Inclusive climbing - "MS on the Rocks" - Complementary Intervention in Neurological Disorders - Outdoor Sports Euro ...
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Inclusive climbing –
“MS on the Rocks”
Complementary Intervention in Neurological Disorders
Dr. Claudia Kern
Technisch Universität München 26.09.2019
Impossible dream? Video: „Berg auf - Berg ab“, TV BR3, 2008 MS on the rocks: Markus H.
Sports climbing in therapy Climbing addresses - social - mental and - physical well-being = enormous therapeutic potential!
Multiple Sclerosis (MS) Facts • Progressive, chronic, neurological disease • Not curable yet • Mainly young adults (onset between 20 and 40 years) • Worldwide 2.5 million, in Germany > 220.000 • People with MS are less physically active than healthy adults (Motl et al. 2005)
Study hypotheses
Pilot study 2006 + RCT 2009 (TKMS)
Assessment of the impact of sports climbing on
psychosocial factors and motor function in Multiple
Sclerosis (MS)
In 27 MS-patients sports climbing (top rope, 2 h/week, 6 months)
a) can reduce fatigue
b) can increase quality of life and self-efficacy
c) can improve balance and walking-ability
IG (n=12) Treatment sports climbing
pre-test 6 months post-test
CG (n=15) no additional treatment
RCT = randomised controlled trial IG/CG = Intervention/Controlgroup
Results TKMS
Intensity of training • all participants finished the climbing-
selfperceifed physical activity
programm after 6 month (drop-out 0%)
= „moderate-exhausting“
• selfperceifed physical activity (mean 14,3 ±0,6)
• sign. decrease of fatigue (WEIMuS p=0.011)
Borg-Skala
Name:
Fatigue (n=24)
Datum:
below cut off-value
6 easy p = 0.011
7 sehr, sehr leicht after intervention
8
9 sehr leicht
10 36.0
11 recht leicht
26.0 27.0
12
13 etwas anstrengender
17.5
14
15 anstrengend
16
17 sehr anstrengend
18
19 sehr, sehr anstrengend exhausting
20 cut off-value: > 32 = fatigue
Kern, 2014
Literature
• Velikonja et al. (S; MS)
• Engbert, Weber (B; LBP)
• Mollenhauer et al. (R; depression)
2010 - 2013 • Mühlbauer et al. (2x; R; LBP)
• Reiter et al. (R; anxiety/compulsion)
• Schmid et al. (R; Depression)
• Böhm et al. (R;CP kids) & Koch et al. (B; CP kids)
2014 • Kern (R; MS)
• Jolk et al. (R; MS) Hye-Sun (Casestudy ADHS)
• Luttenberger et al. (B; depression) Gallotta et al (R; healthy anxiety)
2015
• Se-Hun, Dong-Hey (B; LBP) Aras, Akalan (R; fitness)
• Aras/Ewert (R; healty anxiety)
• Soravia et al. (R; addiction)
• Schram Christensen et al. (R; CP kids)
2016-2019 • Kleinstäuber et al. (R;depression)
B = Bouldern / R = Rope
Literature
• Velikonja et al. (S; MS)
• Engbert, Weber (B; LBP)
• Mollenhauer et al. (R; depression)
2010 - 2013 • Mühlbauer et al. (2x; R; LBP)
• Reiter et al. (R; anxiety/compulsion)
• Schmid et al. (R; Depression)
• Böhm et al. (R;CP kids) & Koch et al. (B; CP kids)
2014 • Kern (R; MS)
• Jolk et al. (R; MS) Hye-Sun (Casestudy ADHS)
• Luttenberger et al. (B; depression) Gallotta et al (R; healthy anxiety)
2015
• Se-Hun, Dong-Hey (B; LBP) Aras, Akalan (R; fitness)
• Aras/Ewert (R; healty anxiety)
• Soravia et al. (R; addiction)
• Schram Christensen et al. (R; CP kids)
2016-2019 • Kleinstäuber et al. (R;depression)
B = Bouldern / R = Rope
Make the impossible possible! Video: „Berg auf - Berg ab“, TV BR3, 2008 MS on the rocks: Markus H.
Inclusive Climbing: Conclusion
First evidence for climbing effects
indoor in patients with MS
MS =„disease of 1000 faces“ => heterogenity
Sports climbing is feasable, individual, highly
motivating and a good additional training
TKMS: Significant improvement in fatigue, cognitive
function, self-efficacy and balance
strong social network
climbing outdoor?
Velikonja 2010, Kern 2014Requirements Outdoor
Outdoor possible, but…
… weelchair accessable area
… elaborate transport
… special trained trainer
… more trainers
… adjusted terrain / rock / inclination
… special needs for special disorders: MS
weather condition (Uthoff-Phenomenia)
restrooms (dysfunctional bladder)
over/underestimating own skillsFrauenwasserl (Oberammergau, Bavaria) Video: „Berg auf - Berg ab“, TV BR3, 2008 MS on the Rocks: Markus H.
Inclusive Climbing: Take home
bouldern /
toprope
indoor /
outdoor
Climbing special
trained
trainer
sport & fun
specific needs & extra toolsInclusive climbing in Germany…
Klettergarten Filu - Leck
BGW-overview 2016
DRS - Hamburg
Abenteuer Aufwind - Bottrop
Grenzenlos - Gütersloh
Die Gämsen - Wuppertal
Handicap Klettergruppe - Köln
Klettern mit Handicap - Fulda
No Limits! - Marburg
Geht nicht, gibt‘s nicht - Siegen
Hoch hinaus - Wiesbaden
KLETThERAPIE - Frankfurt
Miteinander?Selbstverständlich - Karlsruhe
Handicap-Klettern im Sparkassendom – Neu-Ulm
Klettertraining mit Handicap - Regensburg
MS on the Rocks - München
Ich will da rauf! - München
Die Fledermäuse – Bad Tölz
BGW = Berufsgenossenschaft für Gesundheitsdienst und WohlfahrtspflegeInclusive Climbing in Munich & Italy
Presenting
„MS on the Rocks“
in Genua 2012
Handicap Outdoorfestival Inclusion Day
City-Competition Olympiapark Marienplatz every 2ys.
Munich 2019 Munich 2016 Munich since 2006
ERASMUS+ project
„sport4all“ Italy 2016
Future Ideas...
? Mountability ?Thank you for
your attention!
Special thanks to
Handicap Climbing
&
MS on the Rocks
www.ms-ontherocks.de
claudia.kern@tum.de www.ktu.vo.tum.deYou can also read
