THE CAUSES AND PREVENTION OF INJURIES IN HANDBALL

Ivana Bojić, Zoran Valdevit, Marina Veličković

DOI Number
https://doi.org/10.22190/TEME191015004B
First page
423
Last page
438

Abstract


The aim of this work is to present and analyse the handball literature on the causes of injuries, types of injuries and their anatomic locations, as well as the prevention measurements. Based on the results of the analysed studies, it can be concluded that there is a significant number of injuries, of different body parts and of different severity in top-level handball players. Overuse injuries (to certain body parts, such as the more dominant shoulder, the ankle and the knee) are considered to be most prominent. In order to prevent the injuries to the mouth and teeth, the use of mouthguard is recommended. When it comes to the prevention and rehabilitation of shoulder injuries, the research results have shown positive effects that the training aiming at the increase of the inner rotation of the glenohumeral strength, the outer rotation strength and the scapular muscles strength has along with the exercises for improving the kinetic chain and the chest flexibility. The use of elastic bands and the medicine ball has proven efficient in increasing the shoulder area strength, and the whole swing and throw movement. The ankle and the knee are the most frequently injured joints among female handball players. The results of the application of the neuromuscular training, the proprioception and the balance exercises, combined with some specific players’ activities (running, jumping and planting) show that such training process is efficient in the prevention of injuries to ankle and knee joints.


Keywords

handball, injuries, etiology, prevention.

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References


Achenbach, L., Krutsch, V., Weber, J., Nerlich, M., Luig, P., Loose, O., et al. (2018). Neuromuscular exercises prevent severe knee injury in adolescent team handball players. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA, 26 (7), 1901-1908. doi: 10.1007/s00167-017-4758-5.

Agel, J., Arendt, E.A., & Bershadsky, B. (2005). Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. American Journal of Sports Medicine, 33, 524-530. doi: 10.1177/0363546504269937.

Alentorn-Geli, E., Myer, G.D., Silvers, H.J., Samitier, G., Romero, D., Lázaro-Haro, C., et al. (2009). Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 2: a review of prevention programs aimed to modify risk factors and to reduce injury rates. Knee Surgery, Sports Traumatology, Arthroscopy, 17, 859-879. doi: 10.1007/s00167-009-0813-1.

Ameer, M.A., & Muaidi, Q.I. (2017). Relation between peak knee flexion angle and knee ankle kinetics in single-leg jump landing from running: a pilot study on male handball players to prevent ACL injury. The Physician and Sportsmedicine, 45(3), 337-343. doi: 10.1080/00913847.2017.1344514.

Andersson, S.H., Bahr, R., Clarsen, B., & Myklebust, G. (2016). Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players. British Journal of Sports Medicine, 51(14), 1073-1080. doi: 10.1136/bjsports-2016-096226.

Andersson, S.H., Bahr, R., Clarsen, B., & Myklebust, G. (2018). Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed. British Journal of Sports Medicine, 52 (18), 1191-1198. doi: 10.1136/bjsports-2017-097648.

Arendt, E., & Dick, R. (1995). Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. AmericanJournal of Sports Medicine, 23, 694-701. doi: 10.1177/036354659502300611.

Bere, T., Alonso, J.M., Wangensteen, A., Bakken, A., Eirale, C., Dijkstra, H.P., et al. (2015). Injury and illness surveillance during the 24th Men's Handball World Championship 2015 in Qatar. British Journal of Sports Medicine, 49 (17), 1151-1156. doi: 10.1136/bjsports-2015-094972.

Bergman, L., Milardović Ortolan, S., Žarković, D., Viskić, J., Jokić, D., & Mehulić, K. (2017). Prevalence of dental trauma and use of mouthguards in professional handball players. Dental Traumatology, 33 (3), 199-204. doi: 10.1111/edt.12323.

