Lead climbing injuries

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A climber in Calico Hills falls while leading Calico Hills The Gallery 9.jpg
A climber in Calico Hills falls while leading

The greatest potential for injury while rock climbing occurs when a lead climber falls. [1] Several published studies have researched climbing injuries, especially lead climbing injuries, and how to avoid them. Chances of neck and head injuries are very low and they can be avoided by falling correctly.

Contents

Injuries from falling

Lead falls are dangerous because the climber can fall twice the length of the rope between them, and their last piece of protection. Thus, a climber, who is 5 feet above their protection, will fall 10 feet. [2] The fall can produce a significant force on the midsection, where the climbing rope is tied to their harness. Injuries from falling come in many forms. They range from mild skin abrasions to death. [1] As rock climbing has become more popular, several studies have been published documenting the frequency and severity of injuries sustained by rock climbers in various circumstances. [3] Each study provides slightly different information due to the differences in methods in obtaining data. One problem with all of the studies is that injuries are not always reported; therefore, it is difficult to determine how many climbers were actually injured because there is no way to determine how many climbers climbed in the given areas during the times the studies were conducted. [1]

A Prospective Study of rock climbing Injuries

A Prospective Study of Rock Climbing Injuries, a study performed by Jonathon P. Wyatt, Gordon W. McNaughton, and Patrick T. Grant, registrars and consultants at the Accident and Emergency Department of the Glasgow Royal Infirmary surveyed patients from 1992-93 who checked in with climbing related injuries. [4] While this study greatly lacked subjects, percentages of injuries to various body parts are consistent with studies, which reported more injuries. According to patients, 18 of 19 climbing-related injuries were directly caused by climbing falls. [4] No distinction was made whether the falls were lead falls, or not. 15 climbers fell from the rock face to the ground, implying these were lead falls. [4] Twelve of the 19 injures sustained were bone fractures, including feet, shins, pelvis and lower back. The remaining seven were soft tissue injuries (ankle, knee, and ligaments). Ten injuries were to the lower extremities (legs and pelvic areas). These included three ankle injuries, three fractures of bones in the calf (tibia and fibula), and two lumbar spine fractures. Most importantly, none of the injuries were neck injuries. [4]

Falling correctly

Falling correctly can significantly reduce the chance of serious injury. Many climbing injuries are caused by climbers who grabbed something as they fell. [5]

Climbers that grab the ascending rope during a fall can sustain skin damage (from rope burns) on their hands, become caught in the last piece of protection, can unintentionally un-clip the belay point causing longer and more dangerous falls, and become tangled in the climbing rope. Climbers who grab their ropes above the tying knot might have their fingers amputated by the rope constricting around them. [5] Grabbing pieces of protection during a fall can impale the climber's hand. [5]

Someone who climbs 3-4 days a week might take 1000 lead falls a year, [5] which increases the chance of injury because of a fall. However, by practising the proper falling technique a climber can significantly reduce the chance of injury. Climbers should fall with their hands up and slightly forward and with feet down and slightly forward as well. This method of falling allows the climber to make contact with the wall with limbs that can absorb the force of impact, rather than with other less-absorbent parts of the body. After impact, the climber should grab the rope (as it is completely stretched out and unable to cause injury) in order to refrain from tipping upside down. [5] This method of falling eliminates injuries caused by prematurely grabbing the rope or other pieces of protection, as well as virtually eliminating neck injuries.

Rock climbing injuries in Yosemite National Park

In a 3½-year study performed in Yosemite National Park, California, William S. Bowie, Thomas K. Hunt, and Hubert A. Allen reviewed 451 injuries reported by 220 climbers. These injuries came from a variety of sources, but 144 climbers were injured in lead falls (65.45%). [1]

