Analyzing Injury Patterns in Climbing: A Comprehensive Study of Risk Factors
Status PubMed-not-MEDLINE Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články
PubMed
38393281
PubMed Central
PMC10892067
DOI
10.3390/sports12020061
PII: sports12020061
Knihovny.cz E-zdroje
- Klíčová slova
- bouldering, climbing phase, indoor climbing, injury severity, risk factors, rock climbing, sport injuries,
- Publikační typ
- časopisecké články MeSH
Climbing, a sport with increasing popularity, poses diverse risks and injury patterns across its various disciplines. This study evaluates the incidence and nature of climbing-related injuries, focusing on how different disciplines and climbers' personal characteristics affect these injuries. Data on injury incidence, severity, and consequences, as well as climbers' personal attributes, were collected through a questionnaire and analyzed using generalized linear models and generalized linear mixed models, Cochran-Armitage tests, and multivariate analysis. Our findings indicate a direct correlation between time spent on bouldering and lead climbing and increased injury frequency, while injury incidence decreases with time in traditional climbing. Interestingly, personal characteristics showed no significant impact on injury incidence or severity. However, distinct patterns emerged in individual disciplines regarding the recent injuries in which age and weight of climbers play a role. While the phase of occurrence and duration of consequences show no significant variation across disciplines, the intensity of the required treatment and causes of injury differ. This research provides insights into climbing injuries' complex nature, highlighting the need for tailored preventive strategies across climbing disciplines. It underscores the necessity for further investigation into the factors contributing to climbing injuries, advocating for more targeted injury prevention and safety measures in this evolving sport.
Zobrazit více v PubMed
Saul D., Steinmetz G., Lehmann W., Schilling A.F. Determinants for Success in Climbing: A Systematic Review. J. Exerc. Sci. Fit. 2019;17:91–100. doi: 10.1016/j.jesf.2019.04.002. PubMed DOI PMC
Schöffl V., Popp D., Küpper T., Schöffl I. Injury Trends in Rock Climbers: Evaluation of a Case Series of 911 Injuries Between 2009 and 2012. Wilderness Environ. Med. 2015;26:62–67. doi: 10.1016/j.wem.2014.08.013. PubMed DOI
Killian R., Nishimoto G., Page J. Foot and Ankle Injuries Related to Rock Climbing. The Role of Footwear. J. Am. Podiatr. Med. Assoc. 1998;88:365–374. doi: 10.7547/87507315-88-8-365. PubMed DOI
Woollings K.Y., McKay C.D., Emery C.A. Risk Factors for Injury in Sport Climbing and Bouldering: A Systematic Review of the Literature. Br. J. Sports Med. 2015;49:1094–1099. doi: 10.1136/bjsports-2014-094372. PubMed DOI
Chang C.Y., Torriani M., Huang A.J. Rock Climbing Injuries: Acute and Chronic Repetitive Trauma. Curr. Probl. Diagn. Radiol. 2016;45:205–214. doi: 10.1067/j.cpradiol.2015.07.003. PubMed DOI
Peters P. Orthopedic Problems in Sport Climbing. Wilderness Environ. Med. 2001;12:100–110. doi: 10.1580/1080-6032(2001)012[0100:OPISC]2.0.CO;2. PubMed DOI
Forrester J.D., Tran K., Tennakoon L., Staudenmayer K. Climbing-Related Injury Among Adults in the United States: 5-Year Analysis of the National Emergency Department Sample. Wilderness Environ. Med. 2018;29:425–430. doi: 10.1016/j.wem.2018.05.006. PubMed DOI
Why Tokyo 2020 Will Be the Biggest: The Complete List of Sports and Medals on Offer. [(accessed on 5 September 2023)]. Available online: https://olympics.com/en/news/how-many-games-sports-tokyo-2020-olympics.
