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Effects of Nordic walking training on quality of life, balance and functional mobility in elderly: A randomized clinical trial.

PloS one
January 1, 2019
Natalia Andrea Gomeñuka et al. (8 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether Nordic walking (with poles) provided greater improvements in functional mobility, quality of life, and postural balance compared to free walking (without poles) in untrained elderly individuals.

Results Summary

Both Nordic walking and free walking groups showed improvements in self-selected walking speed, locomotor rehabilitation index, quality of life, static balance, and dynamic variability, but Nordic walking did not result in significantly greater improvements than free walking for most outcomes.

Population

Untrained older adults (Nordic walking group: 64.6±4.1 years; free walking group: 68.6±3.9 years).

Effective Dosage

Not specified

Duration

8 weeks

Interactions

None mentioned

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Nordic walking training
no change
self-selected walking speed
untrained older people
-
did not result in greater improvements than free walking training
#1
Nordic walking training
no change
locomotor rehabilitation index
untrained older people
-
did not result in greater improvements than free walking training
#2
Nordic walking training
no change
static balance
untrained older people
-
did not result in greater improvements than free walking training
#3
Nordic walking training
no change
dynamic stability
untrained older people
-
did not result in greater improvements than free walking training
#4
Nordic walking training
no change
psychological and social participation domains of quality of life
untrained older people
-
did not result in greater improvements than free walking training
#5
Nordic walking training
increase
self-selected walking speed
untrained older people
p = 0.011, ES = 0.42 95%CI -0.31 to 1.16
improvements were found
#6
Nordic walking training
increase
locomotor rehabilitation index
untrained older people
p = 0.013, ES = 0.36; (95%CI -0.39 to 1.10)
improvements were found
#7
Nordic walking training
increase
quality of life
untrained older people
p<0.05
improvements were found
#8
Nordic walking training
increase
static balance
untrained older people
p<0.05
improvements were found
#9
Nordic walking training
increase
dynamic variability
untrained older people
p<0.05
improvements were found
#10
free walking training
increase
self-selected walking speed
untrained older people
p = 0.011, ES = 0.42 95%CI -0.31 to 1.16
improvements were found
#11
free walking training
increase
locomotor rehabilitation index
untrained older people
p = 0.013, ES = 0.36; (95%CI -0.39 to 1.10)
improvements were found
#12
free walking training
increase
quality of life
untrained older people
p<0.05
improvements were found
#13
free walking training
increase
static balance
untrained older people
p<0.05
improvements were found
#14
free walking training
increase
dynamic variability
untrained older people
p<0.05
improvements were found
#15
Abstract

PURPOSE: There is physiological and biomechanical evidence suggesting a possible advantage of using poles in walking training programs. The purpose of this proof-of-concept study was to test the hypothesis that untrained elderly training Nordic walking for eight weeks will show higher improvements on the functional mobility, quality of life and postural balance than that training without poles; more likely to occur in self-selected walking speed (primary outcome), and the locomotor rehabilitation index than the quality of life, the static balance and the dynamic stability. It was a two-arm randomized sample- and load-controlled study. METHODS: Thirty-three untrained older people were randomly assigned into Nordic walking (n = 16, age: 64.6±4.1 years old) and free walking (n = 17, age: 68.6±3.9 years old) training groups. RESULTS: Improvements in the self-selected walking speed (primary outcome, p = 0.011, ES = 0.42 95%CI -0.31 to 1.16), locomotor rehabilitation index (p = 0.013, ES = 0.36; (95%CI -0.39 to 1.10), quality of life (p<0.05), static balance (p<0.05) and dynamic variability (p<0.05) were found in both groups. CONCLUSIONS: The hypothesis was not supported, our findings indicated that after 8 weeks, the Nordic walking training did not result in greater improvements than free walking training for the primary outcome (self-selected walking speed) and most of the secondary outcomes (including locomotor rehabilitation index, static balance, dynamic stability, and psychological and social participation domains of quality of life). TRIAL REGISTRATION: ClinicalTrials.gov NCT03096964.

Medical Subject Headings (MeSH)
AgedCase-Control StudiesExerciseFemaleHumansMaleMiddle AgedPostural BalanceQuality of LifeRange of Motion, ArticularWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality75/10
Citation Metrics
Total Citations44
Citations/Year7.3
Relative Citation Ratio4.22
NIH Percentile90.9%
Research Impact Scores
APT Score0.95
Weight Score2.31
Normalized Score0.59
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