Dimitrios Hatzimanouil1, Vasilis Skandalis1, Ioannis Terzidis1,2, Efthymios Papasoulis2, Giorgos Mavromatis1
1Aristotle University of Thessaloniki, Faculty of Physical Education and Sports Science, Laboratory of Biological Evaluation Human Performance, Thessaloniki, Greece
2Thessaloniki Minimally Invasive Surgery (The-MIS), Orthopaedic Center St. Luke’s Hospital, Thessaloniki, Greece
Handball players’ training profile and its relation to potential injuries
Monten. J. Sports Sci. Med. 2022, 11(2), 79-85 | DOI: https://doi.org/10.26773/mjssm.220910
Although injuries in handball show high frequency and severity, the training profile of handball players and its rela-tionship to injuries has not been extensively investigated. The purpose of the study was to describe this relationship between players’ training profile and injuries. In total, 216 male and female players from A1 Division teams and play-ers from U19 and U17 teams answered a relevant questionnaire. The statistical analysis, including descriptive and inductive statistics (correspondence analysis, one-way analysis of variance [ANOVA], multivariate analysis of vari- ance [MANOVA], chi-square test), revealed that injured players mainly had ligament injuries of the lower extremities, especially the knee, while the mechanism most frequently reported by the players was an unfortunate moment. The frequency of injuries was higher in the game than in training, especially in attack, resulting in many serious injuries (return-to-play [RTP] ≥ 4 weeks). In most cases diagnosis was made by doctors while the therapeutic methods were different for each athlete. Correspondence analysis revealed that injured players were differentiated in terms of their training content and daily training, as well as competition level. The ANOVA showed that the severity of the injury was independent of all quantitative and qualitative variables examined, while the chi-square test indicated that the frequency appeared to be related to engaging in another sport prior to handball, to the playing position, and to prevention training. Further research is needed to clarify this issue.
Training load, Exposure, Impacts of handball training and competition
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Bedo, B. L. S., Manechini, J. P. V., Nunomura, M., Menezes, R. P., & Silva, S. R. D. D. (2019). Injury frequency in handball players: a descriptive study of injury pattern in São Paulo state regional teams. Motriz: Revista de Educação Física, 25(1), 1–6. http://dx.doi.org/10.1590/S1980-6574201900020020.
Bere, T., Alonso, J. M., Wangensteen, A., Bakken, A., Eirale, C., Dijkstra, H. P., ... & Popovic, N. (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. https://https://doi.org/10.1136/bjsports-2015-094972.
Bjørndal, C. T., Bache-Mathiesen, L. K., Gjesdal, S., Moseid, C. H., Myklebust, G., & Luteberget, L. S. (2021). An examination of training load, match activities, and health problems in Norwegian youth elite handball players over one competitive season. Frontiers in Sports and Active Living, 3, 1–12. https://doi.org/10.3389/fspor.2021.635103.
Brunner, R., Friesenbichler, B., Casartelli, N. C., Bizzini, M., Maffiuletti, N. A., & Niedermann, K. (2019). Effectiveness of multicomponent lower extremity injury prevention programmes in team-sport athletes: an umbrella review. British Journal of Sports Medicine, 53(5), 282–288. https://https://doi.org/10.1136/bjsports-2017-098944.
Karcher, C., & Buchheit, M. (2014). On-court demands of elite handball, with special reference to playing positions. Sports Medicine, 44(6), 797–814. http://DOI 10.1007/s40279-014-0164-z.
Kniubaitė, A. (2020). Modeling of coaching in high-performance female handball player (Doctoral dissertation, Lithuanian Sports University, Kaunas). Retrieved from: https://vb.lsu.lt/object/elaba:69578784/.
Laver, L., Landreau, P., Seil, R., & Popovic, N. (Eds.). (2018). Handball Sports Medicine: Basic science, injury management and return to sport. Berlin: Springer. https://doi.org/10.1007/978-3-662-55892-8.
Luig, P., Krutsch, W., Henke, T., Klein, C., Bloch, H., Platen, P., & Achenbach, L. (2020). Contact—but not foul play—dominates injury mechanisms in men’s professional handball: a video match analysis of 580 injuries. British Journal of Sports Medicine, 54(16), 984–990. http://https://doi.org/10.1136/bjsports-2018-100250.
Luig, P., Bloch, H., Burkhardt, K., Klein, C., & Kühn, N. (2017). VBG-Sportreport 2017. Analyse des Unfallgeschehens in den zwei höchsten Ligen der Männer: Basketball, Eishockey, Fußball und Handball. Hamburg: VBG. Retrieved from: https://www.vbg.de/SharedDocs/Medien-Center/DE/Broschuere/Branchen/Sport/VBG-Sportreport%202017.pdf?__blob=publicationFile&v=8).
Luig, P., & Henke, T. (2010). Safety in Sports. Retrieved from: https://www.sicherheit.sport/app/uploads/2015/01/Burden_Report_Handball.pdf.
Møller, M., Ageberg, E., Bencke, J., Zebis, M. K., & Myklebust, G. (2018). Implementing Handball Injury Prevention Exercise Programs: A Practical Guideline. In L. Laver, P. Landreau, R. Seil, N. Popovic (Eds.), Handball Sports Medicine (pp. 413–432). Berlin, Heidelberg: Springer
Mónaco, M., Rincón, J. A. G., Ronsano, B. J. M., Whiteley, R., Sanz-Lopez, F., & Rodas,
G. (2019). Injury incidence and injury patterns by category, player position, and maturation in elite male handball elite players. Biology of Sport, 36(1), 67–74. https://doi.org/10.5114/biolsport.2018.78908.
Rafnsson, E. T., Myklebust, G., Bahr, R., Frohm, A., Valdimarsson, O., & Arnason, A. (2017). Overuse problems in Icelandic male handball. British Journalof Sports Medicine, 51(4), 376–376. http://dx.doi.org/10.1136/bjsports-2016-097372.234.
Raya-González, J., García-Esteban, S., de Ste Croix, M., Manuel Clemente, F., & Castillo, D. (2021). Longitudinal differences in the injury profile of professional male handball players according to competitive-level. Research in Sports Medicine, 29(1), 90–102. https://doi.org/10.1080/15438627.2020.1800465.
Raya-González, J., Clemente, F. M., Beato, M., & Castillo, D. (2020). Injury profile of male and female senior and youth handball players: A systematic review. International Journal of Environmental Research and Public Health, 17(11), 1–13. https://doi.org/10.3390/ijerph17113925.
Tyrdal, S. & Bahr, R. (1996). High prevalence of elbow problems among goalkeepers in European team handball - ‘handball goallie’s elbow’. Scandinavian Journal of Medicine and Science in Sports, 6(5), 297–302. https://doi.org/10.1111/j.1600-0838.1996.tb00474.x.
Webster, K. E., & Hewett, T. E. (2018). Meta‐analysis of meta‐analyses of anterior cruciate ligament injury reduction training programs. Journal of Orthopaedic Research®, 36(10), 2696–2708. https://doi.org/10.1002/jor.24043.