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Injury Profile of Male and Female Senior and Youth Handball Players: A Systematic Review.

ABSTRACT: Handball is a team sport in which players are exposed to high physical conditioning requirements and several contacts and collisions, so they must face various musculoskeletal injuries throughout their career. The aim of this study was to summarize the characteristics of handball injuries both in training and in competition contexts, differentiating by gender and age. A systematic review was conducted and a total of 15 studies (33 cohorts) met the inclusion criteria. Higher injury incidence was reported during matches compared to training sessions in all groups (i.e., male and female senior and youth players), with male senior players presenting the greatest values. Lower extremities were more frequently injured, being contusions and sprains the most common type of injuries. Females reported more serious injuries than males, who presented a higher percentage of acute injuries caused by direct contact, while in female players these injuries were not caused by direct contact actions. Wings and backs presented the highest injury incidence; additionally, players registered higher match incidence during international championships compared to national leagues. Due to the differences in the injury profile of handball players, specific preventive strategies should be implemented for each group to optimize the injury prevention process.

SUBMITTER: Raya-Gonzalez J

PROVIDER: S-EPMC7312653 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Injury Profile of Male and Female Senior and Youth Handball Players: A Systematic Review.

Raya-González Javier J Clemente Filipe Manuel FM Beato Marco M Castillo Daniel D

International journal of environmental research and public health 20200601 11

Handball is a team sport in which players are exposed to high physical conditioning requirements and several contacts and collisions, so they must face various musculoskeletal injuries throughout their career. The aim of this study was to summarize the characteristics of handball injuries both in training and in competition contexts, differentiating by gender and age. A systematic review was conducted and a total of 15 studies (33 cohorts) met the inclusion criteria. Higher injury incidence was ...[more]

PMID: 32492922

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Project description:BackgroundA comprehensive examination of the sport-specific activities performed around the time of injury is important to hypothesise injury mechanisms, develop prevention strategies, improve management, and inform future investigations. The aim of this systematic review is to summarise the current literature describing the activities performed around the time of injury in football (soccer).MethodsA systematic search was carried out in PubMed, Web of Science, SPORTDiscus, and OpenGrey. Studies were included if participants were football players aged > 13 years old and the activities performed at the time of injury were reported together with the total number of injuries. Risk of bias was assessed using an adapted version of checklists developed for prevalence studies. The activities reported by the studies were grouped to account for inconsistent reporting, and the proportion of each injury activity was calculated. Data were not meta-analysed due to high heterogeneity of methods and classification criteria.ResultsWe included 64 studies reporting on 56,740 injuries in total. ACL injures were analysed by 12 studies, ankle/foot and knee injuries were analysed by five studies, thigh injuries were analysed by four studies, hip/groin injuries were analysed by three studies, and hamstring injuries were analysed by two studies. Five studies analysed more than one type of injury and 38 studies did not specify the type of injuries analysed. Running and kicking were the predominant activities leading to thigh and hamstring injuries. Changing direction and kicking were the predominant activities leading to hip and groin injuries and duels were the predominant activities leading to ankle injuries. Duels and pressing seem the predominant activities leading to ACL injuries, while results for other knee and general injuries were inconsistent.ConclusionsA qualitative summary of the activities performed at the time of injury has been reported. The results need to be interpreted carefully due to the risk of bias observed in the included studies. If we are to meaningfully progress our knowledge in this area, it is paramount that future research uses consistent methods to record and classify injuries and activities leading up to and performed at the time of injury.RegistrationThe protocol of this systematic review was registered at the Open Science Framework ( https://doi.org/10.17605/OSF.IO/U96KV ).

Project description:The aims of the present study were (1) to determine the differences in body composition and the physical and physiological profile of handball youths across age categories, and (2) to analyze the mediation effect of different categories on the relationship between lean mass or fat mass and specific physical handball capacities. Fifty-four young handball players aged 13 to 18 were assigned to U14 (13- and 14-year-olds), U16 (15- and 16-year-olds), and U18 (17- and 18-year-olds). Body composition was measured using multi-frequency bioelectrical impedance (Inbody®, 230). Handball physical fitness was assessed using handgrip force, jumping tests (squat jump, countermovement jump, countermovement jump with aimed arms), a 30-m sprint, a change-of-direction test (T-half agility test and modified Illinois test), and a Yo-Yo intermittent recovery test level 1. Simple mediation analysis was performed to analyze whether the category mediated the relationship between lean mass or fat mass and physical capacities. No significant differences were observed according to category for the majority of the measured parameters, except for height, lean body mass, and arm span. Lean body mass increased significantly as player category increased (p < 0.05; ? = 4.66-9.38; effect size (ES) = 0.96-1.92). The increase in handball category enhanced the majority of the physical capacities evaluated; however, these differences were reduced between the U16 vs. U18 categories. The indirect mediation effect suggests that handball category mediated the relationship between lean mass and upper and lower strength, velocity, agility, and cardiorespiratory fitness. In contrast, an indirect effect suggests that category mediated the relationship between fat mass only in agility and cardiorespiratory fitness. We conclude that U18s showed better body composition parameters, as well as better physical performance scores. Handball category clearly mediated the relationship between body composition through lean mass and fat mass and the physiological profile in handball youth, but lean mass proved to be more relevant when mediating physical performance.

