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Ivaniski-Mello A, Cubillos-Arcila DM, Dell'Anna S, de Liz Alves L, Martinez FG, Buzzachera CF, Saute JAM, Peyré-Tartaruga LA. Postural adjustments and perceptual responses of Nordic running: concurrent effects of poles and irregular terrain. Eur J Appl Physiol 2024; 124:1733-1745. [PMID: 38231230 PMCID: PMC11129971 DOI: 10.1007/s00421-023-05397-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 12/05/2023] [Indexed: 01/18/2024]
Abstract
PURPOSE In the natural environment, humans must continuously negotiate irregular and unpredictable terrain. Recently, the poles have been extensively used during trial running events. However, we know little about how humans adjust posture and bilateral coordination to use poles in irregular terrain. Here, we compared kinematics, bilateral coordination and perceptual responses between regular (compact dust) and irregular terrain (medium-length grass) during running at preferred speed with and without poles. METHODS In this transversal observational study, thirteen young healthy adults (8 men; mean ± SD; age 29.1 ± 8.0 years, body mass 76.8 ± 11.4 kg; height 1.75 ± 0.08 m) were evaluated during running at a self-selected comfortable speed with and without poles on regular and irregular terrains. RESULTS Our results show that, despite more flexed pattern on lower-limb joints at irregular terrain, the usage of poles was not enough to re-stabilize the bilateral coordination. Also, the perceived exertion was impaired adding poles to running, probably due to more complex movement pattern using poles in comparison to free running, and the invariance in the bilateral coordination. CONCLUSION Besides the invariability of usage poles on bilateral coordination and lower-limb kinematics, the runners seem to prioritize postural stability over lower limb stiffness when running in medium-length grass given the larger range of ankle and knee motion observed in irregular terrain. Further investigations at rougher/hilly terrains will likely provide additional insights into the neuromotor control strategies used to maintain the stability and on perceptual responses using poles during running.
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Affiliation(s)
- André Ivaniski-Mello
- LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Felizardo Street, 750, Porto Alegre, 90690-200, Brazil
| | - Diana Maria Cubillos-Arcila
- LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Felizardo Street, 750, Porto Alegre, 90690-200, Brazil
- Graduate Program in Medicine, Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Stefano Dell'Anna
- Department of Public Health, Experimental Medicine and Forensic Sciences, University of Pavia, Pavia, Italy
| | - Lucas de Liz Alves
- LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Felizardo Street, 750, Porto Alegre, 90690-200, Brazil
| | - Flávia Gomes Martinez
- LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Felizardo Street, 750, Porto Alegre, 90690-200, Brazil
| | - Cosme Franklim Buzzachera
- Department of Public Health, Experimental Medicine and Forensic Sciences, University of Pavia, Pavia, Italy
| | - Jonas Alex Morales Saute
- Graduate Program in Medicine, Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Leonardo Alexandre Peyré-Tartaruga
- LaBiodin Biodynamics Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Felizardo Street, 750, Porto Alegre, 90690-200, Brazil.
- Department of Public Health, Experimental Medicine and Forensic Sciences, University of Pavia, Pavia, Italy.
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Espinoza-Araneda J, Caparros-Manosalva C, da Cunha M, Marzuca-Nassr GN, Fritz-Silva N, Pagnussat AS. Nordic walking and arm swing asymmetry in people with Parkinson's disease: protocol for a randomised clinical trial. BMJ Open Sport Exerc Med 2024; 10:e002029. [PMID: 38808265 PMCID: PMC11131108 DOI: 10.1136/bmjsem-2024-002029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2024] [Indexed: 05/30/2024] Open
Abstract
People with Parkinson's disease (PD) face disruptions in arm swing (AS) motion during walking, including a reduction in amplitude and an increase in asymmetry. Both conditions are detrimental to gait performance. Nordic walking (NW) is a walking modality that uses poles and can positively affect the parameters of AS. This study aims to compare an NW with a free walking (FW) protocol and investigate its effects on AS asymmetry, AS amplitude and gait parameters in people with PD. Twenty-eight people with PD, stages 1-3 on the Hoehn and Yahr Scale, will be randomly assigned to the NW training group (n=14) or the FW training group (n=14). The primary outcomes are amplitude asymmetry of AS (%) and AS amplitude (deg). We will also analyse temporospatial measurements during walking, functional mobility and quality of life. Blinded researchers will conduct evaluations at baseline (T0), postintervention (T1) and at 1 month follow-up (T2). Participants will complete 24 supervised NW or FW training sessions for 12 weeks. This is the first study to address the effects of NW on the asymmetry of AS, AS amplitude and its influence on gait parameters. We hypothesise that an NW programme in PD will reduce the asymmetry and increase the AS amplitude during gait to a greater extent than FW. The results of this study may provide new evidence to understand the effects of NW on gait in people with PD. The study was registered in ClinicalTrial.gov (NCT06342271).
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Affiliation(s)
- Jessica Espinoza-Araneda
- Faculty of Health Science, Department of Human Movement Sciences, University of Talca, Talca, Chile
- Interuniversity Center for Healthy Aging RED21993, Chile
| | - Cristian Caparros-Manosalva
- Faculty of Health Science, Department of Human Movement Sciences, University of Talca, Talca, Chile
- Interuniversity Center for Healthy Aging RED21993, Chile
| | - Maira da Cunha
- Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil
- Movement Analysis and Neurological Rehabilitation Laboratory, UFCSPA, Porto Alegre, Rio Grande do Sul, Brazil
| | - Gabriel Nasri Marzuca-Nassr
- Interuniversity Center for Healthy Aging RED21993, Chile
- Departamento de Ciencias de la Rehabilitación, Universidad de La Frontera, Temuco, Chile
| | - Nicole Fritz-Silva
- Interuniversity Center for Healthy Aging RED21993, Chile
- Health Department, University of Los Lagos - Campus Puerto Montt, Puerto Montt, Chile
| | - Aline S Pagnussat
- Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil
- Movement Analysis and Neurological Rehabilitation Laboratory, UFCSPA, Porto Alegre, Rio Grande do Sul, Brazil
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3
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Szpala A, Winiarski S, Kołodziej M, Jasiński R, Lejczak A, Kałka D, Lorek K, Bałchanowski J, Wudarczyk S, Woźniewski M, Pietraszewski B. Effects of nordic walking training on gait and exercise tolerance in male ischemic heart disease patients. Sci Rep 2024; 14:11249. [PMID: 38755348 PMCID: PMC11099289 DOI: 10.1038/s41598-024-62109-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 05/14/2024] [Indexed: 05/18/2024] Open
Abstract
This technique-focused observational study explores the impact of a 6-week Nordic Walking (NW) program on physiological and biomechanical aspects in ischemic heart disease (IHD) patients. Twelve male IHD patients (66.2 ± 5.2 years, 12.2 ± 7.5 years of disease duration) were evaluated pre- and post-training for (i) gait parameters, (ii) exercise tolerance using electrocardiographic (ECG) stress test, (iii) a 6-min walk test (6MWT). The NW training, adhering to IHD patient guidelines, involved a 100-m walk at a self-selected, preferred speed without sticks, with classic NW sticks and mechatronic sticks. A mechatronic measuring system, specifically engineered for measuring, diagnosing and monitoring the patient's gait, was integrated into mechatronic sticks. Post-training, significant enhancements were observed in ECG stress test duration, metabolic equivalency, and 6MWT distance, irrespective of the stick type. However, no significant changes were noted in spatiotemporal parameters concerning the measured side, stick utilisation, or type. The results suggest that NW training boosts exercise capacity and refines gait mechanics in male IHD patients. However, the improvement in exercise capacity was not linked to changes in gait mechanics from NW training but rather to the movement during NW gait. Hence, the key to enhancing exercise capacity in IHD patients is the movement during NW gait, not the quality of gait mechanics.
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Affiliation(s)
- Agnieszka Szpala
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684, Wrocław, Poland
| | - Sławomir Winiarski
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684, Wrocław, Poland.
| | - Małgorzata Kołodziej
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684, Wrocław, Poland
| | - Ryszard Jasiński
- Department of Human Biology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612, Wrocław, Poland
| | - Andrzej Lejczak
- Department of Physiotherapy in Surgical Medicine and Oncology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612, Wrocław, Poland
| | - Dariusz Kałka
- Department of Physiotherapy in Internal Diseases, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612, Wrocław, Poland
| | - Karolina Lorek
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612, Wrocław, Poland
| | - Jacek Bałchanowski
- Department of Fundamentals of Machine Design and Mechatronics Systems, Wroclaw University of Science and Technology, Łukasiewicza 7/9 Street, 50-371, Wrocław, Poland
| | - Sławomir Wudarczyk
- Department of Fundamentals of Machine Design and Mechatronics Systems, Wroclaw University of Science and Technology, Łukasiewicza 7/9 Street, 50-371, Wrocław, Poland
| | - Marek Woźniewski
- Department of Physiotherapy in Surgical Medicine and Oncology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612, Wrocław, Poland
| | - Bogdan Pietraszewski
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684, Wrocław, Poland
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Janicijevic D, Saez-Berlanga A, Babiloni-Lopez C, Martin-Rivera F, Jiménez-Martínez P, Silvestre-Herrero A, Martínez-Puente J, Ferradás-Nogueira P, Juesas A, Gene-Morales J, Chulvi-Medrano I, Colado JC. Acute physiological and psychological responses during an incremental treadmill test wearing a new upper-body sports garment with elastomeric technology. Front Physiol 2024; 15:1372020. [PMID: 38711952 PMCID: PMC11070584 DOI: 10.3389/fphys.2024.1372020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 03/18/2024] [Indexed: 05/08/2024] Open
Abstract
Background: The use of elastomeric technology in sports garments is increasing in popularity; however, its specific impact on physiological and psychological variables is not fully understood. Thus, we aimed to analyze the physiological (muscle activation of the pectoralis major, triceps brachii, anterior deltoid, and rectus abdominis, capillary blood lactate, systolic and diastolic blood pressure, and heart rate) and psychological (global and respiratory rating of perceived exertion [RPE]) responses during an incremental treadmill test wearing a new sports garment for the upper body that incorporates elastomeric technology or a placebo garment. Methods: Eighteen physically active young adults participated in two randomized sessions, one wearing the elastomeric garment and the other wearing a placebo. Participants performed in both sessions the same treadmill incremental test (i.e., starting at 8 km/h, an increase of 2 km/h each stage, stage duration of 3 min, and inclination of 1%; the test ended after completing the 18 km/h Stage or participant volitional exhaustion). The dependent variables were assessed before, during, and/or after the test. Nonparametric tests evaluated differences. Results: The elastomeric garment led to a greater muscle activation (p < 0.05) in the pectoralis major at 16 km/h (+33.35%, p = 0.01, d = 0.47) and 18 km/h (+32.09%, p = 0.02, d = 0.55) and in the triceps brachii at 10 km/h (+20.28%, p = 0.01, d = 0.41) and 12 km/h (+34.95%, p = 0.04, d = 0.28). Additionally, lower lactate was observed at the end of the test (-7.81%, p = 0.01, d = 0.68) and after 5 min of recovery (-13.71%, p < 0.001, d = 1.00) with the elastomeric garment. Nonsignificant differences between the garments were encountered in the time to exhaustion, cardiovascular responses, or ratings of perceived exertion. Conclusion: These findings suggest that elastomeric garments enhance physiological responses (muscle activation and blood lactate) during an incremental treadmill test without impairing physical performance or effort perception.
