stage of 1.5 points were enrolled. The kinematic analysis was performed pre and post-intervention. Data were collected at two randomized walking speeds (0.28 m·s−1 and 0.83 m·s−1) during five minutes on the treadmill without poles. The more affected and less affected body side symmetries (threshold at 5% between sides) of angular kinematics and spatiotemporal gait parameters were calculated. We used Generalized Estimating Equations with Bonferroni post hoc (α = 0.05). Maximal flexion of the knee (p = 0.007) and maximal abduction of the hip (p = 0.041) were asymmetrical pre and became symmetrical post NW intervention. The differences occurred in the knee was less affected and the hip was more affected. We concluded that 11 weeks of NW training promoted similarities in gait parameters and improved knee and hip angular parameters for PD subjects.
    Type of Medium: Online Resource
    ISSN: 2073-8994
    Language: English
    Publisher: MDPI AG
    Publication Date: 2019
    detail.hit.zdb_id: 2518382-5
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  • 9
    In: Revista Brasileira de Atividade Física & Saúde, Brazilian Society of Physical Activity and Health, Vol. 26 ( 2022-01-14), p. 1-8
    Abstract: The world has been hit by a pandemic caused by the new coronavirus (COVID 19), which has resulted in government recommendations and measures including social isolation to reduce the spread of the disease. In view of these recommendations, there were drastic changes in lifestyle, impacting the physical and mental health of men and women. Thus, this study aimed to investigate the practice of physical activity, according to sex, in individuals with Parkinson’s disease in social isolation before and during the COVID-19 pandemic. Cross-sectional observational study, based on an online questionnaire validated for individuals with Parkinson’s disease PAFPA/COVID19, in which 156 individuals of both sexes and degrees of the disease (I to V) were allocated, with a mean age of 63.70 ± 11.00 years and from different Brazilian regions. Chi-square, Fisher’s exact and binary logistic regression tests were used. It is observed that 92% of the participants  were in social isolation, which caused negative effects on the level of physical activity of the participants, even though most of them doing physical activity online. In addition, it was found that those who participated in specific exercise programs for Parkinson’s disease, are less likely to be insufficiently active, as well as individuals who receive online guidance. Although social isolation is a necessary measure to combat COVID-19, the results show a negative effect of this social isolation on the parameters of physical activity in this population in different regions of Brazil. This suggests that better strategies for health promotion in order to increase levels of physical activity at home are necessary to reduce the physical inactivity lifestyle during the pandemic, in order to prevent diseases associated with social isolation and physical inactivity.
    Type of Medium: Online Resource
    ISSN: 2317-1634 , 1413-3482
    Language: Unknown
    Publisher: Brazilian Society of Physical Activity and Health
    Publication Date: 2022
    detail.hit.zdb_id: 2923488-8
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  • 10
    Online Resource
    Online Resource
    Georg Thieme Verlag KG ; 2024
    In:  International Journal of Sports Medicine Vol. 45, No. 05 ( 2024-05), p. 369-376
    In: International Journal of Sports Medicine, Georg Thieme Verlag KG, Vol. 45, No. 05 ( 2024-05), p. 369-376
    Abstract: This study aimed to investigate the impact of bar velocity during the eccentric phase on subsequent concentric performance in the young and elderly. Twelve elderly women (65.2+4.2 years) and 16 young women (23.1+2.1 years) were randomly assigned to four experimental conditions that combined high-velocity eccentric actions (HVECC; maximum velocity) and moderate-velocity eccentric actions (MVECC; 2.0 s), using 30% and 60% of their 1-repetition maximum (1RM) on the Smith machine bench press. Measurements of mean propulsive velocity (MPV), peak velocity (PV), and mean power (MP) were recorded. Two-way ANOVA with repeated measures was applied for each variable, when needed, the Bonferroni post hoc was used. Statistical significance was set at p 〈 0.05, and effect size (ES) was established by Cohen’s d z. The results demonstrated that elderly women showed improved performance in MPV (+10.0%; ES=− 0.58; p=0.009) and MP (+11.7%; ES=− 0.14; p=0.045) when utilizing HVECC at 30% 1RM only. Moreover, young women exhibited superior performance for both 30% and 60% 1RM when using HVECC for all variables analyzed (p 〈 0.05). The HVECC appears to have an impact on the subsequent performance of the concentric phase, particularly when lighter loads (30% 1RM) are utilized, regardless of the age group.
    Type of Medium: Online Resource
    ISSN: 0172-4622 , 1439-3964
    RVK:
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2024
    detail.hit.zdb_id: 2041541-2
    SSG: 31
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