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ISSN : 2092-8475(Print)
ISSN : (Online)
Journal of International Academy of Physical Therapy Research Vol.11 No.3 pp.2126-2134

Effects of Therapeutic Climbing Training on the Balance and Gait Ability in Chronic Stroke Patients

Soin Leea, Mingyun Kob, Seju Parka
aDepartment of Physical Therapy, Nambu University, Gwangju, Republic of Korea; bDepartment of Health Administration, Chosun College of Science & Technology, Gwangju, Republic of Korea
Address for correspondence Mingyun Ko, PT, PhD Department of Health Administration, Chosun College of Science & Technology, 309-1, Pilmundaero, Dong-gu, Gwangju, Korea Tel: 82-10-8296-1004


Background: Therapeutic climbing training, which originated in Germany, is a wall-hanging rock climbing-based therapy to increase the body's coordination through movement of the upper and lower limbs against gravity. However, there are no studies examining the effectiveness of therapeutic climbing training to treat balance and gait ability in patients with chronic stroke.
Objectives: To investigate therapeutic climbing training program on balance and gait in patients with chronic stroke. Design: Pretest-posttest control group design.
Methods: Fourteen patients with chronic hemiplegic stroke participated. Participants were randomized into the therapeutic climbing training group (TCTG, n=7) and the standard rehabilitation program group (SRPG, n=7) group. All subjects participated in the same standard rehabilitation program consisting of 60 minutes 5 times a week for 6 weeks. TCTG participated additionally in the therapeutic climbing program consisting of 30 minutes sessions 3 times a week for the same 6 weeks. Berg balance scale (BBS), Gaitview Measure, Timed up and go test (TUG) were measured.
Results: In the TCTG, revealed a statistical difference in BBS between the groups; in the difference of plantar pressure ratio in the static standing position revealed a statistical difference between the groups after training; the balance ability in the one-leg standing tests increased significantly; the time in TUG decreased significantly after training in both groups; The changes in the difference of dynamic plantar pressure ratio were reduced significantly in the TCTG.
Conclusion: Therapeutic climbing training contribute to improve balance and walking function in patients with chronic stroke.