{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:29:30Z","timestamp":1773422970049,"version":"3.50.1"},"reference-count":37,"publisher":"Aboutscience Srl","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch. Physioter"],"abstract":"<jats:p>Introduction: Exercise benefits individuals with Parkinson\u2019s disease (PD). Rock climbing includes exercise characteristics from clinical guidelines (e.g., aerobic, resistance, balance training, cued-movements, community-based) and offers unique somatosensory and visuospatial experiences that may aid motor learning. This study examined climbing\u2019s effects on PD physical function.Methods: This quasi-experimental observational pilot study used pre-to-post-test comparisons to assess participants with mild to moderate PD (Hoehn and Yahr 1-3) who walked independently. The intervention included 12 weeks of community-based, twice-weekly top-rope climbing under one-on-one supervision, tailored to skill level. Wall angles, hand\/foot holds, and routes varied and became progressively more difficult as skills increased. The primary outcome was the Community Balance &amp; Mobility Scale (CBMS); secondary measures included the Agility T-Test (ATT), 9-Hole Peg Test (9HPT), upper extremity reaction time using BlazePods (UE-React), and grip strength.Results: 28 participants completed the study: 8 women\/20 men; mean age = 66.1 (sd = 7.4) years; average disease duration = 4.0 (sd = 3.6) years. Paired t-tests comparing pre- and post-test scores and effect sizes (ES) with 95% confidence intervals (CI) were calculated for significant results using Hedge\u2019s g. Findings were: CBMS (p &lt; 0.001; ES = 0.573, 95% CI = 0.178-0.960), ATT (p &lt; 0.001; ES = 0.462, 95% CI = 0.078-0.838), 9HPT (p &lt; 0.001; ES = 0.480, 95% CI = 0.094-0.858), UE-React (p &lt;0.001; ES = 0.329, 95% CI = \u22120.045-0.696); GS changes were non-significant.Conclusions: Rock climbing demonstrated medium-size effects on mobility\/balance and small-size effects on agility and dexterity that could impact functioning in everyday activities.<\/jats:p>","DOI":"10.33393\/aop.2025.3339","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T09:25:24Z","timestamp":1741080324000},"page":"42-48","source":"Crossref","is-referenced-by-count":1,"title":["Scaling new heights: a pilot study of the impact of climbing on balance, agility, and dexterity in individuals with Parkinson\u2019s disease"],"prefix":"10.33393","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8577-9479","authenticated-orcid":false,"given":"Julie","family":"Ries","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1747-5947","authenticated-orcid":false,"given":"Molly","family":"Cupka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1238-3585","authenticated-orcid":false,"given":"Andrew","family":"Guccione","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18642","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"15504","doi-asserted-by":"crossref","unstructured":"Willis AW, Roberts E, Beck JC, et al. 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