Pull-Over: The Application of Physiotherapy Treatments for Sport Climbers with Pulley Injury

Bognár, Nóra and Bádovszky, Zoltán and Guzi, Barbara (2025) Pull-Over: The Application of Physiotherapy Treatments for Sport Climbers with Pulley Injury. EGÉSZSÉGTUDOMÁNYI KÖZLEMÉNYEK, 15 (2). pp. 13-24. ISSN 2063-2142

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Abstract

The objective of this research is to assess the condition of sport climbers with pulley injuries, to apply a complex physiotherapy programme and to evaluate the effectiveness of the treatment. Our study was carried out at the Kézklinika in Budapest between June and October 2024. Ten active sport climbers with injuries sustained at least five days prior to the assessment were investigated. For the assessment we used pain scores (VAS), mobility, muscle strength, flexibility and special tests. The physiotherapy intervention consisted of passive and active elements, comprising 10 sessions of 40 min each. Descriptive statistics were calculated using MS Excel, with results expressed as mean ± standard deviation (SD), as well as 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 293 ±10.9 years. The main complaint was pain, which was eliminated after treatment. The distal interphalangeal joint (DIP) 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 20 mm edge showed a strong significant improvement (p = 0.008, p = 0.007). All assessed modalities showed positive changes, allowing a return to climbing. Properly structured rehabilitation and prevention programmes can help prevent further injuries.

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