RSS-Feed abonnieren
DOI: 10.1055/s-0031-1279723
© Georg Thieme Verlag KG Stuttgart · New York
Injury Risk Evaluation in Sport Climbing
Publikationsverlauf
accepted after revision April 15, 2011
Publikationsdatum:
12. September 2011 (online)
![](https://www.thieme-connect.de/media/sportsmed/201110/lookinside/thumbnails/10.1055-s-0031-1279723-1.jpg)
Abstract
The aim of this study was to quantify and rate acute sport climbing injuries. Acute sport climbing injuries occurring from 2002 to 2006 were retrospectively assessed with a standardized web based questionnaire. A total number of 1962 climbers reported 699 injuries, which is equivalent to 0.2 injuries per 1 000 h of sport participation. Most (74.4%) of the injuries were of minor severity rated NACA I or NACA II. Injury distribution between the upper (42.6%) and lower extremities (41.3%) was similar, with ligament injuries, contusions and fractures being the most common injury types. Years of climbing experience (p<0.01), difficulty level (p<0.01), climbing time per week during summer (p<0.01) and winter (p<0.01) months were correlated with the injury rate. Age (p<0.05 (p=0.034)), years of climbing experience (p<0.01) and average climbing level (p<0.01) were correlated to the injury severity rated through NACA scores. The risk of acute injuries per 1 000 h of sport participation in sport climbing was lower than in previous studies on general rock climbing and higher than in studies on indoor climbing. In order to perform inter-study comparisons of future studies on climbing injuries, the use of a systematic and standardized scoring system (UIAA score) is essential.
Key words
sport climbing - sports injury - injury epidemiology - rock climbing - injury risk factors - sports safety
References
- 1 Addiss DG, Baker SP. Mountaineering and rock-climbing injuries in US national parks. Ann Emerg Med. 1989; 18 975-979
- 2 Backe S EL, 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
- 3 Bein T. Scores – Hilfsmittel zur Risikoeinschätzung.. In: Madler C, Jauch K, Werdan K, Siegrist J, Pajonk F (eds). Das NAW – Buch: Akutmedizin der ersten 24 Stunden 3rd ed. München, Jena: Elvesier, Urban & Fischer; 2005: 193-199
- 4 Bowie WS, Hunt TK, Allen Jr HA. Rock-climbing injuries in Yosemite National Park. West J Med. 1988; 149 172-177
- 5 DAV .Bergunfallstatistik 2006–2007. In: e.V. DA ed. München 2008
- 6 Ekstrand J, Walden M, Hagglund M. Risk for injury when playing in a national football team. Scand J Med Sci Sports. 2004; 14 34-38
- 7 Gabbett TJ. Incidence of injury in amateur rugby league sevens. Br J Sports Med. 2002; 36 23-26
- 8 Gerdes EM, Hafner JW, Aldag JC. Injury patterns and safety practices of rock climbers. J Trauma. 2006; 61 1517-1525
- 9 Gissane C, Jennings D, Kerr K, White J. Injury rates in rugby league football: impact of change in playing season. Am J Sports Med. 2003; 31 954-958
- 10 Harriss DJ, Atkinson G. International Journal of Sports Medicine – Ethical Standards in Sport and Exercise Science Research. Int J Sports Med. 2009; 30 701-702
- 11 Henke T. Die Risikobewertung der verscheidenen Sportarten – Epidemiologie der Sportverletzungen. 2000;
- 12 Hochholzer T, Schöffl V. One Move too Many.. 2nd ed. Ebenhausen: Lochner Verlag; 2006
- 13 IFSC . International Federation of Sport Climbing. [cited 05.01.2009]; Available from: http://www.ifsc-climbing.org
- 14 Josephsen G, Shinneman S, Tamayo-Sarver J, Josephsen K, Boulware D, Hunt M, Pham H. Injuries in bouldering: a prospective study. Wilderness Environ Med. 2007; 18 271-280
- 15 Kohlhammer W. Handbuch der internationalen Klassifikation der Krankheiten, Verletzungen und Todesursachen. Statistisches Bundesamt, Wiesbaden 1968; 7. Revision
- 16 Limb D. Injuries on British climbing walls. Br J Sports Med. 1995; 29 168-170
- 17 Logan AJ, Makwana N, Mason G, Dias J. Acute hand and wrist injuries in experienced rock climbers. Br J Sports Med. 2004; 38 545-548
- 18 Microsoft . Microsoft Excel 2007. [accessed 30.06.2010]; Available from. http://office.microsoft.com/de-de/.