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Affiliation(s)
- Danica Janicijevic
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Department of Radiology, Ningbo No. 2 Hospital, Ningbo, China
- Department of Sports Sciences and Physical Conditioning, Faculty of Education, Universidad Catolica de la Santísima Concepción, Concepción, Chile
| | - Angel Saez-Berlanga
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Carlos Babiloni-Lopez
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Fernando Martin-Rivera
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Pablo Jiménez-Martínez
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
- ICEN Institute, Madrid, Spain
| | - Alejandro Silvestre-Herrero
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Javier Martínez-Puente
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Pablo Ferradás-Nogueira
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Alvaro Juesas
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Javier Gene-Morales
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Iván Chulvi-Medrano
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
| | - Juan C. Colado
- Research Group in Prevention and Health in Exercise and Sport (PHES), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
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Giovanelli N, Pellegrini B, Bortolan L, Mari L, Schena F, Lazzer S. Do poles really "save the legs" during uphill pole walking at different intensities? Eur J Appl Physiol 2023; 123:2803-2812. [PMID: 37392255 DOI: 10.1007/s00421-023-05254-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 06/10/2023] [Indexed: 07/03/2023]
Abstract
PURPOSE In sky- and trail-running competitions, many athletes use poles. The aims of this study were to investigate whether the use of poles affects the force exerted on the ground at the feet (Ffoot), cardiorespiratory variables and maximal performance during uphill walking. METHODS Fifteen male trail runners completed four testing sessions on different days. On the first two days, they performed two incremental uphill treadmill walking tests to exhaustion with (PWincr) and without poles (Wincr). On the following days, they performed submaximal and maximal tests with (PW80 and PWmax) and without (W80 and Wmax) poles on an outdoor trail course. We measured cardiorespiratory parameters, the rating of perceived exertion, the axial poling force and Ffoot. RESULTS When walking on the treadmill, we found that poles reduced maximum Ffoot (- 2.8 ± 6.4%, p = 0.03) and average Ffoot (- 2.4 ± 3.3%, p = 0.0089). However, when outdoors, we found pole effect only for average Ffoot (p = 0.0051), which was lower when walking with poles (- 2.6 ± 3.9%, p = 0.0306 during submaximal trial and - 5.21 ± 5.51%, p = 0.0096 during maximal trial). We found no effects of poles on cardiorespiratory parameters across all tested conditions. Performance was faster in PWmax than in Wmax (+ 2.5 ± 3.4%, p = 0.025). CONCLUSION The use of poles reduces the foot force both on the treadmill and outdoors at submaximal and maximal intensities. It is, therefore, reasonable to conclude that the use of poles "saves the legs" during uphill without affecting the metabolic cost.
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Affiliation(s)
- Nicola Giovanelli
- Department of Medicine, University of Udine, P.Le Kolbe 4, 33100, Udine, Italy.
- School of Sport Science, Udine, Italy.
| | - Barbara Pellegrini
- CeRiSM Research Centre "Sport, Mountain, and Health", Rovereto, TN, Italy
- Department of Engineering for Innovation Medicine, University of Verona, Verona, Italy
| | - Lorenzo Bortolan
- CeRiSM Research Centre "Sport, Mountain, and Health", Rovereto, TN, Italy
- Department of Engineering for Innovation Medicine, University of Verona, Verona, Italy
| | - Lara Mari
- Department of Medicine, University of Udine, P.Le Kolbe 4, 33100, Udine, Italy
- School of Sport Science, Udine, Italy
| | - Federico Schena
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy
| | - Stefano Lazzer
- Department of Medicine, University of Udine, P.Le Kolbe 4, 33100, Udine, Italy
- School of Sport Science, Udine, Italy
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Sommer B, Pauli C, McCaskey M, Behrendt F, Schuster-Amft C, Graf ES. Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain. Assist Technol 2023; 35:477-486. [PMID: 36346831 DOI: 10.1080/10400435.2022.2138634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2022] [Indexed: 11/10/2022] Open
Abstract
Physical activity, particularly walking, is commonly used for the treatment of diseases such as low back pain. In this study, the effects of walking wearing the new ToneFit Reha training belt (TFR) were compared to both Nordic walking and regular walking. The TFR is intended to intensify the effects of walking through the integration of two adjustable resistance handles. Ten patients with low back pain performed regular walking, Nordic walking, and walking with the TFR in a movement laboratory. The kinematics of the trunk, upper extremities, and lower extremities were measured, and the activity of the trunk and upper extremity muscles recorded. Data were analyzed by repeated-measures ANOVA and paired t-test. Kinematics indicated that walking with the TFR introduces instability that was mitigated by a delayed peak trunk rotation (peak at 63.3% gait cycle, vs. 52.8% in walking (p = .001) and 51.0% in NW (p = .007)). Upper extremity kinematics (constrained elbow flexion, high peak shoulder abduction) showed movement patterns that need to be considered when training over a longer period. Increased muscle activity was observed especially for upper extremity muscles, when training with TFR. Overall, walking with the TFR was found to be a suitable therapy for use in a rehabilitation setting.
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Affiliation(s)
- Bettina Sommer
- School of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Carole Pauli
- School of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| | | | - Frank Behrendt
- Research Department, Reha Rheinfelden, Rheinfelden, Switzerland
| | - Corina Schuster-Amft
- Research Department, Reha Rheinfelden, Rheinfelden, Switzerland
- Department of Sports, Exercise and Health, University of Basel, Basel, Switzerland
- Institute for Rehabilitation and Performance Technology, Department of Engineering and Information Technology, Bern University of Applied Sciences, Burgdorf, Switzerland
| | - Eveline S Graf
- School of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
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Ono K, Nishimoto J, Imura T, Mitsutake T, Inoue Y, Tanaka S, Tanaka R. The effects of walking training with poles on walking ability: A systematic review and meta-analysis of randomized controlled trials. PM R 2023; 15:1026-1037. [PMID: 35943832 DOI: 10.1002/pmrj.12886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 07/18/2022] [Accepted: 07/29/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The purpose of this study was to consolidate the level of evidence for the effects of walking training with poles (pole walking; PW) on walking ability using a systematic review and meta-analysis. TYPE: Systematic review and meta-analysis. LITERATURE SURVEY Databases including PubMed, Cochrane Library, Physiotherapy Evidence Database (PEDro), Cumulative Index to Nursing and Allied Health Literature databases, and Igaku Chuo Zasshi were searched on June 20, 2021. METHODOLOGY Data from randomized controlled trials (RCTs) comparing the effects of PW with walking without poles and/or other exercise interventions in disease-specific and aging populations were collected. Data on walking speed, functional mobility, and walking endurance were collected for the meta-analyses. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated from postintervention means and standard deviations. The PEDro scale was used for assessing the risk of bias, and the Grading of Recommendations Assessment, Development, and Evaluation system was used to determine the quality of evidence. SYNTHESIS This study included 13 RCTs comprising 750 participants; of these, six RCTs were included in the meta-analysis. The results showed that moderate-quality evidence supports the positive effects of PW on walking speed in patients with Parkinson disease (walking speed: SMD = 0.42, 95% CI = 0.04-0.80). In contrast, PW did not significantly improve functional mobility in patients with Parkinson disease and walking speed in older adults. CONCLUSIONS There was moderate-quality evidence that PW improved walking speed in patients with Parkinson disease.
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Affiliation(s)
- Koji Ono
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
- Department of Rehabilitation, Shigei Hospital, Okayama, Japan
| | - Junji Nishimoto
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
- Department of Rehabilitation, Saitama Medical Center, Saitama Medical University, Saitama, Japan
| | - Takeshi Imura
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
- Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, Japan
| | - Tsubasa Mitsutake
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
- Department of Physical Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan
| | - Yu Inoue
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
- Department of Rehabilitation, Kurashiki Heisei Hospital, Okayama, Japan
- Research Institute of Health and Welfare, Kibi International University, Okayama, Japan
| | - Shigeharu Tanaka
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
- Division of Physical Therapy, School of Rehabilitation, Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka, Japan
| | - Ryo Tanaka
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
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Kim J, Kim Y, Moon J, Kong J, Kim SJ. Biomechanical Analysis of the Unaffected Limb While Using a Hands-Free Crutch. J Funct Morphol Kinesiol 2023; 8:jfmk8020056. [PMID: 37218852 DOI: 10.3390/jfmk8020056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 04/20/2023] [Accepted: 04/23/2023] [Indexed: 05/24/2023] Open
Abstract
Basic human ambulation relies on a bipedal gait, which has been reported to be directly related to quality of life. However, injuries to the lower limb can cause an inability to walk and require non-weightbearing periods to heal. Among the many ambulatory aids, standard axillary crutches are prescribed. However, due to the disadvantages of having to use both hands, a slow gait, pain, nerve damage, and gait patterns that differ from that of healthy subjects, currently, a new generation of ambulatory aids has emerged. Among such aids, hands-free crutches (HFCs) are of particular interest due to their form factor, which does not require the use of the hands and facilitates a bipedal gait. In this study, we present an assessment of whether any different gait patterns, compared to overground gait, appeared on the unaffected limb during walking with an HFC. The spatiotemporal parameters, plantar force, lower-limb joint angles, and EMG patterns were evaluated. In conclusion, the results from 10 healthy subjects suggest that wearing an HFC causes only slight changes in the biomechanical gait patterns examined in the unaffected limb compared with overground walking without an HFC.
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Affiliation(s)
- Jaewook Kim
- Department of Biomedical Engineering, Korea University College of Medicine, Seoul 02841, Republic of Korea
| | - Yekwang Kim
- Department of Biomedical Engineering, Korea University College of Medicine, Seoul 02841, Republic of Korea
| | - Juhui Moon
- Department of Biomedical Engineering, Korea University College of Medicine, Seoul 02841, Republic of Korea
| | - Joo Kong
- Department of Biomedical Engineering, Korea University College of Medicine, Seoul 02841, Republic of Korea
| | - Seung-Jong Kim
- Department of Biomedical Engineering, Korea University College of Medicine, Seoul 02841, Republic of Korea
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Russo L, Belli G, Di Blasio A, Lupu E, Larion A, Fischetti F, Montagnani E, Di Biase Arrivabene P, De Angelis M. The Impact of Nordic Walking Pole Length on Gait Kinematic Parameters. J Funct Morphol Kinesiol 2023; 8:jfmk8020050. [PMID: 37218846 DOI: 10.3390/jfmk8020050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 04/17/2023] [Accepted: 04/23/2023] [Indexed: 05/24/2023] Open
Abstract
Nordic walking (NW) is a popular physical activity used to manage chronic diseases and maintain overall health and fitness status. This study aimed to compare NW to ordinary walking (W) with regard to pole length and to identify kinematic differences associated with different poles' length (55%, 65% and 75% of the subject's height, respectively). Twelve male volunteers (21.1 ± 0.7 years; 1.74 ± 0.05 m; 68.9 ± 6.1 kg) were tested in four conditions (W, NW55, NW65 and NW75) at three different speeds (4-5-6 km∗h-1). Each subject performed a total of twelve tests in a random order. Three-dimensional kinematics of upper and lower body were measured for both W and NW, while oxygen consumption levels (VO2) and rating of perceived exertion (RPE) were measured only for NW trials with different poles' length. NW showed a higher step length, lower elbow motion and higher trunk motion (p < 0.05) compared to W. Additionally, NW65 did not show any kinematic or RPE differences compared to NW55 and NW75. Only NW75 showed a higher elbow joint (p < 0.05) and lower pole (p < 0.05) range of motion compared to NW55 and a higher VO2 (p < 0.05) compared to NW55 and NW65 at 6 km∗h-1. In conclusion, the use of the poles affects the motion of the upper and lower body during gait. Poles with shorter or longer length do not produce particular changes in NW kinematics. However, increasing the length of the pole can be a smart variation in NW to increase exercise metabolic demand without significantly affecting the kinematics and the RPE.
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Affiliation(s)
- Luca Russo
- Department of Human Sciences, Università Telematica degli Studi IUL, 50122 Florence, Italy
| | - Guido Belli
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
| | - Andrea Di Blasio
- Department of Medicine and Aging Sciences, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy
| | - Elena Lupu
- Department of Motor Activities, Petroleum Gas University Ploiesti, 100600 Ploiesti, Romania
| | - Alin Larion
- Faculty of Physical Education and Sport, Ovidius University of Constanta, 900029 Constanta, Romania
| | - Francesco Fischetti
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Study of Bari, 70124 Bari, Italy
| | - Eleonora Montagnani
- Department of Sports and Health Sciences, University of Brighton, Brighton BN2 4AT, UK
| | | | - Marco De Angelis
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy
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10
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Saller M, Nagengast N, Frisch M, Fuss FK. A Review of Biomechanical and Physiological Effects of Using Poles in Sports. Bioengineering (Basel) 2023; 10:bioengineering10040497. [PMID: 37106684 PMCID: PMC10135831 DOI: 10.3390/bioengineering10040497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 03/31/2023] [Accepted: 04/10/2023] [Indexed: 04/29/2023] Open
Abstract
The use of poles in sports, to support propulsion, is an integral and inherent component of some sports disciplines such as skiing (cross-country and roller), Nordic walking, and trail running. The aim of this review is to summarize the current state-of-the-art of literature on multiple influencing factors of poles in terms of biomechanical and physiological effects. We evaluated publications in the subfields of biomechanics, physiology, coordination, and pole properties. Plantar pressure and ground reaction forces decreased with the use of poles in all included studies. The upper body and trunk muscles were more active. The lower body muscles were either less active or no different from walking without poles. The use of poles led to a higher oxygen consumption (VO2) without increasing the level of perceived exertion (RPE). Furthermore, the heart rate (HR) tended to be higher. Longer poles reduced the VO2 and provided a longer thrust phase and greater propulsive impulse. The mass of the poles showed no major influence on VO2, RPE, or HR. Solely the activity of the biceps brachii increased with the pole mass.
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Affiliation(s)
- Maximilian Saller
- Chair of Biomechanics, Faculty of Engineering Science, University of Bayreuth, 95447 Bayreuth, Germany
| | - Niko Nagengast
- Chair of Biomechanics, Faculty of Engineering Science, University of Bayreuth, 95447 Bayreuth, Germany
| | - Michael Frisch
- Chair of Biomechanics, Faculty of Engineering Science, University of Bayreuth, 95447 Bayreuth, Germany
| | - Franz Konstantin Fuss
- Chair of Biomechanics, Faculty of Engineering Science, University of Bayreuth, 95447 Bayreuth, Germany
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11
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Sturdy JT, Rizeq HN, Silder A, Sessoms PH, Silverman AK. WALKING SLOPE AND HEAVY BACKPACK LOADS AFFECT TORSO MUSCLE ACTIVITY AND KINEMATICS. J Electromyogr Kinesiol 2023; 70:102769. [PMID: 37004379 DOI: 10.1016/j.jelekin.2023.102769] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 03/23/2023] [Accepted: 03/24/2023] [Indexed: 03/28/2023] Open
Abstract
The independent effects of sloped walking or carrying a heavy backpack on posture and torso muscle activations have been reported. While the combined effects of sloped walking and backpack loads are known to be physically demanding, how back and abdominal muscles adapt to walking on slopes with heavy load is unclear. This study quantified three-dimensional pelvis and torso kinematics and muscle activity from longissimus, iliocostalis, rectus abdominis, and external oblique during walking on 0° and ± 10° degree slopes with and without backpack loads using two different backpack configurations (hip-belt assisted and shoulder-borne). Iliocostalis activity was greater during downhill and uphill compared to level walking, but longissimus was only greater during uphill. Rectus abdominis activity was greater during downhill and uphill compared to level, while external oblique activity decreased as slopes progressed from down to up. Longissimus, but not iliocostalis, activity was reduced during both backpack configurations compared to walking with no pack. Hip-belt assisted load carriage required less rectus abdominis activity compared to using shoulder-borne only backpacks; however, external oblique was not influenced by backpack condition. Our results revealed different responses between iliocostalis and longissimus, and between rectus abdominis and external obliques, suggesting different motor control strategies between anatomical planes.
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Affiliation(s)
- Jordan T Sturdy
- Department of Mechanical Engineering, Colorado School of Mines, United States.
| | - Hedaya N Rizeq
- Warfighter Performance Department, Naval Health Research Center, United States; Military and Veterans Health Solutions, Leidos, Inc, United States
| | - Amy Silder
- Warfighter Performance Department, Naval Health Research Center, United States
| | - Pinata H Sessoms
- Warfighter Performance Department, Naval Health Research Center, United States
| | - Anne K Silverman
- Department of Mechanical Engineering, Colorado School of Mines, United States; Quantitative Biosciences and Engineering Program, Colorado School of Mines, United States
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12
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Szpala A, Winiarski S, Kołodziej M, Pietraszewski B, Jasiński R, Niebudek T, Lejczak A, Lorek K, Bałchanowski J, Wudarczyk S, Woźniewski M. No Influence of Mechatronic Poles on the Movement Pattern of Professional Nordic Walkers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:ijerph20010163. [PMID: 36612484 PMCID: PMC9819459 DOI: 10.3390/ijerph20010163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 12/03/2022] [Accepted: 12/19/2022] [Indexed: 06/13/2023]
Abstract
This study compared selected temporal and kinematic parameters of normal gait and Nordic Walking (NW) performed with classic and mechatronic poles (classic poles equipped with sensors). It was assumed that equipping NW poles with sensors for biomechanical gait analysis would not impair the NW walking technique. Six professional NW instructors and athletes, including three women, participated in the study. The MyoMotion MR3 motion analysis system was used to collect gait kinematic variables. The subject's task was to cover a 100-m distance with three types of gait: a gait without poles, a gait with classic NW poles, and a gait with mechatronic poles at the preferred speed. Parameters were measured both on the right and left sides of the body. No significant differences were found between gait types for three temporal parameters: step cadence, step, and stride time. For the other variables, all the differences identified were between free-walking and walking with poles, with no differences between standard and mechatronic poles. For nine kinematic parameters, differences between free-walking and walking with poles for both the left and right sides were found, while no differences were due to the pole type. All temporal parameters were characterized by symmetry, while among kinematic parameters, only two were asymmetrical (shoulder abduction-adduction in walking with regular poles and elbow flexion-extension in walking without poles). Equipping classic NW poles with additional signaling and measuring devices (mechatronic poles) does not impair the NW technique, making it possible to use them in further studies of gait biomechanics.
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Affiliation(s)
- Agnieszka Szpala
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684 Wrocław, Poland
| | - Sławomir Winiarski
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684 Wrocław, Poland
| | - Małgorzata Kołodziej
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684 Wrocław, Poland
| | - Bogdan Pietraszewski
- Department of Biomechanics, Wroclaw University of Health and Sport Sciences, Mickiewicza 58 Street, 51-684 Wrocław, Poland
| | - Ryszard Jasiński
- Department of Human Biology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612 Wrocław, Poland
| | - Tadeusz Niebudek
- Department of Physical Culture Pedagogy, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612 Wrocław, Poland
| | - Andrzej Lejczak
- Department of Physiotherapy in Surgical Medicine and Oncology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612 Wrocław, Poland
| | - Karolina Lorek
- Department of Kinesiology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612 Wrocław, Poland
| | - Jacek Bałchanowski
- Department of Fundamentals of Machine Design and Mechatronics Systems, Wroclaw University of Science and Technology, Łukasiewicza 7/9 Street, 50-371 Wrocław, Poland
| | - Sławomir Wudarczyk
- Department of Fundamentals of Machine Design and Mechatronics Systems, Wroclaw University of Science and Technology, Łukasiewicza 7/9 Street, 50-371 Wrocław, Poland
| | - Marek Woźniewski
- Department of Physiotherapy in Surgical Medicine and Oncology, Wroclaw University of Health and Sport Sciences, Paderewskiego 35 Avenue, 51-612 Wrocław, Poland
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13
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Zhen K, Zhang S, Tao X, Li G, Lv Y, Yu L. A systematic review and meta-analysis on effects of aerobic exercise in people with Parkinson's disease. NPJ Parkinsons Dis 2022; 8:146. [PMID: 36316416 PMCID: PMC9622812 DOI: 10.1038/s41531-022-00418-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 10/19/2022] [Indexed: 11/05/2022] Open
Abstract
Previous studies have shown that aerobic exercise is an effective way to improve symptoms of Parkinson's disease (PD). The aim of this study [PROSPERO CRD42022340730] was to explore the effects of aerobic exercises on balance, gait, motor function, and quality of life in PD patients. Searches were performed in PubMed, Web of Science, and EBSCO electronic databases. The Cochrane risk assessment tool was used to evaluate the methodological quality of the included literature. From 1287 search records initially identified, 20 studies were considered eligible for systematic review and meta-analysis. There was a significant effect of aerobic exercise on improving timed up and go test [standardized mean difference (SMD), -0.41 (95% CI, -0.61 to -0.22), p < 0.00001], Berg Balance Scale [0.99 (95% CI, 0.76 to 1.23), p < 0.00001], stride/step length [0.32 (95% CI, 0.03 to 0.61), p = 0.03], gait velocity [0.49 (95% CI, 0.20 to 0.78), p = 0.0009], Unified Parkinson's Disease Rating Scale Part-III [-0.40 (95% CI, -0.55 to -0.24), p < 0.00001], and 6-minute walking test [0.35 (95% CI, 0.13 to 0.56), p = 0.002] in people with PD, but not in step cadence [-0.08 (95% CI, -0.43 to 0.27), p = 0.65] and Parkinson's Disease Questionnaire-39 [-0.113 (95% CI, -0.39 to 0.13), p = 0.32]. Aerobic exercise had beneficial effects in improving balance, gait (velocity and stride/step length), and motor function in PD patients. However, aerobic exercise had no significant associations with the step cadence and quality of life in PD patients.
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Affiliation(s)
- Kai Zhen
- grid.411614.70000 0001 2223 5394Key Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing, China ,grid.411614.70000 0001 2223 5394Department of Sports Performance, Beijing Sport University, Beijing, China
| | - Shiyan Zhang
- grid.411614.70000 0001 2223 5394Key Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing, China ,grid.411614.70000 0001 2223 5394Department of Sports Performance, Beijing Sport University, Beijing, China
| | - Xifeng Tao
- grid.411614.70000 0001 2223 5394Department of Sports Performance, Beijing Sport University, Beijing, China
| | - Gen Li
- grid.411614.70000 0001 2223 5394Department of Sports Performance, Beijing Sport University, Beijing, China
| | - Yuanyuan Lv
- grid.411614.70000 0001 2223 5394Key Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing, China ,grid.411614.70000 0001 2223 5394China Institute of Sport and Health Science, Beijing Sport University, Beijing, China
| | - Laikang Yu
- grid.411614.70000 0001 2223 5394Key Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing Sport University, Beijing, China ,grid.411614.70000 0001 2223 5394Department of Sports Performance, Beijing Sport University, Beijing, China
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14
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Intersubjectivity and the meaning of Nordic Walking practice in the view of people with Parkinson’s disease. SCIENTIA MEDICA 2022. [DOI: 10.15448/1980-6108.2022.1.39969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Aims: whilst Nordic Walking (NW) practice is spreading worldwide, few studies have addressed the issue of intersubjectivity and the perception of PD individuals practicing NW and its possible impact on their daily life across different countries and cultures. This pilot study sought to explore the possible relationship between the habit of practicing NW and the perception of functionality and quality of life in the participants’ cultural context. Methods: the focus group (FG) technique was used, with 10 individuals participating in a NW program. Results: content analysis revealed five main discourse categories: a) “NW benefits for people with PD”; b) “incorporation of the NW poles in daily life”; c) “Belonging to a NW group as a treatment aid”; d) “how PD people feel about their condition”; and, finally, e) “the present and the future: expectations and issues”. Conclusion: in general, NW was found to generates positive content regarding coping with PD, beyond the biomechanical and quantitative functional effects previously studied. We suggest NW might be an important adjuvant resource for improving perceived functionality among people with PD.
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15
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Grigoletto A, Mauro M, Oppio A, Greco G, Fischetti F, Cataldi S, Toselli S. Effects of Nordic Walking Training on Anthropometric, Body Composition and Functional Parameters in the Middle-Aged Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127433. [PMID: 35742680 PMCID: PMC9224194 DOI: 10.3390/ijerph19127433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 06/14/2022] [Accepted: 06/15/2022] [Indexed: 12/10/2022]
Abstract
Nordic walking (NW) is an easy physical exercise that is usually proposed for clinical populations and for the elderly. The aim of the present study was to examine the effects of a period of NW training in a non-clinical middle-aged population on anthropometric, body composition and functional parameters. A pre-test/post-test study design was conducted on 77 participants: 56 women (72.7%, age 55.53 ± 9.73 years) and 21 men (27.3%, age 60.51 ± 8.15 years). The measurements were carried out with physical tests at the baseline and at the follow up. Participants did two weekly NW training sessions of about 60 min each. A questionnaire was administered to evaluate their feelings after the training period. Paired Students' test was carried out to evaluate the pre-post differences, and the analysis of variance was performed to evaluate the questionnaire. Participants had significantly less stress and anxiety after the NW training. Body fat parameters showed a significant decrease, especially for women. Phase angle and strength of lower body presented a significant increase in both sexes after the training period. In conclusion, NW shows many potential benefits also for the nonclinical population and could be an important exercise to remain active and to maintain a good health condition.
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Affiliation(s)
- Alessia Grigoletto
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy; (A.G.); (S.T.)
| | - Mario Mauro
- Department of Life Quality Studies, University of Bologna, 47921 Rimini, Italy;
| | - Alberto Oppio
- School of Pharmacy, Biotechnology and sport Science, University of Bologna, 40126 Bologna, Italy;
| | - Gianpiero Greco
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Study of Bari, 70124 Bari, Italy;
- Correspondence: (G.G.); (F.F.)
| | - Francesco Fischetti
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Study of Bari, 70124 Bari, Italy;
- Correspondence: (G.G.); (F.F.)
| | - Stefania Cataldi
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Study of Bari, 70124 Bari, Italy;
| | - Stefania Toselli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy; (A.G.); (S.T.)
