4.1. sports injuries in handball

8/18/2019 4.1. Sports Injuries in Handball

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Sports Injuries in

(Professional and Youth)-Handball

European Project„Safety in Sports“

Analysis

Epidemiology

Prevention

Basic Data


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Team

Dr. Thomas Henke

Project Manager „Safety in Sports“

Sports Injury ResearchRuhr University Bochum

German Handball Federation (DHB) Lecturer

Patrick Luig

Sports Scientist „Safety in Sports“

Handball Coach

German Handball Federation (DHB) Lecturer


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Popular sport

Frequency of injuries

Health and well-being

Competitive sports

Frequency of injuries

Performance enhancing

Benefit of Sport


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Safety in Sports - General ObjectivesReduction of sports injuries

increase of the benefit of sports

Development, testing and implementation of injury prevention

measures & safety promotion strategies in sports

Handball and Basketball were chosen because……the disciplines needed to be widespread in Europe and

…show high absolute numbers of injured athletes.

This is especially the case for team sports where 1:1 situations

are characteristic.


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Safety in SportsMain Steps

Inventory on the burden of sports injuries,

existing prevention measures and safety

promotion strategies

Assessment of identified preventive measures

and promotion strategies in handball and

basketball: -

- best preventive measures

+ best promotion strategies

= injury prevention toolkit

Implementation and testing of injury prevention toolkitsin handball (in coll. with Norway, Czech Republic) and

basketball (in coll. with Sweden, Slovakia)

General guidelines for the development and

implementation of sustainable injury prevention

toolkits in sports (all sports)


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Injury Prevention Measures

Group A:

Training programmes (e.g. Proprioceptive/neuromuscular, athletic conditioning)

Group B:

Political and technical strategies (e.g. fairplay, change in attitude/awareness, rules)

Group C:

Equipment and facilities (e.g. PSA, orthosis, taping, ground conditions)

Group D:

Medical Support (e.g. physiotherapy, medical check-ups, PPE)

Group E:

Complex strategies

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2. Participation exhibition (Construction of

different interactive stations, for instance, to give

information about prevention measures)

coaches

3. Educational module injury prevention coaches

4. Informational module „Safety Promotion“

functionaries, stakeholders, coaches educators

Safety Promotion Strategies

1. Media (leaflets, brochures, DVD, website)

coaches and athletes


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Football 45,8

Handball 15,3

Volleyball 6,5

Basketball 3,5

3,1

Fitness Training

Gymnastics

Judo

Horse-Riding

Ball games

Tennis

Badminton Athletics

Cycling

Hockey

4,3

2,2

1,9

1,7

1,5

1,51,4

1,1

0,9

0 10 20 30 40 50%

70% of injuries inteam sports

Sports Injuries in Club Sports

(Germany n=170.000)

30% of sports club members in

team sports


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0 50 100 150 200 250 300

Injuries/ 100 Athletes/ Year

Injury rates in sports

54

58

125

280

Basketball

Handball

Football

Icehockey

Professional

Handball

9,5

14,1

14,9

15,3

Volleyball

Basketball

Football

Competitive

5,1

5,4

5,9

Sports clubs

School

Not organ.

All sports


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„Injury Career “ Daniel Stephan

• 1999: metacarpus fracture

• 1999: torn ligament in the foot

• 2000: thumb operation

• 2000: rupture of capsule at ankle joint

• 2000: splintering of the bone atthe thumb of the operated hand(abdication of world championship 2001)

• 2002: Achilles tendon irritation

• 2003: Achilles tendon rupture(abdication of world championship 2003)

• 2004: ellbow injury(abdication of world championship 2005)

• 2006: tendon rupture in the right shoulder

• 2008: end of career


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Methodical Considerations for

Professional Handball

Injured body areas

Survey of injured professional handball players (n=298)

Playing position vs. injury position

Competition and training

Situation and mechanism

Specific analysis considering each position

Preventive training measures


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Epidemiology & Injury Mechanisms

8,1

10,3

14,1

18,9

24,9

3,8

7,5

13,2

17,0

49,1

0 10 20 30 40 50

shoulder

head

hand/ wrist

ankle joint

knee joint

%

women

men


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16,3

13,3

36,8

34,624,2

25,0

12,6

15,4

Injury Situation and Mechanism

9,911,5

0 10 20 30 40

body contact

landing

running

fall

other

%

men

women


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pivot players

Position Specific Analysisbackcourt

wing players

defence

goalkeeper


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WingPlayers…

…injure their knee, ankle

joint and shoulderuncontrolled landings and

falls as well as collisions.

Video analysis show that

even modest contacts can

be sufficient to make theplayers lose body-control.


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Backcourt

situation mechanism injured body regionlanding distort / intercept knee/ shoulder

body contacts

blunt force

hand/ shoulder

feints twist/ distort ankle joint/ knee


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Pivot

situation mechanism injured body region

landing distort/ intercept knee/ shoulder

body contacts blunt force hand/ head/ shoulder


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Defence

• Injur. body regions: Hands and lower extrimities

• Mechanisms: Body contacts and landings

• Explanations: (Re)acting too late, too slow and too poorly coordinatedLack of block coordination


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Goalkeepers…

… typically sustain injuries of the

lower extremities.

Main mechanisms are landing,

slipping, falling (altogether

approximately 70%).Explanation: Goalkeepers have too

little attention and body tension

during the landing phase after the

save.


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Injury Prevention in Handball

Basic Training Coordination/sensomotoric skills

Core stabilisationDefence Agility

Offence Landing and cutting

Goalkeeper Training of landing safely after the save

Awareness of position-specific injury risks

Inclusion of preventive ideas into training

Minimization of injury-risk Improvement of performance


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Preventive Training Programmes


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0%

20%

40%

60%

80%

100%

< 3 4 - 6 7 - 9 10 - 12 13 - 15 16 - 18 19 - 20

Gymnastics

FootballSwimming

Trampoline

Judo

Athletics

Handball

General ball games

Volleyball

Basketball

Male Sports Injuries


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0%

20%

40%

60%

80%

100%

< 3 4 - 6 7 - 9 10 - 12 13 - 15 16 - 18 19 - 20

Gymnastics

Football

Swimming

Trampoline

Judo

Athletics

Handball

General ball games

Volleyball

Basketball

Horseback riding

Female Sports Injuries


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Importance of Motion and Sport

Children and Youth

cognitive cogitation and compliance

motoric condition and coordination

affective fun and self-confidence

social interpersonal skills

Complex and individual development

Optimal by avoiding injuries


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Sports Injury prevention by means of

preventive training-measures

Prevention starts in youth

specific training measures which

are tailored onto the respective sport

prepare the athlete more adequatly for

the demands of the respective sport

measures will only be accepted if they avoid injuriesand improve performance at the same time

4.1. sports injuries in handball

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