Bjordal, J.M., Arnly, F., Hannestad, B., & Strandt, T. (1997). Epidemiology of anterior cruciate ligament injuries in soccer. American Journal of Sports Medicine, 25, 341-345. doi: 10.1177/036354659702500312.

Clarsen, B., Bahr, R., Andersson, S.H., Munk, R., & Myklebust, G. (2014). Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. British Journal of Sports Medicine, 48, 1327–1333. doi: 10.1136/bjsports-2014-093702.

Clarsen, B., Myklebust, G., & Bahr, R. (2012). Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology. British Journal of Sports Medicine, 00, 1-8. doi:10.1136/bjsports-2012-091524.

Cools, A.M., Johansson, F.R., Borms, D., & Maenhout, A. (2015). Prevention of shoulder injuries in overhead athletes: a science-based approach. Brazilian Journal of Physical Therapy, 19 (5), 331-339. doi: 10.1590/bjpt-rbf.2014.0109.

Eils, E., Schröter, R., Schröder, M., Gerss, J., & Rosenbaum, D. (2010). Multistation proprioceptive exercise program prevents ankle injuries in basketball. Medicine & Science in Sports & Exercise, 42(11), 2098-2105. doi: 10.1249/MSS.0b013e3181e03667.

Fagerli, U.M., Lereim, I., & Sahlin, Y. (1990). Injuries in handball players. Tidsskrift for den Norske Lægeforening: Tidsskrift for Praktisk Medicin, ny Række, 110, 475-478.

Fieseler, G., Jungermann, P., Koke, A., Irlenbusch, L., Delank, K.S., & Schwesig, R. (2015). Range of motion and isometric strength of shoulder joints of team handball athletes during the playing season, Part II: changes after midseason. Journal of Shoulder and Elbow Surgery, 24, 391-398. doi: 10.1016/j.jse.2014.07.019.

Giroto, N., Hespanhol Junior, L.C., Gomes, M.R.C., & Lopes, A.D. (2017). Incidence and risk factors of injuries in Brazilian elite handball players: A prospective cohort study. Scandinavian Journal of Medicine & Science in Sport, 27 (2), 195-202. doi: 10.1111/sms.12636.

Gohlke, F., Lippert, M.J., & Keck, O. (1993). Instability and impingement of the shoulder of the high performance athlete in overhead stress. Sportverletz Sportschaden, 7, 115-121. doi: 10.1055/s-2007-993494.

Griffin, L.Y., Albohm, M.J., Arendt, E.A., Bahr, R., Beynnon, B.D., Demaio, M., et al. (2006). Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting. American Journal of Sports Medicine, 34, 1512-1532. doi: 10.1177/0363546506286866.

Herman, K., Barton, C., Malliaras, P., & Morrissey, D. (2012). The effectiveness of neuromuscular warm-up strategies that require no additional equipment, for preventing lower limb injuries during sports participation: a systematic review. BMC Medicine, 10, 75-87. doi: 10.1186/1741-7015-10-75.

Hewett, T.E., Myer, G.D., & Ford, K.R. (2006). Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. American Journal of Sports Medicine, 34, 299-311. doi: 10.1177/0363546505284183.

Hootman, J.M., Dick, R., & Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: Summary and recommendations for injury prevention initiatives. Journal of Athletic Training, 42, 311-319.

Hrysomallis, C. (2007). Relationship between balance ability, training and sports injury risk. Sports Medicine, 37(6), 547-556. doi: 10.2165/00007256-200737060-00007.

Jost, B., Zumstein, M., Pfirrmann, C., Zanetti, M., & Gerber, C. (2005). Findings in throwing shoulders: Abnormalities in professional handball players. Clinical Orthopaedics and Related Research, 434, 130–137. doi: 10.1097/01.blo.0000154009.43568.8d.

Krosshaug, T., Nakamae, A., Boden, B.P., Engebretsen, L., Smith, G., Slauterbeck, J.R., et al. (2007). Mechanisms of anterior cruciate ligament injury in basketball: Video analysis of 39 cases. American Journal of Sports Medicine, 35, 359-367. doi: 10.1177/0363546506293899.

