Nordic Walking for the Management of People With Parkinson Disease: A Systematic Review

Cugusi, Lucia; Manca, Andrea; Dragone, Daniele; Deriu, Franca; Solla, Paolo; Secci, Claudio; Monticone, Marco; Mercuro, Giuseppe

doi:10.1016/j.pmrj.2017.06.021

Cited by 36 publications

(37 citation statements)

References 31 publications

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“…NW training activates the upper body and is a factor forcing better coordination between lower and upper limbs when walking. e beneficial impact of NW on several gait parameters in PD is well documented [12,13]. However, only one study reported reduced FoG in the NW group [16], and it was revealed by the results of the item 14 of UPDRS, part II.…”

Section: Discussionmentioning

confidence: 99%

“…Nordic walking (NW) is being increasingly used in physical therapy of different conditions, including PD, in recent years. e majority of studies demonstrated a beneficial impact of NW on gait in PD as shown by recently published two systematic reviews [12,13]. e related NW training improvement was observed in several gait parameters including step length, walking velocity, gait pattern [14][15][16][17], temporal organization of gait [18], and postural abilities [17,19].…”

Section: Introductionmentioning

confidence: 91%

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

Wróblewska

Gajos

Smyczyńska

et al. 2019

Parkinson's Disease

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

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

Wróblewska

Gajos

Smyczyńska

et al. 2019

Parkinson's Disease

View full text Add to dashboard Cite

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“…Alternative modalities of exercise, including Nordic walking (Cugusi et al, 2017 ), tai chi (Hackney and Earhart, 2008 ), and tango dancing (Hackney et al, 2007 ), may also elicit improvements in balance and mobility in those with PD. Virtual reality (VR) is a newer technology that may be integrated into a rehabilitative program for those with PD.…”

Section: Exercise and Parkinson's Diseasementioning

confidence: 99%

Should Exercise Be Prescribed Differently Between Women and Men? An Emphasis on Women Diagnosed With Parkinson's Disease

Rigby

Davis

2018

Front. Physiol.

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“…Second, because it has been shown that the performance of NW has a positive impact on different physical and emotional parameters in people with various diseases (Tschentscher, Niederseer, & Niebauer, ). Finally, because in people with chronic conditions such as cardiovascular disease (Cugusi, Manca, Yeo, et al, ; Piotrowicz et al, ), Parkinson disease (Bullo et al, ) or ageing‐related changes (Cugusi, Manca, Dragone, et al, ), their compliance to doing NW has been regarded as high. As for the second limiting factor, it has been suggested that many health professionals show a lack of awareness regarding how to prescribe physical exercise regimens aimed at addressing individual needs at various points along the phases of cancer survivorship, as well as how to discuss exercise with their cancer patients and provide a referral (Schwartz, Heer, & Bea, ).…”

Section: Introductionmentioning

confidence: 99%

Nordic walking for women with breast cancer: A systematic review

et al. 2019

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Nordic walking (NW) seems to be an interesting rehabilitation strategy for women with breast cancer (BC). No review article that has synthesised and summarised the existing scientific evidence about the effect of NW on BC survivors has been published so far. A systematic review was conducted aimed at identifying the characteristics and methodological quality of the studies that have analysed the effects of NW on women with BC. The critical appraisal of the randomised controlled trials (RCTs) was retrieved from the Physiotherapy Evidence Database (PEDro). The methodological quality of the uncontrolled studies was evaluated by means of the Quality Assessment Tool for Before–After Studies with No Control Group. Nine investigations (four RCTs and five quasi‐experimental studies) were included in the final analysis. The RCTs showed a fair methodological quality, while the quasi‐experimental studies obtained a score ranging from “fair” to “poor”. Judging from the findings of the analysed studies, NW had a significant and positive impact on a number of BC symptoms, including lymphedema, physical fitness, disability and morbid perceptions. No adverse effects were reported. However, due to the methodological limitations observed, further research is needed to confirm such findings.

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Nordic Walking for the Management of People With Parkinson Disease: A Systematic Review

Abstract: II.

Cited by 36 publications

References 31 publications

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

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

Should Exercise Be Prescribed Differently Between Women and Men? An Emphasis on Women Diagnosed With Parkinson's Disease

Nordic walking for women with breast cancer: A systematic review

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