Nordic Walking to Manage Falls and Fear of Falling

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.

ClinicalTrials.gov Identifier: NCT05965011

Recruitment Status : Completed

First Posted : July 28, 2023

Last Update Posted : December 13, 2023

View this study on the modernized ClinicalTrials.gov

Sponsor:

Information provided by (Responsible Party):

Dr. Mohammad Auais, PhD, Queen's University

No Study Results Posted on ClinicalTrials.gov for this Study

About Study Results Reporting on ClinicalTrials.gov

Recruitment Status :	Completed
Actual Primary Completion Date :	October 15, 2023
Actual Study Completion Date :	November 30, 2023

Publications:

Hughes VA, Frontera WR, Wood M, Evans WJ, Dallal GE, Roubenoff R, Fiatarone Singh MA. Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J Gerontol A Biol Sci Med Sci. 2001 May;56(5):B209-17. doi: 10.1093/gerona/56.5.b209.

Krasovsky T, Banina MC, Hacmon R, Feldman AG, Lamontagne A, Levin MF. Stability of gait and interlimb coordination in older adults. J Neurophysiol. 2012 May;107(9):2560-9. doi: 10.1152/jn.00950.2011. Epub 2012 Feb 1.

Herman T, Giladi N, Gurevich T, Hausdorff JM. Gait instability and fractal dynamics of older adults with a "cautious" gait: why do certain older adults walk fearfully? Gait Posture. 2005 Feb;21(2):178-85. doi: 10.1016/j.gaitpost.2004.01.014.

Beauchet O, Annweiler C, Allali G, Berrut G, Herrmann FR, Dubost V. Recurrent falls and dual task-related decrease in walking speed: is there a relationship? J Am Geriatr Soc. 2008 Jul;56(7):1265-9. doi: 10.1111/j.1532-5415.2008.01766.x. Epub 2008 May 26.

Bertera EM, Bertera RL. Fear of falling and activity avoidance in a national sample of older adults in the United States. Health Soc Work. 2008 Feb;33(1):54-62. doi: 10.1093/hsw/33.1.54.

Keast M-L. Nordic walking: introducing a new low-impact exercise system for cardiac rehabilitation patients. Minto prevention and rehabilitation center, University of Ottawa Heart Institute. 2009:13- 14.

Ossowski Z, Wawryniku M, Česnaitiene V. Influence of nordic walking training on static and dynamic body balance among the elderly. Baltic Journal of Health and Physical Activity. 2015;7(1):72-80.

Karawan A, Porcari J, Butta H, Postmus A, Stoughton L, Larkin J. Effects of 12 weeks of walking or exerstriding on upper body strength and endurance. Medicine & Science in Sports & Exercise. 1992;24(5):S138.

Kortas J, Kuchta A, Prusik K, Prusik K, Ziemann E, Labudda S, Cwiklinska A, Wieczorek E, Jankowski M, Antosiewicz J. Nordic walking training attenuation of oxidative stress in association with a drop in body iron stores in elderly women. Biogerontology. 2017 Aug;18(4):517-524. doi: 10.1007/s10522-017-9681-0. Epub 2017 Feb 22.

Dalton C, Nantel J. Nordic Walking Improves Postural Alignment and Leads to a More Normal Gait Pattern Following Weeks of Training: A Pilot Study. J Aging Phys Act. 2016 Oct;24(4):575-582. doi: 10.1123/japa.2015-0204. Epub 2016 Aug 24.

Willson J, Torry MR, Decker MJ, Kernozek T, Steadman JR. Effects of walking poles on lower extremity gait mechanics. Med Sci Sports Exerc. 2001 Jan;33(1):142-7. doi: 10.1097/00005768-200101000-00021.

Reelick MF, van Iersel MB, Kessels RP, Rikkert MG. The influence of fear of falling on gait and balance in older people. Age Ageing. 2009 Jul;38(4):435-40. doi: 10.1093/ageing/afp066. Epub 2009 May 18.

