A controlled prospective case control study of a prevention training program in female team handball players: the German experience

Petersen, Wolf; Braun, Christoph; Bock, Wiebke; Schmidt, Kirsten; Weimann, André; Drescher, Wolf; Eiling, E.; Stange, Richard; Fuchs, Thomas; Hedderich, Jürgen; Zantop, Thore

doi:10.1007/s00402-005-0793-7

Cited by 215 publications

(203 citation statements)

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“…These practiced movements have similar task goals to the testing technique implemented in our study: obtain and maintain stable positions after dynamic movement. Authors [45][46][47][48][49] of many prospective studies have reported positive results when studying groups of female athletes performing neuromuscular intervention programs. These interventions included strengthening, flexibility, jump-landing training, and education on technique.…”

Section: Discussionmentioning

confidence: 99%

“…Although the female athletes in our study were cleared medically for full participation in their chosen sports, the dynamic-stability measure suggested that they might have possessed a deficit during this and similar tasks. It seems likely that the type of neuromuscular training used in the prospective studies listed [45][46][47][48][49] would help decrease TTS and allow athletes to stabilize faster through proper landing technique and improved neuromuscular control; therefore, future investigation into the effect of this training on TTS is necessary to determine its place as a useful outcome variable and its relationship to ACL injury risk. Based on our finding that female athletes with ACLR knees showed differences in TTS after surgery and rehabilitation compared with healthy matched participants, it might be useful to collect TTS data in people with ACLR knees before and after participation in a neuromuscular training program to determine if changes exist in dynamic stability after the training.…”

Section: Discussionmentioning

confidence: 99%

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Time to Stabilization of Anterior Cruciate Ligament–Reconstructed Versus Healthy Knees in National Collegiate Athletic Association Division I Female Athletes

Webster

Gribble

2010

Journal of Athletic Training

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Context: Jump landing is a common activity in collegiate activities, such as women's basketball, volleyball, and soccer, and is a common mechanism for anterior cruciate ligament (ACL) injury. It is important to better understand how athletes returning to competition after ACL reconstruction are able to maintain dynamic postural control during a jump landing.Objective: To use time to stabilization (TTS) to measure differences in dynamic postural control during jump landing in ACL-reconstructed (ACLR) knees compared with healthy knees among National Collegiate Athletic Association Division I female athletes.Design: Case-control study. Setting: University athletic training research laboratory.Patients or Other Participants: Twenty-four Division I female basketball, volleyball, and soccer players volunteered and were assigned to the healthy control group (n 5 12) or the ACLR knee group (n 5 12). Participants with ACLR knees were matched to participants with healthy knees by sport and by similar age, height, and mass.Intervention(s): At 1 session, participants performed a single-leg landing task for both limbs. They were instructed to stabilize as quickly as possible in a single-limb stance and remain as motionless as possible for 10 seconds.Main Outcome Measure(s): The anterior-posterior TTS and medial-lateral TTS ground reaction force data were used to calculate resultant vector of the TTS (RVTTS) during a jump landing. A 1-way analysis of variance was used to determine group differences on RVTTS. The means and SDs from the participants' 10 trials in each leg were used for the analyses.Results: The ACLR group (2.01 6 0.15 seconds, 95% confidence interval [CI] 5 1.91, 2.10) took longer to stabilize than the control group (1.90 6 0.07 seconds, 95% CI 5 1.86, 1.95) (F 1,22 5 4.28, P 5 .05). This result was associated with a large effect size and a 95% CI that did not cross zero (Cohen d 5 1.0, 95% CI 5 0.91, 1.09).Conclusions: Although they were Division I female athletes at an average of 2.5 years after ACL reconstruction, participants with ACLR knees demonstrated dynamic postural-control deficits as evidenced by their difficulty in controlling ground reaction forces. This increased TTS measurement might contribute to the established literature reflecting differences in single-limb dynamic control. Clinicians might need to focus rehabilitation efforts on stabilization after jump landing. Further research is needed to determine if TTS is a contributing factor in future injury.Key Words: postural control, jump landings, dynamic stability Key PointsN The resultant vector time to stabilization demonstrated that participants with anterior cruciate ligament-reconstructed knees took longer to stabilize during a single-leg jump-landing task than participants in the control group.N Dynamic postural-control deficits and difficulties in controlling ground reaction forces during landing might be present in women with anterior cruciate ligament-reconstructed knees even after clearance by a physician and return to play.N Clinician...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Time to Stabilization of Anterior Cruciate Ligament–Reconstructed Versus Healthy Knees in National Collegiate Athletic Association Division I Female Athletes