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16
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Cokorilo N, Ruiz-Montero PJ, González-Fernández FT, Martín-Moya R. An Intervention of 12 Weeks of Nordic Walking and Recreational Walking to Improve Cardiorespiratory Capacity and Fitness in Older Adult Women. J Clin Med 2022; 11:jcm11102900. [PMID: 35629025 PMCID: PMC9142967 DOI: 10.3390/jcm11102900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 05/10/2022] [Accepted: 05/19/2022] [Indexed: 02/01/2023] Open
Abstract
(1) Background: The main aim of this study was to examine the effect of an intervention of 12 weeks in three groups on anthropometric measurement and heart rate (HR) variables, fitness index, and maximal oxygen consumption (VO2max) in older women. (2) Methods: In total, 166 Serbian adult women, aged 50 to 69 years old, participated in this study, comprising a control group (60 participants, μage = 57.8 + 6.6), Nordic-walking (NW) group (53 participants, μage = 57.5 + 6.8), and recreational-walking (RW) group (53 participants, μage = 57.8 + 6.6) in a physical fitness programme for 12 weeks. (3) Results: Anthropometric measurement variables were measured using a stadiometer and an electronic scale. The data showed differences in walking heart rate (bt/min) (p < 0.001; η2 = 0.088) between control, NW, and RW groups in the pretest analysis. Moreover, there were significant differences in walking heart rate (bt/min) (η2 = 0.155), heart rate at the end of the test (bt/min) (η2 = 0.093), total time of fitness index test (min) (η2 = 0.097), fitness index (η2 = 0.130), and VO2max (η2 = 0.111) (all, p < 0.001) between control, NW, and RW groups in the posttest analysis. (4) Conclusions: NW group training resulted in slightly greater benefits than RW group training. The present study demonstrated that both groups could act as modalities to improve the functionality and quality of life of people during the ageing process, reflected mainly in HR variables; UKK test measurements, and VO2max. It also contributes to the extant research on older women during exercise and opens interesting avenues for future research.
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Affiliation(s)
- Nebojsa Cokorilo
- Faculty of Sport, University UNION Nikola Tesla, 11158 Belgrade, Serbia;
| | - Pedro Jesús Ruiz-Montero
- Physical Education and Sport Department, Faculty of Education and Sport Sciences, Campus of Melilla, University of Granada, 52005 Melilla, Spain; (F.T.G.-F.); (R.M.-M.)
- Correspondence:
| | - Francisco Tomás González-Fernández
- Physical Education and Sport Department, Faculty of Education and Sport Sciences, Campus of Melilla, University of Granada, 52005 Melilla, Spain; (F.T.G.-F.); (R.M.-M.)
| | - Ricardo Martín-Moya
- Physical Education and Sport Department, Faculty of Education and Sport Sciences, Campus of Melilla, University of Granada, 52005 Melilla, Spain; (F.T.G.-F.); (R.M.-M.)
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17
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Adapted physical activity in subjects and athletes recovering from covid-19: a position statement of the Società Italiana Scienze Motorie e Sportive. SPORT SCIENCES FOR HEALTH 2022; 18:659-669. [PMID: 35600000 PMCID: PMC9107771 DOI: 10.1007/s11332-022-00951-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 04/16/2022] [Indexed: 12/22/2022]
Abstract
Coronavirus disease 2019 (COVID-19) is a worldwide pandemic illness that is impacting the cardiovascular, pulmonary, musculoskeletal, and cognitive function of a large spectrum of the worldwide population. The available pharmacological countermeasures of these long-term effects of COVID-19 are minimal, while myriads of non-specific non-pharmacological treatments are emerging in the literature. In this complicated scenario, particular emphasis should be dedicated to specific exercise interventions tailored for subjects and athletes recovering from COVID-19. Specific guidelines on adapted physical activity in this critical population are unavailable so far, therefore, in this position statement of the Società Italiana di Scienze Motorie e Sportive (SISMeS) the members of the steering committee of the research group Attività Motoria Adattata, Alimentazione, Salute e Fitness have indicated the adapted physical activity approaches to counteract the long-term effects of the COVID-19, both in good health people and athletes.
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18
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Pole Walking Is Faster but Not Cheaper During Steep Uphill Walking. Int J Sports Physiol Perform 2022; 17:1037-1043. [PMID: 35316790 DOI: 10.1123/ijspp.2021-0274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 12/23/2021] [Accepted: 01/27/2022] [Indexed: 11/18/2022]
Abstract
PURPOSE The aim of this study was to compare pole walking (PW) and walking without poles (W) on a steep uphill mountain path (1.3 km, 433 m of elevation gain) at 2 different intensities: a maximal effort that would simulate a vertical kilometer intensity and a lower intensity (80% of maximal) simulating an ultratrail race. METHODS On the first day, we tested the participants in the laboratory to determine their maximal physiological parameters, respiratory compensation point, and gas exchange threshold. Then, they completed 4 uphill tests along a mountain path on 4 separate days, 2 at their maximum effort (PWmax and Wmax, randomized order) and 2 at 80% of the mean vertical velocity maintained during the first 2 trials (PW80 and W80, randomized order). We collected metabolic data, heart rate, blood lactate concentration, and rating of perceived exertion at the end of each trial. We also collected rating of perceived exertion at every 100 m of elevation gain during PW80 and W80. RESULTS Participants completed the maximal effort faster with poles versus without poles (18:51 [03:12] vs 19:19 [03:01] in min:s, P = .013, d = 0.08, small). Twelve of the 15 participants (80%) improved their performance when they used poles. During PW80 and W80, none of the physiological or biomechanical parameters were different. CONCLUSION In the examined condition, athletes should use poles during steep uphill maximal efforts to obtain the best performance. Conversely, during submaximal effort, the use of poles does not provide advantages in uphill PW.
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19
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Peyré-Tartaruga LA, Boccia G, Feijó Martins V, Zoppirolli C, Bortolan L, Pellegrini B. Margins of stability and trunk coordination during Nordic walking. J Biomech 2022; 134:111001. [DOI: 10.1016/j.jbiomech.2022.111001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 10/19/2022]
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20
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GIOVANELLI N, CIGALOTTO A, LESA B, LAZZER S. Walking versus cycling test: physiological responses in normobaric hypoxia. GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE 2022. [DOI: 10.23736/s0393-3660.20.04543-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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21
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Leal-Nascimento AH, da Silva ES, Zanardi APJ, Ivaniski-Mello A, Passos-Monteiro E, Martinez FG, Rodrigo de Carvalho A, Baptista RR, Peyré-Tartaruga LA. Biomechanical responses of Nordic walking in people with Parkinson's disease. Scand J Med Sci Sports 2021; 32:290-297. [PMID: 34780079 DOI: 10.1111/sms.14095] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 10/28/2021] [Accepted: 11/08/2021] [Indexed: 11/27/2022]
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.
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Affiliation(s)
- Antonio Henrique Leal-Nascimento
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.,Federal Institute of Education, Science and Technology of Pará, Abaetetuba, Brazil
| | - Edson Soares da Silva
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - André Ivaniski-Mello
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Elren Passos-Monteiro
- Postgraduate in Human Movement Sciences, Faculty of Physical Education, Universidade Federal do Pará, Castanhal, Brazil
| | - Flávia Gomes Martinez
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Rafael Reimann Baptista
- Physical Activity Research Laboratory, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
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22
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Sarvestan J, Ataabadi PA, Yazdanbakhsh F, Abbasi S, Abbasi A, Svoboda Z. Lower limb joint angles and their variability during uphill walking. Gait Posture 2021; 90:434-440. [PMID: 34597985 DOI: 10.1016/j.gaitpost.2021.09.195] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 09/05/2021] [Accepted: 09/22/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND Adaptation of the walking pattern to uphill walking demands immediate coordination between the lower limb segments. Nonetheless, knowledge about individual joints' responses and variability in response to the new slope angles are missing. AIMS This study investigated the impacts of uphill walking on the ankle, the knee and the hip joints angles and their variability. METHODS Twenty-three collegiate athletes (age: 22.04 ± 3.43years, body mass: 62.14 ± 9.26Kg, height: 168.29 ± 7.06 cm) walked on an inclined treadmill at 0 ° (level walking -LW), 5 ° (low-slope-walking -LSW), and 10 ° (high-slope-walking -HSW) slopes at their preferred walking speed (4.2 ± 0.51 km.h-1). The ankle, knee and hip joints angles and their variability (standard deviations) were calculated and analysed throughout the gait cycles in LW, LSW, and HSW. RESULTS Repeated measure ANOVA portrayed significant differences between the ankle joint angles in sagittal (p < .001, ηp2>.14), frontal (p < .05, ηp2>.14), and transverse (p < .005, .14 < ηp2>.01) planes. In the knee joint, the sagittal (p < .001, ηp2>.14), frontal (p < .05, ηp2>.14), and transverse (p < .05, ηp2>.14) angles were significantly different (p < 0.05). Similarly, in the hip joint, the sagittal (p < .05, ηp2>.14), frontal (p < .05, ηp2>.14), and transverse (p < .05, ηp2>.14) angles were significantly different. Ankle angle variability was significantly different in sagittal (P < .001, ηp2>.14), frontal (p = .002, ηp2>.14) and horizontal (P < .001, ηp2>.14) planes, as well as knee joint angle variability in sagittal, frontal and horizontal planes p < 0.001, ηp2>.14. The hip joint variability was considerably different in sagittal (p = .031, ηp2>.14) and horizontal (p < .05, ηp2>.14) planes. CONCLUSION Uphill walking involves further modifications in the ankle, knee and hip joints angle to adjust the whole-body movements to a new slope. This adjustment resulted in a firm base of support, provided by the ankle, to regulate the knee and hip joints modifications. Nevertheless, it caused less ankle movement variability and could end up with injuries over long-term uphill walking.
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Affiliation(s)
- Javad Sarvestan
- Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacky University Olomouc, Olomouc, Czech Republic.
| | - Peyman Aghaie Ataabadi
- Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
| | - Fateme Yazdanbakhsh
- Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
| | - Shahram Abbasi
- Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
| | - Ali Abbasi
- Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
| | - Zdeněk Svoboda
- Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacky University Olomouc, Olomouc, Czech Republic
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Kantorowicz M, Szymura J, Szygula Z, Kusmierczyk J, Maciejczyk M, Wiecek M. Nordic Walking at Maximal Fat Oxidation Intensity Decreases Circulating Asprosin and Visceral Obesity in Women With Metabolic Disorders. Front Physiol 2021; 12:726783. [PMID: 34539448 PMCID: PMC8446531 DOI: 10.3389/fphys.2021.726783] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 08/13/2021] [Indexed: 01/24/2023] Open
Abstract
Objective Excess visceral adipose tissue is associated with insulin resistance and other metabolic disorders, including deregulation of adipokine secretion, which may be corrected by aerobic exercise training. Asprosin is a novel adipokine responsible for the regulation of appetite and the release of glucose from the liver, and its levels are pathologically elevated in obesity. The aim of the study was to evaluate the effects of 8-week Nordic walking (NW) training at maximal fat oxidation intensity (FATmax) on changes in body mass, as well as those in insulin resistance and asprosin levels among young women with visceral obesity and metabolic disorders. Materials and Methods The study was completed by 14 women (30.14 ± 3.63 years) representing low levels of physical activity, visceral obesity (waist circumference 105.50 ± 14.87 cm, BMI 33.85 ± 5.48 kg/m2) and with metabolic disorders, who for 8 weeks (three times a week, 60 min), participated in NW training at the FATmax intensity (61.92 ± 6.71% HRmax, 42.33 ± 8.69% VO2max) controlled on the basis of heart rate (114.21 ± 14.10 bpm). Results After 4 and 8 weeks of NW training, a significant decrease in the concentration of asprosin, waist and hip circumference (HC), waist-to-height ratio and body adiposity index (BAI) (p < 0.05, large effect size) were found. Conclusion The 8-week NW training at an FATmax intensity decreases the concentration of asprosin in the blood as well as visceral obesity in young women with metabolic disorders.
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Affiliation(s)
- Malgorzata Kantorowicz
- Ph.D. Studies, Faculty of Physical Education and Sport, University School of Physical Education in Kraków, Kraków, Poland
| | - Jadwiga Szymura
- Department of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University School of Physical Education in Kraków, Kraków, Poland
| | - Zbigniew Szygula
- Department of Sports Medicine and Human Nutrition, Faculty of Physical Education and Sport, Institute of Biomedical Sciences, University School of Physical Education in Kraków, Kraków, Poland
| | - Justyna Kusmierczyk
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University School of Physical Education in Kraków, Kraków, Poland
| | - Marcin Maciejczyk
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University School of Physical Education in Kraków, Kraków, Poland
| | - Magdalena Wiecek
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University School of Physical Education in Kraków, Kraków, Poland
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Podsiadło S, Skiba A, Kałuża A, Ptaszek B, Stożek J, Skiba A, Marchewka A. Influence of Nordic Walking Training on Vitamin D Level in the Blood and Quality of Life among Women Aged 65-74. Healthcare (Basel) 2021; 9:healthcare9091146. [PMID: 34574920 PMCID: PMC8471811 DOI: 10.3390/healthcare9091146] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 08/26/2021] [Accepted: 08/27/2021] [Indexed: 12/02/2022] Open
Abstract
Introduction. Demographic forecasts indicate the progressive aging process of societies in all countries worldwide. The extension of life span may be accompanied by deterioration of its quality resulting from a decrease in physical activity, mental or even social performance, and a deficit in certain chemical compounds responsible for proper functioning of the body. Aim. The aim of the study was to evaluate the influence of a 12-week Nordic walking (NW) training intervention on the level of vitamin D in the blood and quality of life among women aged 65–74 years. Materials and methods. The study comprised 37 women aged 65–74 (x = 68.08, SD = 4.2). The subjects were randomly assigned to 2 groups: experimental group (NW), which consisted of 20 women who underwent an intervention in the form of Nordic walking training for 12 weeks, and the control group (C), including 17 women who underwent observation. In the experimental group, training sessions were held 3 times a week for 1 h. At that time, the C group was not subject to any intervention. The SF−36 questionnaire was used to measure quality of life. Vitamin D was assessed based on the results of biochemical blood tests. The analysed parameters were assessed twice-before and after the completed intervention or observation. Results. Comparison of the results regarding trials 1 and 2 allowed to note statistically significant improvement in quality of life for all health components and factors in the NW group. Analysis of vitamin D levels demonstrated a statistically significant increase in the NW group. In group C, no significant changes in the analysed parameters were observed. Conclusions. Regularly undertaking Nordic walking training significantly influences the improvement of self-evaluation regarding the components of physical and mental health, as well as the concentration of vitamin D in women aged 65–74 years.
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Affiliation(s)
- Szymon Podsiadło
- Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Kraków, Poland; (A.S.); (A.K.); (J.S.); (A.S.); (A.M.)
- Correspondence:
| | - Agnieszka Skiba
- Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Kraków, Poland; (A.S.); (A.K.); (J.S.); (A.S.); (A.M.)
| | - Anna Kałuża
- Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Kraków, Poland; (A.S.); (A.K.); (J.S.); (A.S.); (A.M.)
| | - Bartłomiej Ptaszek
- Institute of Applied Sciences, University of Physical Education in Krakow, 31-571 Kraków, Poland;
| | - Joanna Stożek
- Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Kraków, Poland; (A.S.); (A.K.); (J.S.); (A.S.); (A.M.)
| | - Amadeusz Skiba
- Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Kraków, Poland; (A.S.); (A.K.); (J.S.); (A.S.); (A.M.)
| | - Anna Marchewka
- Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Kraków, Poland; (A.S.); (A.K.); (J.S.); (A.S.); (A.M.)
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Nemoto Y, Sakurai R, Ogawa S, Maruo K, Fujiwara Y. Effects of an unsupervised Nordic walking intervention on cognitive and physical function among older women engaging in volunteer activity. J Exerc Sci Fit 2021; 19:209-215. [PMID: 34306117 PMCID: PMC8281374 DOI: 10.1016/j.jesf.2021.06.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 06/27/2021] [Accepted: 06/29/2021] [Indexed: 02/01/2023] Open
Abstract
Background Nordic walking (NW) has been reported as a safe and effective exercise mode. However, the effects of NW on cognitive function are unknown. This study examined the effects of an unsupervised NW intervention on cognitive and physical function among older women engaging in volunteering. Methods Forty-seven women aged ≥70 years were enrolled and assigned into three groups (NW (n = 16); walking (n = 19); control group (n = 12)) based on residential areas. Participants in NW and walking groups received a pedometer and recorded daily step counts. The NW group received poles and 2 h of NW instruction. Participants were encouraged to perform the exercise individually more than once a week during the 3-month intervention. As baseline and follow-up assessments, cognitive function (Montreal Cognitive Assessment [MoCA-J] and Trail Making Test), physical function (handgrip strength, walking speed, balance ability, the Timed Up and Go test, and functional capacity), and objective physical activity were evaluated. Results In the NW group, physical activity, maximal walking speed, and MoCA-J scores were improved during the intervention period. In the walking group, physical activity was increased after the intervention. Analysis of covariance showed that maximal walking speed among the NW group significantly improved compared with the walking group. Sub-group analysis of participants who exercised more than once a week showed that handgrip strength, gait speed, and MoCA-J scores were significantly improved in the NW compared with the walking group. Conclusion NW intervention improved cognitive and physical function compared with simple walking among older women.
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Affiliation(s)
- Yuta Nemoto
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi, Tokyo, 173-0015, Japan
| | - Ryota Sakurai
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi, Tokyo, 173-0015, Japan
| | - Susumu Ogawa
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi, Tokyo, 173-0015, Japan
| | - Kazushi Maruo
- Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba Ibaraki, 305-8575, Japan
| | - Yoshinori Fujiwara
- Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi, Tokyo, 173-0015, Japan
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Baek S, Ha Y. Estimation of energy expenditure of Nordic walking: a crossover trial. BMC Sports Sci Med Rehabil 2021; 13:14. [PMID: 33608046 PMCID: PMC7893942 DOI: 10.1186/s13102-021-00240-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 02/03/2021] [Indexed: 11/17/2022]
Abstract
Background Nordic walking (NW) requires more energy compared with conventional walking (W). However, the metabolic equation for NW has not been reported. Therefore, this study aimed to characterize responses in oxygen uptake, minute ventilation, heart rate, systolic blood pressure, and surface electromyography of the upper and lower limb muscles during NW and W and develop a metabolic equation for energy expenditure (E, mL·kg− 1·min− 1) of NW. Methods This study was performed in a randomized, controlled, crossover design to test the energy expenditure during NW and W. Fifteen healthy young men were enrolled (aged 23.7 ± 3.0 years). All participants performed two randomly ordered walking tests (NW and W) on a treadmill at a predetermined stepwise incremental walking speed (3–5 km·h− 1) and grade (0–7%). The oxygen uptake, minute ventilation, heart rate, systolic blood pressure, and surface electromyography signals of the three upper limb muscles and three lower limb muscles in their right body were recorded and compared between NW and W using paired-t test. Multiple linear regression analysis was used to draw estimation of E during W and NW. Results Oxygen uptake (+ 15.8%), minute ventilation (+ 17.0%), heart rate (+ 8.4%), and systolic blood pressure (+ 7.7%) were higher in NW than in W (P < .05). NW resulted in increased muscle activity in all of the upper limb muscles (P < .05). In the lower limb, surface electromyography activities in two of the three lower limb muscles were increased in NW than in W only during level walking (P < .05). Energy expenditure during W and NW was estimated as follows: ENW = 6.1 + 0.09 × speed + 1.19 × speed × grade and EW = 4.4 + 0.09 × speed + 1.20 × speed × grade. Conclusion NW showed higher work intensity than W, with an oxygen consumption difference of 1.7 mL·kg− 1·min− 1. The coefficients were not different between the two walking methods. NW involved more muscles of the upper body than W.
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Affiliation(s)
- Sora Baek
- Department of Rehabilitation Medicine, Kangwon National University Hospital, Baengnyeong-ro 156, Chuncheon-si, Gangwon-do, 24289, Republic of Korea. .,Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Kangwondaehak-gil 1, Chuncheon-si, Gangwon-do, 24341, Republic of Korea.
| | - Yuncheol Ha
- Department of Rehabilitation Medicine, Kangwon National University Hospital, Baengnyeong-ro 156, Chuncheon-si, Gangwon-do, 24289, Republic of Korea
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Adapted Physical Activity to Ensure the Physical and Psychological Well-Being of COVID-19 Patients. J Funct Morphol Kinesiol 2021; 6:jfmk6010013. [PMID: 33572883 PMCID: PMC7930972 DOI: 10.3390/jfmk6010013] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 01/26/2021] [Accepted: 01/27/2021] [Indexed: 12/18/2022] Open
Abstract
The novel coronavirus disease 2019 (COVID-19) has been responsible for a global pandemic involving massive increases in the daily numbers of cases and deaths. Due to the emergency caused by the pandemic, huge efforts have been made to develop COVID-19 vaccines, the first of which were released in December 2020. Effective vaccines for COVID-19 are needed to protect the population, especially healthcare professionals and fragile individuals, such as older people or chronic-disease-affected patients. Physical exercise training generally has health benefits and assists in the prevention of several chronic diseases. Moreover, physical activity improves mental health by reducing anxiety, depression, and negative mood and improving self-esteem. Therefore, the present review aims to provide a detailed view of the literature, presenting updated evidence on the beneficial effects of adapted physical activity, based on personalized and tailor-made exercise, in preventing, treating, and counteracting the consequences of COVID-19.
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Passos-Monteiro E, B. Schuch F, T. Franzoni L, R. Carvalho A, A. Gomeñuka N, Becker M, Rieder CRM, Andrade A, G. Martinez F, S. Pagnussat A, A. Peyré-Tartaruga L. Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson's Disease: A Randomized Clinical Trial. J Funct Morphol Kinesiol 2020; 5:jfmk5040082. [PMID: 33467297 PMCID: PMC7739412 DOI: 10.3390/jfmk5040082] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 09/23/2020] [Accepted: 10/09/2020] [Indexed: 12/18/2022] Open
Abstract
Nordic walking's (NW) degree of effectiveness regarding health-related parameters in people with Parkinson's Disease (PD) is a subject of debate. While NW seems to improve functionality, a clear non-motor benefit has not been demonstrated. The aim of this randomized controlled trial was to compare the effects of 9-week NW and free walking (FW) training programs on quality of life, cognitive function, and depressive symptoms in individuals with PD. Thirty-three people with PD, (Hoehn and Yahr 1-4) were randomized into two groups: NW (n = 16) and FW (n = 17). We analyzed quality of life, cognitive function, depressive symptoms, and motor symptoms. Significant improvements were found in the overall, physical, psychological, social participation, and intimacy domains of quality of life, as well as in cognitive function and depressive symptoms for both groups. Only the NW group showed improvement in the autonomy domain. Individuals with PD had a similar enhancement of non-motor symptoms after walking training, with or without poles. However, the NW group showed a more significant improvement in the autonomy domain, strengthening the applied and clinical potential of NW in people with PD. Future studies are needed to determine the efficacy of walking training without poles in subjects with PD.
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Affiliation(s)
- Elren Passos-Monteiro
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, Brazil;
- Human Movement Sciences Graduate Program, School of Physical Education, Universidade Federal do Pará (UFPA), Castanhal 66075-110, PA, Brazil
| | - Felipe B. Schuch
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Department of Sports Methods and Techniques, Universidade Federal de Santa Maria (UFSM), Santa Maria 97105-900, RN, Brazil
- Correspondence: ; Tel.: +55-55-32207788
| | - Leandro T. Franzoni
- Postgraduate Program in Medical Science, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil;
| | - Alberito R. Carvalho
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Physical Therapy College, Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel 85819-170, PA, Brazil
| | - Natalia A. Gomeñuka
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Departamento de Investigación de la Facultad de Ciencias de la Salud, Universidad Católica de las Misiones, Posadas (UCAMI), Misiones N3300, Argentina
| | - Marindia Becker
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
| | - Carlos R. M. Rieder
- Movement Disorders Clinics, Division of Neurology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil;
| | - Alexandro Andrade
- Laboratory of Psychology of Sport and Exercise, Department of Physical Education, Center of Health Sciences and Sports, Santa Catarina State University (UDESC), Florianópolis 89223-100, SC, Brazil;
| | - Flávia G. Martinez
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
| | - Aline S. Pagnussat
- Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, Brazil;
- Rehabilitation Sciences Graduate Program, Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFSCPA), Porto Alegre 90050-170, RS, Brazil
| | - Leonardo A. Peyré-Tartaruga
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Human Movement Sciences Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre 90040-060, RS, Brazil
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Nagyova I, Jendrichovsky M, Kucinsky R, Lachytova M, Rus V. Effects of Nordic walking on cardiovascular performance and quality of life in coronary artery disease. Eur J Phys Rehabil Med 2020; 56:616-624. [DOI: 10.23736/s1973-9087.20.06120-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Hawke AL, Jensen RL. Are Trekking Poles Helping or Hindering Your Hiking Experience? A Review. Wilderness Environ Med 2020; 31:482-488. [PMID: 32980249 DOI: 10.1016/j.wem.2020.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 05/21/2020] [Accepted: 06/16/2020] [Indexed: 11/28/2022]
Abstract
Hiking is a common recreational activity that provides numerous health benefits, such as reduced risk of heart disease, reduced blood pressure, and improved cardiorespiratory fitness. The use of specifically designed trekking poles has become popular among participants seeking to alleviate sore knees and increase balance and stability while walking. This review provides an overview of physiologic and biomechanical responses elicited when trekking poles are used during outdoor activities, such as hiking or Nordic walking, and discusses the clinical implications of the use of trekking poles. Google Scholar, PubMed, and ScienceDirect databases, as well as university library catalogues, were searched for literature published between 1980 and 2019. The keywords used to search the literature were hiking poles, trekking poles, and Nordic walking and their combination with physiological responses, ground reaction forces, joint forces, spatiotemporal parameters, kinematics, electromyography, and/or balance. The related topics included the academic disciplines of biomechanics, sports science, and wilderness medicine. Reference lists of located studies were also reviewed for additional sources. During free, unloaded walking, users should compare the cost and benefit of using poles: Trekking poles decrease lower extremity loading and forces but increase cardiovascular demand. When carrying a large external load, trekking poles may offer benefit by decreasing lower extremity muscle activity and increasing balance and stability.