Rubenstein LZ, Vivrette R, Harker JO, Stevens JA, Kramer BJ. Validating an evidence-based, self-rated fall risk questionnaire (FRQ) for older adults. J Safety Res. 2011 Dec;42(6):493-9. doi: 10.1016/j.jsr.2011.08.006. Epub 2011 Nov 17.

Stevens JA. The STEADI Tool Kit: A Fall Prevention Resource for Health Care Providers. IHS Prim Care Provid. 2013 Sep;39(9):162-166. No abstract available.

van Zyl LE, Roll LC, Stander MW, Richter S. Positive Psychological Coaching Definitions and Models: A Systematic Literature Review. Front Psychol. 2020 May 6;11:793. doi: 10.3389/fpsyg.2020.00793. eCollection 2020.

International Nordic Walking Federation. http://inwa-nordicwalking.com/. Accessed May 2021.

Bullo V, Gobbo S, Vendramin B, Duregon F, Cugusi L, Di Blasio A, Bocalini DS, Zaccaria M, Bergamin M, Ermolao A. Nordic Walking Can Be Incorporated in the Exercise Prescription to Increase Aerobic Capacity, Strength, and Quality of Life for Elderly: A Systematic Review and Meta-Analysis. Rejuvenation Res. 2018 Apr;21(2):141-161. doi: 10.1089/rej.2017.1921. Epub 2017 Nov 20.

Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000 Sep;80(9):896-903.

Delbaere K, Close JC, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR. The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing. 2010 Mar;39(2):210-6. doi: 10.1093/ageing/afp225. Epub 2010 Jan 8.

Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 Jan;50A(1):M28-34. doi: 10.1093/gerona/50a.1.m28.

Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002 Nov;83(11):1566-71. doi: 10.1053/apmr.2002.35469.

Sullivan GM, Feinn R. Using Effect Size-or Why the P Value Is Not Enough. J Grad Med Educ. 2012 Sep;4(3):279-82. doi: 10.4300/JGME-D-12-00156.1. No abstract available.

Mangione KK, Craik RL, Palombaro KM, Tomlinson SS, Hofmann MT. Home-based leg-strengthening exercise improves function 1 year after hip fracture: a randomized controlled study. J Am Geriatr Soc. 2010 Oct;58(10):1911-7. doi: 10.1111/j.1532-5415.2010.03076.x.

Moore CG, Carter RE, Nietert PJ, Stewart PW. Recommendations for planning pilot studies in clinical and translational research. Clin Transl Sci. 2011 Oct;4(5):332-7. doi: 10.1111/j.1752-8062.2011.00347.x.

Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharmaceutical Statistics: The Journal of Applied Statistics in the Pharmaceutical Industry. 2005;4(4):287-291.

Thorne S, Kirkham SR, MacDonald-Emes J. Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health. 1997 Apr;20(2):169-77. doi: 10.1002/(sici)1098-240x(199704)20:23.0.co;2-i.

Soriano TA, DeCherrie LV, Thomas DC. Falls in the community-dwelling older adult: a review for primary-care providers. Clin Interv Aging. 2007;2(4):545-54. doi: 10.2147/cia.s1080.

Parachute. Fall prevention. 2014. https://parachute.ca/en/injury-topic/fall-prevention-for-seniors/. Accessed Mar 2021

Falls: Assessment and Prevention of Falls in Older People. London: National Institute for Health and Care Excellence (NICE); 2013 Jun. Available from http://www.ncbi.nlm.nih.gov/books/NBK258885/

Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol. 1993 Sep;48 Spec No:35-8. doi: 10.1093/geronj/48.special_issue.35. No abstract available.

Mane AB, Sanjana T, Patil PR, Sriniwas T. Prevalence and correlates of fear of falling among elderly population in urban area of Karnataka, India. J Midlife Health. 2014 Jul;5(3):150-5. doi: 10.4103/0976-7800.141224.

Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990 Nov;45(6):P239-43. doi: 10.1093/geronj/45.6.p239.

