@article{ref1,
title="Epidemiology of sport climbing injuries caused by a climbing fall among climbers of the French Federation of Mountain and Climbing",
journal="Journal of sports medicine and physical fitness",
year="2022",
author="Luiggi, Maxime and Lafaye, Pascal and Martha, Cecile",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Fall-related injuries (FRIs) are the most severe sport climbing injuries. The main objective of this study was to measure FRI prevalence and risk factors in a representative sample of climbers of the French Federation of Mountain and Climbing. The second objective was to explore FRI mechanisms. <br><br>METHODS: 3919 climbers aged 16+ participated in this study. They were invited to fill out an online questionnaire where they reported sociodemographics, sport-related characteristics and whether they had sustained an FRI in the past 12 months (12-FRI), and over their entire career (ALL-FRI). The mechanisms of 12-FRI were asked for. Multivariable logistic regression analyses were performed to evaluate the association between sport-related characteristics and FRI. <br><br>RESULTS: 9% of the participants reported a 12-FRI and 29% an ALL-FRI. No statistically significant effect of sex, context of climbing, or onsight level was observed on 12-FRI. Climbers with 0-3 years of experience (YE) were 1.7 (95% CI=1.2-2.6) and 3.6 (95% CI=2.2-6.3) times more likely to have sustained a 12-FRI compared with those with 5-8 YE and 14-23 YE, respectively. An interaction effect was found between YE and onsight level. Among climbers with 0-8 YE, those with a higher onsight level had a higher risk of 12-FRI. Natural falls, unexpected falls and static belaying were the most commonly reported 12-FRI mechanisms. <br><br>CONCLUSIONS: These results highlight that future FRI prevention programs should target as a priority inexperienced climbers who have progressed rapidly. Climbers should be taught as a priority (is) to stay focused while belaying even in the least difficult passage, and (ii) to belay dynamically.<p /> <p>Language: en</p>",
language="en",
issn="0022-4707",
doi="10.23736/S0022-4707.22.14388-4",
url="http://dx.doi.org/10.23736/S0022-4707.22.14388-4"
}