We compare the effects of Nordic walking training (NW) and Free walk (FW) on functional parameters (motor symptoms, balance) and functional mobility (Timed Up and Go at Self-selected Speed - TUGSS, and at forced speed, TUGFS; Self-selected Walking Speed, SSW; locomotor rehabilitation index, LRI) of Parkinson's disease (PD) patients. The study included 33 patients with clinical diagnosis of idiopathic PD, and staging between 1 and 4 in the Hoehn and Yahr scale (H&Y) randomized into two groups: NW (N = 16) and FW (N = 17) for 6 weeks. Baseline characteristics were compared trough a one-way ANOVA. Outcomes were analyzed using the Generalized Estimation Equations (GEE) with a Bonferroni post-hoc. Data were analyzed using SPSS v.20.0. Improvements in UPDRS III (P < 0.001), balance scores (P < 0.035), TUGSS distance (P < 0.001), TUGFS distance (P < 0.001), SSW (P < 0.001), and LRI (P < 0.001) were found for both groups. However, the NW group showed significant differences (P < 0.001) when compared to the FW group for the functional mobility. We conclude the NW improves functional parameters and walking mobility demonstrating that NW is as effective as the FW, including benefits for FW on the functional mobility of people with PD.

Background: Elastic bouncing is a physio-mechanical model that can elucidate running behavior in different situations, including landing and takeoff patterns and the characteristics of the muscle-tendon units during stretch and recoil in running. An increase in running speed improves the body’s elastic mechanisms. Although some measures of elastic bouncing are usually carried out, a general description of the elastic mechanism has not been explored in running performance. This study aimed to compare elastic bouncing parameters between the higher- and lower-performing athletes in a 3000 m test. Methods: Thirty-eight endurance runners (men) were divided into two groups based on 3000 m performance: the high-performance group (P high ; n = 19; age: 29 ± 5 years; mass: 72.9 ± 10 kg; stature: 177 ± 8 cm; 3000 time : 656 ± 32 s) and the low-performance group (P low ; n = 19; age: 32 ± 6 years; mass: 73.9 ± 7 kg; stature: 175 ± 5 cm; 3000 time : 751 ± 29 s). They performed three tests on different days: (i) 3000 m on a track; (ii) incremental running test; and (iii) a running biomechanical test on a treadmill at 13 different speeds from 8 to 20 km h −1 . Performance was evaluated using the race time of the 3000 m test. The biomechanics variables included effective contact time ( t ce ), aerial time ( t ae ), positive work time ( t push ), negative work time ( t break ), step frequency ( f step ), and elastic system frequency ( f sist ), vertical displacement ( S v ) in t ce and t ae ( S ce and S ae ), vertical force, and vertical stiffness were evaluated in a biomechanical submaximal test on treadmill. Results: The t ae , f sist , vertical force and stiffness were higher ( p < 0.05) and t ce and f step were lower ( p < 0.05) in P high , with no differences between groups in t push and t break . Conclusion: The elastic bouncing was optimized in runners of the best performance level, demonstrating a better use of elastic components.

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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.

This study aimed to compare the components of force-velocity (F-V) and power-velocity (P-V) profiles and the mechanical effectiveness of force application (or force ratio–RF) among various sled-towing loads during the entire acceleration phase of a weighted sled sprint. Eighteen sprinters performed four 50-m sprints in various conditions: unloaded; with a load corresponding to 20% of the athlete’s body mass (BM); with a load of 30% BM; and with a load of 40% BM. Data were collected with five video cameras, and the images were digitised to obtain velocity from the derivation of the centre-of-mass position. F-V and P-V components and RF were estimated from sprinting velocity-time data for each load using a validated method that is based on an inverse dynamic approach applied to the sprinter’s centre-of-mass (it models the horizontal antero-posterior and vertical ground reaction force components) and requires only measurement of anthropometric and spatiotemporal variables (body mass, stature and instantaneous position or velocity during the acceleration phase). The theoretical maximal velocity decreased with load compared with the unloaded condition (for 20% BM: -6%, effect size (ES) = 0,38; for 30% BM: -15%, ES = 1.02; for 40% BM: -18%, ES = 1.10). The theoretical maximal horizontal force (F0) and maximal power were not different among conditions. However, power at the end of the acceleration phase increased with load (40% BM vs 0%: 72%; ES = 2.73) as well as the maximal mechanical effectiveness (12%; ES = 0.85). The linear decrease in RF was different between 30 or 40% BM and the unloaded condition (-23%; ES = 0.74 and 0.66). Better effectiveness may be developed with 40% BM load at the beginning of the acceleration and with the various load-induced changes in the components of the F-V and P-V relationships, allowing a more accurate determination of optimal loading conditions for maximizing power.

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 (x 2 4.91, p = 0.014) and the metabolically optimal speed was increased by approximately 0.5 km h −1 changing the speed-cost profile. The electromyographic activation in lower and upper limbs, pendular recovery, and total, external, and internal mechanical work remained unchanged (p > 0.05). Interestingly, the internal mechanical work associated with arm movement was higher in the Nordic walking group than in the free walking group after training, while the co-contraction from upper limb muscles was reduced similarly to both groups.Conclusions: Eight weeks of Nordic walking training effectively improved the walking economy and functionality as well as maintained the gait mechanics, similar to free walking training in elderly people. This enhancement in the metabolic economy may have been mediated by a reduction in the co-contraction from upper limb muscles. Trial registration: ClinicalTrails.gov NCT03096964

ObjectiveTo compare the static postural balance between women suffering from chronic low back pain and healthy subjects, by moving the center of pressure.MethodsThe study included 15 women with low back pain (LBP group) and 15 healthy women (healthy group). They were instructed to remain in standing on the force platform for 30 seconds. We analyzed the area and the speed of displacement of center of pressure of both groups. Data analysis was performed using the Student's t-test, with significance of 5%.ResultsIndividuals with chronic low back pain showed a larger area of displacement of the center of pressure relative to the healthy ones but there was no significant difference in the speed of displacement of the center of pressure.ConclusionIndividuals with chronic low back pain had alterations in static balance with respect to healthy ones. Level of Evidence III, Prognostic Studies.

RESUMO Objetivou-se verificar o efeito imediato da manipulação osteopática para anterioridade tibiotársica sobre o equilíbrio estático, em mulheres jovens. Metodologia: Vinte mulheres foram divididas igualmente em dois grupos: manipulação do tornozelo (GMT) e controle (GC). Analisou-se o deslocamento ântero-posterior (Y) e médio-lateral (X), de olhos abertos e fechados, em um Baropodômetro. Resultados: Na análise intergrupos, o GMT apresentou