With Parkinson’s disease Nordic Walking is often named as a suitable exercise. Poles give stability and encourage longer steps, and that sounds like exactly what this disease needs. But what does a 2022 meta-analysis of randomised studies say?
What the review found
It included 12 randomised studies, mostly of good to satisfactory quality. Conclusions:
- Nordic Walking did not lead to a clinically significant change in overall motor symptoms, functional mobility, balance or fitness.
- Walking ability improved and probably quality of life too. For the latter the authors say that further research is needed.
- People kept to the programmes well, but some also reported adverse effects.
How to read it
“Statistically significant” does not mean that a person will notice it. There can be a difference that can be measured but does not show in everyday life. The authors write that apart from walking ability none of the significant results was clinically significant. That is why we do not claim that Nordic Walking “treats” Parkinson’s disease or that it improves balance. The studies showed nothing of the kind.
It is interesting that people kept to the programmes well. With a disease that takes away appetite and energy, that is not a given, and it is a good reason to try poles.
What it means
Better walking and a reason to walk outdoors regularly is valuable in itself. Parkinson’s disease takes confidence away, and when you improve your walking and have a group or a regular meeting for it, you get more than any number will show. But that is not counted in studies, and that is why it is not visible in the results.
The adverse effects that some reported are a reminder that it is good to start slowly and not get carried away. With poles or without.
Do you walk with poles with Parkinson’s disease? Tell us in the forum what it is like. More than studies, we are interested in your story.
A clinically significant difference is one that a person recognises in everyday life: they stand up more easily, stumble less, manage more in a day. A statistically significant difference can be tiny and not show in daily life. That is why the distinction matters, and why it is good that the authors do not overlook it.
If you are thinking about poles with Parkinson’s disease, the first lessons with someone who has already met the disease are useful, say a physiotherapist or an instructor with experience. They know how to adapt walking with poles so that it helps you and does not tire you.
Text: Kompas.
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