There’s Nothing Adam Ondra Can’t Climb, but Is an Olympic Medal out of Reach? [(accessed on 5 September 2023)]. Available online: https://www.nytimes.com/interactive/2021/sports/olympics/adam-ondra-climbing.html.
Auer J., Schöffl V.R., Achenbach L., Meffert R.H., Fehske K. Indoor Bouldering—A Prospective Injury Evaluation. Wilderness Environ. Med. 2021;32:160–167. doi: 10.1016/j.wem.2021.02.002. PubMed DOI
Josephsen G., Shinneman S., Tamayo-Sarver J., Josephsen K., Boulware D., Hunt M., Pham H. Injuries in Bouldering: A Prospective Study. WEM. 2007;18:271–280. doi: 10.1580/06-WEME-OR-071R1.1. PubMed DOI
Wright D.M. Indoor Rock Climbing: Who Gets Injured? Br. J. Sports Med. 2001;35:181–185. doi: 10.1136/bjsm.35.3.181. PubMed DOI PMC
Paige T.E., Fiore D.C., Houston J.D. Injury in Traditional and Sport Rock Climbing. Wilderness Environ. Med. 1998;9:2–7. doi: 10.1580/1080-6032(1998)009[0002:IITASR]2.3.CO;2. PubMed DOI
Vomáčko L. Pohled Na Vývoj Hodnocení Výkonu Při Lezení Na Pískovcových Skalách České Křídové Tabule. Stud. Sport. 2019;12:180–190. doi: 10.5817/StS2018-2-18. DOI
Seifert L., Wattebled L., Herault R., Poizat G., Adé D., Gal-Petitfaux N., Davids K. Neurobiological Degeneracy and Affordance Perception Support Functional Intra-Individual Variability of Inter-Limb Coordination during Ice Climbing. PLoS ONE. 2014;9:e89865. doi: 10.1371/journal.pone.0089865. PubMed DOI PMC
Fayed N., Modrego P.J., Morales H. Evidence of Brain Damage after High-Altitude Climbing by Means of Magnetic Resonance Imaging. Am. J. Med. 2006;119:e1–e168. doi: 10.1016/j.amjmed.2005.07.062. PubMed DOI
Goldfarb-Rumyantzev A.S., Alper S.L. Short-Term Responses of the Kidney to High Altitude in Mountain Climbers. Nephrol. Dial. Transplant. 2014;29:497–506. doi: 10.1093/ndt/gft051. PubMed DOI PMC
Schöffl V., Lutter C. The “Newbie” Syndrome. Wilderness Environ. Med. 2017;28:377–380. doi: 10.1016/j.wem.2017.07.008. PubMed DOI
Backe S., Ericson L., Janson S., Timpka T. Rock Climbing Injury Rates and Associated Risk Factors in a General Climbing Population. Scand. J. Med. Sci. Sports. 2009;19:850–856. doi: 10.1111/j.1600-0838.2008.00851.x. PubMed DOI
Jones G., Asghar A., Llewellyn D.J. The Epidemiology of Rock-Climbing Injuries. Br. J. Sports Med. 2008;42:773–778. doi: 10.1136/bjsm.2007.037978. PubMed DOI
Schöffl V., Burtscher E., Coscia F. Injuries and medical incidences during the IFSC 2012 climbing world cup series. Med. Sport. 2013;17:168–170.
Schussman L.C., Lutz L.J., Shaw R.R., Bohnn C.R. The Epidemiology of Mountaineering and Rock Climbing Accidents. J. Wilderness Med. 1990;1:235–248. doi: 10.1580/0953-9859-1.4.235. DOI
Lucie B. Úrazy v Horolezectví. 2014. [(accessed on 23 January 2024)]. Available online: https://www.horosvaz.cz/res/archive/085/013798.pdf?seek=1415177024.
