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Neuromuscular exercises prevent severe knee injury in adolescent team handball players

Abstract

Purpose

Team handball is associated with a high risk of severe knee injury that needs to be reduced, particularly at the youth level. The purpose of this study was to show how an injury-prevention programme effectively reduces severe knee injury in adolescent team handball players.

Methods

Of 23 adolescent handball teams of both sexes, 13 were randomly allocated into the intervention group (168 players) and 10 into the control group (111 players). Players of the intervention group regularly participated in an injury-prevention programme for one season. Handball exposure and sustained injuries were documented for both groups on a monthly basis. The primary outcome parameter of the injury-prevention programme was the incidence of severe knee injury.

Results

Of the 279 included players, 68 (24%) sustained 82 injuries yielding an overall incidence of 1.85 injuries per 1000 h handball exposure (intervention group: 50 injuries/incidence: 1.90/1000 h; control group: 32 injuries/incidence: 1.78/1000 h). Knee injury was the second most frequent injury in adolescent team handball. The primary outcome parameter, severe knee injury occurred significantly more often in the control group [mean age (SD) 15.1 (1.0), injury incidence 0.33/1000 h] than in the intervention group [mean age (SD) 14.9 (0.9), injury incidence 0.04/1000 h]. The odds ratio was 0.11 (95% CI 0.01–0.90), p = 0.019. Other injuries to the lower extremities showed no significant difference between the two groups.

Conclusions

Frequent neuromuscular exercises prevent severe knee injury in adolescent team handball players and should thus be included in the practical routine as well as in the education of team coaches.

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Acknowledgements

The authors would like to thank the Bavarian Handball Federation for supporting the study design. No further funding was received. All authors declare no conflict of interest for this study.

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Correspondence to Leonard Achenbach.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

The authors received 300.00 € from the Bavarian Handball Federation.

Ethical approval

The study was approved by the Ethical committee of the University of Regensburg.

Informed consent

Players and parents were informed, and they consented to conduct the study.

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Achenbach, L., Krutsch, V., Weber, J. et al. Neuromuscular exercises prevent severe knee injury in adolescent team handball players. Knee Surg Sports Traumatol Arthrosc 26, 1901–1908 (2018). https://doi.org/10.1007/s00167-017-4758-5

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  • DOI: https://doi.org/10.1007/s00167-017-4758-5

Keywords

  • Team handball
  • Handball
  • Adolescent
  • Injury
  • Prevention
  • Knee
  • Anterior cruciate ligament