Research was compiled as climbers were brought to the Yosemite Medical Clinic or were rescued by United States National Park Search and Rescue team. All injured climbers filled out a survey of their injuries. Nearly 227 of the 451 injuries reported were to the skin or subcutaneous tissue (the layer of fat between skin and underlying tissues). [1] Of the remaining injuries, 127 were to lower extremities including femur, knee, tibia/fibula, ankle, and foot. Twenty-nine were to upper extremities including shoulder, forearm, wrist, and hand. Twenty-five injuries were reported to the skull/brain. Of the remaining injuries, ten were sustained by the face and neck area. [1]

This study also showed that falls are not the cause of injury; it depends on how the climber lands after the falls. The contact surface and shape determine the severity and type of their injuries. For example, in one case of injury, a woman fell 100 feet and only suffered a small laceration and minimal contusions. This is attributed to the fact that she hit no rocks during her fall and the rope decelerated her elastically. Conversely, in another case, a climber fell only 6 feet but hit a sharp ledge and suffered a compound fracture of his femur. In a third case, a climber fell 20 feet but hit the ground and suffered a concussion, rib fractures, and dislocated ankle. [1] Thus, injury severity is likely and more determined by the shape of the rock hit, the angle of impact, and which body surface hit the rock, as opposed to the length of the fall.

This study importantly points out there were a total of thirty-five head and neck-related injuries. Only four injuries related to lead climbing were fatal—all of these were head injuries. However, only 7% of the total injuries reported were head injuries. [1] Thus, it is unlikely a climber will break their neck when climbing.

Conclusion

Each of the studies discussed the effects of falling, and How Should a Climber Fall? also taught the best way to fall especially to avoid head and neck injuries. The Yosemite study points out that injury usually is not related to the distance of the fall nor the frequency of falls: it depends more on the rock surface the climber hits. In reviewing these studies of climbing injuries, and focusing mainly on lead climbing injuries, it is apparent that the chance of major injury is relatively slim, that potential injuries to the head and neck are slimmer, and that minor injuries, though more common, seem to be infrequent as well.

See also

Related Research Articles

<span class="mw-page-title-main">Bouldering</span> Form of rock climbing

Bouldering is a form of free climbing that is performed on small rock formations or artificial rock walls without the use of ropes or harnesses. While bouldering can be done without any equipment, most climbers use climbing shoes to help secure footholds, chalk to keep their hands dry and to provide a firmer grip, and bouldering mats to prevent injuries from falls. Unlike free solo climbing, which is also performed without ropes, bouldering problems are usually less than six metres (20 ft) tall. Traverses, which are a form of boulder problem, require the climber to climb horizontally from one end to another. Artificial climbing walls allow boulderers to climb indoors in areas without natural boulders. In addition, bouldering competitions take place in both indoor and outdoor settings.

<span class="mw-page-title-main">Climbing</span> Activity to ascend a steep object

Climbing is the activity of using one's hands, feet, or other parts of the body to ascend a steep topographical object that can range from the world's tallest mountains to small boulders. Climbing is done for locomotion, sporting recreation, for competition, and is also done in trades that rely on ascension, such as rescue and military operations. Climbing is done indoors and outdoors, on natural surfaces, and on artificial surfaces

<span class="mw-page-title-main">Traditional climbing</span> Type of rock climbing

Traditional climbing is a type of free climbing in rock climbing where the lead climber places the protection equipment while ascending the route; when the lead climber has completed the route, the second climber then removes the protection equipment as they climb the route. Traditional climbing differs from sport climbing where the protection equipment is already pre-drilled into the rock in the form of bolts.

<span class="mw-page-title-main">Climbing harness</span> Item of climbing equipment

A climbing harness is a device which allows a climber access to the safety of a rope. It is used in rock and ice climbing, abseiling, and lowering; this is in contrast to other activities requiring ropes for access or safety such as industrial rope work, construction, and rescue and recovery, which use safety harnesses instead.

<span class="mw-page-title-main">Glossary of climbing terms</span> For rock climbing and mountaineering

Glossary of climbing terms relates to rock climbing, mountaineering, and to ice climbing.

