Evidence map›Paper›PMID 28222810›Full record

Trial reportJournal of neuroengineering and rehabilitation2017

Does Nordic Walking restore the temporal organization of gait variability in Parkinson's disease?

Thibault Warlop, Christine Detrembleur, Maïté Buxes Lopez, Gaëtan Stoquart, Thierry Lejeune, Anne Jeanjean

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02419768 (Locomotion of Parkinsonian Patient), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
9.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02419768 naunknown statusnot on this map

Locomotion of Parkinsonian Patient: Are There Relations Between the Long Range Autocorrelations and the Neurological Impairments, Walking Abilities and the Practice of Physical Exercise?

TypeinterventionalSponsorCliniques universitaires Saint-Luc- Université Catholique de LouvainRan2014Enrolled50ConditionsParkinson's DiseaseArmsPhysical Exercise
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Thibault WarlopPhysical and Rehabilitation Medicine Department, Cliniques universitaires Saint-Luc, Avenue Hippocrate n°10, 1200, Brussels, Belgium. thibault.warlop@uclouvain.be.ORCID http://orcid.org/0000-0002-8837-4124
Christine DetrembleurInstitut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab (IREC/NMSK), Université catholique de Louvain, Brussels, Belgium.
Maïté Buxes LopezInstitut Parnasse-Deux Alice, Brussels, Belgium.
Gaëtan StoquartPhysical and Rehabilitation Medicine Department, Cliniques universitaires Saint-Luc, Avenue Hippocrate n°10, 1200, Brussels, Belgium.
Thierry LejeunePhysical and Rehabilitation Medicine Department, Cliniques universitaires Saint-Luc, Avenue Hippocrate n°10, 1200, Brussels, Belgium.
Anne JeanjeanInstitute of Neurosciences (IoNS), Université catholique de Louvain, Brussels, Belgium.
Cliniques Universitaires Saint-Luc · BEUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait disorders of Parkinson's disease (PD) are characterized by the breakdown of the temporal organization of stride duration variability that was tightly associated to dynamic instability in PD. Activating the upper body during walking, Nordic Walking (NW) may be used as an external cueing to improve spatiotemporal parameters of gait, such as stride length or gait variability, in PD. The aim of this study was to evaluate the beneficial effects of NW on temporal organization of gait variability and spatiotemporal gait variables in PD.

methodsFourteen mild to moderate PD participants and ten age-matched healthy subjects performed 2 × 12 min overground walking sessions (with and without pole in a randomized order) at a comfortable speed. Gait speed, cadence, step length and temporal organization (i.e. long-range autocorrelations; LRA) of stride duration variability were studied on 512 consecutive gait cycles using a unidimensional accelerometer placed on the malleola of the most affected side in PD patients and of the dominant side in healthy controls. The presence of LRA was determined using the Rescaled Range Analysis (Hurst exponent) and the Power Spectral Density (α exponent). To assess NW and disease influences on gait, paired t-tests, Z-score and a two-way (pathological condition x walking condition) ANOVA repeated measure were used.

resultsLeading to significant improvement of LRA, NW enhances step length and reduces gait cadence without any change in gait speed in PD. Interestingly, LRA and step length collected from the NW session are similar to that of the healthy population.

conclusionThis cross-sectional controlled study demonstrates that NW may constitute a powerful way to struggle against the randomness of PD gait and the typical gait hypokinesia. Involving a voluntary intersegmental coordination, such improvement could also be due to the upper body rhythmic movements acting as rhythmical external cue to bypass their defective basal ganglia circuitries. ETHICS COMMITTEE'S REFERENCE NUMBER: B403201318916

trial registrationNCT02419768.

Indexed as

AgedCross-Sectional StudiesCuesExercise TherapyFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParkinson DiseasePsychomotor PerformanceWalkingAccelerometersFractalsGait disordersGait variabilityHypokinesiaLocomotionNonlinear dynamicsParkinson's diseaseRehabilitation

Identifiers

PMID28222810
PMCPMC5320697
OpenAlexW2590323933

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.