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Zusammenfassung Hintergrund Beschwerden oder funktionelle Einschränkungen im Schulterbereich sind gerade im Klettersport häufig Ursache der Konsultation eines Arztes oder Osteopathen. In der Literatur wird beschrieben, dass eine erhöhte Spannung der Fascia clavipectoralis die Schulterflexion beeinträchtigen kann. Eine gute Schulterbeweglichkeit ist in diesem Sport Voraussetzung für Leistungsfähigkeit und Prävention von Verletzungen. Zielsetzung In dieser Arbeit sollte geprüft werden, ob ein Recoil für die Fascia clavipectoralis eine veränderte Schulterbeweglichkeit bei Kletterern zur Folge hat. Methode 56 Versuchspersonen, eingeteilt in eine Interventions- und eine Kontrollgruppe, wurden einer Therapie bzw. einer Scheintherapie unterzogen. Die Hypothesenprüfung erfolgte anhand zweier Zielparameter: Schulterflexionsmessung mittels Inklinometer (primärer Zielparameter und Beantworten des Fragebogens WKV-20 zur wahrgenommenen Beweglichkeit (sekundärer Zielparameter). Die Evaluierung erfolgte jeweils an drei Zeitpunkten. Ergebnisse Für den primären Zielparameter ergab sich direkt nach der Intervention mit p<0,001 eine signifikant verbesserte Schulterbeweglichkeit im Vergleich zur Vorabmessung. Diese Verbesserung konnte auch 60 min nach der Intervention mit p<0,001 nachgewiesen werden. Die Prüfung des sekundären Zielparameters zeigte, dass die verbesserte Beweglichkeit von den Versuchspersonen nicht wahrgenommen wurde. Schlussfolgerung Die Ergebnisse dieser Arbeit weisen darauf hin, dass die Recoil-Technik für die Fascia clavipectoralis die Schulterflexion bei Kletterern signifikant verbessern kann. Background Functional limitations of the shoulder area often lead to consultation by climbers of medical doctors or osteopaths. According to the literature, increased tension of the fascia clavipectoralis can compromise shoulder flexion. For climbers optimal shoulder mobility is a prerequisite for performance and prevention of injuries. Objective The aim of this contribution was to clarify whether or not a recoil for the fascia clavipectoralis leads to changes in shoulder mobility of climbers. Methods 56 subjects, devided into a control group and a treatment group, were subjected to either therapy, or a mock therapy. We tested our hypothesis with the help of two target parameters: measured flexion (via an inclinometer) as primary target parameter, and subjective flexibility reported by each individual via questionnaire WKV-20 as secondary target parameter. These parameters were evaluated at three time points. Results Shoulder flexion measurements revealed a significantly (p<0,001) improved shoulder mobility compared to the pre-intervention-status; it remained significant (p<0,001) even 60 min after intervention. The secondary target parameter revealed that these mobility improvements were not noticed by the subjects. Conclusions The results of this study indicate that the recoil technique, applied to the fascia clavipectoralis, can significantly improve shoulder flexion of climbers. [ABSTRACT FROM AUTHOR]

Abstract: Background: Always carefully watching the climber, the belayer has to keep a position for a long time, which is damaging to the cervical spine. This often causes stiffness in the neck, which leads to cervical restrictions of motion. 3 types of belaying, the habitual belaying, the “CU glasses” and the “coordinated head position”, have been examined relating to their ability to avoid muscular tensions. Materials and methods: The mobility of the cervical spine of 30 male and female climbers has been measured with an inclinometer immediately before and after defined belaying of 10 min. The subjects have been distributed to the 3 types of belaying at random. Additional the subjects had to answer questions concerning their personal feelings and a pain-rating-scale. Results: Within the group with habitual belaying, significant limitations in the mobility of the cervical spine in each direction could be determined, connected with strong pain after defined belaying. While using the “CU glasses” or “coordinated head posture”, no restrictions in movement (for each direction p>.05) has been noticed. Subjects that belayed with the “coordinated head posture” complained about backache because of the unfamiliar, active posture. Conclusions: Depending on the actual climbing-situation, the belayer should use either the „CU glasses“ or the „coordinated head posture“, in order to avoid muscular tension in the neck. Level of evidence: IIa [Copyright &y& Elsevier]