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A climbing hold is a shaped grip that is usually attached to a climbing wall so that climbers can grab or step on it. On most walls, climbing holds are arranged in paths called routes, by specially trained route setters. Climbing holds come in a large array of sizes and shapes to provide different levels of challenge to a climber. Holds are either bolted to a wall via hex-head bolts and existing t-nuts or they are screwed on with several small screws. In extreme cases, concrete anchors may be used (if putting holds on the underside of a bridge, for example).