Murphy SL, Dubin JA, Gill TM. The development of fear of falling among community-living older women: predisposing factors and subsequent fall events. J Gerontol A Biol Sci Med Sci. 2003 Oct;58(10):M943-7. doi: 10.1093/gerona/58.10.m943.

Auais M, French S, Alvarado B, Pirkle C, Belanger E, Guralnik J. Fear of Falling Predicts Incidence of Functional Disability 2 Years Later: A Perspective From an International Cohort Study. J Gerontol A Biol Sci Med Sci. 2018 Aug 10;73(9):1212-1215. doi: 10.1093/gerona/glx237.

Parker SG, Corner L, Laing K, Nestor G, Craig D, Collerton J, Frith J, Roberts HC, Sayer AA, Allan LM, Robinson L, Cowan K; multiple conditions in later life priority setting partnership. Priorities for research in multiple conditions in later life (multi-morbidity): findings from a James Lind Alliance Priority Setting Partnership. Age Ageing. 2019 May 1;48(3):401-406. doi: 10.1093/ageing/afz014.

Rimer J, Dwan K, Lawlor DA, Greig CA, McMurdo M, Morley W, Mead GE. Exercise for depression. Cochrane Database Syst Rev. 2012 Jul 11;(7):CD004366. doi: 10.1002/14651858.CD004366.pub5.

Bula CJ, Monod S, Hoskovec C, Rochat S. Interventions aiming at balance confidence improvement in older adults: an updated review. Gerontology. 2011;57(3):276-86. doi: 10.1159/000322241. Epub 2010 Oct 29.

Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011 Nov 9;(11):CD004963. doi: 10.1002/14651858.CD004963.pub3.

Huang TT, Yang LH, Liu CY. Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: a randomized controlled trial. J Adv Nurs. 2011 May;67(5):961-71. doi: 10.1111/j.1365-2648.2010.05553.x. Epub 2011 Jan 7.

Watzek D, Mischler E, Sonam D, et al. Effectiveness and economic evaluation of therapeutic nordic walking in patients with psychosomatic disorders: A pragmatic randomized controlled trial. Psychology. 2016;6(11):665-675.

Finnegan S, Bruce J, Skelton DA, Withers EJ, Lamb SE; PreFIT Study Group. Development and delivery of an exercise programme for falls prevention: the Prevention of Falls Injury Trial (PreFIT). Physiotherapy. 2018 Mar;104(1):72-79. doi: 10.1016/j.physio.2017.06.004. Epub 2017 Jun 27.

Thompson PD, Arena R, Riebe D, Pescatello LS; American College of Sports Medicine. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013 Jul-Aug;12(4):215-7. doi: 10.1249/JSR.0b013e31829a68cf. No abstract available.

Yamauchi T, Islam MM, Koizumi D, Rogers ME, Rogers NL, Takeshima N. Effect of home-based well-rounded exercise in community-dwelling older adults. J Sports Sci Med. 2005 Dec 1;4(4):563-71. eCollection 2005 Dec.

Dishman RK. Increasing and maintaining exercise and physical activity. Behavior Therapy. 1991;22(3):345-378. 10

Cyarto EV, Brown WJ, Marshall AL. Retention, adherence and compliance: important considerations for home- and group-based resistance training programs for older adults. J Sci Med Sport. 2006 Oct;9(5):402-12. doi: 10.1016/j.jsams.2006.06.020. Epub 2006 Sep 5.

Yan T, Wilber KH, Simmons WJ. Motivating high-risk older adults to exercise: does coaching matter? Home Health Care Serv Q. 2011 Apr;30(2):84-95. doi: 10.1080/01621424.2011.569670.

Church TS, Earnest CP, Morss GM. Field testing of physiological responses associated with Nordic Walking. Res Q Exerc Sport. 2002 Sep;73(3):296-300. doi: 10.1080/02701367.2002.10609023.

Jordan AN, Olson TP, Earnest CP, Morss GM, Church TS. Metabolic cost of high intensity poling while nordic walking versus normal walking. Medicine & Science in Sports & Exercise. 2001;33(5):S86.

