Incidence, mechanism and risk factors for injury in youth rock climbers

Background Rock-climbing participation has grown globally in recent years, and the sport was officially recognised by the International Olympic Committee in 2010. The epidemiology of climbing injuries in adults has been examined, but few studies have investigated injury in youth climbers. Objective...

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Veröffentlicht in:British journal of sports medicine 2015-01, Vol.49 (1), p.44-50
Hauptverfasser: Woollings, Kaikanani Y, McKay, Carly D, Kang, Jian, Meeuwisse, Willem H, Emery, Carolyn A
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container_issue 1
container_start_page 44
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creator Woollings, Kaikanani Y
McKay, Carly D
Kang, Jian
Meeuwisse, Willem H
Emery, Carolyn A
description Background Rock-climbing participation has grown globally in recent years, and the sport was officially recognised by the International Olympic Committee in 2010. The epidemiology of climbing injuries in adults has been examined, but few studies have investigated injury in youth climbers. Objective To examine the incidence, mechanisms and risk factors for injury in recreational and elite sport climbers and boulderers aged 11–19 years. Study design Cross-sectional. Methods Youth (n=116) were recruited from climbing facilities across Alberta, Canada. Participants completed an anonymous questionnaire from October 2012 to March 2013. Climbing injury incidence proportions and incidence rates (IR) were calculated. ORs with corresponding 95% CIs were estimated for possible risk factors. Results The injury IR was 4.44 injuries/1000 climbing hours (95% CI 3.74 to 5.23). Sprains (27%) and strains (26%) were the predominant injury types, and repetitive overuse was the primary mechanism of injury (42%). Hands and fingers were the most commonly injured locations (21%). Exploratory analyses showed three risk factors for injury: older age (15–19 vs 11–14 years; OR=11.30, 95% CI 2.33 to 54.85), injury in a sport other than climbing (OR=6.46, 95% CI 1.62 to 25.68) and preventive taping (OR=5.09, 95% CI 1.44 to 18.02). Conclusions Injury risk is high in youth climbers. Findings are consistent with the reported rates, types and mechanisms in adults. Modifiable risk factors warrant further investigation to inform the development of injury prevention strategies, targeting high-risk climbers including adolescents and those with previous injury.
doi_str_mv 10.1136/bjsports-2014-094067
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The epidemiology of climbing injuries in adults has been examined, but few studies have investigated injury in youth climbers. Objective To examine the incidence, mechanisms and risk factors for injury in recreational and elite sport climbers and boulderers aged 11–19 years. Study design Cross-sectional. Methods Youth (n=116) were recruited from climbing facilities across Alberta, Canada. Participants completed an anonymous questionnaire from October 2012 to March 2013. Climbing injury incidence proportions and incidence rates (IR) were calculated. ORs with corresponding 95% CIs were estimated for possible risk factors. Results The injury IR was 4.44 injuries/1000 climbing hours (95% CI 3.74 to 5.23). Sprains (27%) and strains (26%) were the predominant injury types, and repetitive overuse was the primary mechanism of injury (42%). Hands and fingers were the most commonly injured locations (21%). Exploratory analyses showed three risk factors for injury: older age (15–19 vs 11–14 years; OR=11.30, 95% CI 2.33 to 54.85), injury in a sport other than climbing (OR=6.46, 95% CI 1.62 to 25.68) and preventive taping (OR=5.09, 95% CI 1.44 to 18.02). Conclusions Injury risk is high in youth climbers. Findings are consistent with the reported rates, types and mechanisms in adults. Modifiable risk factors warrant further investigation to inform the development of injury prevention strategies, targeting high-risk climbers including adolescents and those with previous injury.