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      Nordic walking improves mobility in Parkinson's disease.

      Movement Disorders
      Aged, Disability Evaluation, Exercise Therapy, methods, Female, Follow-Up Studies, Humans, Male, Middle Aged, Parkinson Disease, physiopathology, rehabilitation, Severity of Illness Index, Treatment Outcome, Walking, physiology

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          Abstract

          Nordic walking may improve mobility in Parkinson's disease (PD). Here, we examined whether the beneficial effects persist after the training period. We included 19 PD patients [14 men; mean age 67.0 years (range 58-76); Hoehn and Yahr stage range 1-3] who received a 6-week Nordic walking exercise program. Outcome was assessed prior to training (T1), immediately after the training period (T2) and-in a subgroup of 9 patients--5 months after training (T3). At T2, we observed a significant improvement in timed 10-m walking, the timed get-up-and-go-test (TUG), the 6-min walking test and quality of life (PDQ-39). All treatment effects persisted at T3. Compliance was excellent, and there were no adverse effects. These preliminary findings suggest that Nordic walking could provide a safe, effective, and enjoyable way to reduce physical inactivity in PD and to improve the quality of life. A large randomized clinical trial now appears justified.

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