Rauch S., Wallner B., Ströhle M., Dal Cappello T., Brodmann Maeder M. Climbing Accidents—Prospective Data Analysis from the International Alpine Trauma Registry and Systematic Review of the Literature. Int. J. Environ. Res. Public Health. 2019;17:203. doi: 10.3390/ijerph17010203. PubMed DOI PMC
Schweizer A. Lumbrical Tears in Rock Climbers. J. Hand Surg. 2003;28:187–189. doi: 10.1016/S0266-7681(02)00250-4. PubMed DOI
Cobos-Moreno P., Astasio-Picado Á., Gómez-Martín B. Epidemiological Study of Foot Injuries in the Practice of Sport Climbing. Int. J. Environ. Res. Public Health. 2022;19:4302. doi: 10.3390/ijerph19074302. PubMed DOI PMC
Lutter C., Tischer T., Cooper C., Frank L., Hotfiel T., Lenz R., Schöffl V. Mechanisms of Acute Knee Injuries in Bouldering and Rock Climbing Athletes. Am. J. Sports Med. 2020;48:730–738. doi: 10.1177/0363546519899931. PubMed DOI
McDonald J.W., Henrie A.M., Teramoto M., Medina E., Willick S.E. Descriptive Epidemiology, Medical Evaluation, and Outcomes of Rock Climbing Injuries. Wilderness Environ. Med. 2017;28:185–196. doi: 10.1016/j.wem.2017.05.001. PubMed DOI
Schöffl V.R., Hoffmann G., Küpper T. Acute Injury Risk and Severity in Indoor Climbing—A Prospective Analysis of 515,337 Indoor Climbing Wall Visits in 5 Years. Wilderness Environ. Med. 2013;24:187–194. doi: 10.1016/j.wem.2013.03.020. PubMed DOI
Grønhaug G. Self-Reported Chronic Injuries in Climbing: Who Gets Injured When? BMJ Open Sport Exerc. Med. 2018;4:e000406. doi: 10.1136/bmjsem-2018-000406. PubMed DOI PMC
Schubert P. Sicherheit und Risiko in Fels und Eis. Band 1. Bergverlag Rother; München, Germany: 2019.
Wyatt J.P., McNaughton G.W., Grant P.T. A Prospective Study of Rock Climbing Injuries. Br. J. Sports Med. 1996;30:148–150. doi: 10.1136/bjsm.30.2.148. PubMed DOI PMC
Schöffl V. Rock and Ice-Climbing Medicine. In: Feletti F., editor. Extreme Sports Medicine. Springer International Publishing; Cham, Switzerland: 2017. pp. 109–121. DOI
Woollings K.Y., McKay C.D., Kang J., Meeuwisse W.H., Emery C.A. Incidence, Mechanism and Risk Factors for Injury in Youth Rock Climbers. Br. J. Sports Med. 2015;49:44–50. doi: 10.1136/bjsports-2014-094067. PubMed DOI
Schöffl V., Morrison A., Hefti U., Ullrich S., Küpper T. The UIAA Medical Commission Injury Classification for Mountaineering and Climbing Sports. Wilderness Environ. Med. 2011;22:46–51. doi: 10.1016/j.wem.2010.11.008. PubMed DOI
Fuller C.W. Consensus Statement on Injury Definitions and Data Collection Procedures in Studies of Football (Soccer) Injuries. Br. J. Sports Med. 2006;40:193–201. doi: 10.1136/bjsm.2005.025270. PubMed DOI PMC
Rae K., Orchard J. The Orchard Sports Injury Classification System (OSICS) Version 10. Clin. J. Sport Med. 2007;17:201–204. doi: 10.1097/JSM.0b013e318059b536. PubMed DOI
R Core Team R: A Language and Environment for Statistical Computing. 2022. [(accessed on 20 December 2023)]. Available online: www.R-project.org.
Bates D., Mächler M., Bolker B., Walker S. Fitting Linear Mixed-Effects Models Using Lme4. J. Stat. Softw. 2015;67:1–48. doi: 10.18637/jss.v067.i01. DOI
Fox J., Weisberg S. An R Companion to Applied Regression. 3rd ed. SAGE; Los Angeles, CA, USA: 2019. p. 449.
