Injury Pattern in Icelandic Elite Male Handball Players

Rafnsson, Elis Thor; Valdimarsson, Örnólfur; Sveinsson, Þórarinn; Árnason, Árni

doi:10.1097/jsm.0000000000000499

Cited by 36 publications

(75 citation statements)

References 16 publications

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“…Handball has consistently been one of the top three to eight sports in the Olympic Summer Games in terms of the proportion of athletes who receive injuries, where 18-27% of the players are injured during the games (67,(82)(83)(84). The injury rates reported from studies in adult players during the competitive handball season range from 15-31.7/1,000 match hours and 0.24-3.4/1,000 training hours (70,73,79,85,86). The injury rates during tournaments are higher and range from 82.1-145/1,000/1,000 match hours (67,68,81,87).…”

Section: Injury Incidencementioning

confidence: 99%

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Asker¹,

Waldén²,

Källberg³

et al. 2020

Journal of Orthopaedic & Sports Physical Therapy

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Objective To investigate whether adolescent elite female and male handball players with shoulder muscle weakness, deficits in shoulder rotation range of motion (ROM) or in joint position sense (JPS), or scapular dyskinesis in the preseason had a higher rate of new shoulder injuries compared to players without these characteristics. Design Prospective cohort study. Methods We studied 344 uninjured players (452 player-seasons, 50% female). We measured their shoulder strength in isometric external rotation (IER), isometric internal rotation (IIR), isometric abduction, and eccentric external rotation, as well as their shoulder ROM, JPS, and scapular dyskinesis, during the preseason. Players were monitored weekly regarding match and training hours and shoulder injuries during 1 or 2 seasons. We used multivariable Cox proportional hazard models to calculate hazard rate ratios related to the first injury and 95% confidence intervals (CIs). Results During 2 seasons, the participants reported 48 new shoulder injuries. In female players, the hazard rate ratio was 2.37 (95% CI: 1.03, 5.44) for IER weakness and 2.44 (95% CI: 1.06, 5.61) for IIR weakness. The hazard rate ratio was 0.85 (95% CI: 0.39, 1.83) for an IER/IIR ratio of less than 0.75 and 1.53 (95% CI: 0.36, 6.52) for scapular dyskinesis. In male players, the hazard rate ratio was 1.02 (95% CI: 0.44, 2.36) for IER weakness, 0.74 (95% CI: 0.31, 1.75) for IIR weakness, 2.0 (95% CI: 0.68, 5.92) for an IER/IIR ratio of less than 0.75, and 3.43 (95% CI: 1.49, 7.92) for scapular dyskinesis. There were no associations between new shoulder injuries and deficits in ROM or JPS. Conclusion In adolescent elite handball, male players with preseason scapular dyskinesis and female players with preseason IIR or IER shoulder weakness had an increased shoulder injury rate. J Orthop Sports Phys Ther 2020;50(2):67–74. Epub 27 Nov 2019. doi:10.2519/jospt.2020.9044

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Section: Injury Incidencementioning

confidence: 99%

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Asker¹,

Waldén²,

Källberg³

et al. 2020

Journal of Orthopaedic & Sports Physical Therapy

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“…Even though some of the junior players matched the senior players in height and weight, they had lower scores irrespective to their anthropometrics. These results raise questions about possible correlations between age related differences in trunk strength and stability and the high prevalence of time loss injuries in the low back region in Icelandic male handball (45) . Firm conclusions are not possible, but the data represent a platform for further research.…”

Section: Level Of Playmentioning

confidence: 90%

“…Considering their high score in tests 3, 8 and 9 (Table 1), which all test for mobility and flexibility, it seems reasonable to suggest that lack of trunk strength and stability plays a role in their low score in test 1. Research on Icelandic elite handball players has shown that one-third of overuse injuries resulting in absence from participation were located in the low back/pelvic region (45) . This demonstrates a need for further knowledge regarding training methods and possible risk factors.…”

