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

Abstract Physical activity is of prime importance in non-pharmacological Parkinson’s disease (PD) treatment. The current study examines the effectiveness and feasibility of sport climbing in PD patients in a single-centre, randomised controlled, semi-blind trial. A total of 48 PD patients without ex...

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Autores principales:	Agnes Langer, Sebastian Hasenauer, Anna Flotz, Lucia Gassner, Rochus Pokan, Peter Dabnichki, Laurenz Wizany, Jakob Gruber, Dominik Roth, Sarah Zimmel, Marco Treven, Michaela Schmoeger, Ulrike Willinger, Walter Maetzler, Heidemarie Zach
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bf780452a80741f7bbd5bc6dad5c67e4
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spelling	oai:doaj.org-article:bf780452a80741f7bbd5bc6dad5c67e42021-12-02T17:51:42ZA randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease10.1038/s41531-021-00193-82373-8057https://doaj.org/article/bf780452a80741f7bbd5bc6dad5c67e42021-06-01T00:00:00Zhttps://doi.org/10.1038/s41531-021-00193-8https://doaj.org/toc/2373-8057Abstract Physical activity is of prime importance in non-pharmacological Parkinson’s disease (PD) treatment. The current study examines the effectiveness and feasibility of sport climbing in PD patients in a single-centre, randomised controlled, semi-blind trial. A total of 48 PD patients without experience in climbing (average age 64 ± 8 years, Hoehn & Yahr stage 2–3) were assigned either to participate in a 12-week sport climbing course (SC) or to attend an unsupervised physical training group (UT). The primary outcome was the improvement of symptoms on the Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale part III (MDS-UPDRS-III). Sport climbing was associated with a significant reduction of the MDS-UPDRS-III (−12.9 points; 95% CI −15.9 to −9.8), while no significant improvement was to be found in the UT (−3.0 points; 95% CI −6.0 to 0.1). Bradykinesia, rigidity and tremor subscales significantly improved in SC, but not in the unsupervised control group. In terms of feasibility, the study showed a 99% adherence of participants to climbing sessions and a drop-out rate of only 8%. No adverse events occurred. This trial provides class III evidence that sport climbing is highly effective and feasible in mildly to moderately affected PD patients.Agnes LangerSebastian HasenauerAnna FlotzLucia GassnerRochus PokanPeter DabnichkiLaurenz WizanyJakob GruberDominik RothSarah ZimmelMarco TrevenMichaela SchmoegerUlrike WillingerWalter MaetzlerHeidemarie ZachNature PortfolioarticleNeurology. Diseases of the nervous systemRC346-429ENnpj Parkinson's Disease, Vol 7, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurology. Diseases of the nervous system RC346-429 Agnes Langer Sebastian Hasenauer Anna Flotz Lucia Gassner Rochus Pokan Peter Dabnichki Laurenz Wizany Jakob Gruber Dominik Roth Sarah Zimmel Marco Treven Michaela Schmoeger Ulrike Willinger Walter Maetzler Heidemarie Zach A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease
description	Abstract Physical activity is of prime importance in non-pharmacological Parkinson’s disease (PD) treatment. The current study examines the effectiveness and feasibility of sport climbing in PD patients in a single-centre, randomised controlled, semi-blind trial. A total of 48 PD patients without experience in climbing (average age 64 ± 8 years, Hoehn & Yahr stage 2–3) were assigned either to participate in a 12-week sport climbing course (SC) or to attend an unsupervised physical training group (UT). The primary outcome was the improvement of symptoms on the Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale part III (MDS-UPDRS-III). Sport climbing was associated with a significant reduction of the MDS-UPDRS-III (−12.9 points; 95% CI −15.9 to −9.8), while no significant improvement was to be found in the UT (−3.0 points; 95% CI −6.0 to 0.1). Bradykinesia, rigidity and tremor subscales significantly improved in SC, but not in the unsupervised control group. In terms of feasibility, the study showed a 99% adherence of participants to climbing sessions and a drop-out rate of only 8%. No adverse events occurred. This trial provides class III evidence that sport climbing is highly effective and feasible in mildly to moderately affected PD patients.
format	article
author	Agnes Langer Sebastian Hasenauer Anna Flotz Lucia Gassner Rochus Pokan Peter Dabnichki Laurenz Wizany Jakob Gruber Dominik Roth Sarah Zimmel Marco Treven Michaela Schmoeger Ulrike Willinger Walter Maetzler Heidemarie Zach
author_facet	Agnes Langer Sebastian Hasenauer Anna Flotz Lucia Gassner Rochus Pokan Peter Dabnichki Laurenz Wizany Jakob Gruber Dominik Roth Sarah Zimmel Marco Treven Michaela Schmoeger Ulrike Willinger Walter Maetzler Heidemarie Zach
author_sort	Agnes Langer
title	A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease
title_short	A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease
title_full	A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease
title_fullStr	A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease
title_full_unstemmed	A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease
title_sort	randomised controlled trial on effectiveness and feasibility of sport climbing in parkinson’s disease
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bf780452a80741f7bbd5bc6dad5c67e4
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A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson’s disease

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