Does Nordic Walking restore the temporal organization of gait variability in Parkinson's disease?
Thibault Warlop, Christine Detrembleur, Maïté Buxes Lopez and 3 others
PMID 28222810WHAT IT FOUND
After three one-hour technique sessions, walking with Nordic poles made stride timing less random and more like healthy controls during a short test.
It lengthened steps without changing speed. This small immediate effect is not proof of long-term benefit.
Key findings
01Nordic walking improved the temporal organization of stride duration variability compared with usual walking in people with Parkinson's disease.
02Nordic walking increased step length and decreased gait cadence without changing gait speed in people with Parkinson's disease.
03The magnitude of stride duration variability increased during Nordic walking in both people with Parkinson's disease and healthy controls.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only 14 people with Parkinson's disease were tested, all able to walk 512 strides without aids and with mild to moderate symptoms, so the findings may not apply to more advanced disease or people who need walking aids. The study measured a single 12-minute walk after three one-hour technique-learning sessions, not a long-term Nordic walking programme, so it does not show sustained benefit. The reported outcomes were gait timing and spatiotemporal measures, not fall events, balance performance after intervention, or daily function. Several participants came from a previous study and were probably more motivated than typical patients. The design cannot separate the effect of the poles from the practice and attention involved in learning the technique. Only two participants had motor complications, and none had them during the walking trials, so effects in people who freeze or have dyskinesia are unclear.
Declared interests
The study was funded by Fonds pour la Formation à la Recherche dans l’Industrie et dans l’Agriculture and Fondation Saint-Luc. The supplied text does not list a commercial sponsor or a separate author conflict-of-interest declaration.
The easy way to misread this
Do not conclude that Nordic walking is a proven long-term treatment for Parkinson's disease. The study tested a short walking session after three technique-learning sessions, measured stride timing in a lab, and included only 14 people with mild to moderate disease.