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Influence of Nordic Walking and Respiratory Muscle Training in Patients with Parkinson: Randomized Clinical Trial

Lucas Meireles Matos, Raiane Gomes da Veiga, Antônio Gabriel Pantoja Silva Santos, Caroline Prudente Dias, Luciane Lobato sobral santos, Rodrigo Santiago Barbosa Rocha and Larissa Salgado de Oliveira Rocha

Objective: To verify the impact of respiratory muscle training associated with Nordic walking training on lung function and quality of life in patients with Parkinson's disease (PD). Methods: 22 patients with PD were randomized into three groups: Respiratory Muscle Training (RMT; n=6), using Power breathe® linear resistor; the group that performed aerobic activity through Nordic Walking (NW; n=9) and the group associating the treatments: Nordic Walking plus Respiratory Muscle Training (RMT+NW; n=7). The variables analyzed were respiratory function, assessed by spirometry and manovacuometry, and quality of life assessed by the Parkinson Disease Questionary scale (PDQ-39). The intervention occurred over a period of 8 weeks, evaluated before and after treatment and subsequently the groups were compared to each other. Results: The analyzes showed significant intragroup results, with no statistical difference in the comparison between groups. In the respiratory function, there was a gain in expiratory muscle pressure (p=0.008) and forced vital capacity (p=0.011) for the RMT + NW group; gain of inspiratory muscle pressure (p=0.004) for the RMT group and improvement in forced expiratory volume in one second (p=0.039) and in the range of 25%75% of forced expiratory flow (p=0.013) for the NW group. In the results obtained by PDQ-39, there was a positive reduction (p<0.05) in the total score before and after the treatment of each group. Conclusion: Physical therapy through respiratory muscle training associated with Nordic walking generated positive results for variables related to lung function and quality of life.