Evidence map›Paper›PMID 21863133›Full record

SynthesisGerman medical science : GMS e-journal2011

Climbing for preventing and treating health problems: a systematic review of randomized controlled trials.

Roland Brian Buechter, Dennis Fechtelpeter

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in German medical science : GMS e-journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05983887 (The Effect of Therapeutic Climbing on Muscle Strength, Tone and Balance in Hemiplegic Children), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05983887 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Therapeutic Climbing on Muscle Strength, Tone and Balance in Hemiplegic Children: a Preliminary Single-blind Randomised Controlled Trial

TypeinterventionalSponsorPavlos KitixisRan2023 to 2023Enrolled12ConditionsHemiplegia and HemiparesisArmsTherapeutic Climbing
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Sports and the Pandemic: The Impact of COVID-19 on Active Living and Life Satisfaction of Climbers.International journal of environmental research and public health · 2023
    Article
  8. The Origin, Application and Mechanism of Therapeutic Climbing: A Narrative Review.International journal of environmental research and public health · 2022
    Review
  9. Effects and Environmental Features of Mountainous Urban Greenways (MUGs) on Physical Activity.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. [Current state of the scientific literature on effects of therapeutic climbing on mental health - conclusion: a lot to do].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2019
    Review
  14. Non-Specific Low Back Pain.Deutsches Arzteblatt international · 2017
    Review
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Roland Brian BuechterInstitute for Quality and Efficiency in Health Care (IQWiG), Köln, Germany. roland.buechter@iqwig.de
Dennis Fechtelpeter
Institute for Quality and Efficiency in Health Care · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize the best available evidence on effectiveness of therapeutic or sport climbing in preventing or treating health problems.

methodsWe searched Medline, Embase, CENTRAL, PsycINFO, PEDro, OTseeker and SportDiscus for randomized controlled trials published up to December 26, 2010. We included all trials assessing patient-relevant outcomes. Two reviewers independently selected relevant studies, assessed their methodological quality and extracted data. Quality of evidence was rated using the GRADE system. Data were entered into RevMan 5 to calculate effect sizes and 95% confidence intervals where appropriate.

resultsEligible for inclusion were four RCTs studying the effectiveness of climbing in (a) geriatric patients, (b) adults with multiple sclerosis, (c) adults with chronic low-back pain and (d) children with disabilities and poor motor function. The sample sizes ranged between 20 and 95. All trials had major methodological limitations. We found very low quality evidence that therapeutic climbing may improve activities of daily living in geriatric patients compared to physiotherapy as measured by the Barthel index (difference in mean change score: 2.32 [95%-CI: 0.45 to 4.19]). We found very low quality evidence that therapeutic climbing compared to standard exercise therapy may improve physical functioning (difference in mean change score: 16.15 [95%-CI: 4.45 to 27.85]) and general physical health (13.14 [95%-CI: 3.61 to 22.67]) as measured by the SF-36 in adults with chronic low back-pain.

conclusionsEvidence for the effectiveness of therapeutic climbing is limited to small trials at high risk of bias. The effects of therapeutic climbing are therefore unclear.

Indexed as

MountaineeringAdultAgedChildChildren with DisabilitiesChronic DiseaseExercise TherapyHumansLow Back PainMultiple SclerosisPersons with DisabilitiesRandomized Controlled Trials as Topicexercise therapymountaineeringrehabilitation

Identifiers

PMID21863133
PMCPMC3158649
OpenAlexW2129379250

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.