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Our Research and Publications 

Setting the Beta for climbing physiotherapy and rehabilitation  

The annular pulley ligaments of the fingers are one of the most injured anatomical structures in those who participate in climbing. Despite this, there is a paucity of guidance clearly describing the rehabilitation and physical preparation parameters to return to sport following such injuries.

The foundation of effective rehabilitation is the judicious application of progressive loading to increase the morphological and material properties of the damaged tissues. We maintain the optimal management of the climbing athlete after a traumatic annular flexor pulley system rupture should be grounded in the principles of strength and conditioning.
Female Rock Climber

Strength and Conditioning Considerations for Speed Climbing

Strength and Conditioning Journal 2022 

Climbing has developed into a professional sport with worldwide participation. Olympic climbing consists of lead climbing, speed climbing, and bouldering. The objective of speed climbing is to reach the top of the route in the fastest time. Speed climbing has not been subjected to the same level of investigation as other types of climbing. A strength and power base underpins performance in speed climbing. This physiological and mechanical basis provides the foundations for effective program design for the speed climber. Effective programming should incorporate a long-term planning approach that is based on a needs analysis of the sport and the climber's physical qualities. The development of high performance will involve the sequential application of regional hypertrophy, maximal strength, explosive strength training, plyometrics, and climbing-specific training to a varying degree.

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Climbing Rehabilitation Chapter - In Climbing Medicine

The aim of sports injury rehabilitation is to restore an individual’s athletic function and performance to preinjury levels and to minimise the risk of reinjury. To effectively manage this process, clinicians require a comprehensive knowledge of the generic and specific injuries that climbers may sustain, an understanding of the principles of rehabilitation and an ability to adapt management plans specifically to the needs of the individual. Rehabilitation and physical preparation necessitate the development of systems thinking utilising evidence from published literature, the clinicians experience and shared decision-making with the patient. The central tenet of rehabilitation is the optimal application of mechanical load to stimulate electrochemical activity at cellular level, termed mechanotransduction.

Acute Hamstring Injuries in Climbers - Current Rehabilitation Concepts 

Journal of Wilderness and Environmental Medicine 

Acute hamstring injuries are often caused by the heel hook technique. This technique is unique to climbing and causes injury to muscular and inert tissues of the posterior thigh. The heel hook is used by climbers during strenuous ascent on overhanging walls and when crossing difficult terrain. The technique reduces the amount of upper body strength required during strenuous climbing because the climber's center of mass is retained within the base of support. The heel hook is stressful collectively for the hamstring muscle group and musculotendinous junction. Depending on injury severity, both conservative and surgical methods exist for the management of hamstring injuries. 

Rock Climber
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High Performance Rehabilitation of the Climbing Athlete -

Chapter 40

The Shoulder Theory and Practice Text Book

This chapter presents a comprehensive fusion of the current research knowledge and clinical expertise that will be essential for any clinician from any discipline who is involved with the assessment, management and rehabilitation of the climber with a shoulder injury

Injury Prevention Chapter -In Climbing Medicine

The cause of injury is often multifactorial and rarely the preserve of one independent factor.  Injury prevention in sport should therefore be governed by logical principles that provide the athlete, healthcare professional and coaching team with direction. In the sport of climbing, athletes need to be physically prepared to fully meet the demands imposed upon them.


Athletic development and physical preparation strategies are a cornerstone of climbing performance and injury prevention. The ability of musculoskeletal tissues to adapt its material, morphological and physiological properties provide a performance advantage. Although there is a paucity of empirical research evidence in climbing populations, the use of injury surveillance, work load monitoring protocols, and physical preparation strategies may facilitate better future injury prevention planning.

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