A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease. (2021)

PICO

Patient/Population

 Mild to moderately Parkinson’s disease (n=48)

Intervention

  • Sport climbing course

Comparison

  • Unsupervised physical training

Outcomes

  • Bradykinesia

  • Rigidity

  • Tremor

Translatability:   (3/3) Easy                                    

Comments: All outcomes improved significantly and substantially due to climbing; climbing proved to be a safe and feasible exercise for PD patients without prior climbing experience, rich in physical and mental challenges, and with the potential to be highly motivational for PD patients to engage in physical activities in the long run. The control group only stabilized but did not improve, motor symptoms.
Limitations: MDS-UPDRS-III scale score, which is influenced by pharmacological treatment; only participants without previous climbing experience; follow-up assessment (i.e. interview) did not include another clinical assessment; the control group was not directly supervised.

Appraisals:

PEDro Scale  – (7/10) Concealed allocation: No; Blind subjects: No; Blind therapists: No. (by PEDro – confirmed)

Evidenceclass III (by the authors)

Metrics and
Journal Details:
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BTB

Intervention – 1

  • Sport climbing

Dose

  • 90 min per week

Periodicity

  • 12 weeks

Local/Technic:

Sport climbing course

    Comparison

    • Unsupervised physical training

    Dose

    • Regular weekly exercise routines (approximately twice as much time on weekly physical activity as recommended by WHO, and the European Physiotherapy Guidelines for PD patients)

    Periodicity

    • Total mean of 389 min weekly.

    Local/Technic:

    • vigorous activities (mean of 117 min), such as jogging, cycling, and skiing; moderate activities (mean 272 min) such as physical therapy, yoga, and swimming was reported.
    • In addition, an average of 75 min per week is spent on low-impact activities (leisurely walking, easy housework/gardening, balance exercises).

    Citation: Langer, A., Hasenauer, S., Flotz, A., Gassner, L., Pokan, R., Dabnichki, P., Wizany, L., Gruber, J., Roth, D., Zimmel, S., Treven, M., Schmoeger, M., Willinger, U., Maetzler, W., & Zach, H. (2021). A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease. NPJ Parkinson’s disease7(1), 49. https://doi.org/10.1038/s41531-021-00193-8

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