Figard-Fabre H, Fabre N, Leonardi A, Schena F. Physiological and perceptual responses to Nordic walking in obese middle-aged women in comparison with the normal walk. Eur J Appl Physiol. 2010 Apr;108(6):1141-51. doi: 10.1007/s00421-009-1315-z. Epub 2009 Dec 20.

Mikalacki M, Cokorilo N, Katic R. Effect of nordic walking on functional ability and blood pressure in elderly women. Coll Antropol. 2011 Sep;35(3):889-94.

Bulinska K, Kropielnicka K, Jasinski T, Wojcieszczyk-Latos J, Pilch U, Dabrowska G, Skorkowska-Telichowska K, Kalka D, Zywar K, Paszkowski R, Wozniewski M, Szuba A, Jasinski R. Nordic pole walking improves walking capacity in patients with intermittent claudication: a randomized controlled trial. Disabil Rehabil. 2016;38(13):1318-24. doi: 10.3109/09638288.2015.1077398. Epub 2015 Aug 25.

Breyer MK, Breyer-Kohansal R, Funk GC, Dornhofer N, Spruit MA, Wouters EF, Burghuber OC, Hartl S. Nordic walking improves daily physical activities in COPD: a randomised controlled trial. Respir Res. 2010 Aug 22;11(1):112. doi: 10.1186/1465-9921-11-112.

van Eijkeren FJ, Reijmers RS, Kleinveld MJ, Minten A, Bruggen JP, Bloem BR. Nordic walking improves mobility in Parkinson's disease. Mov Disord. 2008 Nov 15;23(15):2239-43. doi: 10.1002/mds.22293.

Reuter I, Mehnert S, Leone P, Kaps M, Oechsner M, Engelhardt M. Effects of a flexibility and relaxation programme, walking, and nordic walking on Parkinson's disease. J Aging Res. 2011;2011:232473. doi: 10.4061/2011/232473. Epub 2011 Mar 30.

Ossowski ZM, Skrobot W, Aschenbrenner P, Cesnaitiene VJ, Smaruj M. Effects of short-term Nordic walking training on sarcopenia-related parameters in women with low bone mass: a preliminary study. Clin Interv Aging. 2016 Nov 30;11:1763-1771. doi: 10.2147/CIA.S118995. eCollection 2016.

Morso L, Hartvigsen J, Puggaard L, Manniche C. Nordic walking and chronic low back pain: design of a randomized clinical trial. BMC Musculoskelet Disord. 2006 Oct 2;7:77. doi: 10.1186/1471-2474-7-77.

Sanchez-Lastra MA, Torres J, Martinez-Lemos I, Ayan C. Nordic walking for women with breast cancer: A systematic review. Eur J Cancer Care (Engl). 2019 Nov;28(6):e13130. doi: 10.1111/ecc.13130. Epub 2019 Aug 6.

Gomenuka NA, Oliveira HB, Silva ES, Costa RR, Kanitz AC, Liedtke GV, Schuch FB, Peyre-Tartaruga LA. Effects of Nordic walking training on quality of life, balance and functional mobility in elderly: A randomized clinical trial. PLoS One. 2019 Jan 30;14(1):e0211472. doi: 10.1371/journal.pone.0211472. eCollection 2019.

Mannerkorpi K, Nordeman L, Cider A, Jonsson G. Does moderate-to-high intensity Nordic walking improve functional capacity and pain in fibromyalgia? A prospective randomized controlled trial. Arthritis Res Ther. 2010;12(5):R189. doi: 10.1186/ar3159. Epub 2010 Oct 13.

Suija K, Pechter U, Kalda R, Tahepold H, Maaroos J, Maaroos HI. Physical activity of depressed patients and their motivation to exercise: Nordic Walking in family practice. Int J Rehabil Res. 2009 Jun;32(2):132-8. doi: 10.1097/MRR.0b013e32831e44ef.

Ossowski Z, Prusik K, Prusik K, Kortas J, Wiech M. Nordic walking training and physical fitness in elderly women. Polish Journal of Sport and Tourism. 2015;21(4):253-257.

