A randomised controlled trial on effectiveness and feasibility of sport climbing in Parkinson's disease.
Journal
NPJ Parkinson's disease
ISSN: 2373-8057
Titre abrégé: NPJ Parkinsons Dis
Pays: United States
ID NLM: 101675390
Informations de publication
Date de publication:
10 Jun 2021
10 Jun 2021
Historique:
received:
09
03
2021
accepted:
14
05
2021
entrez:
11
6
2021
pubmed:
12
6
2021
medline:
12
6
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 34112807
doi: 10.1038/s41531-021-00193-8
pii: 10.1038/s41531-021-00193-8
pmc: PMC8192917
doi:
Types de publication
Journal Article
Langues
eng
Pagination
49Références
Clin Neurol Neurosurg. 2010 Sep;112(7):597-601
pubmed: 20371148
Sports Med. 2006;36(6):529-45
pubmed: 16737345
J Am Geriatr Soc. 2012 Jun;60(6):1104-8
pubmed: 22642534
Sleep Med. 2013 Jul;14(7):668-74
pubmed: 23643658
Cochrane Database Syst Rev. 2014 Jun 17;(6):CD002815
pubmed: 24936965
JAMA Neurol. 2019 Jul 1;76(7):755-763
pubmed: 30958514
Phys Ther. 2009 Apr;89(4):384-93
pubmed: 19228832
Clin Rehabil. 2018 May;32(5):607-618
pubmed: 28980476
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Mov Disord. 2010 Nov 15;25(15):2649-53
pubmed: 21069833
Eur J Phys Rehabil Med. 2017 Oct;53(5):651-663
pubmed: 28290191
J Physiother. 2013 Mar;59(1):7-13
pubmed: 23419910
BMJ Open. 2020 Sep 9;10(9):e037632
pubmed: 32907903
J Parkinsons Dis. 2018;8(4):499-502
pubmed: 30149464
Neurorehabil Neural Repair. 2020 Oct;34(10):871-880
pubmed: 32917125
Rehabil Res Pract. 2011;2011:525879
pubmed: 22191034
Neurol Sci. 2020 Mar;41(3):637-643
pubmed: 31735996
J Neurol. 2021 Feb 5;:
pubmed: 33544218
Int J Environ Res Public Health. 2020 Oct 19;17(20):
pubmed: 33086551
J Sports Med Phys Fitness. 2016 Nov;56(11):1304-1310
pubmed: 26329838
Parkinsonism Relat Disord. 2016 Feb;23:37-44
pubmed: 26698015
Ger Med Sci. 2011;9:Doc19
pubmed: 21863133
Mov Disord. 2020 Jun;35(6):959-968
pubmed: 32080891
Adapt Phys Activ Q. 2009 Jul;26(3):259-73
pubmed: 19799097
JAMA Neurol. 2013 Feb;70(2):183-90
pubmed: 23128427
Clin Orthop Surg. 2014 Mar;6(1):103-9
pubmed: 24605197
Funct Neurol. 2016 Jan-Mar;31(1):25-31
pubmed: 27027891
Parkinsonism Relat Disord. 2018 May;50:10-18
pubmed: 29336905
JAMA Neurol. 2018 Feb 1;75(2):219-226
pubmed: 29228079
J Neural Transm (Vienna). 2015 Feb;122(2):253-6
pubmed: 24872078
Mov Disord. 2011 Apr;26(5):813-8
pubmed: 21437987
Parkinsons Dis. 2020 Jul 9;2020:3257623
pubmed: 32695306
J Neurol Sci. 2015;353(1-2):9-19
pubmed: 25936252
BMC Psychiatry. 2015 Aug 25;15:201
pubmed: 26302900
Mov Disord. 2013 Sep 15;28(11):1587-96
pubmed: 24132847
Sports Med. 2019 Aug;49(8):1199-1216