Krstić, O., & Stamatović, M. (2018). Physical treatment of sports knee injuries. Facta Universitatis Series Physical Education and Sport, 16(1), 211-220. doi: 10.22190/fupes171204019k.

Langevoort, G., Myklebust, G., Dvorak, J., & Junge, A. (2007). Handball injuries during major international tournaments. Scandinavian Journal of Medicine & Science in Sport, 17 (4), 400-407. doi: 10.1111/j.1600-0838.2006.00587.x.

Laver L., & Myklebust G. (2015). Handball injuries: Epidemiology and injury characterization. In: M. Doral & J. Karlsson (Eds.) Sports injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_287

Laver, L., Landreau, P., Seil, R. & Popović, N. (2018). Handball Sports Medicine - Basic Science, Injury Management and Return to Sport. Berlin, Germany: Springer-Verlag GmbH, DE.

Lubiatowski, P., Kaczmarek, P., Cisowski, P., Breborowicz, E., Grygorowicz, M., Dzianach, M., et al. (2017). Rotational glenohumeral adaptations are associated with shoulder pathology in professional male handball players. Knee Surgery, Sports Traumatology, Arthroscopy, 26(1), 67-75. doi: 10.1007/s00167-017-4426-9.

Mandelbaum, B.R., Silvers, H.J., Watanabe, D.S., Knarr, J.F., Thomas, S.D., Griffin, L.Y., et al. (2005). Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. American Journal of Sports Medicine, 33, 1003–1010. doi: 10.1177/0363546504272261.

Mascarin, N.C., de Lira, C.A.B., Vancini, R.L., de Castro Pochini, A., da Silva, A.C., & dos Santos Andrade, M. (2017). Strength training using elastic bands: improvement of muscle power and throwing performance in young female handball players. Journal of Sport Rehabilitation, 26 (3), 245–252. doi: 10.1123/jsr.2015-0153.

McLean, S.G., Huang, X., Su, A., & Van Den Bogert, A.J. (2004). Sagittal plane biomechanics cannot injure the ACL during sidestep cutting. Clinical Biomechanics (Bristol, Avon), 19, 828-838. doi: 10.1016/j.clinbiomech.2004.06.006.

McLean, S.G., Huang, X., & Van Den Bogert, A.J. (2005a). Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: Implications for ACL injury. Clinical Biomechanics, 20, 863-870. doi: 10.1016/j.clinbiomech.2005.05.007.

McLean, S.G., Walker, K., Ford, K.R., Myer, G.D., Hewett, T.E., & Van den Bogert, A.J. (2005b). Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury. British Journal of Sports Medicine, 39, 355-362. doi: 10.1136/bjsm.2005.018598.

Meister, K., Buckley, B., & Batts, J. (2004). The posterior impingement sign: diagnosis of rotator cuff and posterior labral tears secondary to internal impingement in overhand athletes. American Journal of Orthopedics, 33, 412-415.

Michaelidis, M., & Koumantakis, G.A. (2014). Effects of knee injury primary prevention programs on anterior cruciate ligament injury rates in female athletes in different sports: A systematic review. Physical Therapy in Sport, 15, 200-210. doi: 10.1016/j.ptsp.2013.12.002.

Myklebust, G., Engebretsen, L., Braekken, I.H., Skjølberg, A., Olsen, O.E., & Bahr, R. (2003). Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clinical Journal of Sport Medicine, 13 (2), 71-78.

Myklebust, G., Hasslan, L., Bahr, R., & Steffen, K. (2011). High Prevalence of shoulder pain among elite Norwegian female handball players. Scandinavian Journal of Medicine & Science in Sport, 23, 288–294. doi: 10.1111/j.1600-0838.2011.01398.x.