Project description:BackgroundThe relevance of body composition (BC) to performance in sport has long been appreciated with special concern on the total and regional proportion of fat and muscle. Dual-energy X-ray absorptiometry (DXA) is able to accurately measure BC, but it may not be easily available in practice; anthropometry has long been used as a simple and inexpensive field method to objectively assess BC. The aim of this study was twofold: first, to develop and validate a sport-specific anthropometric predictive equation for total body fat mass (FM) and lean mass components in female handball players to be used in the sport setting; second, to cross-validate in female team handball players several independently developed, predictive equations for BC in female athletes.MethodsA total of 85 female team handball players (30 wings, 31 backs, 14 pivots, 10 goalkeepers) of different competitive levels underwent anthropometry and a whole-body DXA scan. Multiple linear regression analysis was used to develop predictive equations in a derivation sample (n = 60) of randomly selected players using demographic and anthropometric variables. The developed equations were used to predict DXA outcomes in an independent validation sample (n = 25).ResultsStatistically significant (P < 0.001) models were developed for total body FM (adjusted R 2 = 0.943, standard error of the estimate, SEE = 1,379 g), percentage FM (adjusted R 2 = 0.877, SEE = 2.00%), fat-free soft tissue mass (FFSTM) (adjusted R 2 = 0.834, SEE = 2,412 g), fat-free mass (FFSTM + bone mineral content; adjusted R 2 = 0.829, SEE = 2,579 g). All models were robust to collinearity. Each developed equation was successfully validated in the remaining 25 players using correlation analysis, mean signed difference, t-test, and Bland-Altman plot. The whole dataset of team handball players (n = 85) was used to cross-validate several predictive equations independently developed by others in female athletes. Equations significantly (P < 0.001 for all; t-test) over- or underestimated the corresponding DXA measurements.DiscussionIt is concluded that in team female handball players the anthropometric equations presented herein are able to estimate body fat and FFSTM with accuracy. Several BC predictive anthropometric equations developed in different female athletic populations revealed inaccurate when tested in team handball players. These results should be of use for coaches, physical trainers, and nutritionists when evaluating the physical status of female team handball players.

Project description:PurposeEvaluate team and player compliance with the Knee Control injury prevention exercise programme, study the association between player compliance and injury rates, and compare coach demographics, baseline prevention expectancies, and programme utilisation between teams with high and low compliance.MethodsProspective one-season cohort study based on a cluster randomised controlled trial on 301 (107 female) floorball players aged 12-17 years. Floorball exposure and injuries were self-reported weekly by players using the Oslo Sports Trauma Research Center questionnaire. Team and player compliance to Knee Control was reported monthly by coaches. Additionally, coaches answered pre- and post-season surveys. Teams were divided into a high (≥ 80%) or low (< 80%) compliance group based on their use of Knee Control during the season. Players were divided into three compliance groups based on their average weekly number of Knee Control sessions; high (≥ 2 sessions), intermediate (≥ 1 to < 2 sessions), and low dose (< 1 session).ResultsMean team compliance for the high and low compliance groups were 95% (range 82-100) and 50% (range 13-66), respectively. Mean ± SD weekly Knee Control dose in the three player compliance groups were 2.4 ± 0.3, 1.4 ± 0.3, and 0.7 ± 0.3 sessions, respectively. There were no differences in total injury incidence between the player compliance groups, but players in the high-dose group had a 35% lower prevalence of injuries overall [adjusted prevalence rate ratio (PRR) 0.65, 95% CI 0.48-0.89] and 60% lower prevalence of substantial injuries (adjusted PRR 0.40, 95% CI 0.26-0.61) compared with the low-dose group. Male players in the high-dose group had consistently lower injury incidence and prevalence, while no between compliance group differences were seen in female players. There were no differences in sex, years of coaching experience, or baseline prevention expectancies in general between coaches for teams in the high vs. low compliance groups, but teams in the high compliance group had a better utilisation fidelity.ConclusionThere was a clear dose-response relationship between more frequent Knee Control use and lower injury rates in male floorball players, but not in female players. Teams with higher compliance also showed a better utilisation fidelity with the programme.Level of evidenceLevel II.

Dataset Information

Injury Profile of Male and Female Senior and Youth Handball Players: A Systematic Review.

Publications

Injury Profile of Male and Female Senior and Youth Handball Players: A Systematic Review.

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