Department of Physical Therapy, Cook-DeVos Center for Health Sciences, Grand Valley State University, Grand Rapids, MI, USA.
Physiother Theory Pract. 2023 Oct 3;39(10):2208-2222. doi: 10.1080/09593985.2022.2063211. Epub 2022 Apr 22.
Physical therapy interventions for patients with Parkinson's disease prioritize task-specific exercise to address gait and motor dysfunction. Nordic walking (NW) is a moderate intensity exercise promoting walking speed and rhythm. This case series describes the application of customized NW training in individuals with varied severity of Parkinson's gait dysfunction and the outcomes specific to gait, motor and non-motor symptoms; and NW engagement and retention in the follow-up phase.
Three individuals with idiopathic PD (two males and one female; ages 59-69; Hoehn & Yahr stages II-III) participated. Supervised NW training phase included 15 one-hour sessions over 6-weeks, individually progressed for each participant. During the 3-month follow-up phase independent NW exercise was prescribed 3 times a week. Primary outcome measures examined gait function and impairment-based measures assessed Parkinson's motor and nonmotor symptoms.
Participants improved in: 10-Meter walk-fast speed (0.13, 0.18, 0.15 m/s; respectively); 6-Minute Walk distance (137.5, 56.4, 129.4 m, respectively); Unified Parkinson's Disease Rating Scale-Motor Score (-6, -7, -14, respectively); and all Timed-Up-Go subtests. Participant 2 had 44.4% decline in freezing episodes and reduced fall rate. Participants' gains were retained at the 3-month follow-up.
This case series suggests that NW has therapeutic benefits for three individuals with varied Parkinson's gait dysfunction. Independent NW exercise was sustained post-training and motor and gait function gains were retained.
针对帕金森病患者的物理治疗干预措施侧重于特定任务的运动，以解决步态和运动功能障碍。北欧式健走（Nordic walking，NW）是一种中等强度的运动，可提高步行速度和节奏。本病例系列描述了针对不同严重程度帕金森步态障碍患者的个性化 NW 训练的应用，以及对步态、运动和非运动症状的具体结果；以及在随访阶段 NW 的参与度和保持度。
3 名特发性帕金森病患者（2 男 1 女；年龄 59-69 岁；Hoehn & Yahr 分期 II-III）参与了研究。监督的 NW 训练阶段包括 6 周内 15 次 1 小时的课程，针对每位参与者单独进行进度安排。在 3 个月的随访阶段，规定每周进行 3 次独立的 NW 运动。主要结局指标评估了步态功能，基于损伤的评估评估了帕金森运动和非运动症状。
参与者在以下方面得到了改善：10 米快走速度（分别为 0.13、0.18、0.15 米/秒）；6 分钟步行距离（分别为 137.5、56.4、129.4 米）；统一帕金森病评定量表-运动评分（分别为-6、-7、-14）；以及所有计时起立行走测试子测试。参与者 2 的冻结发作减少了 44.4%，跌倒率降低。参与者在 3 个月的随访中保持了他们的获益。
本病例系列表明，NW 对 3 名具有不同帕金森步态障碍的患者具有治疗益处。NW 独立运动在训练后得以维持，并且运动和步态功能的获益得以保留。