<span class="mw-page-title-main">Rock-climbing equipment</span> List of manmade gear

Rock-climbing equipment varies with the type of climbing undertaken. Bouldering needs the least equipment outside of shoes and chalk and optional crash pads. Sport climbing adds ropes, harnesses, belay devices, and quickdraws to clip into pre-drilled bolts. Traditional climbing adds the need for carrying a "rack" of temporary passive and active protection devices. Multi-pitch climbing adds devices to assist in ascending and descending fixed ropes. And finally aid climbing uses unique equipment.

<span class="mw-page-title-main">Solo climbing</span> Style of climbing performed alone

Solo climbing, or soloing, is a style of climbing in which the climber climbs a route alone, without the assistance of a belayer. By its very nature, it presents a higher degree of risk to the climber, and in some cases, is considered extremely high risk. Note that the use of the term "solo climbing" is generally separate from the action of bouldering, which is itself a form of solo climbing, but with less serious consequences in the case of a fall. The most dangerous form of solo climbing is free solo climbing, which means both climbing alone and without any form of climbing protection.

<span class="mw-page-title-main">Aid climbing</span> Type of climbing

Aid climbing is a form of rock climbing that uses mechanical devices and equipment, such as aiders, for upward momentum. Aid climbing is the opposite of free climbing, which only uses mechanical equipment for protection, but not to assist in upward momentum. "Traditional aid climbing" involves hammering in permanently fixed pitons and bolts, into which aiders are clipped, whereas "clean aid climbing" avoids hammering, and only uses removable placements.

<span class="mw-page-title-main">Belaying</span> Rock climbing safety technique using ropes

Belaying is a variety of techniques climbers use to create friction within a climbing system, particularly on a climbing rope, so that a falling climber does not fall very far. A climbing partner typically applies tension at the other end of the rope whenever the climber is not moving, and removes the tension from the rope whenever the climber needs more rope to continue climbing.

<span class="mw-page-title-main">Lead climbing</span> Technique of rock climbing

Lead climbing is a technique in rock climbing where the lead climber clips their rope to the climbing protection as they ascend a pitch of the climbing route, while their second remains at the base of the route belaying the rope to protect the lead climber in the event that they fall. The term is used to distinguish between the two roles, and the greater effort and increased risk, of the role of the lead climber.

<span class="mw-page-title-main">Fall factor</span> Mathematical ratio relevant to climbing safety

In lead climbing using a dynamic rope, the fall factor (f) is the ratio of the height (h) a climber falls before the climber's rope begins to stretch and the rope length (L) available to absorb the energy of the fall,

<span class="mw-page-title-main">Rock climbing</span> Type of sport

Rock climbing is a sport in which participants climb up, across, or down natural rock formations or indoor climbing walls. The goal is to reach the summit of a formation or the endpoint of a usually pre-defined route without falling. Rock climbing is a physically and mentally demanding sport, one that often tests a climber's strength, endurance, agility and balance along with mental control. Knowledge of proper climbing techniques and the use of specialized climbing equipment is crucial for the safe completion of routes.

<span class="mw-page-title-main">Multi-pitch climbing</span> Type of climbing

Multi-pitch climbing is a type of climbing that typically takes place on routes that are more than a single rope length in height, and thus where the lead climber cannot complete the climb as a single pitch. Where the number of pitches exceeds 6–10, it can become big wall climbing, or where the pitches are in a mixed rock and ice mountain environment, it can become alpine climbing. Multi-pitch rock climbs can come in traditional, sport, and aid formats. Climbers have also free soloed multi-pitch routes.

<span class="mw-page-title-main">Redpoint (climbing)</span> Type of free climbing

In rock climbing, redpointing means to free-climb a route from the ground to the top while lead climbing, after having practiced the route or after having failed first attempt. Climbers will try to redpoint a route after having failed to onsight it, or flash it. The first successful redpoint of a route, in the absence of any prior onsight or flash, is recorded as the first free ascent (FFA) of that route.

