{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:30:09Z","timestamp":1780605009107,"version":"3.54.1"},"reference-count":54,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T00:00:00Z","timestamp":1683504000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T00:00:00Z","timestamp":1683504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Marietta Blau Grant"},{"name":"Hilde-Ulrichs-Foundation for Parkinson's Research"},{"name":"City of Vienna Scholarship"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pre-planned secondary analysis of our randomized controlled, semi-blind trial (unblinded patients, blinded assessors) comparing sport climbing to unsupervised exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single-centre study conducted at the Department of Neurology of the Medical University of Vienna, Austria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Forty-eight Parkinson's disease patients (aged 64\u2009\u00b1\u20098 years, Hoehn &amp; Yahr stage 2\u20133) were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>\n                      Sport climbers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200924) followed a 12-week, 90\u2005min\/week supervised top-rope sport climbing course in an indoor climbing gym. The unsupervised training group (\n                      <jats:italic toggle=\"yes\">n\u2009<\/jats:italic>\n                      =\u200924) independently followed the \u2018European Physiotherapy Guidelines for Parkinson's Disease\u2019 and World Health Organization recommendations for an active lifestyle for 12 weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Posture was assessed with the horizontal distance of the seventh cervical vertebra to the wall at baseline and after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participating in the sport climbing group significantly predicted the biomechanical marker of axial posture (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.044). 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 (\u22121.7\u2005cm (95%CI [\u22122.6, \u22120.8]). In the unsupervised training group, no difference was found (\u22120.5\u2005cm; 95%CI \u22121.3, 0.2]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We conclude that sport climbing improves a biomechanical marker of axial posture in Parkinson's disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155231174990","type":"journal-article","created":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T01:15:32Z","timestamp":1683594932000},"page":"1492-1500","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Climb up! Head up! Climbing improves posture in Parkinson's disease. 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