Parkatti T, Perttunen J, Wacker P. Improvements in functional capacity from Nordic walking: a randomized-controlled trial among elderly people. J Aging Phys Act. 2012 Jan;20(1):93-105. doi: 10.1123/japa.20.1.93. Epub 2011 Sep 15.

Šokelienė V, Česnaitienė VJ. The influence of nordic walking on physical fitness of elderly people. Baltic Journal of Sport and Health Sciences. 2011;3(82).

Ben Mansour K, Gorce P, Rezzoug N. The impact of Nordic walking training on the gait of the elderly. J Sports Sci. 2018 Oct;36(20):2368-2374. doi: 10.1080/02640414.2018.1458396. Epub 2018 Mar 27.

Gomenuka NA, Oliveira HB, da Silva ES, Passos-Monteiro E, da Rosa RG, Carvalho AR, Costa RR, Rodriguez Paz MC, Pellegrini B, Peyre-Tartaruga LA. Nordic walking training in elderly, a randomized clinical trial. Part II: Biomechanical and metabolic adaptations. Sports Med Open. 2020 Jan 13;6(1):3. doi: 10.1186/s40798-019-0228-6.

Lee HS, Park JH. Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above. J Phys Ther Sci. 2015 Aug;27(8):2453-6. doi: 10.1589/jpts.27.2453. Epub 2015 Aug 21.

Gmiat A, Jaworska J, Micielska K, Kortas J, Prusik K, Prusik K, Lipowski M, Radulska A, Szupryczynska N, Antosiewicz J, Ziemann E. Improvement of cognitive functions in response to a regular Nordic walking training in elderly women - A change dependent on the training experience. Exp Gerontol. 2018 Apr;104:105-112. doi: 10.1016/j.exger.2018.02.006. Epub 2018 Feb 9.

Chalmers I, Glasziou P. Avoidable waste in the production and reporting of research evidence. Lancet. 2009 Jul 4;374(9683):86-9. doi: 10.1016/S0140-6736(09)60329-9. Epub 2009 Jun 12. No abstract available.

Meisner BA, Boscart V, Gaudreau P, Stolee P, Ebert P, Heyer M, Kadowaki L, Kelly C, Levasseur M, Massie AS, Menec V, Middleton L, Sheiban Taucar L, Thornton WL, Tong C, van den Hoonaard DK, Wilson K. Interdisciplinary and Collaborative Approaches Needed to Determine Impact of COVID-19 on Older Adults and Aging: CAG/ACG and CJA/RCV Joint Statement. Can J Aging. 2020 Sep;39(3):333-343. doi: 10.1017/S0714980820000203. Epub 2020 Jun 10.

Schrack JA, Wanigatunga AA, Juraschek SP. After the COVID-19 Pandemic: The Next Wave of Health Challenges for Older Adults. J Gerontol A Biol Sci Med Sci. 2020 Sep 16;75(9):e121-e122. doi: 10.1093/gerona/glaa102. No abstract available.

Cunningham C, O' Sullivan R, Caserotti P, Tully MA. Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scand J Med Sci Sports. 2020 May;30(5):816-827. doi: 10.1111/sms.13616. Epub 2020 Feb 4.

Santini ZI, Jose PE, York Cornwell E, Koyanagi A, Nielsen L, Hinrichsen C, Meilstrup C, Madsen KR, Koushede V. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020 Jan;5(1):e62-e70. doi: 10.1016/S2468-2667(19)30230-0.

Queens Gazette. How the School of Rehabilitation Therapy is breaking down barriers to physiotherapy in the Kingston community. In. Kingston, Ontraio, Canada 2021:https://healthsci.queensu.ca/stories/feature/how-school-rehabilitation-therapy-breaking-down barriers-physiotherapy-kingston.

Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002 Feb;82(2):128-37. doi: 10.1093/ptj/82.2.128.

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing. 2005 Nov;34(6):614-9. doi: 10.1093/ageing/afi196.

To Top