NCT07414862

The Effects of Finger Extensor Training on Climbing Performance Compared With Traditional Flexor Training

The Effects of Finger Extensor Training on Climbing Performance Compared With Traditional Flexor Training: A Randomized Control Trial

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 36 (estimated)
• Sponsor: April Henderson · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The purpose of this study, is to assess climbing performance metrics that include max strength testing on a rock climbing hangboard, maximum grip strength, assessment of pain and function using the DASH (disability of the arm, shoulder and hand), and maximum flexor strength and maximum extensor strength in climbers who perform a traditional finger training protocol compared to climbers who train both traditional flexor training protocol and extensor tendons.

Detailed description

Hand, forearm strength, and endurance are highly important elements in elite climbers. Constant training is essential, e.g. eccentric-concentric training of finger flexors. Climbers have traditionally trained finger flexor strength for climbing performance, however to our knowledge, no formal protocol exists for training extensor tendons. In a study performed by Devise, finger flexor to extensor strength ratios were found to be 3:1 in non-climbers. In experienced or elite climbers however, the average ratio was 6:1 and as high as 9:1. Upper extremity injuries are most common in rock climbers, with finger injuries being most prevalent. Pulley injuries, consisting of rupture of the A2 or A4 annular pulleys are the most common type of injury. Other finger injuries include tenosynovitis of the flexor tendons, as well as lumbrical muscle tears. The coordinated action of flexor and extensor tendons allows for a wide range of hand movements, including grasping, gripping, and releasing objects, as well as intricate finger movements. The pulleys along the tendons (annular and cruciate) act as fulcrums, increasing the mechanical advantage of the tendons and allowing for efficient flexion. Damage to either flexor or extensor tendons can lead to significant loss of hand function. The purpose of our study, is to assess climbing performance metrics that include max strength testing on a rock climbing hangboard, maximum grip strength, assessment of pain and function using the DASH (disability of the arm, shoulder and hand), and maximum flexor strength and maximum extensor strength in climbers who perform a traditional finger training protocol compared to climbers who train both traditional flexor training protocol and extensor tendons.

Conditions

• Healthy Adult

Interventions

Type	Name	Description
OTHER	Traditional Hangboard Protocol	A structured finger flexor strength training protocol performed on a climbing hangboard at 70% of maximal finger flexion strength. Training consists of 5 seconds of isometric loading followed by 5 seconds of rest for 6 repetitions per set, across 6 sets with 3 minutes rest between sets. Training is performed twice weekly for six weeks following a standardized upper extremity warm-up.
OTHER	Extensor Tendon Isometric Training	A structured finger extensor tendon training protocol performed at 70% of maximal finger extension strength using isometric loading. This intervention will be in addition to performing the Finger Flexor Protocol. Training consists of 30-second isometric contractions with 3 minutes of rest between sets for a total of 6 sets per hand. Training is performed twice weekly for six weeks and is completed during rest periods of the finger flexor training protocol

Timeline

• Start date: 2025-11-11
• Primary completion: 2026-04-04
• Completion: 2026-04-06
• First posted: 2026-02-17
• Last updated: 2026-02-18

Locations

1 site across 1 country: United States