</description><identifier>ISSN: 0306-3674</identifier><identifier>EISSN: 1473-0480</identifier><identifier>DOI: 10.1136/bjsports-2014-094067</identifier><identifier>PMID: 25385168</identifier><language>eng</language><publisher>England: BMJ Publishing Group</publisher><subject>Absenteeism ; Accidental Falls - statistics &amp; numerical data ; Adolescent ; Alberta - epidemiology ; Athletic Injuries - epidemiology ; Child ; Children &amp; youth ; Cumulative Trauma Disorders - epidemiology ; Data collection ; Discipline ; Epidemiologic Methods ; Humans ; Injuries ; Mountain climbing ; Mountaineering - injuries ; Multivariate analysis ; Outdoors ; Participation ; Prevention ; Questionnaires ; Recreation ; Recurrence ; Risk factors ; Rock climbing ; Studies ; Young Adult</subject><ispartof>British journal of sports medicine, 2015-01, Vol.49 (1), p.44-50</ispartof><rights>Published by the BMJ Publishing Group Limited. 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The epidemiology of climbing injuries in adults has been examined, but few studies have investigated injury in youth climbers. Objective To examine the incidence, mechanisms and risk factors for injury in recreational and elite sport climbers and boulderers aged 11–19 years. Study design Cross-sectional. Methods Youth (n=116) were recruited from climbing facilities across Alberta, Canada. Participants completed an anonymous questionnaire from October 2012 to March 2013. Climbing injury incidence proportions and incidence rates (IR) were calculated. ORs with corresponding 95% CIs were estimated for possible risk factors. Results The injury IR was 4.44 injuries/1000 climbing hours (95% CI 3.74 to 5.23). Sprains (27%) and strains (26%) were the predominant injury types, and repetitive overuse was the primary mechanism of injury (42%). Hands and fingers were the most commonly injured locations (21%). Exploratory analyses showed three risk factors for injury: older age (15–19 vs 11–14 years; OR=11.30, 95% CI 2.33 to 54.85), injury in a sport other than climbing (OR=6.46, 95% CI 1.62 to 25.68) and preventive taping (OR=5.09, 95% CI 1.44 to 18.02). Conclusions Injury risk is high in youth climbers. Findings are consistent with the reported rates, types and mechanisms in adults. 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The epidemiology of climbing injuries in adults has been examined, but few studies have investigated injury in youth climbers. Objective To examine the incidence, mechanisms and risk factors for injury in recreational and elite sport climbers and boulderers aged 11–19 years. Study design Cross-sectional. Methods Youth (n=116) were recruited from climbing facilities across Alberta, Canada. Participants completed an anonymous questionnaire from October 2012 to March 2013. Climbing injury incidence proportions and incidence rates (IR) were calculated. ORs with corresponding 95% CIs were estimated for possible risk factors. Results The injury IR was 4.44 injuries/1000 climbing hours (95% CI 3.74 to 5.23). Sprains (27%) and strains (26%) were the predominant injury types, and repetitive overuse was the primary mechanism of injury (42%). Hands and fingers were the most commonly injured locations (21%). Exploratory analyses showed three risk factors for injury: older age (15–19 vs 11–14 years; OR=11.30, 95% CI 2.33 to 54.85), injury in a sport other than climbing (OR=6.46, 95% CI 1.62 to 25.68) and preventive taping (OR=5.09, 95% CI 1.44 to 18.02). Conclusions Injury risk is high in youth climbers. Findings are consistent with the reported rates, types and mechanisms in adults. Modifiable risk factors warrant further investigation to inform the development of injury prevention strategies, targeting high-risk climbers including adolescents and those with previous injury.</abstract><cop>England</cop><pub>BMJ Publishing Group</pub><pmid>25385168</pmid><doi>10.1136/bjsports-2014-094067</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Absenteeism
Accidental Falls - statistics & numerical data
Adolescent
Alberta - epidemiology
Athletic Injuries - epidemiology
Child
Children & youth
Cumulative Trauma Disorders - epidemiology
Data collection
Discipline
Epidemiologic Methods
Humans
Injuries
Mountain climbing
Mountaineering - injuries
Multivariate analysis
Outdoors
Participation
Prevention
Questionnaires
Recreation
Recurrence
Risk factors
Rock climbing
Studies
Young Adult
title Incidence, mechanism and risk factors for injury in youth rock climbers
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