Mena Lucas, Zanesco Leonardo, Assunção Jorge H, Checchia Caio, Gracitelli Mauro, Malavolta Eduardo A
Orthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
Orthopaedics, Diagnósticos da América (Dasa) Hospital Nove de Julho, São Paulo, BRA.
Cureus. 2024 Sep 19;16(9):e69729. doi: 10.7759/cureus.69729. eCollection 2024 Sep.
To describe the prevalence and risk factors associated with upper extremity injuries among indoor bouldering practitioners, focusing on dynamic movements and specific training methods.
We conducted a cross-sectional study with 35 indoor bouldering climbers from a metropolitan area. Data were collected through an adapted online questionnaire and in-person orthopedic evaluations by certified specialists. Statistical analysis was performed using Stata 18 (StataCorp LLC, College Station, TX), calculating the prevalence of pain and injuries and associations between dynamic movements and specific injuries.
The sample was predominantly male (80%, n = 28/35), with a mean age of 25.9 years. Shoulder anterior apprehension was significantly associated with dynamic climbing styles (p = 0.028), with a prevalence difference of 0.3 (95% CI: 0.04, 0.57). Finger pulley and shoulder injuries affected 22.9% (n = 8/35) and 25.7% (n = 9/35) of participants, respectively.
Our study found a significant association between dynamic movements and upper extremity injuries in bouldering climbers, highlighting the pressing need for injury prevention strategies. Despite climbing being an overhead sport, our findings suggest distinct pathophysiology from the thrower's shoulder, necessitating further investigation.
描述室内抱石运动参与者上肢损伤的患病率及相关危险因素，重点关注动态动作和特定训练方法。
我们对来自一个大都市地区的35名室内抱石攀岩者进行了一项横断面研究。通过一份经过改编的在线问卷以及由认证专家进行的现场骨科评估来收集数据。使用Stata 18（StataCorp有限责任公司，德克萨斯州大学城）进行统计分析，计算疼痛和损伤的患病率以及动态动作与特定损伤之间的关联。
样本以男性为主（80%，n = 28/35），平均年龄为25.9岁。肩部前侧恐惧与动态攀岩方式显著相关（p = 0.028），患病率差异为0.3（95%置信区间：0.04，0.57）。手指滑轮损伤和肩部损伤分别影响了22.9%（n = 8/35）和25.7%（n = 9/35）的参与者。
我们的研究发现抱石攀岩者的动态动作与上肢损伤之间存在显著关联，凸显了预防损伤策略的迫切需求。尽管攀岩是一项上肢过顶运动，但我们的研究结果表明其病理生理学与投掷者肩部不同，需要进一步研究。