Nasiri, K. (1994). Cognition of causes and the rate of sport injuries in shoulder joint among elite handball players. Master Thesis, Tehran: Faculty of Physical Education and Sport Sciences, University of Tehran, Iran. doi: 10.1055/s-2007-1025037.

Nielsen, A.B., & Yde, J. (1988) An epidemiologic and traumatologic study of injuries in handball. International Journal of Sports Medicine, 9, 341-344. doi: 10.1055/s-2007-1025037.

Ødegaard, T.T., & Risberg, M.A. (2005). Warm-up exercise prevents acute knee and ankle injuries in young handball players. Australian Journal of Physiotherapy, 51(2), 131.

Olsen, O.E., Myklebust, G., Engebretsen, L., & Bahr, R. (2004). Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. American Journal of Sports Medicine, 32, 1002-1012. doi: 10.1177/0363546503261724.

Olsen, O.E., Myklebust, G., Engebretsen, L., Holme, I., & Bahr, R. (2005). Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. British Journal of Sports Medicine, 330, 449-456. doi: 10.1136/bmj.38330.632801.8F.

Østerås, H., Sommervold, M., & Skjølberg, A. (2014). Effects of a strength-training program for shoulder complaint prevention in female team handball athletes. A pilot study. The Journal of Sports Medicine and Physical Fitness, 55 (7-8), 761-767.

Paszkewicz, J., Webb, T., Waters, B., Welch McCarty, C., & Van Lunen, B. (2012). The effectiveness of injury-prevention programs in reducing the incidence of anterior cruciate ligament sprains in adolescent athletes. Journal of Sport Rehabilitation, 21, 371-377. doi: 10.1177/2325967116634074.

Petersen, W., Zantop, T., Steensen, M., Hypa, A., Wessolowski, T., & Hassenpflug, J. (2002). Prevention of lower extremity injuries in handball: Initial results of the handball injuries prevention programme. Sportverletz Sportschaden, 16 (3), 122-126. doi: 10.1055/s-2002-34753.

Petersen, W., Braun, C., Bock, W., Schmidt, K., Weimann, A., Drescher, W., et al. (2005). A controlled prospective case control study of a prevention training program in female team handball players: the German experience. Archives of Orthopaedic and Trauma Surgery, 125 (9), 614. doi: 10.1007/s00402-005-0793-7.

Petrović, M., Kühl, S., Šlaj, M., Connert, T., & Filippi, A. (2016). Dental and general trauma in team handball. Swiss Dental Journal, 126 (7-8), 682-686.

Popović, N., & Lemaire, R. (2002). Hyperextension trauma to the elbow: radiological and ultrasonographic evaluation in handball goalkeepers. British Journal of Sports Medicine, 36, 452-456. doi: 10.1136/bjsm.36.6.452

Raeder, C., Fernandez-Fernandez, J., & Ferrauti, A. (2015). Effects of six weeks of medicine ball training on throwing velocity, throwing precision, and isokinetic strength of shoulder rotators in female handball players. The Journal of Strength & Conditioning Research, 29(7), 1904–1914. doi: 10.1519/JSC.0000000000000847.

Rafnsson, E.T., Valdimarsson, Ö., Sveinsson, T., & Árnason, Á. (2019). Injury pattern in icelandic elite male handball players. Clinical Journal of Sport Medicine, 29 (3), 232-237. doi: 10.1097/JSM.0000000000000499.

Rasuli, S., Jafari, A., Barghi Moghaddam, J., & Narenjichi Shotorbani, F. (2012). The prevalence of sports injuries in female handball players. Advances in Environmental Biology, 6(5), 1801-1808.

Reckling, C., Zantop, T., & Petersen, W. (2003). Epidemiology of injuries in juvenile handball players. Sportverletz Sportschaden, 17(3), 112-117. doi: 10.1007/978-3-642-36801-1287-1.

Renstrom, P., Ljungqvist, A., Arendt, E., Beynnon, B., Fukubayashi, T., Garrett, W., et al. (2008). Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. British Journal of Sports Medicine, 42, 394-412. doi: 10.1136/bjsm.2008.048934.