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Affiliation(s)
- Ashley L Hawke
- School of Health and Human Performance, Northern Michigan University, Marquette, MI.
| | - Randall L Jensen
- School of Health and Human Performance, Northern Michigan University, Marquette, MI
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Maugeri G, D’Agata V, Roggio F, Cortis C, Fusco A, Foster C, Mañago MM, Harris-Love MO, Vleck V, Piacentini MF, Musumeci G. The "Journal of Functional Morphology and Kinesiology" Journal Club Series: PhysioMechanics of Human Locomotion. J Funct Morphol Kinesiol 2020; 5:52. [PMID: 32935069 PMCID: PMC7489281 DOI: 10.3390/jfmk5030052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 07/08/2020] [Indexed: 11/23/2022] Open
Abstract
We are glad to introduce the Third Journal Club of Volume five, the third issue. This edition is focused on relevant studies published in the last years in the field of PhysioMechanics of Human Locomotion, chosen by our Editorial Board members and their colleagues. We hope to stimulate your curiosity in this field and to share with you the passion for the Sports Medicine and Movement Sciences seen also from the scientific point of view. The Editorial Board members wish you an inspiring lecture.
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Affiliation(s)
- Grazia Maugeri
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
| | - Velia D’Agata
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
| | - Federico Roggio
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
| | - Cristina Cortis
- Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, Italy; (C.C.); (A.F.)
| | - Andrea Fusco
- Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, 03043 Cassino, Italy; (C.C.); (A.F.)
| | - Carl Foster
- Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA;
| | - Mark M. Mañago
- Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO 80045, USA; (M.M.M.); (M.O.H.-L.)
| | - Michael O. Harris-Love
- Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO 80045, USA; (M.M.M.); (M.O.H.-L.)
- Geriatric Research, Education and Clinical Center, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO 80045, USA
| | - Veronica Vleck
- CIPER, Faculdade de Motricidade Humana, University of Lisbon, 1499-002 Lisbon, Portugal;
| | - Maria Francesca Piacentini
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy;
| | - Giuseppe Musumeci
- Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via S. Sofia 87, 95123 Catania, Italy; (G.M.); (V.D.); (F.R.)
- Research Center on Motor Activities (CRAM), University of Catania, 95123 Catania, Italy
- Department of Biology, Sbarro Institute for Cancer Research and Molecular Medicine, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA
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Roy M, Grattard V, Dinet C, Soares AV, Decavel P, Sagawa YJ. Nordic walking influence on biomechanical parameters: a systematic review. Eur J Phys Rehabil Med 2020; 56:607-615. [PMID: 32397704 DOI: 10.23736/s1973-9087.20.06175-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Nordic walking (NW) as a form of physical activity has been shown to have benefits in various domains, but little is known about the effect of NW on more specific biomechanical parameters. The purpose is to determine the impact of NW on the following parameters: walking speed/distance, muscle activation, spatiotemporal parameters, kinematics and ground reaction force. EVIDENCE ACQUISITION A literature search was carried out in different databases from October 2008 to October 2018. This review was conducted and reported in accordance with the PRISMA statement. Finally, 42 studies with a median PEDro Score of 5.5/10 were included. EVIDENCE SYNTHESIS The included studies reported increased walking distance (+14.8%, P<0.05), walking speed (+25.5%, P<0.05), and stride length (+10.4%, P<0.05), but decreased cadence (-6.2%, P<0.05). NW generally increased: muscle activation and strength for upper limbs; upper and lower limb range of motion, and ground reaction force. CONCLUSIONS NW has beneficial effects on many biomechanical parameters. It appears to be an effective way of doing physical activity and could be used in physical rehabilitation or in daily life.
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Affiliation(s)
- Manon Roy
- Laboratory of Clinical Functional Exploration of Movement, University Hospital of Besançon, Besançon, France - .,Institute of Physical Therapy, University Hospital of Besançon, Besançon, France -
| | - Véronique Grattard
- Institute of Physical Therapy, University Hospital of Besançon, Besançon, France
| | - Christophe Dinet
- Institute of Physical Therapy, University Hospital of Besançon, Besançon, France
| | - Antonio V Soares
- University of Joinville Region and Ielusc College, Joinville, Brazil
| | - Pierre Decavel
- Laboratory of Clinical Functional Exploration of Movement, University Hospital of Besançon, Besançon, France.,Integrative and Clinical Neurosciences EA481, University of Burgundy Franche-Comte, Besançon, France
| | - Yoshimasa J Sagawa
- Laboratory of Clinical Functional Exploration of Movement, University Hospital of Besançon, Besançon, France.,Integrative and Clinical Neurosciences EA481, University of Burgundy Franche-Comte, Besançon, France
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Cebula A, Tyka AK, Tyka A, Pałka T, Pilch W, Luty L, Mucha D. Physiological response and cardiorespiratory adaptation after a 6-week Nordic Walking training targeted at lipid oxidation in a group of post-menopausal women. PLoS One 2020; 15:e0230917. [PMID: 32236147 PMCID: PMC7112189 DOI: 10.1371/journal.pone.0230917] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Accepted: 03/11/2020] [Indexed: 01/10/2023] Open
Abstract
This study examined the effects of a 6-week Nordic Walking (NW) training, at the intensity corresponding to the dominance of lipid metabolism, on the levels of selected physiological indices, the haemodynamic indices of the cardiovascular system and physical fitness in sedentary women older than 55 years of age. In addition, the physiological response of the female body to the walking effort on treadmill with poles (NW) and without poles (W) was compared and the influence of training on this response was determined. A single group study with a pre-test/post-test study design was conducted. Eighteen women performed NW controlled intensity training 3 times a week for 6 weeks. Body composition, resting blood pressure (BP), heart rate (HR), maximum oxygen uptake (VO2max) as well as circulatory and respiratory indices in two graded walking efforts on mechanical treadmill NW and W were measured before and after training period. The intensity of workouts, which considered the dominance of lipid metabolism, was determined individually, based on the dynamics of changes in the level of physiological indices during the graded intensity NW. After the course of training, body mass, fat mass, resting BP and HR decreased significantly (p < 0.05). HR and respiratory exchange ratio recorded during NW and W at 1.75 m.s-1 walking speed decreased, while the oxygen pulse increased (p < 0.05). VO2max increased significantly (p < 0.05). Before and after the training period HR, oxygen uptake per minute, and energy expenditure during NW were significantly higher than in W (p < 0.05). The study showed that 6-week NW training at the intensity corresponding to the dominance of lipid metabolism can provide improvement in body composition, cardiovascular function and physical performance in previously sedentary women. NW compared to the regular walk with the same speed revealed higher energy expenditure.
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Affiliation(s)
- Agata Cebula
- Department of Biological Regeneration and Posture Correction, Faculty of Physical Education and Sport, University of Physical Education, Krakow, Poland
- * E-mail:
| | - Anna Katarzyna Tyka
- Department of Recreation and Biological Regeneration, Faculty of Tourism and Leisure, University of Physical Education, Krakow, Poland
| | - Aleksander Tyka
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University of Physical Education, Krakow, Poland
| | - Tomasz Pałka
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University of Physical Education, Krakow, Poland
| | - Wanda Pilch
- Department of Biochemistry and Basic of Cosmetology, Faculty of Cosmetology, University of Physical Education, Krakow, Poland
| | - Lidia Luty
- Department of Statistics and Econometrics, University of Agriculture, Krakow, Poland
| | - Dariusz Mucha
- Department of Biological Regeneration and Posture Correction, Faculty of Physical Education and Sport, University of Physical Education, Krakow, Poland
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Gomeñuka NA, Oliveira HB, da Silva ES, Passos-Monteiro E, da Rosa RG, Carvalho AR, Costa RR, Rodríguez Paz MC, Pellegrini B, Peyré-Tartaruga LA. Nordic walking training in elderly, a randomized clinical trial. Part II: Biomechanical and metabolic adaptations. SPORTS MEDICINE-OPEN 2020; 6:3. [PMID: 31932999 PMCID: PMC6957599 DOI: 10.1186/s40798-019-0228-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 11/20/2019] [Indexed: 12/04/2022]
Abstract
Background 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 (x2 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
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Affiliation(s)
- Natalia Andrea Gomeñuka
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil.,Departamento de Investigación de la Facultad de Ciencias de la Salud, (UCAMI) Universidad Católica de las Misiones, Posadas, Argentina
| | - Henrique Bianchi Oliveira
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil
| | - Edson Soares da Silva
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil
| | - Elren Passos-Monteiro
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil.,Post-Graduate Program in Health Sciences, Federal University of Health Sciences, Porto Alegre, Brazil
| | - Rodrigo Gomes da Rosa
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil
| | - Alberito Rodrigo Carvalho
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil.,Physical Therapy College, Universidade Estadual do Oeste do Paraná, Cascavel, Brazil
| | - Rochelle Rocha Costa
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, 750 Felizardo Street, Porto Alegre, 90690-200, Brazil
| | | | - Barbara Pellegrini
- CeRiSM (Research Centre of Mountain Sport and Health), University of Verona, Rovereto, Italy
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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.
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Muollo V, Rossi AP, Milanese C, Masciocchi E, Taylor M, Zamboni M, Rosa R, Schena F, Pellegrini B. The effects of exercise and diet program in overweight people - Nordic walking versus walking. Clin Interv Aging 2019; 14:1555-1565. [PMID: 31695344 PMCID: PMC6717875 DOI: 10.2147/cia.s217570] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 07/31/2019] [Indexed: 01/06/2023] Open
Abstract
Purpose Nordic walking (NW) has been recommended as a form of exercise for clinical populations. Despite intervention programs designed to face a clinical status may last several months, no longitudinal studies have compared the effect of NW to another usual form of exercise, like walking (W). We evaluated the effects of diet combined with a long-supervised NW versus W training on body composition, aerobic capacity and strength in overweight adults. Patients and methods Thirty-eight participants, randomized into a NW (n=19, 66±7 years, body mass index (BMI) 33±5)) and a W (n=19, 66±8 years, BMI 32±5) group, followed a diet and a supervised training routine 3 times/week for 6 months. The variables assessed at baseline, after 3 and 6 months were: anthropometric indexes (ie, BMI and waist circumference (WC)), body composition, aerobic capacity (oxygen consumption (VO2peak), peak power output (PPO), 6-min walking test (6MWT)) and strength (maximal voluntary contraction of biceps brachialis (MVCBB) and quadriceps femoris (MVCQF), chair stand and arm curl (AC)). Results After 6 months both NW and W group decreased significantly BMI (6% and 4%, respectively) and WC (8% and 4%, respectively), but only the NW group reduced (P<0.05) total body fat (8%), android fat (14%) and leg fat (9%). After 6 months, PPO increased (P<0.05) in both groups, but VO2peak improved (P<0.05) only in the NW group (8%). After 6 months, 6MWT increased (P<0.001) in both groups and only the NW group improved (P<0.05) in MVCBB (14%), MVCQF (17%) and AC (35%). Conclusion Our results suggest that NW can give in some relevant health parameters, greater and faster benefits than W. Thus, NW can be a primary tool to counteract the obesity and overweight state in middle-aged adults.
