A controlled prospective case control study of a prevention training program in female team handball players: the German experience
- 3.4k Downloads
Background: Few authors have investigated the effectiveness of preventive intervention in European team handball.
Purpose: The aim of the present study was to evaluate the effects of a prevention program on the incidence of injuries in female European team handball players.
Study design: Prospective controlled study.
Methods: Ten female handball teams (134 players) took part in the prevention program (1. Information about injury mechanism, 2. Balance-board exercises, 3. Jump training) while 10 other teams (142 players) were instructed to train as usual. Over one season all injuries were documented weekly.
Results: Ankle sprain was the most frequent diagnosis in both groups with 11 ankle sprains in the control group and 7 ankle sprains in the intervention group (Odds ratio: 0.55, 95% confidence interval: 0.22–1.43). The knee was the second frequent injury site. In the control group 5 of all knee injuries were anterior cruciate ligament (ACL) ruptures (incidence: 0.21 per 1000 h) in comparison with one in the intervention group (incidence: 0.04 per 1000 h). Odds ratio was 0.17 with 95% confidence interval of 0.02–1.5.
Conclusions: This study confirms that proprioceptive and neuromuscular training is appropriate for the prevention of knee and ankle injuries among female European team handball players.
KeywordsAnterior cruciate ligament (ACL) Prevention Female athlete Knee injury Handball Non contact injury
We would like to thank Andreas Hypa (PT), Thomas Wessolowski (PT), Maike Steensen (PT), Mario Moll (PT), and Frank Neumann (Handball coach) for their help and support. This study was supported in part by the ARAG Versicherungs-AG. The balance-boards were supplied by Kriwat GmBh. None of the authors received any direct financial benefit from any commercial party involved in this study.
- 10.Garrick JG, Requa RK (2000) Anterior cruciate ligament injuries in men and women: how common are they? In: Griffin LY (ed) Prevention of noncontact ACL injuries, American Academy of Orthopaedic Surgeons, Rosemont, USAGoogle Scholar
- 11.Griffin LY (2000) The Henning program. In: Griffin LY (ed) Prevention of noncontact ACL injuries, American Academy of Orthopaedic Surgeons, Rosemont, USAGoogle Scholar
- 12.Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, Garrick JG, Hewett TE, Huston L, Ireland ML, Johnson RJ, Kibler WB, Lephart S, Lewis JL, Lindenfeld TN, Mandelbaum BR, Marchak P, Teitz CC, Wojtys EM (2000) Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg 8:141–150PubMedGoogle Scholar
- 19.Larsen E, Lund PM (1997) Peroneal muscle function in chronically unstable snles. A prospective preoperative and postoperative electromyographic study. Clin Orthop 272:130–137Google Scholar
- 20.Lephart S, Riemann B (2000) The role of mechanoreceptors in functional joint stability. In: Griffin LY (ed) Prevention of noncontact ACL injuries, American Academy of Orthopaedic Surgeons, Rosemont, USAGoogle Scholar
- 25.Lindblad BE, Jensen KH, Terkelsen CJ, Helleland HE, Terkelsen CJ (1993) Handball injuries. An epidemiological and socioeconomic study. Ugeskr Laegr 3636–3638Google Scholar
- 30.Petersen W, Zantop T, Steensen M, Hypa A, Wessolowski T, Hassenpflug J (2002) Prävention von Verletzungen im Handbalsport: erste Ergebnisse des Kieler Handball Präventionsprogrammes. Sportverletzung Sportschaden (submitted for publication)Google Scholar
- 32.Rozzi SL, Lephart SM, Gear WS, Fu FH (1999) Knee joint laxity and neuromuscular characteristics of male and female soccer and basketball players Am J Sports Med 27:312–319Google Scholar
- 36.Teitz C (2000) Video analysis of ACL injuries. In: Griffin LY (ed) Prevention of noncontact ACL injuries. American Academy of Orthopaedic Surgeons, Rosemont, USAGoogle Scholar
- 39.Wedderkopp N, Kalthoft M, Lundgaard B, Rosendahl M, Froberg K (1999) Prevention of injuries in young female players in European team handball. A prospective intervention study. Scand J Med Sci Sports 7:41–47Google Scholar
- 40.Woitys EM, Huston LJ, Lindenfeld TN, Hewett TE, Greenfield ML (1998) Association between the menstrual cycle and anterior cruciate ligament injuries in female athletes. Am J Sports Med 26:614–619Google Scholar
- 42.Zelisko JA, Noble HB, Porter M (1982) A comparison of men’s and woman’s professional basketball injuries: Am J Sports Med 10:297–299Google Scholar