<span class="mw-page-title-main">Warren Harding (climber)</span> American rock climber (1924–2002)

Warren Harding was one of the most accomplished and influential American big wall climbers and aid climbers of the 1950s to 1970s. He was the leader of the first team to climb El Capitan, Yosemite Valley, in 1958. The route they climbed, known as The Nose, ascends 2,900 feet (880 m) up the central buttress of what is one of the largest granite monoliths in the world. Harding made many first ascents in Yosemite, some 28 in all, including The Wall of Early Morning Life.

In rock climbing, an anchor can be any device or method for attaching a climber, a rope, or a load above or onto a climbing surface—typically rock, ice, steep dirt, or a building—either permanently or temporarily. The intention of an anchor is case-specific but is usually for fall protection, primarily fall arrest and fall restraint. Climbing anchors are also used for hoisting, holding static loads, or redirecting a rope.

<span class="mw-page-title-main">Rope solo climbing</span> Type of solo climbing with protection

Rope-solo climbing or rope-soloing is a form of solo climbing, but unlike with free solo climbing, which is also performed alone and with no climbing protection whatsoever, the rope-solo climber uses a mechanical self-belay device and rope system, which enables them to use the standard climbing protection to protect themselves in the event of a fall.

<span class="mw-page-title-main">Safety harness</span> Equipment designed to protect from falling

A safety harness is a form of protective equipment designed to safeguard the user from injury or death from falling. The core item of a fall arrest system, the harness is usually fabricated from rope, braided wire cable, or synthetic webbing. It is attached securely to a stationary object directly by a locking device or indirectly via a rope, cable, or webbing and one or more locking devices. Some safety harnesses are used in combination with a shock-absorbing lanyard, which is used to regulate deceleration and thereby prevent a serious G-force injury when the end of the rope is reached.

<span class="mw-page-title-main">Dynamic rope</span> Rope designed to stretch under load

A dynamic rope is a specially constructed, somewhat elastic rope used primarily in rock climbing, ice climbing, and mountaineering. This elasticity, or stretch, is the property that makes the rope dynamic—in contrast to a static rope that has only slight elongation under load. Greater elasticity allows a dynamic rope to more slowly absorb the energy of a sudden load, such from arresting a climber's fall, by reducing the peak force on the rope and thus the probability of the rope's catastrophic failure. A kernmantle rope is the most common type of dynamic rope now used. Since 1945, nylon has, because of its superior durability and strength, replaced all natural materials in climbing rope.

<span class="mw-page-title-main">Mount Hood climbing accidents</span>

Mount Hood climbing accidents are incidents related to mountain climbing or hiking on Oregon's Mount Hood. As of 2007, about 10,000 people attempt to climb the mountain each year. As of May 2002, more than 130 people are known to have died climbing Mount Hood since records have been kept. One of the worst climbing accidents occurred in 1986, when seven high school students and two teachers froze to death while attempting to retreat from a storm.

References

  1. 1 2 3 4 5 6 7 8 Bowie, William S.; Thomas K. Hunt; Hubert A. Allen (August 1988). "Rock Climbing Injuries in Yosemite National Park". Western Journal of Medicine. 149 (2): 172, 174. PMC   1026367 . PMID   3247732.
  2. Busch, Wayne (2006). "FAQ: Climbing Physics - Understanding Fall Factors". Archived from the original on February 13, 2012. Retrieved 16 December 2008.
  3. see A Prospective Study of Rock Climbing Injuries, Rope Tangling Injuries--How Should a Climber Fall? and Rock-Climbing Injuries in Yosemite National Park.
  4. 1 2 3 4 Wyatt, Jonathon P.; Gordon W. McNaughton; Patrick T. Grant (1996). "A Prospective Study of Rock Climbing Injuries". British Journal of Sports Medicine. 30 (2): 148–50. doi:10.1136/bjsm.30.2.148. PMC   1332380 . PMID   8799601.
  5. 1 2 3 4 5 Schöffl, Volker; Tomas Küpper (2008). "Rope Tangling Injuries--How Should a Climber Fall?". Wilderness and Environmental Medicine. 19 (2): 146–148. doi:10.1580/07-WEME-LE-1722.1. PMID   18513113.