Hothorn T., Hornik K., Wiel M.A.V.D., Zeileis A. Implementing a Class of Permutation Tests: The Coin Package. J. Stat. Softw. 2008;28:1–23. doi: 10.18637/jss.v028.i08. PubMed DOI
Ter Braak C.J.F., Šmilauer P. Canoco Reference Manual and User’s Guide: Software for Ordination, Version 5.01. Microcomputer Power; Ithaca, NY, USA: 2012.
Long J. Analysis and Presentation of Social Scientific Data_. R Package Version 2.2.0. 2022. [(accessed on 20 December 2023)]. Available online: https://cran.r-project.org/package=jtools.
Wickham H. Ggplot2: Elegant Graphics for Data Analysis. Springer International Publishing; Cham, Switzerland: 2016. p. 260. Use R! DOI
Van Middelkoop M., Bruens M., Coert J., Selles R., Verhagen E., Bierma-Zeinstra S.M., Koes B. Incidence and Risk Factors for Upper Extremity Climbing Injuries in Indoor Climbers. Int. J. Sports Med. 2015;36:837–842. doi: 10.1055/s-0035-1547224. PubMed DOI
Michael D. Rooks. Rock Climbing Injuries. Sports Med. 1997;1997:261–270. PubMed
Sylvester A.D., Christensen A.M., Kramer P.A. Factors Influencing Osteological Changes in the Hands and Fingers of Rock Climbers. J. Anat. 2006;209:597–609. doi: 10.1111/j.1469-7580.2006.00640.x. PubMed DOI PMC
Lhee S.-H., Jain R., Madathur Sadasivam M., Kim S., Bae M., Yu J., Lee D.Y. Sports Injury and Illness Incidence among South Korean Elite Athletes in the 2018 Asian Games: A Single-Physician Prospective Study of 782 Athletes. BMJ Open Sport Exerc. Med. 2021;7:e000689. doi: 10.1136/bmjsem-2019-000689. PubMed DOI PMC
Luiggi M., Lafaye P., Martha C. Epidemiology of Sport Climbing Injuries Caused by a Climbing Fall among Climbers of the French Federation of Mountain and Climbing. J. Sports Med. Phys. Fitness. 2023;63:452–460. doi: 10.23736/S0022-4707.22.14388-4. PubMed DOI
Gerdes E.M., Hafner J.W., Aldag J.C. Injury Patterns and Safety Practices of Rock Climbers. J. Trauma Inj. Infect. Crit. Care. 2006;61:1517–1525. doi: 10.1097/01.ta.0000209402.40864.b2. PubMed DOI
Gabl M., Kaiser P., Benedikt S., Schmidle G., Haselbacher M., Arora R. Risk profiles in two different alpine rock climbing styles. Sportverletz.·Sportschaden. 2022;36:145–154. doi: 10.1055/a-1833-8840. PubMed DOI
Burtscher M. Endurance Performance of the Elderly Mountaineer: Requirements, Limitations, Testing, and Training. Wien. Klin. Wochenschr. 2004;116:703–714. doi: 10.1007/s00508-004-0258-y. PubMed DOI
Lutter C., Hotfiel T., Tischer T., Lenz R., Schöffl V. Evaluation of Rock Climbing Related Injuries in Older Athletes. Wilderness Environ. Med. 2019;30:362–368. doi: 10.1016/j.wem.2019.06.008. PubMed DOI
Schöffl V., Lutter C., Woollings K., Schöffl I. Pediatric and Adolescent Injury in Rock Climbing. Res. Sports Med. 2018;26((Suppl. S1)):91–113. doi: 10.1080/15438627.2018.1438278. PubMed DOI