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Affiliation(s)
- Valentina Muollo
- Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Andrea P Rossi
- Department of Medicine, Section of Geriatrics, University of Verona Healthy Aging Center, Verona, Italy
| | - Chiara Milanese
- Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy
| | - Elena Masciocchi
- Department of Medicine, Section of Geriatrics, University of Verona Healthy Aging Center, Verona, Italy
| | - Miriam Taylor
- Department of Medicine, Section of Geriatrics, University of Verona Healthy Aging Center, Verona, Italy
| | - Mauro Zamboni
- Department of Medicine, Section of Geriatrics, University of Verona Healthy Aging Center, Verona, Italy
| | - Raffaela Rosa
- Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy
| | - Federico Schena
- Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Barbara Pellegrini
- Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy.,CeRiSM, Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
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Benefits of a Pole Walking Program Offered by Community Organizations on Physical Fitness, Psychological Well-Being, and Cognitive Function Among Older Adults. J Aging Phys Act 2019; 27:653–662. [PMID: 30676213 DOI: 10.1123/japa.2018-0055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The authors examined the effects of a 12-week pole walking program on function and well-being in 123 older adults aged 60 years and older, recruited by community organizations. The results showed a significant improvement in the participants' upper and lower limb strength in the experimental groups compared with those in the control groups (p < .05) and a significant deterioration in the walking speed and grip strength in women in the control groups compared with those in the experimental groups (p < .05). Although not statistically significant, the results also showed a trend toward greater improvement in global cognitive function in the participants in the experimental groups (p = .076). These results suggest that a pole walking program provided in natural conditions can improve physical capabilities in older adults. Other studies are warranted to further explore the impact of pole walking programs on older adults offered in such conditions, especially their impact on cognitive functions.
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Giovanelli N, Sulli M, Kram R, Lazzer S. Do poles save energy during steep uphill walking? Eur J Appl Physiol 2019; 119:1557-1563. [PMID: 31020400 DOI: 10.1007/s00421-019-04145-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 04/17/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE In trail running and in uphill races many athletes use poles. However, there are few data about pole walking on steep uphill. The aim of this study was to compare the energy expenditure during uphill walking with (PW) and without (W) poles at different slopes. METHODS Fourteen mountain running athletes walked on a treadmill in two conditions (PW and W) for 5 min at seven different angles (10.1°, 15.5°, 19.8°, 25.4°, 29.8°, 35.5° and 38.9°). We measured cardiorespiratory parameters, blood lactate concentration (BLa) and rating of perceived exertion (RPE). Then, we calculated the vertical cost of transport (CoTvert). Using video analysis, we measured stride frequency (SF) and stride length (SL). RESULTS Compared to W, CoTvert during PW was lower at 25.4°, 29.8° and 35.5° PW ([Formula: see text] 2.55 ± 3.97%; [Formula: see text] 2.79 ± 3.88% and [Formula: see text] 2.00 ± 3.41%, p < 0.05). RPE was significantly lower during PW at 15.5°, 19.8°, 29.8°, 35.5° and 38.9° ([Formula: see text] 14.4 ± 18.3%; [Formula: see text] 16.2 ± 15.2%; [Formula: see text] 16.6 ± 16.9%; [Formula: see text] 17.9 ± 18.7% and [Formula: see text] 18.5 ± 17.8%, p < 0.01). There was no effect of pole use on BLa. However, BLa was numerically lower with poles at every incline except for 10.1°. On average, SF for PW was lower than for W ([Formula: see text] 6.7 ± 5.8%, p = 0.006) and SL was longer in PW than in W (+ 8.6 ± 4.5%, p = 0.008). CONCLUSIONS PW on steep inclines was only slightly more economical than W, but the substantially lower RPE during PW suggests that poles may delay fatigue effects during a prolonged effort. We advocate for the use of poles during steep uphill walking, although the energetic savings are small.
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Affiliation(s)
- Nicola Giovanelli
- Department of Medicine, University of Udine, P.le M. Kolbe 4, Udine, Italy.
- School of Sport Science, Udine, Italy.
| | - Michele Sulli
- Department of Medicine, University of Udine, P.le M. Kolbe 4, Udine, Italy
- School of Sport Science, Udine, Italy
| | - Rodger Kram
- Locomotion Laboratory, Integrative Physiology Department, University of Colorado, Boulder, CO, USA
| | - Stefano Lazzer
- Department of Medicine, University of Udine, P.le M. Kolbe 4, Udine, Italy
- School of Sport Science, Udine, Italy
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Mamen A, Fredriksen PM. Tyre-pulling as concurrent training. SPORT SCIENCES FOR HEALTH 2019. [DOI: 10.1007/s11332-018-0476-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gomeñuka NA, Oliveira HB, Silva ES, Costa RR, Kanitz AC, Liedtke GV, Schuch FB, Peyré-Tartaruga LA. Effects of Nordic walking training on quality of life, balance and functional mobility in elderly: A randomized clinical trial. PLoS One 2019; 14:e0211472. [PMID: 30699211 PMCID: PMC6353202 DOI: 10.1371/journal.pone.0211472] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Accepted: 01/10/2019] [Indexed: 12/13/2022] Open
Abstract
PURPOSE There is physiological and biomechanical evidence suggesting a possible advantage of using poles in walking training programs. The purpose of this proof-of-concept study was to test the hypothesis that untrained elderly training Nordic walking for eight weeks will show higher improvements on the functional mobility, quality of life and postural balance than that training without poles; more likely to occur in self-selected walking speed (primary outcome), and the locomotor rehabilitation index than the quality of life, the static balance and the dynamic stability. It was a two-arm randomized sample- and load-controlled study. METHODS Thirty-three untrained older people were randomly assigned into Nordic walking (n = 16, age: 64.6±4.1 years old) and free walking (n = 17, age: 68.6±3.9 years old) training groups. RESULTS Improvements in the self-selected walking speed (primary outcome, p = 0.011, ES = 0.42 95%CI -0.31 to 1.16), locomotor rehabilitation index (p = 0.013, ES = 0.36; (95%CI -0.39 to 1.10), quality of life (p<0.05), static balance (p<0.05) and dynamic variability (p<0.05) were found in both groups. CONCLUSIONS The hypothesis was not supported, our findings indicated that after 8 weeks, the Nordic walking training did not result in greater improvements than free walking training for the primary outcome (self-selected walking speed) and most of the secondary outcomes (including locomotor rehabilitation index, static balance, dynamic stability, and psychological and social participation domains of quality of life). TRIAL REGISTRATION ClinicalTrials.gov NCT03096964.
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Affiliation(s)
- Natalia Andrea Gomeñuka
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
- Catholic University of Misiones–UCAMI–Posadas, Misiones, Argentina
| | - Henrique Bianchi Oliveira
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Edson Soares Silva
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rochelle Rocha Costa
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Ana Carolina Kanitz
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Giane Veiga Liedtke
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Felipe Barreto Schuch
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
- Centro de Educação Física e Desportos, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Leonardo A. Peyré-Tartaruga
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
- * E-mail:
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Peyré-Tartaruga LA, Coertjens M. Locomotion as a Powerful Model to Study Integrative Physiology: Efficiency, Economy, and Power Relationship. Front Physiol 2018; 9:1789. [PMID: 30618802 PMCID: PMC6297284 DOI: 10.3389/fphys.2018.01789] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 11/28/2018] [Indexed: 12/02/2022] Open
Abstract
Locomotion is the most common form of movement in nature. Its study allows analysis of interactions between muscle functions (motor) and lever system arrangements (transmission), thereby facilitating performance analysis of various body organs and systems. Thus, it is a powerful model to study various aspects of integrative physiology. The results of this model can be applied in understanding body functions and design principles as performance outputs of interest for medical and biological sciences. The overall efficiency (effoverall) during locomotion is an example of an integrative parameter, which results from the ratio between mechanical output and metabolic input. Although the concepts of cost (i.e., metabolic expenditure relative to distance) and power (i.e., metabolic expenditure relative to time) are included in its calculation, the effoverall establishes peculiar relations with these variables. For a better approach to these aspects, in this study, we presented the physical-mathematical formulation of efficiency, as well as its conceptual definitions and applications. Furthermore, the concepts of efficiency, cost, and power are discussed from the biological and medical perspectives. Terrestrial locomotion is a powerful model to study integrative physiology in humans, because by analyzing the mechanical and metabolic determinants, we may verify the efficiency and economy relationship through locomotion type, and its characteristics and restrictions. Thus, it is possible to elaborate further on various improved intervention strategies, such as physical training, competition strategies, and ergogenic supplementation.
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Affiliation(s)
- Leonardo Alexandre Peyré-Tartaruga
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.,Postgraduate Program in Pneumological Sciences, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Marcelo Coertjens
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.,Postgraduate Program in Pneumological Sciences, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.,School of Physical Therapy, Federal University of Piauì, Parnaìba, Brazil
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Fujita E, Yakushi K, Takeda M, Islam MM, Nakagaichi M, Taaffe DR, Takeshima N. Proficiency in pole handling during Nordic walking influences exercise effectiveness in middle-aged and older adults. PLoS One 2018; 13:e0208070. [PMID: 30481199 PMCID: PMC6258543 DOI: 10.1371/journal.pone.0208070] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Accepted: 11/12/2018] [Indexed: 11/18/2022] Open
Abstract
Nordic walking (NW) is a total body version of walking increasingly used as a health-promoting activity by middle-aged and older adults. The present study examined the relationship between force exerted through the pole and physiological response during NW. In this non-randomized exercise trial, 17 participants comprising 8 middle-aged and older recreationally trained Nordic walkers (NWrec: 63.7 ± 8.1 years) and 9 experienced NW instructors (NWinstr: 57.5 ± 7.8 years) underwent outdoor ordinary walking (OW) and NW bouts as fast as possible for 12 minutes. Walking distance, speed, heart rate (HR), energy expenditure (METs and J/kg/m) and upper and lower limb muscle activities using surface electromyogram (EMG) were assessed. A pole with a built-in load cell measured force applied to the pole with peak pole force, pole contact time, % of pole contact time with respect to the gait cycle, and pole impulse derived. We conducted two-way analysis of covariance adjusted for age and BMI. There was a significant group and walking type interaction for walking distance and speed (P = 0.04), METs (P < 0.01), and HR (P = 0.04) with higher values in the NWinstr group during NW than OW. As expected, upper limb EMG activities increased (P < 0.01) with NW in both groups. All pole force measures were significantly higher in NWinstr than NWrec (P ≤ 0.01). Change in walking distance and speed were correlated with pole peak force (r = 0.67, P < 0.01) and pole impulse (r = 0.63, P = 0.01). Similarly, change in METs was associated with peak pole force (r = 0.66, P < 0.01) and pole impulse (r = 0.56, P = 0.02). These results indicate that planting the pole on the ground more forcefully and for longer periods to derive a driving force in NW enhances the effectiveness of the exercise and potentially the health-derived benefits.
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Affiliation(s)
- Eiji Fujita
- Department of Sports and Life Science, National Institute of Fitness and Sports in Kanoya, 1 Shiromizucho, Kanoya, Kagoshima, Japan
| | - Karen Yakushi
- Graduate School of Physical Education, National Institute of Fitness and Sports in Kanoya, 1 Shiromizucho,Kanoya, Kagoshima, Japan
| | - Masaki Takeda
- Faculty of Health and Sports Science, Doshisha University, 1–3 Tataramiyakodani, Kyotanabe, Kyoto, Japan
| | - Mohammod Monirul Islam
- Department of Sports and Life Science, National Institute of Fitness and Sports in Kanoya, 1 Shiromizucho, Kanoya, Kagoshima, Japan
| | - Masaki Nakagaichi
- Department of Sports and Life Science, National Institute of Fitness and Sports in Kanoya, 1 Shiromizucho, Kanoya, Kagoshima, Japan
| | - Dennis Robert Taaffe
- Exercise Medicine Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
| | - Nobuo Takeshima
- Department of Health and Sports Sciences, School of Health Sciences, Asahi University, 1851 Hozumi, Mizuho, Gifu, Japan
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Mieszkowski J, Niespodziński B, Kochanowicz A, Gmiat A, Prusik K, Prusik K, Kortas J, Ziemann E, Antosiewicz J. The Effect of Nordic Walking Training Combined with Vitamin D Supplementation on Postural Control and Muscle Strength in Elderly People-A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15091951. [PMID: 30205445 PMCID: PMC6164155 DOI: 10.3390/ijerph15091951] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 09/02/2018] [Accepted: 09/05/2018] [Indexed: 01/08/2023]
Abstract
Nordic Walking (NW) and Vitamin D concentration (Vit D) alone have been shown to contribute to the health and performance of elderly people. However, the interaction between these two factors has yet to be explored. In this study 42 women over 60 years of age (69.02 ± 5.56 years) were recruited and divided in two NW groups: a high-intensity interval training group (HI-NW) and a moderate-intensity continuous training group (MI-NW). Individuals from each group completed a 12-week NW training program (3 times a week/2 hours) combined with randomized Vitamin D supplementation (HD = high dose: 4000 IU/day or LD = low dose: 800 IU/day). Body composition, postural control, muscle strength and Vitamin D serum concentration were measured twice; before and after the intervention. To investigate the interaction between supplementation and training a mixed-design analysis of variance (ANOVA) was performed. The HI-NW group, regardless of supplementation dose, increased their Vit D and elbow torque performance. On the other hand, in the MI-NW group the same Vit D outcome was seen only with HD supplementation and was also associated with increased leg muscle mass. In conclusion, beneficial effects of both HI-NW and MI-NW training regimes were seen. The impact of the dose supplementation on Vit D and body composition was related to the type of NW training.
