Persistent Unilateral Force Production Deficits Following Hand Injury in Experienced Climbers: A Reliability and Retrospective Injury Study.

INTRODUCTION: In climbing, research is needed to guide clinical and training advice regarding strength differences between hands. The objectives of this study were to establish test-retest reliability of a field-based apparatus measuring sport-specific unilateral isometric hand strength and to investigate whether these measures detect between-hand differences in climbers with and without a history of unilateral hand injury. METHODS: A reliability and case-control injury study was carried out. Seventeen intermediate-advanced climbers without and 15 intermediate-advanced climbers with previous unilateral hand injury participated. Unilateral isometric fingertip flexor strength was assessed during maximal voluntary contraction (MVC) and peak rate of force development (RFD) tests in full-crimp overhead position. The magnitude of within-group between-hand differences was calculated using a generalized estimating equation to evaluate if prior injury was associated with lower MVC and RFD outcomes and whether hand dominance influenced the magnitude of these effects. The control group was assessed 1 wk later to determine intraclass correlation coefficients (ICCs) for all measures. RESULTS: The MVC (ICC 0.91-0.93) and the RFD (ICC 0.92-0.83) tests demonstrated moderate-to-high reliability. When accounting for handedness, those with prior injury showed 7% (P=0.004) reduced MVC and 13% (P=0.008) reduced RFD in the injured hand. The nondominant hand was also significantly weaker in MVC (11%, P<0.001) and RFD (12%, P=0.02) outcomes. For uninjured climbers, MVC and RFD were not significantly higher in the dominant hand (differing by 4% and 5%, respectively). CONCLUSIONS: Previous climbing injury was associated with persistent weakness in the injured limb and exacerbated handedness effects. Therefore, recommendations for rehabilitation should be considered.

Reliability and Validity of Functional Grip Strength Measures Across Holds and Body Positions in Climbers: Associations With Skill and Climbing Performance.

Purpose: In climbing, exceptional levels of fingertip strength across different holds and body positions are considered essential for performance. There is no commonly agreed upon way to measure such "grip strength variability." Furthermore, the accurate and reliable monitoring of strength is necessary to achieve safe, progressive improvement in strength. Therefore, this study aimed to develop reliability and criterion validity for assessment of grip strength across multiple holds and body positions. Methods: Twenty-two advanced toelite climbers (age = 28.5 ± 8.6 years) performed maximal voluntary isometric contractions on two occasions (for test-retest reliability). Conditions included two hold types (edge and sloper) tested in two postures (elbow flexion [90°] and self-preferred). Climbing performance was determined on two "difficulty" routes (difficulty increases with each hold): one route composed of only edges and another only of slopers. Results: Test-retest reliability was high (ICC between 0.94-0.99). Significant positive correlations were observed for the forces produced on the sloper test and climbing distance on the sloper route (r = 0.512,p < .05), and for the forces produced on the edge test and climbing distance on the edge route (ρ = 0.579, p < .01). Conclusion: These findings support reliability and validity of the method used to measure grip strength variability with different holds and body positions and suggest that improving strength across different grasping types supports adaptive climbing performance.

Action capability constrains visuo-motor complexity during planning and performance in on-sight climbing.

The capability to adapt to changing conditions is crucial for safe and successful performance in physical activities and sports. According to the affordance-based control perspective, individuals act in such a way as to take into account the limits of their capability to act. However, it is not clear how strength interacts with skill in shaping performer-environment interactions. We, therefore, determined whether fingertip strength influences patterns of gaze and climbing behavior on new routes of ever-increasing difficulty. We expected that comparatively weaker climbers would show less complex behavior because of an inability to perceive and act. Stronger climbers would show more complex visuo-motor behavior because more opportunities for action remain, even as route difficulty increases. For very strong climbers the route would not be challenging enough, and less complex patterns suffice. Twenty climbers, ranging from lower grade to elite level participated. Maximum fingertip strength was obtained. Participants previewed and then climbed two separate 3 m long traverses, gradually decreasing in edge depth. Gaze and hip positions were collected for subsequent computation of gaze transition entropy (during preview) and hip displacement entropy (during climbing). Data revealed statistically significant curvilinear relationships between both fingertip strength and gaze transition entropy, and fingertip strength, and hip displacement entropy. Visuo-motor complexity is scaled by how close the individual must act relative to boundaries of what the environment affords and does not afford for action given the individual constraints. Future research should examine in greater detail relationships between action capabilities and functional movement variability.