치료적 클라이밍 기반 기능적 훈련이 중년 여성의 균형 능력과 낙상 효능감에 미치는 영향

Effects of Therapeutic Climbing-Based Functional Training on Balance and Fall Efficacy in Middle-Aged Women

This study aimed to examine the effects of a therapeutic climbing-based functional training program on static and dynamic balance abilities and falling efficacy among middle-aged women. Fifteen women aged 50-60 years participated in a 4-week training program, which consisted of 50-minute sessions including warm-up, main exercises, and cool-down phases. Static balance was measured using a K-force plate (KINVENT, France), and dynamic balance and functional mobility were evaluated using the Timed Up and Go (TUG) test, while fall efficacy was assessed using the Falling Efficacy Scale-International (FES-I). After the intervention, significant improvements were observed in all static balance parameters, including decreases in center of pressure (COP) ellipse area, total displacement, and amplitude in both anteroposterior and mediolateral directions (p<0.01). In addition, the TUG test time was significantly reduced, and FES-I scores decreased, indicating improved dynamic balance, functional mobility, and confidence in avoiding falls (p<0.01). These findings suggest that therapeutic climbing-based functional training effectively enhances trunk stability and overall balance ability in middle-aged women. The program may also contribute to reducing the fear of falling and promoting physical and psychological stability. Therefore, therapeutic climbing can be considered an effective intervention for improving postural control and preventing falls in community-dwelling middle-aged women.