Aim of the thesis: Assessment of prevalence and distribution of chronic injuries in climbing in a Norwegian population, including an overview of the current literature. List of the papers: I. Gudmund Grønhaug, Marius Norberg. First overview on chronic injuries in sport climbing: proposal for a change in reporting of injuries in climbing. BMJ Open Sports and Exercise Medicine2016;2: e000083 doi:10.1136/bmjsem-2015-000083 II. Gudmund Grønhaug. Self-reported chronic injuries in climbing: Who gets injured when? BMJ Open Sports and Exercise Medicine 2018 Jul 17;4(1): e000406 DOI: 10.1136/bmjsem-2018-000406 III. Gudmund Grønhaug. Selvrapporterte belastningsskader i klatring Fysioterapeuten (Fysioterapeuten nr. 7 2018) IV. Gudmund Grønhaug. Lean and mean? Associations of injury, level of performance, chronic injuries and BMI in sports climbing. BMJ Open Sports and Exercise Medicine2019;5(1) doi.org/10.1136/bmjsem-2018-000437 V. Gudmund Grønhaug, Atle Hole Sæterbakken. No pain no gain: a survey of use of healthcare and reasons not to seek healthcare by Norwegian climbers with chronic injuries BMJ Open Sports and Exercise Medicine2019;5:e000513. doi: 10.1136/bmjsem-2019-000513 VI. Kirsten Marie Grønhaug, Gudmund Grønhaug. Smerter og hovne fingre hos ung klatrer (Submittert Tidsskrift for Den norske legeforening) Summary of thesis: The popularity of climbing has grown fast over the last two decades. Increased media attention on climbing achievements and building of artificial indoor walls in major and minor cities have contributed to the growing interest. Climbing is a new sport in terms of training regimes and injury preventing strategies and still awaits its debut as an Olympic sport. Along with better access to training facilities, comes the possibility of systematic training from young age. However, knowledge about how to train for climbing and how to avoid injuries is mainly based on anecdotal experience and not evidenced based knowledge. For climbers it is vital to increase the knowledge of chronic injuries associated with the sport. Until recently, this knowledge has been limited as most of the research on climbing performance, training for climbing and injury prevention is published in the last two decades.The onset of an injury differs for acute and chronic injuries. An acute climbing injury is usually of a sudden onset and often with a high energy trauma demanding an obvious reason to seek medical aid. Acute injuries in climbing are usually easy to identify as injuries as they are evident as injuries the moment they happen. For example, most of the acute injuries in climbing either come from a fall where the climber hits something or from falling objects hitting climbers. Chronic injuries, on the other hand, is often less evident in appearance and is sometimes, but not always, felt as a dull ache rather than actual pain for a while before becoming evident as an injury. When a chronic injury becomes evident it is often with a sudden experience of pain. These suddenly painful chronic injuries are often misinterpreted as acute injuries. Acute injuries seem to be an inevitable part of climbing regardless of efforts to prevent them. Chronic injuries, on the other hand, may be more easily avoidable. As chronic injuries develop over time, preventative strategies are easier to adapt to and training can be altered before the dull pain evolves into a chronic injury. In general, research on sports injuries concludes that chronic injuries are more prevalent than acute injuries. However, most research on climbing injuries do not distinguishing between chronic and acute injuries. Furthermore, research on chronic injuries in climbing has mainly focused on single diagnosis, single cases or small groups (n<10) for assessments. Lack of relevant research with separate analyses for subgroups and gender complicates further development in strategies for prevention of chronic injuries in climbing.
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