The effects of walking training with poles on walking ability: A systematic review and meta-analysis of randomized controlled trials
Corresponding Author
Koji Ono M.S.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Shigei Hospital, Okayama, Japan
Correspondence
Koji Ono, Department of rehabilitation, Shigei Hospital, Okayama, Japan, 2-30, Saiwai-cho, Kurashiki City, Okayama 710-0051, Japan.
Email: [email protected]
Search for more papers by this authorJunji Nishimoto M.S.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Saitama Medical Center, Saitama Medical University, Saitama, Japan
Search for more papers by this authorTakeshi Imura Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, Japan
Search for more papers by this authorTsubasa Mitsutake Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Physical Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan
Search for more papers by this authorYu Inoue Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Kurashiki Heisei Hospital, Okayama, Japan
Research Institute of Health and Welfare, Kibi International University, Okayama, Japan
Search for more papers by this authorShigeharu Tanaka Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Division of Physical Therapy, School of Rehabilitation, Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka, Japan
Search for more papers by this authorRyo Tanaka Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Search for more papers by this authorCorresponding Author
Koji Ono M.S.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Shigei Hospital, Okayama, Japan
Correspondence
Koji Ono, Department of rehabilitation, Shigei Hospital, Okayama, Japan, 2-30, Saiwai-cho, Kurashiki City, Okayama 710-0051, Japan.
Email: [email protected]
Search for more papers by this authorJunji Nishimoto M.S.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Saitama Medical Center, Saitama Medical University, Saitama, Japan
Search for more papers by this authorTakeshi Imura Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima, Japan
Search for more papers by this authorTsubasa Mitsutake Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Physical Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan
Search for more papers by this authorYu Inoue Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Department of Rehabilitation, Kurashiki Heisei Hospital, Okayama, Japan
Research Institute of Health and Welfare, Kibi International University, Okayama, Japan
Search for more papers by this authorShigeharu Tanaka Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Division of Physical Therapy, School of Rehabilitation, Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka, Japan
Search for more papers by this authorRyo Tanaka Ph.D.
Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
Search for more papers by this authorAbstract
Objective
The purpose of this study was to consolidate the level of evidence for the effects of walking training with poles (pole walking; PW) on walking ability using a systematic review and meta-analysis.
Type
Systematic review and meta-analysis.
Literature Survey
Databases including PubMed, Cochrane Library, Physiotherapy Evidence Database (PEDro), Cumulative Index to Nursing and Allied Health Literature databases, and Igaku Chuo Zasshi were searched on June 20, 2021.
Methodology
Data from randomized controlled trials (RCTs) comparing the effects of PW with walking without poles and/or other exercise interventions in disease-specific and aging populations were collected. Data on walking speed, functional mobility, and walking endurance were collected for the meta-analyses. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated from postintervention means and standard deviations. The PEDro scale was used for assessing the risk of bias, and the Grading of Recommendations Assessment, Development, and Evaluation system was used to determine the quality of evidence.
Synthesis
This study included 13 RCTs comprising 750 participants; of these, six RCTs were included in the meta-analysis. The results showed that moderate-quality evidence supports the positive effects of PW on walking speed in patients with Parkinson disease (walking speed: SMD = 0.42, 95% CI = 0.04–0.80). In contrast, PW did not significantly improve functional mobility in patients with Parkinson disease and walking speed in older adults.
Conclusions
There was moderate-quality evidence that PW improved walking speed in patients with Parkinson disease.
Supporting Information
| Filename | Description |
|---|---|
| pmrj12886-sup-0001-Tables.docxWord 2007 document , 25.2 KB | Appendix S1 Search strategy for the Medline database (PubMed) Appendix S2. Search strategy for the Cochrane Central Register of Controlled Trials (CENTRAL) Appendix S3. Search strategy for the Physiotherapy Evidence Database (PEDro) Appendix S4. Search strategy for the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Appendix S5. Search strategy for the Ichushi-Web (Japanese medical database) |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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