- 19 Molsa J, Kujala U, Nasman O, Lehtipuu TP, Airaksinen O. Injury profile in ice hockey from the 1970s through the 1990s in Finland. Am J Sports Med. 2000; 28 322-327
- 20 Nelson NG, McKenzie LB. Rock climbing injuries treated in emergency departments in the U.S., 1990–2007. Am J Prev Med. 2009; 37 195-200
- 21 Paige TE, Fiore DC, Houston JD. Injury in traditional and sport rock climbing. Wilderness Environ Med. 1998; 9 2-7
- 22 Rooks MD. Rock climbing injuries. Sports Med. 1997; 23 261-270
- 23 Rooks MD, Johnston RB, Ensor CD, McIntosh B, James S. Injury patterns in recreational rock climbers. Am J Sports Med. 1995; 23 683-685
- 24 Schöffl V, Hochholzer T, Winkelmann HP, Strecker W. Pulley injuries in rock climbers. Wilderness Environ Med. 2003; 14 94-100
- 25 Schöffl V, Klee S, Strecker W. Evaluation of physiological standard pressures of the forearm flexor muscles during sport specific ergometry in sport climbers. Br J Sports Med. 2004; 38 422-425
- 26 Schöffl V, Küpper T. Injuries at the 2005 World Championships in Rock Climbing. Wilderness Environ Med. 2006; 17 187-190
- 27 Schöffl V, Küpper T. Rope tangling injuries – how should a climber fall?. Wilderness Environ Med. 2008; 19 146-149
- 28 Schöffl V, Morrison AB, Hefti U, Schwarz U, Küpper T. The UIAA Medical Commission Injury Classification for Mountaineering and Climbing Sports. In: 10.05.2010 ed: Official Standards of the Union Internationale des Associations d’Alpinisme (UIAA); No. 17; 2010: 1-8
- 29 Schöffl V, Morrison AB, Schwarz U, Schöffl I, Küpper T. Evaluation of injury and fatality risk in rock and ice climbing. Sport Med. 2010; 40 657-679
- 30 Schöffl V, Winkelmann HP. [Accident statistics for “indoor climbing walls”] Unfallstatistik an “Indoor-Kletteranlagen”. Sportverletz Sportschaden. 1999; 13 14-16
- 31 Schussmann LC, Lutz LJ, Shaw RR, Bohn CR. The epidemiology of mountaineering and rock climbing accidents. Wilderness Environ Med. 1990; 1 235-248
- 32 Smith LO. Alpine climbing: injuries and illness. Phys Med Rehabil Clin N Am. 2006; 17 633-644
- 33 SPSS Inc . SPSS Statistics 17.0. [accessed 30.06.2010]; Available from http://www.spss.com/de/
- 34 Time-Magazine .Why we take risks. In: Time Magazine, USA: Time Warner; 1999 (US edition)
- 35 Wedderkopp N, Kaltoft M, Lundgaard B, Rosendahl M, Froberg K. Injuries in young female players in European team handball. Scand J Med Sci Sports. 1997; 7 342-347
- 36 Wright DM, Royle TJ, Marshall T. Indoor rock climbing: who gets injured?. Br J Sports Med. 2001; 35 181-185
Correspondence
Alexander Neuhof
Department of Trauma Surgery
Friedrich-Alexander-University
Erlangen-Nuremberg
Krankenhausstraße 12
91054 Erlangen
Germany
Telefon: +49/176/3829 7093
Fax: +49/919/370 05
eMail: alexanderneuhof@yahoo.de