Webster

Gribble

2010

Journal of Athletic Training

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“…For that reason, researchers designed balance training programs that included handball skills while the player was standing on balance board (Olsen et al, 2005;Petersen et al, 2005). The design of the balance programs used in the present study is in accordance with the above theory.…”

Section: Discussionmentioning

confidence: 97%

“…Handball is one of the most popular European team sports along with soccer, basketball and volleyball (Petersen et al, 2005). The sport medicine literature reports team sports participants, such as handball, soccer, hockey, or basketball players, reported an increased risk of traumatic events, especially to their lower extremity joints (Hawkins, and Fuller, 1999;Meeuwisse et al, 2003;Wedderkopp et al 1997;.…”

Section: Introductionmentioning

confidence: 99%

The effects of balance training on balance ability in handball players

Gioftsidou¹,

Malliou²,

Sofokleous³

et al. 2012

Exercise and Quality of Life

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The purpose of the present study was to investigate, the effectiveness of a balance training program in male professional handball players. Thirty professional handball players were randomly divided into experimental and control group. The experimental group (N=15), additional to the training program, followed an intervention balance program for 12 weeks. All subjects performed a static balance test (deviations from the horizontal plane). The results revealed that the 12-week balance training program improved (p<0.01) all balance performance indicators in the experimental group. Thus, a balance training program can increase balance ability of handball players, and could used as a prevent tool for lower limbs muscular skeletal injuries.

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“…There is some evidence showing that neuromuscular training reduces the risk of ACL injury [19,20,38,61,[113][114][115][116][117][118][119][120][121][122][123].…”

Section: Neuromuscular Factorsmentioning

confidence: 99%

The Mechanism of Non-contact Anterior Cruciate Ligament Injury in Female Athletes: Is the Injury Mechanism Different between the Genders?

Gamada¹,

Kubota²

2014

Int J Phys Med Rehabil

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ACL injury is one of the most frequent and costly injuries in sports, and is a major risk factor for early knee osteoarthritis. Although female gender is a major risk factor for ACL injury, differences in the injury mechanism between males and females have not yet been determined. The goal of this review was to determine whether there is any evidence of gender differences in the mechanisms of ACL injury. MRI studies demonstrated that the location of bone bruises after ACL injury was similar between genders and that males demonstrated more extensive damage in the joint, suggesting the involvement of higher energy but not a difference in injury mechanism. Video analyses of the process of ACL injury has shown common body positions at the time of injury, but failed to reveal differences in the joint motions between genders. Therefore, the mechanism of ACL injury is likely to be similar across genders.

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A controlled prospective case control study of a prevention training program in female team handball players: the German experience

Abstract: This study confirms that proprioceptive and neuromuscular training is appropriate for the prevention of knee and ankle injuries among female European team handball players.

Cited by 215 publications

References 33 publications

Time to Stabilization of Anterior Cruciate Ligament–Reconstructed Versus Healthy Knees in National Collegiate Athletic Association Division I Female Athletes

Time to Stabilization of Anterior Cruciate Ligament–Reconstructed Versus Healthy Knees in National Collegiate Athletic Association Division I Female Athletes

The effects of balance training on balance ability in handball players

The Mechanism of Non-contact Anterior Cruciate Ligament Injury in Female Athletes: Is the Injury Mechanism Different between the Genders?

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