+ Translate
+ Most Popular
The pigeon tick (Argas reflexus): its biology, ecology, and epidemiological aspects
Prevalence of hemoglobin abnormalities in Kebili (Tunisian South)
Lipogranuloma: a preventable complication of dacryocystorhinostomy
Value of basal plasma cortisol assays in the assessment of pituitary-adrenal insufficiency
Bees from the Belgian Congo. The acraensis group of Anthophora
Placing gingival retraction cord
Total serum IgE, allergy skin testing, and the radioallergosorbent test for the diagnosis of allergy in asthmatic children
Acariens plumicoles Analgesoidea parasites des oiseaux du Maroc
Injuries of terminal phalanges of the fingers in children
Biology of flowering and nectar production in pear (Pyrus communis)
Das Reliktvorkommen der Aspisviper (Vipera aspis L.) im Schwarzwald
Hydrological modelling of drained blanket peatland
Pathologic morphology and clinical significance of the anomalous origin of the left circumflex coronary artery from the right coronary artery. General review and autopsy analysis of 30 cases
Cyto genetic analyses of lymphocyte cultures after exposure to calcium cyclamate
Axelrodia riesei, a new characoid fish from Upper Rio Meta in Colombia With remarks concerning the genus Axelrodia and description of a similar, sympatric, Hyphessobrycon-species
Favorable evolution of a case of tuberculosis of pancreas under antibiotic action
RIFM fragrance ingredient safety assessment, Valencene, CAS Registry Number 4630-07-3
Parenteral microemulsions: an overview
Temperate pasture: management for grazing and conservation
Evaluation of a new coprocessed compound based on lactose and maize starch for tablet formulation
Thermal expansion and cracking of three confined water-saturated igneous rocks to 800C
Revision of the genera of the tribe Stigmoderini (Coleoptera: Buprestidae) a discussion of phylogenetic relationships
Anal tuberculosis. Report of a case
Gastric tuberculosis in the past and present
Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring

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

Parkinson's Disease 2019: 3846279

ISSN/ISBN: 2090-8083

PMID: 32089815

DOI: 10.1155/2019/3846279

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. 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. 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. 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.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 069842795

Download citation: RISBibTeXText

Related references

Long-term effect of robot-assisted treadmill walking reduces freezing of gait in Parkinson's disease patients: a pilot study. Journal of Neurology 260(1): 296-298, 2013

Occupational therapy with Nordic walking and therapeutic touch: A pilot study for multidisciplinary rehabilitation in Parkinson's disease. Neurorehabilitation 45(1): 125-134, 2019

Does Nordic Walking restore the temporal organization of gait variability in Parkinson's disease?. Journal of Neuroengineering and Rehabilitation 14(1): 17, 2017

Effects of an intensive Nordic walking intervention on the balance function and walking ability of individuals with Parkinson's disease: a randomized controlled pilot trial. Aging Clinical and Experimental Research 29(5): 993-999, 2017

Nordic Walking Improves Gait Power Profiles at the Knee Joint in Parkinson's Disease. Journal of Aging and Physical Activity 26(1): 84-88, 2018

Walking patterns in Parkinson's disease with and without freezing of gait. Neuroscience 182: 217-224, 2011

Bilateral coordination of walking and freezing of gait in Parkinson's disease. European Journal of Neuroscience 27(8): 1999-2006, 2008

Gait disorders in Parkinson disease. Gait freezing and falls: therapeutic management. Presse Medicale 30(9): 460-468, 2001

The effects of anodal tDCS over the supplementary motor area on gait initiation in Parkinson's disease with freezing of gait: a pilot study. Journal of Neurology 265(9): 2023-2032, 2018

Nordic Walking improves trunk stability and gait spatial-temporal characteristics in people with Parkinson disease. Neurorehabilitation 41(1): 205-210, 2017

Gait velocity and step length at baseline predict outcome of Nordic walking training in patients with Parkinson's disease. Parkinsonism and Related Disorders 21(4): 413-416, 2015

Effects of curved-walking training on curved-walking performance and freezing of gait in individuals with Parkinson's disease: A randomized controlled trial. Parkinsonism and Related Disorders 43: 20-26, 2017

The Transition from Standing to Walking Is Affected in People with Parkinson's Disease and Freezing of Gait. Journal of Parkinson's Disease 10(1): 233-243, 2020

Virtual reality walking and dopamine: opening new doorways to understanding freezing of gait in Parkinson's disease. Journal of the Neurological Sciences 344(1-2): 182-185, 2014

The effect of injecting botulinum toxin type a into the calf muscles on freezing of gait in Parkinson's disease: a double blind placebo-controlled pilot study. Movement Disorders: Official Journal of the Movement Disorder Society 22(6): 880-883, 2007