Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Alberta, Canada.
Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Alberta, Canada University of Calgary Sport Medicine Centre, University of Calgary, Calgary, Alberta, Canada.
Br J Sports Med. 2015 Jan;49(1):44-50. doi: 10.1136/bjsports-2014-094067. Epub 2014 Nov 10.
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.
To examine the incidence, mechanisms and risk factors for injury in recreational and elite sport climbers and boulderers aged 11-19 years.
Cross-sectional.
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.
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).
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.
近年来，攀岩运动在全球范围内得到了迅猛发展，并且该运动于 2010 年被国际奥林匹克委员会正式认可。成年人攀岩损伤的流行病学已得到研究，但很少有研究调查青少年攀岩者的损伤情况。
研究 11-19 岁的娱乐性和精英运动攀岩者和抱石者的损伤发生率、机制和危险因素。
横断面研究。
从加拿大阿尔伯塔省的攀岩设施中招募了 116 名青少年参与者。参与者于 2012 年 10 月至 2013 年 3 月期间填写了一份匿名问卷。计算了攀岩损伤的发生率比例和发生率（IR）。使用相应的 95%置信区间（CI）估计了可能的危险因素的比值比（OR）。
损伤的 IR 为 4.44 例/1000 小时的攀岩时间（95%CI 3.74 至 5.23）。扭伤（27%）和拉伤（26%）是主要的损伤类型，重复性过度使用是主要的损伤机制（42%）。手部和手指是最常见的受伤部位（21%）。探索性分析显示了三个损伤危险因素：年龄较大（15-19 岁与 11-14 岁；OR=11.30，95%CI 2.33 至 54.85）、非攀岩运动中的损伤（OR=6.46，95%CI 1.62 至 25.68）和预防性贴扎（OR=5.09，95%CI 1.44 至 18.02）。
青少年攀岩者的损伤风险较高。这些发现与成年人报道的发生率、类型和机制一致。可改变的危险因素值得进一步研究，以便为制定损伤预防策略提供信息，针对高风险的攀岩者，包括青少年和有过损伤的人群。
