Nordic walking and Parkinson's
The researchers'
recommendations included this: "Physiotherapists should be encouraged to
teach PD [Parkinson's disease] patients NW [Nordic walking] and to provide practise sessions with high
intensity."
Read on for details.
How they conducted
the study:
- The study involved 90
patients with Parkinson's, 45 men and 45 women.
- The patients were randomly
assigned to one of the three groups: flexibility and relaxation training,
regular walking, or Nordic walking.
How it turned out:
- Nordic walking required a
little more training so that patients could master the skill.
- The patients experienced a
decrease in pain during the training.
Some detailed
results:
|
Flexibility and
relaxation
|
Regular walking
|
Nordic walking
|
Pain
|
Decreased
|
Decreased
|
Decreased
|
Unified
Parkinson's disease rating scale (UPDRS)
|
Some improvement
|
Significant
improvement
|
Most improvement
|
Quality of life
|
Improvement
|
Improvement
|
Improvement
|
Balance
|
Improvement
|
Improvement
|
Improvement
|
Walking speed
|
Some improvement
|
Significant
improvement
|
Significant
improvement
|
Stride length
|
Some improvement
|
Significant
improvement
|
Most improvement
|
Stride variability
(consistent stride length to reduce risk of falling)
NOTE: As patients
walked faster, only Nordic walkers maintained consistent stride lengths; the
others got worse at higher walking speeds)
|
Some improvement
|
Significant
improvement
|
Most improvement
|
Stride time
(duration between a foot leaving the ground and hitting the ground again that
is related to walking speed)
|
Some improvement
|
Significant
improvement
|
Most improvement
|
Double stance
(time between each foot hitting the ground)
|
Some improvement
|
Significant
improvement
|
Significant
improvement
|
Exercise test (top
walking speed patients could achieve)
|
Some improvement
|
Significant
improvement
|
Most improvement
|
Blood pressure
|
Some improvement
|
Significant
improvement
|
Significant
improvement
|
Heart rate
|
Some improvement
|
Significant
improvement
|
Most improvement
|
Sustainment of
training
|
50% continued
|
60% continued
walking, 10% stopped, 30% switched to Nordic walking
|
All had continued
training after the study and had formed training groups
|
What did the
researchers in this particular study conclude about Nordic walking?
- "The Nordic walking
training resulted in a mean improvement of
points of the UPDRS motor scale, while the walking group failed to
reach a 5-point improvement."
- "Neurological signs such
as rigidity and tremor were not improved by exercise treatment, but it is
to note that walking and Nordic walking had positive effects on some key
symptoms of PD such as posture, alternating movements, freezing, and
postural stability."
- "Posture and postural
instability were most improved by NW [Nordic walking]."
- "The cross country
training has possibly improved balance so far that subjects of the NW
group are also more stable without poles."
- "…Walking and Nordic
walking improved walking speed and gait parameters most."
Some of their
conclusions help us keep from thinking of Nordic walking as the panacea that
will fix everything:
- "It was expected that
Nordic walking is most effective in increasing cardiorespiratory capacity.
However, there was no superiority of the NW group."
- "…the physiological
effects of NW depend largely on the technical skills of the individuals.
Without being competent in using the correct NW technique patients cannot
exercise with high intensity."
However, Nordic
walking was positively received, as shown by all the patients continuing
training and most being joined by their spouses.
NW
was most attractive for the patients, and all patients continued the training,
which might be a prerequisite to maintain an active life style.
Supportive
was that 70% of the spouses took up NW and accompanied the patients after
completion of the study. Since social aspects were very important for the PD
patients, the participation of the spouses in NW might support further physical
activity.