In handball, specific physical demands differ and indifference to spinal demands can cause a serious hindrance in infinite value of sport life. The main aim of this paper is to make steps toward understanding and identify clear patterns of spinal injury profile from handball players according to their playing positions. With these challenge in mind, a new method using a structured and specific questionnaire has been applied to a number of 52 senior male handball players. The study reveals that the lumbar region accounts the most vulnerable to spinal injury with most of the cases with a chief complaint of low back pain than may oscillate over time, with asymptomatic periods between recurrences. For instance, the prevalence of lower back pain suffers variations with playing positions but we notice that the goalkeeper player is submitted to a higher risk of back pain and this requires a special attention to his special technical and tactical training program. This topic can be a particular good challenge for physiotherapist which should use their strong knowledge of the anatomy and physiology of spinal region, recognizing epidemiologic patterns and implemented a structured and specific injury prevention approach from an early age to optimize the injury prevention process or recurrence.
Competitive sport life can be seen as an arena where you must prove the highest abilities and sometimes the impossible of human body. To achieve such competency in a specific sport area takes time, effort and sometimes, at some point in career, an injury. A controversial issue appears to be: how to prevent injuries in sports? This paper underline the role of prevention of wide spectrum of spinal injuries and highlights the inherent weakness of immature spine of youth players that can may be a disadvantage not only for lesions which mirror at young age but also in adults. Youth handball athletes cannot and should not be regarded as adult players. The young athlete's musculoskeletal system is constantly changing and this can be one of the possible causes of injuries. When different and specific types of forces act on spine with specific limitations in young players, it is very important to maintain a good core stability to protect the spine and its surrounding structures. An injury prevention program have been developed to improve core stability and to reduce sports-related injuries at youth handball players. The specific advantages of a good core stability are discussed in depth with a particular focus on spine injuries prevention.
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