Yoon J.H., Armstrong W., Philippopolous E., Dilworth N., Cheng I. Head Injuries in Rock Climbing: A Scoping Review. Wilderness Environ. Med. 2022;33:479–487. doi: 10.1016/j.wem.2022.07.001. PubMed DOI
Schöffl V. Feet Injuries in Rock Climbers. World J. Orthop. 2013;4:218. doi: 10.5312/wjo.v4.i4.218. PubMed DOI PMC
McHenry R.D., Arnold G.P., Wang W., Abboud R.J. Footwear in Rock Climbing: Current Practice. Foot. 2015;25:152–158. doi: 10.1016/j.foot.2015.07.007. PubMed DOI
Yang Y.-R., Mi P.-L., Huang S.-F., Chiu S.-L., Liu Y.-C., Wang R.-Y. Effects of Neuromuscular Electrical Stimulation on Gait Performance in Chronic Stroke with Inadequate Ankle Control—A Randomized Controlled Trial. PLoS ONE. 2018;13:e0208609. doi: 10.1371/journal.pone.0208609. PubMed DOI PMC
Hawrylak A., Chromik K., Ratajczak B., Pawelec K.B., Włodarczyk E.D. Spinal Range of Motion and Plantar Pressure in Sport Climbers. Acta Bioeng. Biomech. 2017;19:169–173. doi: 10.5277/ABB-00647-2016-01. PubMed DOI
Buda R., Di Caprio F.D., Bedetti L., Mosca M., Giannini S. Foot Overuse Diseases in Rock Climbing: An Epidemiologic Study. J. Am. Podiatr. Med. Assoc. 2013;103:113–120. doi: 10.7547/1030113. PubMed DOI
Hillebrandt D., Gurtoo A., Kupper T., Richards P., Schöffl V., Shah P., Van Der Spek R., Wallis N., Milledge J. UIAA Medical Commission Recommendations for Mountaineers, Hillwalkers, Trekkers, and Rock and Ice Climbers with Diabetes. High Alt. Med. Biol. 2023;24:110–126. doi: 10.1089/ham.2018.0043. PubMed DOI PMC
Giannini S., Cadossi M., Mazzotti A., Ramponi L., Belvedere C., Leardini A. Custom-Made Total Talonavicular Replacement in a Professional Rock Climber. J. Foot Ankle Surg. 2016;55:1271–1275. doi: 10.1053/j.jfas.2015.04.012. PubMed DOI
Bernard M., Martin M.J., Corsa J., Robinson B., Zeeshan M., Joseph B., Morris D., Shillinglaw W., Schurr M., Smith T., et al. Into the Wild and on to the Table: A Western Trauma Association Multicenter Analysis and Comparison of Wilderness Falls in Rock Climbers and Nonclimbers. J. Trauma Acute Care Surg. 2020;89:570–575. doi: 10.1097/TA.0000000000002705. PubMed DOI
Williams B., Hudson M.B., Evans T.A. Recognition and Prevention of Injuries in Recreational Rock Climbers. J. Phys. Educ. Recreat. Dance. 2003;74:29–32. doi: 10.1080/07303084.2003.10608516. DOI
Rohrbough J.T., Mudge M.K., Schilling R.C. Overuse Injuries in the Elite Rock Climber. Med. Sci. Sports Exerc. 2000;32:1369–1372. doi: 10.1097/00005768-200008000-00002. PubMed DOI
Schweizer A. Sport Climbing from a Medical Point of View. Swiss Med. Wkly. 2012;142:w13688. doi: 10.4414/smw.2012.13688. PubMed DOI
Schöffl V., Hochholzer T., Schöffl I. Extensor Hood Syndrome—Osteophytic Irritation of Digital Extensor Tendons in Rock Climbers. Wilderness Environ. Med. 2010;21:253–256. doi: 10.1016/j.wem.2010.04.007. PubMed DOI
Mugleston B., McMullen C. Musculoskeletal Injuries in Climbers. Curr. Phys. Med. Rehabil. Rep. 2019;7:179–185. doi: 10.1007/s40141-019-00227-6. DOI