Climb up! Head up! Climbing improves posture in Parkinson's disease. A secondary analysis from a randomized controlled trial.
Clin Rehabil
; 37(11): 1492-1500, 2023 Nov.
Article
in En
| MEDLINE
| ID: mdl-37157229
ABSTRACT
OBJECTIVE:
To investigate the effect of sport climbing on a biomechanical marker of axial posture in patients with Parkinson's disease, as well as its association with age, body mass index and health-related quality-of-life outcome measures.DESIGN:
Pre-planned secondary analysis of our randomized controlled, semi-blind trial (unblinded patients, blinded assessors) comparing sport climbing to unsupervised exercise.SETTING:
Single-centre study conducted at the Department of Neurology of the Medical University of Vienna, Austria.PARTICIPANTS:
Forty-eight Parkinson's disease patients (aged 64 ± 8 years, Hoehn & Yahr stage 2-3) were included. INTERVENTION Sport climbers (n = 24) followed a 12-week, 90â min/week supervised top-rope sport climbing course in an indoor climbing gym. The unsupervised training group (n = 24) independently followed the 'European Physiotherapy Guidelines for Parkinson's Disease' and World Health Organization recommendations for an active lifestyle for 12 weeks. MAINMEASURES:
Posture was assessed with the horizontal distance of the seventh cervical vertebra to the wall at baseline and after the intervention.RESULTS:
Participating in the sport climbing group significantly predicted the biomechanical marker of axial posture (P = 0.044). The improvement in the biomechanical marker did not affect the quality of life, depression, fatigue, physical activity or fear of falling. Participants in the sport climbing group showed a significantly decreased horizontal distance of the seventh cervical vertebra to the wall after the intervention (-1.7â cm (95%CI [-2.6, -0.8]). In the unsupervised training group, no difference was found (-0.5â cm; 95%CI -1.3, 0.2]).CONCLUSIONS:
We conclude that sport climbing improves a biomechanical marker of axial posture in Parkinson's disease.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Parkinson Disease
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Prognostic_studies
Aspects:
Patient_preference
Limits:
Humans
Language:
En
Journal:
Clin Rehabil
Journal subject:
REABILITACAO
Year:
2023
Document type:
Article
Affiliation country: