title: Risk factors of hand climbing-related injuries.
abstract: This study aimed to investigate the protective mechanisms or risk factors that can be related to the occurrence of hand climbing-related injuries (CRIH ). CRIH (tendon, pulley, muscle, and joint injuries) were retrospectively screened in 528 adult climbers. The questionnaire contained anthropometric items (e.g., body mass index - BMI), as well as items regarding climbing and basic training activities (warm-up, cool-down and session durations, number of session per week, hydration, practice level, climbing surface, and duration of the cardiovascular training). Higher skilled climbers and climbers with BMI above 21 kg/m(2) were more likely to have experienced CRIH (P < 0.01). Climbers with BMI above 20 kg/m(2) were more likely to have tendon injuries while those with a BMI above 21 kg/m(2) were more likely to have pulley injuries (P < 0.01). Skilled climbers, who climb more difficult routes, may use smaller grip size and a reduced number of fingers. Higher BMI will require a higher force to climb. Both high level and elevated BMI may increase the demands to the hands and fingers leading to CRIH . These risk factors are difficult to address as we cannot recommend the climbers to climb easier routes and decrease their BMI below 20 kg/m(2) .
authors.affiliation: Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg.|EA 3450 DevAH - Développement, Adaptation et Handicap - Faculté de Médecine et UFR STAPS, Université de Lorraine, Nancy, France.|Laboratoire d'Analyse de la Posture, de l'Equilibration et de la Motricité (LAPEM), CHU de Nancy, Vandœuvre-lès-Nancy, France.
authors.forename: A
authors.identifier: http://orcid.org/0000-0002-3807-5177
authors.initials: A
authors.lastname: Lion
authors.affiliation: EMGO + Institute for Health and Care Research, Department of general practice and elderly care medicine, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: B C
authors.initials: BC
authors.lastname: van der Zwaard
authors.affiliation: Cabinet de kinésithérapie, Barcelonnette, France.
authors.forename: S
authors.initials: S
authors.lastname: Remillieux
authors.affiliation: EA 3450 DevAH - Développement, Adaptation et Handicap - Faculté de Médecine et UFR STAPS, Université de Lorraine, Nancy, France.|Laboratoire d'Analyse de la Posture, de l'Equilibration et de la Motricité (LAPEM), CHU de Nancy, Vandœuvre-lès-Nancy, France.
authors.forename: P P
authors.initials: PP
authors.lastname: Perrin
authors.affiliation: EA 3450 DevAH - Développement, Adaptation et Handicap - Faculté de Médecine et UFR STAPS, Université de Lorraine, Nancy, France.|Laboratoire d'Analyse de la Posture, de l'Equilibration et de la Motricité (LAPEM), CHU de Nancy, Vandœuvre-lès-Nancy, France.|Institut Lorrain de Formation en Masso-Kinésithérapie (ILFMK) de Nancy, Nancy, France.
authors.forename: S
authors.initials: S
authors.lastname: Buatois
mesh_terms: D000328:Adult; D015992:Body Mass Index; D064590:Cool-Down Exercise; D003430:Cross-Sectional Studies; D005260:Female; D005383:Finger Injuries / Q000453:epidemiology; D005384:Finger Joint; D006230:Hand Injuries / Q000453:epidemiology*; D050823:Hand Joints / Q000293:injuries*; D006801:Humans; D008297:Male; D009051:Mountaineering / Q000293:injuries*; D018482:Muscle, Skeletal / Q000293:injuries*; D012189:Retrospective Studies; D012307:Risk Factors; D013708:Tendon Injuries / Q000453:epidemiology*; D013997:Time Factors; D063996:Warm-Up Exercise; D014882:Water-Electrolyte Balance; D055815:Young Adult
keywords: Climbers; fingers; risk factor; traumatology