Seil, R., Rupp, S., Tempelhof, S., & Kohn, D. (1997). Injuries during handball. A comparative, retrospective study between regional and upper league teams. Sportverletzung Sportschaden: Organ der Gesellschaft für Orthopädisch-Traumatologische Sportmedizin, 11(2), 58-62. doi: 10.1055/s-2007-993367.

Setuain, I., Millor, N., Alfaro, J., Gorostiaga, E., & Izquierdo, M. (2015). Jumping performance differences among elite professional handball players with or without previous ACL reconstruction. Journal of Sports Medicine and Physical Fitness, 55(10), 1184-1192. doi:

Shultz, S.J., Schmitz, R.J., Benjaminse, A., Chaudhari, A.M., Collins, M., & Padua, D. (2012). ACL research retreat VI: an update on acl injury risk and prevention. Journal of Athletic Training, 47(5), 591-603. doi: 10.4085/1062-6050-47.5.13

Söderman, K., Werner, S., Pietilä, T., Engström, B., & Alfredson H. (2000). Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players? Knee Surgery, Sports Traumatology, Arthroscopy, 8(6), 356-363. doi: 10.1007/s001670000147.

Sommervold, M., & Østerås, H. (2017). What is the effect of a shoulder-strengthening program to prevent shoulder pain among junior female team handball players? Open Access Journal of Sports Medicine, 8, 61-70. doi: 10.2147/OAJSM.S127854.

Steffen, K., Nilstad, A., Krosshaug, T., Pasanen, K., Killingmo, A., & Bahr, R. (2017). No association between static and dynamic postural control and ACL injury risk among female elite handball and football players: a prospective study of 838 players. British Journal of Sports Medicine, 51, 253–259. doi: 10.1136/bjsports-2016-097068.

Svoboda, S.J., Owens, B.D., Harvey, T.M., Tarwater, P.M., Brechue, W.F., & Cameron, K.L. (2016). The association between serum biomarkers of collagen turnover and subsequent anterior cruciate ligament rupture. American Journal of Sports Medicine, 44, 1687–1693. doi: 10.1177/0363546516640515.

Thacker, S.B., Stroup, D.F., Branche, C.M., Gilchrist, J., Goodman, R.A., & Porter Kelling, E. (2003). Prevention of knee injuries in sports. A systematic review of the literature. Journal of Sports Medicine and Physical Fitness, 43(2), 165-179.

Vlak, T., & Pivalica, D. (2004). Handball: the beauty or the beast. Croatian Medical Journal, 45(5), 526-530.

Waldén, M., Atroshi, I., Magnusson, H., Wagne, P., & Hägglund, M. (2012). Prevention of acute knee injuries in adolescent female football players: Cluster randomised controlled trial. British Journal of Sports Medicine, 344, 3042-3053. doi: 10.1136/bmj.e3042.

Wedderkopp, N., Kaltoft, M., Holm, R., & Froberg, K. (2003). Comparison of two intervention programmes in young female players in European handball – with and without ankle disc. Scandinavian Journal of Medicine & Science in Sport, 13(6), 371-375.

Wedderkopp, N., Kaltoft, M., Lundgaard, B., Rosendahl, M., & Froberg, K. (1999). Prevention of injuries in young female players in European team handball. A prospective intervention study. Scandinavian Journal of Medicine & Science in Sport, 9, 41-47.

Zebis, M.K., Bencke, J., Andersen, L.L., Alkjaer, T., Suetta, C., Mortensen, P., et al. (2011). Acute fatigue impairs neuromuscular activity of anterior cruciate ligament-agonist muscles in female team handball players. Scandinavian Journal of Medicine & Science in Sport, 21 (6), 833-840. doi: 10.1111/j.1600-0838.2010.01052.x.




DOI: https://doi.org/10.22190/TEME191015004B

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