Int J Sports Med 2011; 32(10): 794-800
DOI: 10.1055/s-0031-1279723
Orthopedics & Biomechanics

© Georg Thieme Verlag KG Stuttgart · New York

Injury Risk Evaluation in Sport Climbing

A. Neuhof1 , F. F. Hennig1 , I. Schöffl2 , V. Schöffl3
  • 1Department of Trauma Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
  • 2Department of Pediatrics, Klinikum Bamberg, Germany
  • 3Department of Sportorthopedics, Klinikum Bamberg, Germany
Further Information

Publication History

accepted after revision April 15, 2011

Publication Date:
12 September 2011 (online)

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.

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

Phone: +49/176/3829 7093

Fax: +49/919/370 05

Email: alexanderneuhof@yahoo.de

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