Biomechanical responses of Nordic walking in people with Parkinson’s disease

2021 ◽  
Author(s):  
Antonio Henrique Leal‐Nascimento ◽  
Edson Soares da Silva ◽  
Ana Paula Janner Zanardi ◽  
André Ivaniski‐Mello ◽  
Elren Passos Monteiro ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Nordic Walking ◽  
Biomechanical Responses

Gait velocity and step length at baseline predict outcome of Nordic walking training in patients with Parkinson's disease

2015 ◽  
Vol 21 (4) ◽  
pp. 413-416 ◽  
Author(s):  
Manon Herfurth ◽  
Jana Godau ◽  
Barbara Kattner ◽  
Silvia Rombach ◽  
Stefan Grau ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Step Length ◽  
Gait Velocity ◽  
Nordic Walking

scholarly journals The Therapeutic Effect of Nordic Walking on Freezing of Gait in Parkinson’s Disease: A Pilot Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Agata Wróblewska ◽  
Agata Gajos ◽  
Urszula Smyczyńska ◽  
Andrzej Bogucki
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Research Question ◽  
Freezing Of Gait ◽  
Intervention Group ◽  
Future Research ◽  
Control Group ◽  
Nordic Walking ◽  
Provocative Test ◽  
Step Initiation

Introduction. The effectiveness of the currently utilized therapies for FoG is limited. Several studies demonstrated a beneficial impact of Nordic walking (NW) on several gait parameters in Parkinson’s disease, but only one paper reported reduction of freezing. Research Question. In the present study, the question is whether NW is an effective therapeutic intervention in FoG. Methods. Twenty PD subjects trained NW for 12 weeks, with a frequency of twice per week. Each session lasted about 60 minutes. Twenty patients in the control group did not use any form of physiotherapy (no-intervention group). Freezing of Gait Questionnaire (FOGQ), the Timed Up and Go (TUG) test, and the Provocative Test for Freezing and Motor Blocks (PTFMB) were performed at baseline, immediately after the end of NW program, and three months later. Results. The results of FOGQ, TUG, and total PTFMB revealed significant improvement after completing the exercise program, and this effect persisted at follow-up. The results of the PTFMB subtests showed a different effect of NW on particular subtypes of FoG. Start hesitation, sudden transient blocks that interrupt gait, and blocks on turning improved considerably, while motor blocks, when walking through narrow space and on reaching the target, did not respond to NW training. Significance. The results show, for the first time, that FoG during turning and step initiation, two most common forms of this gait disorder, has been significantly reduced by NW training. Different responses of particular subtypes of FoG to NW probably reflect their different pathophysiologies. Conclusions. The present study showed that NW training had a beneficial effect on FOG in PD and that the achieved improvement is long-lasting. Future research should clarify whether the observed improvement limited to FoG triggered by only some circumstances reflects different pathomechanisms of FoG subtypes.

P2.094 Nordic walking improves mobility in Parkinson's disease

2008 ◽  
Vol 14 ◽  
pp. S67 ◽  
Author(s):  
F.J.M. Van Eikeren ◽  
R.S.J. Reijmers ◽  
H.J. Kleinveld ◽  
A. Minten ◽  
J.P. Ter Bruggen ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Nordic Walking

Nordic Walking Improves Gait Power Profiles at the Knee Joint in Parkinson’s Disease

2018 ◽  
Vol 26 (1) ◽  
pp. 84-88 ◽  
Author(s):  
Lei Zhou ◽  
Marie-Anne Gougeon ◽  
Julie Nantel
Keyword(s):  
Older Adults ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Knee Joint ◽  
Knee Extensor ◽  
Gait Pattern ◽  
Nordic Walking ◽  
Healthy Older Adults ◽  
Functional Gait ◽  
The Impact

We investigated the impact of Nordic walking (NW) on gait patterns in individuals with Parkinson’s disease (PD) following a 6-week NW familiarization. Twelve participants with PD and 12 healthy older adults took part in a gait analysis walking with and without poles (NP). Results showed larger knee power (knee extensor: K2) on the most affected leg in NW compared to NP (P = .01). On the less affected side, larger power absorption (knee extensor: K3) was found during preswing (K3) compared to older adults in both NP and NW (P = 0.01). NW showed longer stride length and single support time (P < .01) compared to NP. Walking with poles improved gait spatial–temporal characteristics and power profiles at the knee joint both on the less and most affected sides in individuals with PD. NW could be beneficial to help regain a more functional gait pattern in PD.

scholarly journals A 9-Week Nordic and Free Walking Improve Postural Balance in Parkinson’s Disease

2018 ◽  
Vol 02 (02) ◽  
pp. E28-E34 ◽  
Author(s):  
Leandro Franzoni ◽  
Elren Monteiro ◽  
Henrique Oliveira ◽  
Rodrigo da Rosa ◽  
Rochelle Costa ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Center Of Pressure ◽  
Neuroprotective Effect ◽  
Functional Mobility ◽  
Nordic Walking ◽  
Promising Alternative ◽  
Functional Balance ◽  
Eyes Closed ◽  
Eyes Open

AbstractAerobic 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.

scholarly journals Effects of Nordic Walking on Gait Symmetry in Mild Parkinson’s Disease

Symmetry ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 1481
Author(s):  
Ana Paula J. Zanardi ◽  
Flávia G. Martinez ◽  
Edson S. da Silva ◽  
Marcela Z. Casal ◽  
Valéria F. Martins ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Generalized Estimating Equations ◽  
Aerobic Training ◽  
Nordic Walking ◽  
Post Intervention ◽  
Gait Symmetry ◽  
Gait Parameters ◽  
Walking Speeds ◽  
Post Hoc

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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