pubmed: 31236903
Parkinsonism Relat Disord. 2017 Aug;41:3-13
pubmed: 28602515
Neurotherapeutics. 2020 Oct;17(4):1434-1455
pubmed: 32785848
Neurorehabil Neural Repair. 2012 Feb;26(2):132-43
pubmed: 21959675
Microsurgery. 2003;23(4):323-7
pubmed: 12942522
Neurorehabil Neural Repair. 2016 Jul;30(6):512-27
pubmed: 26493731
Parkinsonism Relat Disord. 2009 Dec;15(10):752-7
pubmed: 19497777
J Phys Act Health. 2020 May 29;17(7):688-697
pubmed: 32473589
Neurology. 2013 Feb 12;80(7):627-33
pubmed: 23345637
Complement Ther Med. 2016 Apr;25:126-31
pubmed: 27062960
Brain. 2019 Mar 1;142(3):719-732
pubmed: 30689734
J Neurol Sci. 2017 Dec 15;383:158-160
pubmed: 29246605
Brain. 2002 Apr;125(Pt 4):861-70
pubmed: 11912118
Physiother Theory Pract. 2014 Feb;30(2):138-48
pubmed: 23886039
Front Physiol. 2017 Dec 19;8:1021
pubmed: 29311957
Sportverletz Sportschaden. 2011 Jun;25(2):87-92
pubmed: 21611911
Lancet Neurol. 2013 Jul;12(7):716-26
pubmed: 23769598
Parkinsonism Relat Disord. 2011 Nov;17(9):693-7
pubmed: 21820940
Clin Interv Aging. 2020 Jan 23;15:87-95
pubmed: 32158202
J Neurophysiol. 2016 Nov 1;116(5):2298-2311
pubmed: 27582297
J Rehabil Med. 2015 Apr;47(4):372-5
pubmed: 25510618
Br J Sports Med. 2020 Dec;54(24):1451-1462
pubmed: 33239350
PLoS One. 2020 Aug 5;15(8):e0236820
pubmed: 32756578
Parkinsons Dis. 2019 Mar 3;2019:4076862
pubmed: 30944720
Neurorehabil Neural Repair. 2020 May;34(5):417-427
pubmed: 32249668
BMC Neurol. 2019 Nov 12;19(1):280
pubmed: 31718583
Int J Mol Sci. 2017 Mar 04;18(3):
pubmed: 28273839
Cochrane Database Syst Rev. 2012 Jul 11;(7):CD002817
pubmed: 22786482
CNS Neurosci Ther. 2017 Mar;23(3):209-215
pubmed: 28071873
Med Sci Sports Exerc. 2016 Sep;48(9):1678-87
pubmed: 27054681
Front Neurol. 2020 Oct 09;11:943
pubmed: 33162925
Exp Brain Res. 2005 Dec;167(4):609-21
pubmed: 16078030
J Neurol Phys Ther. 2019 Jan;43(1):12-25
pubmed: 30531382
Lancet Neurol. 2019 Nov;18(11):998-1008
pubmed: 31521532
NeuroRehabilitation. 2020;46(4):589-593
pubmed: 32508333
J Rehabil Med. 2012 Feb;44(2):144-50
pubmed: 22266676
J Sports Sci. 1996 Aug;14(4):301-9
pubmed: 8887209
Behav Neurol. 2015;2015:620674
pubmed: 26236107
Complement Ther Clin Pract. 2019 Feb;34:17-22
pubmed: 30712723
Neurology. 2011 Jul 19;77(3):288-94
pubmed: 21768599
Nat Rev Neurol. 2017 Nov;13(11):689-703
pubmed: 29027544
PM R. 2017 Nov;9(11):1157-1166
pubmed: 28694221
Parkinsonism Relat Disord. 2016 Jan;22 Suppl 1:S60-4
pubmed: 26360239
Neurorehabil Neural Repair. 2015 Feb;29(2):123-31
pubmed: 25038064
J Parkinsons Dis. 2018;8(s1):S95-S100
pubmed: 30584167
J Neurol. 2016 Jan;263(1):1-10
pubmed: 26174653