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Affiliation(s)
- Jan Mieszkowski
- Institute of Physical Education, Department of Anatomy and Biomechanics, Kazimierz Wielki University, 85-091 Bydgoszcz, Poland.
| | - Bartłomiej Niespodziński
- Institute of Physical Education, Department of Anatomy and Biomechanics, Kazimierz Wielki University, 85-091 Bydgoszcz, Poland.
| | - Andrzej Kochanowicz
- Department of Gymnastics and Dance, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
| | - Anna Gmiat
- Department of Physiology and Pharmacology, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
| | - Krzysztof Prusik
- Department of Recreation and Qualify Tourism, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
| | - Katarzyna Prusik
- Department of Recreation and Qualify Tourism, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
| | - Jakub Kortas
- Department of Recreation and Qualify Tourism, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
| | - Ewa Ziemann
- Department of Physiology and Pharmacology, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
| | - Jędrzej Antosiewicz
- Department of Bioenergetics and Physiology of Exercise, Medical University of Gdańsk, 80-336 Gdansk, Poland.
- Department of Biochemistry, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.
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Padulo J, Iuliano E, Dello Iacono A, Milić M, Rizzi M, Ardigò LP. Nordic walking versus natural walking: an easy approach to comparing metabolic demands. INT J PERF ANAL SPOR 2018. [DOI: 10.1080/24748668.2018.1514565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Johnny Padulo
- Sport Science, University eCampus, Novedrate, Italy
- Faculty of Kinesiology, University of Split, Split, Croatia
| | - Enzo Iuliano
- Sport Science, University eCampus, Novedrate, Italy
| | - Antonio Dello Iacono
- Zinman College of Physical Education and Sport Sciences, Wingate Institute, Netanya, Israel
- Institute of Clinical Exercise and Health Science, School of Health and Life Sciences, University of the West of Scotland, Hamilton, United Kingdom
| | - Mirjana Milić
- Faculty of Kinesiology, University of Split, Split, Croatia
| | | | - Luca Paolo Ardigò
- School of Exercise and Sport Science, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
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Brito JP, Garrido N, Romero F, de Araújo Junior AT, Reis VM. Effects of Backpack Load and Trekking Poles on Energy Expenditure During Field Track Walking. Sports Med Int Open 2018; 2:E117-E122. [PMID: 30539128 PMCID: PMC6259461 DOI: 10.1055/a-0637-8719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Revised: 04/07/2018] [Accepted: 05/18/2018] [Indexed: 11/23/2022] Open
Abstract
This study evaluates the effects of the use of backpack load and trekking poles on field track walking energy expenditure. Twenty male volunteer pole walkers (age: 22.70±2.89 years; body mass: 77.90±11.19 kg; height: 1.77±0.06 m; percentage of body fat: 14.6±6.0%) walked at a self-selected pace on a pedestrian field track over a period of more than six months. Each subject was examined at random based on four walking conditions: non-poles and non-load, with poles and non-load, non-poles and with load, with poles and with load. Heart rate, oxygen uptake and energy expenditure were continuously recorded by a portable telemetric system. Non-load walking speed was lower during walking with poles when compared with no poles ( p ≤0.05). Oxygen uptake, energy expenditure and heart rate varied significantly across different conditions. Our results suggest that the use of trekking poles does not influence energy expenditure when walking without an additional load, but it can have an effect during backpack load walking. Moreover, our results indicate that the use of trekking poles may not be helpful to lower the exertion perceived by the subjects when walking with an additional load.
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Affiliation(s)
- João Paulo Brito
- Sports Sciences School of Rio Maior, Polytechnic Institute of Santarém, Rio Maior, Portugal
| | - Nuno Garrido
- University of Trás-os-Montes and Alto Douro, Sports, Exercise and Health Department, Vila Real, Portugal
| | - Félix Romero
- Sports Sciences School of Rio Maior, Polytechnic Institute of Santarém, Rio Maior, Portugal
| | | | - Victor Machado Reis
- Research Center for Sports, Health & Human Development, University of Trás-os-Montes & Alto Douro, Vila Real, Portugal
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Mocera F, Aquilino G, Somà A. NordicWalking Performance Analysis with an Integrated Monitoring System. SENSORS 2018; 18:s18051505. [PMID: 29748507 PMCID: PMC5982472 DOI: 10.3390/s18051505] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 05/08/2018] [Accepted: 05/09/2018] [Indexed: 11/16/2022]
Abstract
There is a growing interest in Nordic walking both from the fitness and medical point of views due to its possible therapeutic applications. The proper execution of the technique is an essential requirement to maximize the benefits of this practice. This is the reason why a monitoring system for outdoor Nordic walking activity was developed. Using data obtained from synchronized sensors, it is possible to have a complete overview of the users’ movements. The system described in this paper is able to measure: the pole angle during the pushing phase, the arms cycle frequency and synchronization and the pushing force applied to the ground. Furthermore, data from a GPS module give an image of the environment where the activity session takes place, in terms of the distance, slope, as well as the ground typology. A heart rate sensor is used to monitor the effort of the user through his/her Beats Per Minute (BPM). In this work, the developed monitoring system is presented, explaining how to use the gathered data to obtain the main feedback parameters for Nordic walking performance analysis. The comparison between left and right arm measurements allowed validating the system as a tool for technique evaluation. Finally, a procedure to estimate the peak pushing force from acceleration measurements is proposed.
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Affiliation(s)
- Francesco Mocera
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129 Torino, Italy.
| | - Giuseppe Aquilino
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129 Torino, Italy.
| | - Aurelio Somà
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129 Torino, Italy.
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Pellegrini B, Boccia G, Zoppirolli C, Rosa R, Stella F, Bortolan L, Rainoldi A, Schena F. Muscular and metabolic responses to different Nordic walking techniques, when style matters. PLoS One 2018; 13:e0195438. [PMID: 29621317 PMCID: PMC5886538 DOI: 10.1371/journal.pone.0195438] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 03/22/2018] [Indexed: 11/18/2022] Open
Abstract
Due to poling action and upper body engagement, Nordic walking (NW) has additional health benefits with respect to conventional walking. The aim of this study was to evaluate the differences in muscle activation and metabolic responses between NW, performed with the technique suggested by NW instructors, and with some modifications in the way to move upper limb and poles. Ten NW instructors volunteered to walk on a treadmill at 5.5 km•h-1 in five conditions: walking (W), Nordic walking (NW), NW with a weak poling action (NWweak), with straight-upper limbs moving the shoulders (NWshoulder) and with elbow flexion-extension pattern and shoulder freezed (NWelbow). Poling forces, body segments and poles movement, upper and lower body muscle activation, as well as metabolic parameters were measured.All modified NW techniques elicited lower muscular activation and metabolic responses with respect to the suggested NW technique (P < 0.05). All NW techniques elicited higher muscular activation and metabolic responses than W. All parameters observed with the NWweak were lower than NW. A decreased activation of shoulder extensor muscles and increased activation of anterior deltoid muscle were the main features of NWshoulder. Lower triceps brachii muscle activation and reduced propulsive poling action with respect to NW were seen for NWelbow, resulting also in shorter steps.Nordic walking instructors, sport technicians and practitioners should be aware that any deviation from the technique usually suggested might lead to lower benefits. However it is worth to note that any walking technique with poles elicits higher metabolic responses and muscular activation than walking.
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Affiliation(s)
- Barbara Pellegrini
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
- * E-mail:
| | - Gennaro Boccia
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- NeuroMuscularFunction | Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Torino, Torino, (TO), Italy
| | - Chiara Zoppirolli
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
| | - Raffaela Rosa
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
| | - Federico Stella
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
| | - Lorenzo Bortolan
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
| | - Alberto Rainoldi
- NeuroMuscularFunction | Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Torino, Torino, (TO), Italy
| | - Federico Schena
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
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Franzoni LT, Monteiro EP, Oliveira HB, da Rosa RG, Costa RR, Rieder C, Martinez FG, Peyré-Tartaruga LA. A 9-Week Nordic and Free Walking Improve Postural Balance in Parkinson's Disease. Sports Med Int Open 2018; 2:E28-E34. [PMID: 30539114 PMCID: PMC6225959 DOI: 10.1055/s-0043-124757] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 11/22/2017] [Accepted: 11/29/2017] [Indexed: 11/01/2022] Open
Abstract
Aerobic training has a neuroprotective effect in people with Parkinson's disease. Recent evidence indicates that Nordic walking seems a promising alternative due to positive outcomes in functional mobility. However, the effects of Nordic walking compared to free walking on static and functional balance parameters are still unknown. The aim of this study was to evaluate the effects of nine weeks of Nordic and free walking training on static and functional balance. The sample size was 33 individuals with eight dropouts, leaving 25 individuals in the final sample (Nordic Walking, n=14, Free Walking, n=11). The participants underwent two evaluations in the present randomized clinical trial, pre- and post-training, to determine average velocity and root-mean-square values from center of pressure with eyes open and eyes closed. The functional balance showed approximately 5% improvement for the two groups ( p =0.04). The results indicate that nine weeks of Nordic and free walking training were enough to induce improvements in the proprioceptive system and functional balance.
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Affiliation(s)
- Leandro Tolfo Franzoni
- Federal University of Rio Grande do Sul, Exercise Research Laboratory, Porto Alegre, Brazil
| | - Elren Passos Monteiro
- Federal University of Rio Grande do Sul, Exercise Research Laboratory, Porto Alegre, Brazil
| | | | - Rodrigo Gomes da Rosa
- Federal University of Rio Grande do Sul, Exercise Research Laboratory, Porto Alegre, Brazil
| | - Rochelle Rocha Costa
- Federal University of Rio Grande do Sul, Exercise Research Laboratory, Porto Alegre, Brazil
| | - Carlos Rieder
- Hospital de Clinicas de Porto Alegre, Sleep and Movement Disorders Clinics, Division of Neurology, Porto Alegre, Brazil
| | - Flávia Gomes Martinez
- Federal University of Rio Grande do Sul, Exercise Research Laboratory, Porto Alegre, Brazil
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Psurny M, Svoboda Z, Janura M, Kubonova E, Bizovska L, Martinez Lemos RI, Abrantes J. The Effects of Nordic Walking and Slope of the Ground on Lower Limb Muscle Activity. J Strength Cond Res 2017; 32:217-222. [PMID: 29257796 DOI: 10.1519/jsc.0000000000002195] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Psurny, M, Svoboda, Z, Janura, M, Kubonova, E, Bizovska, L, Martinez Lemos, RI, and Abrantes, J. The effects of Nordic walking and slope of the ground on lower limb muscle activity. J Strength Cond Res 32(1): 217-222, 2018-Nordic walking (NW) has proven to be a simple and safe mode of exercise that can be used in various types of sport, recreation, and rehabilitation activities. The aim of this study was to assess the effect of Nordic walking and slope of the ground on lower limb muscle activity. The experimental group consisted of 22 healthy men (aged 22.8 ± 1.4 years). The subjects walked on a treadmill at a self-selected speed. Two walking conditions (NW and walking) and 2 ground slopes (level ground and uphill walking at an 8% incline) were used. The surface electromyographic signals of the gastrocnemius lateralis, tibialis anterior, vastus medialis, rectus femoris, biceps femoris and gluteus medius were recorded. Nordic walking resulted in increased activity of some lower limb muscles, particularly during the first half of the stance phase, and decreased muscle activity during the first half of the swing phase. Uphill walking elicited increased muscle activity compared with level walking, particularly during the stance phase and the second half of the swing phase during both walking and NW, and the change was more pronounced during walking. We concluded that NW increased muscle activity in the lower extremities compared with walking, particularly on level ground. Increasing the ground slope enhanced the muscle activity to a much greater extent than NW.
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Affiliation(s)
- Martin Psurny
- 1Faculty of Physical Culture, Palacky University Olomouc, Olomouc, Czech Republic;2Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; and3MovLab, CICANT, Lusofona University of Humanities and Technology, Lisbon, Portugal
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50
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Patterns of trunk muscle activation during walking and pole walking using statistical non-parametric mapping. J Electromyogr Kinesiol 2017; 37:52-60. [DOI: 10.1016/j.jelekin.2017.09.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2016] [Revised: 08/23/2017] [Accepted: 09/08/2017] [Indexed: 11/17/2022] Open
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