Division of Public Health Sciences, Karlstad University, Karlstad, Sweden.
Scand J Med Sci Sports. 2009 Dec;19(6):850-6. doi: 10.1111/j.1600-0838.2008.00851.x. Epub 2008 Aug 5.
The objective was to examine injury rates and associated risk factors in a representative sample of climbers. A random sample (n=606) of the Swedish Climbing Association members was sent a postal survey, with an effective response rate of 63%. Self-reported data regarding climbing history, safety practices and retrospective accounts of injury events (recall period 1.5 years) were obtained. Descriptive statistical methods were used to calculate injury incidences, and a two-step method including zero-inflated Poisson's regression analysis of re-injuries was used to determine the combination of risk factors that best explained individual injury rates. Overall, 4.2 injuries per 1000 climbing hours were reported, overuse injuries accounting for 93% of all injuries. Inflammatory tissue damages to fingers and wrists were the most common injury types. The multivariate analysis showed that overweight and practicing bouldering generally implied an increased primary injury risk, while there was a higher re-injury risk among male climbers and a lower risk among the older climbers. The high percentage of overuse injuries implies that climbing hours and loads should be gradually and systematically increased, and climbers regularly controlled for signs and symptoms of overuse. Further study of the association between body mass index and climbing injury is warranted.
目的在于调查具有代表性的攀岩者群体中的损伤发生率及其相关危险因素。对瑞典攀岩协会的随机样本（n=606）进行了邮寄调查，有效回复率为 63%。获取了关于攀爬史、安全措施以及伤害事件回溯报告（回顾期 1.5 年）的自我报告数据。采用描述性统计方法计算损伤发生率，并采用两步法，包括对再损伤进行零膨胀泊松回归分析，确定最佳解释个体损伤率的危险因素组合。总体而言，报告每 1000 小时攀爬中出现 4.2 次损伤，过度使用损伤占所有损伤的 93%。手指和手腕的炎症性组织损伤是最常见的损伤类型。多变量分析表明，超重和普遍进行抱石运动通常意味着初次损伤的风险增加，而男性攀岩者的再损伤风险较高，年龄较大的攀岩者的风险较低。过度使用损伤的高比例意味着攀爬时间和负荷应逐渐且系统地增加，并且应定期检查过度使用的迹象和症状。有必要进一步研究体重指数与攀岩损伤之间的关联。