Section: Level Of Playmentioning

confidence: 99%

Characteristics of functional movement screening testing in elite handball players: Indicative data from the 9+

Rafnsson

Myklebust

Bahr

et al. 2019

Physical Therapy in Sport

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Objectives:To test 9+ screening batterie's intra-rater reliability, to provide indicative data of elite handball players, and to analyze difference between age, playing positions and level of play. Design: Descriptive studySetting: Icelandic elite male handball players Participants: 182 elite male handball players. Main Outcome Measures: Nine+ screening battery.Results: Reliability test: Intra-class correlation for the total score was 0.95. The correlation of each of the test factors varied from 0.63 to 0.91. The mean total score was 22.3±2.9 (95%CI 16.7-28.1), with no difference in total score comparing players age or level of play. Goalkeepers displayed a higher total score than other players (F3,151=5.75, p=0.001). Junior players had a lower score than senior players in tests measuring abdominal strength and core stability; Test 5;  2 (3, 182)=41.5, p<0.0001, Test 6;  2 (3, 182)=55.7, p<0.0001, Test 7;  2 (3, 182)=11.8, p<0.005, but higher scores in tests measuring trunk and shoulder mobility Test 8;  2 (3, 182)=18.2, p<0.0001, Test 9;  2 (3, 182)=22.2, p=0.006. Conclusions:The 9+ intra-rater reliability was acceptable for the total score and individual tests. Age-related differences were provided in many individual tests.

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“…Time-loss-Verletzungen von 11-14 pro 1000 Stunden Spiel und 0,6-2,4 pro 1000 Stunden Training beschrieben [2][3][4]. Demgegenüber zeigten neuere Studien im professionellen Bereich eine höhere Verletzungsrate mit 15-24 pro 1000 Stunden Spiel und 1,1-3,7 pro 1000 Stunden Training [5][6][7]. Neueste Daten der Verwaltungsberufsgenossenschaft (VBG), die alle versicherungspflichtigen Verletzungen aus der 1. und 2.…”

Section: Verletzungsmusterunclassified

Epidemiologie und Verletzungsprävention im Handball

Achenbach

Luig²

2020

Sportverletz Sportschaden

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ZusammenfassungHandball ist durch eine hohe Verletzungsrate gekennzeichnet. Aktuelle epidemiologische Studien, die die Charakteristik des Handballs besser berücksichtigen, zeichnen hierbei ein deutliches Bild des Verletzungsmusters und -risikos für Handballspielerinnen und -spieler. Während die Hälfte der Spieler nach einer akuten Verletzung mit einer medizinischen Behandlung weiterspielen und trainieren können, so geht die andere Hälfte der Verletzungen mit Verlust an Trainings- und Spielzeit einher. Zwar zeigen sich die erlittenen Verletzungen im Ligabetrieb häufig mit einem Kontaktmechanismus assoziiert, jedoch sind diese nur wenig mit Foulspiel verbunden, sodass im Handball ein hohes Präventionspotenzial vorhanden ist. Die Handballmedizin zeigt dabei große Bemühungen, das Verletzungsrisiko ihres Sports primär reduzieren zu wollen. Die bereits vorhandene Evidenz für Reduktionsmöglichkeiten von Knieverletzungen muss nun in den Trainingsalltag implementiert werden. Aufgrund der hohen Prävalenz von Überlastungsverletzungen der Wurfschulter wurden auch hier die ersten Erkenntnisse in ein Präventionsprogramm umgesetzt. Dieser Artikel wird dies im Detail beschreiben.

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Injury Pattern in Icelandic Elite Male Handball Players

Abstract: The results indicate a higher rate of overuse injuries in low back/pelvic region and shoulders than in comparable studies.

Cited by 36 publications

References 16 publications

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Characteristics of functional movement screening testing in elite handball players: Indicative data from the 9+

Epidemiologie und Verletzungsprävention im Handball

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