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Effects of Hold Support Surface Area Variation on Posterior Muscle Activity in Static Therapeutic Climbing Postures

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(4), pp.117~124
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : July 22, 2025
  • Accepted : August 31, 2025
  • Published : November 30, 2025

KIM SE HUN 1 이정인 2

1동신대학교
2동신대 목포한방병원 물리치료실

Accredited

ABSTRACT

PURPOSE: This study examined the effects of differences in the foothold support surface area on the upper and lower limb muscle activity during therapeutic climbing to provide clinical evidence for designing balance training and adjusting exercise difficulty in rehabilitation. METHODS: This study recruited 25 healthy adult males. The participants had no prior climbing experience and were selected based on the foot size (260–265 mm) to maintain consistency in the foothold contact area. The experiment was conducted using a therapeutic climbing-specific wall (PRO ECO, Physioclimb, Germany). Surface electromyography (EMG) was measured while the participants stood on three foothold conditions differing in size: Hold 1 (120 mm), Hold 2 (90 mm), and Hold 3 (60 mm). The muscle activity was recorded using the BTS surface EMG system (Bioengineering, Italy) from six major muscles: upper trapezius, latissimus dorsi, multifidus, gluteus medius, biceps femoris, and gastrocnemius. Each trial lasted 12 seconds, and the middle 10 seconds were analyzed. The data were processed using repeated-measures ANOVA with a Bonferroni post hoc correction. RESULTS: In the upper limb, the muscle activity of the upper trapezius, latissimus dorsi, and multifidus increased significantly as the foothold size decreased (p < .05). Significant differences were observed between Hold 2 and Hold 3 for the upper trapezius and latissimus dorsi, whereas the multifidus showed no such difference. In the lower limb, the gluteus medius, biceps femoris, and gastrocnemius also showed significantly higher muscle activity with smaller foothold sizes, including a significant difference between Hold 2 and Hold 3 (p < .05). CONCLUSION: These findings suggest that reducing the support surface area increases upper and lower limb muscle activation during therapeutic climbing. This suggests that the support surface area is an important factor for selectively modulating muscle activity and should be considered when designing individualized exercise prescriptions and balance training programs in clinical practice

Citation status

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