Clinical trial NCT06830655: Functional and Performance Determinants in Climbers: Examining the Role of Mobility, Stability, and Fatigue Across Proficiency Levels
Official title: Functional and Performance Determinants in Climbers: Examining the Role of Mobility, Stability, and Fatigue Across Proficiency Levels
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Fatigue
Joint Hypermobility Syndrome
Climbing Injuries
Cognitive Fatigue
Keywords: Bouldering
Sports Performance Assessment
Climbing-Specific Performance
Hand Grip Strength
Indoor Climbing
Outdoor Climbing
Lead sponsor: Medical University of Gdansk
Sponsor class: OTHER
First posted: 2025-02-17
Enrollment: 60
Sex: ALL
Minimum age (years): 15
Maximum age (years): 45
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: The primary objective is to understand how motor skills and fatigue affect climbing performance in indoor and outdoor climbers, also comparing elite and amateur climbers.

Aims:

* Assess differences in selected joint range of motion, isometric strength, and dynamic stability between elite and intermediate climbers.
* Evaluate the impact of the fatigue protocol on functional performance and cognitive outcomes across climbers of varying skill levels (intermediate vs. advanced).
* Examine the impact of general joint hypermobility, as indicated by Beighton Scores, on functional climbing performance.
* Association between cognitive factors (e.g., attention, memory) and motor skills.

Research questions:

* Do elite climbers have better joint mobility and balance than amateur climbers?
* How does fatigue affect performance and reaction time and cognitive function?
* Does having flexible joints (joint hypermobility) make climbers better athletes
* What are the performance differences between indoor and outdoor climbers?

This study will help identify key skills and physical traits that improve climbing performance. It will also explore how fatigue and flexibility impact safety and performance in different climbing environments.

Detailed description: Detailed Description

This study investigates the functional and performance determinants in indoor and outdoor climbers, focusing on mobility, stability, fatigue, and skill level. The protocol will compare elite and intermediate climbers through various physical and cognitive assessments conducted before and after a climbing-specific fatigue protocol. The goal is to identify key biomechanical, physiological, and cognitive factors that influence climbing performance and fatigue resistance in both climbing environments.

Eligibility criteria: Inclusion Criteria:

* primary sport discipline - climbing (bouldering/lead rock or other)
* Healthy (without injury, pain, or symptoms) at the time of the study
* Participation in climbing training (minimum 3 months)

Exclusion Criteria:

* pain or other symptoms related during study
* rheumatological disease
* neurological disease or balance disorders
* orthopaedic disease
* genetic disease
* cardiovascular system disease
* surgeries of upper and lower limb in the last year
* surgeries of spine in the last year
* a primary sport other than climbing.
* taking medications that may affect balance.
* use of orthopedic supplies during the study

Primary outcomes:
measure: Dynamic Balance (Y-Balance Test) Lower and Upper Quarter
timeFrame: through study completion, an average of 2 years
measure: ISOMETRIC STRENGTH TEST - Shoulder Internal and External Rotation
timeFrame: through study completion, an average of 2 years
measure: ISOMETRIC STRENGTH TEST - Pinching
timeFrame: through study completion, an average of 2 years
Secondary outcomes:
measure: RANGE OF MOTION (Shoulder Internal and External Rotation)
timeFrame: through study completion, an average of 2 years
measure: RANGE OF MOTION (Passive Ankle dorsiflexion range of motion (Gastrocnemius muscle flexibility test)
timeFrame: through study completion, an average of 2 years
measure: Active Ankle Dorsiflexion range of motion (The Weight Bearing Lunge Test (WBLT))
timeFrame: through study completion, an average of 2 years
measure: Hypermobility - Beighton score
timeFrame: through study completion, an average of 2 years
measure: Climbing specific foot rise
timeFrame: through study completion, an average of 2 years
measure: Hand-eye response time test
timeFrame: through study completion, an average of 2 years
measure: Power slap
timeFrame: through study completion, an average of 2 years
measure: Finger hang test
timeFrame: through study completion, an average of 2 years
Other outcomes:
measure: Participants characteristics - Body Mass Index
timeFrame: through study completion, an average of 2 years
measure: Cognitive Tests - Corsi-block task (total score, %)
timeFrame: through study completion, an average of 2 years
measure: Cognitive Tests - Corsi-block task - Reaction Time (RT, in milliseconds)
timeFrame: through study completion, an average of 2 years
measure: Cognitive Tests - STROOP - (Accuracy (%))
timeFrame: through study completion, an average of 2 years
measure: Cognitive Tests - STROOP - Reaction Time (RT, in milliseconds, ms)
timeFrame: through study completion, an average of 2 years
measure: Participants characteristics - Sports experience
timeFrame: through study completion, an average of 2 years
measure: Participants characteristics - Sport workload (hours per trainings or competition)
timeFrame: through study completion, an average of 2 years
measure: Participants characteristics - History of sports-related injuries
timeFrame: through study completion, an average of 2 years
Locations:
city: Gdańsk
country: Poland
facility: Department of Immunobiology and Environment Microbiology, Medical University of Gdańsk
Study officials:
affiliation: Medical University of Gdansk
name: Bartosz Wilczyński, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Medical University of Gdansk
name: Mateusz Nowosad
role: PRINCIPAL_INVESTIGATOR
References: