Pull-over: the application of physiotherapy treatments for sport climbers with pulley injury

Absztrakt

Summary: The objective of this research is to assess the condition of sport climbers with pulley injuries, to apply a complex physiotherapy and to study the effectiveness of the treatment.

Our study was carried out at the Kézklinika in Budapest between June and October 2024. 10 active sport climbers with at least 5 days of injury were investigated. For the assessment we used pain scores (VAS), mobility, muscle strength, flexibility and special tests. The physiotherapy consisted of passive and active elements, 10 sessions of 40 min each. Descriptive statistics were calculated using MS Excel, with results expressed as mean ± standard deviation (SD), in addition to median (Me) and interquartile range (IQR). To assess changes, the Wilcoxon signed-rank test was applied, with a significance level set at p ≤ 0.05.

The study involved 10 participants (6 men), with a mean age of 29.3 ±10.9 years. The main complaint was pain, which was eliminated after treatment. The DIP joint flexion motion showed a strong significant change on both sides. Muscle strength on the affected side of the EDC showed a 16.3% increase. Finger flexors on the affected side with a half-closed grip at 25mm edge and 20mm edge showed a strong significant improvement (p=0.008, p=0.007).

All modalities showed positive changes, allowing a return to climbing. Properly structured rehabilitation and prevention programmes can help prevent further injuries.