Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed

Andersson, Stig Haugsbø; Bahr, Roald; Clarsen, Benjamin; Myklebust, Grethe

doi:10.1136/bjsports-2017-097648

Cited by 57 publications

(104 citation statements)

References 40 publications

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“…Another common adaptation seen in handball players is a side-to-side difference range of motion (ROM) in the throwing shoulder compared to the non-throwing shoulder (26,38,39,40,44,46,47). The mechanism of these changes in ROM is probably multifactorial and caused by adaptations of several different biological structures.…”

Section: Glenohumeral Range Of Motionmentioning

confidence: 99%

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Asker¹,

Waldén²,

Källberg³

et al. 2020

J Orthop Sports Phys Ther

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Section: Glenohumeral Range Of Motionmentioning

confidence: 99%

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Asker¹,

Waldén²,

Källberg³

et al. 2020

J Orthop Sports Phys Ther

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“…However, to succeed in a real‐world sport setting, knowledge regarding attitudes, beliefs, and current behavior toward shoulder injury prevention among delivery agents and end users, as well as identification of facilitators and barriers to implementation of the program, is crucial . Overall, the coaches and captains surveyed had the impression that handball players are at high risk for shoulder injuries, suggesting that their perceived susceptibility for shoulder injuries is in line with the literature, an important premise to succeed with implementation . The vast majority of coaches and captains in both groups believed that a shoulder injury prevention program targeting risk factors would reduce the risk for shoulder injuries and the majority had previously employed preventative measures toward shoulder injuries.…”

Section: Discussionmentioning

confidence: 93%

“…Shoulder injuries are common in elite handball and affects participation and performance, as well as daily life . Recently, the OSTRC Shoulder Injury Prevention Programme was reported to reduce the risk of shoulder problems in elite handball, suggesting that dissemination and widespread use would be beneficial.…”

Section: Perspectivesmentioning

confidence: 99%

“…Shoulder pain and problems are established as common burdens affecting participation and performance, as well as daily life (Stage 1) . Reduced glenohumeral rotation, external rotation weakness, and scapular dyskinesis have been identified as internal modifiable risk factors in prospective studies (Stage 2), although not confirmed in a recent study using similar methods . Nevertheless, the four‐stage approach was recently completed with a trial reporting preventative effect of the Oslo Sports Trauma Research Center (OSTRC) Shoulder Injury Prevention Programme on the prevalence and risk of shoulder problems in elite handball (Stage 3 and 4) …”

Section: Introductionmentioning

confidence: 99%

“…3 Reduced glenohumeral rotation, external rotation weakness, and scapular dyskinesis have been identified as internal modifiable risk factors in prospective studies (Stage 2), 2 although not confirmed in a recent study using similar methods. 6 Nevertheless, the four-stage approach was recently completed with a trial reporting preventative effect of the Oslo Sports Trauma Research Center (OSTRC) Shoulder Injury Prevention Programme on the prevalence and risk of shoulder problems in elite handball (Stage 3 and 4). 7 Despite the widespread use of the van Mechelen model since its origin in the early 90s, several papers have highlighted the need for integration of implementation science in sports injury prevention research.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation

Andersson

Bahr

Olsen

et al. 2019

Scandinavian Med Sci Sports

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We aimed to examine attitudes, beliefs, and current behavior toward risk factors and prevention of shoulder injuries, and to investigate the application of an exercise program during a cluster‐randomized controlled trial aiming to prevent shoulder injuries in elite handball. All captains and coaches of 44 elite handball teams (22 male and 22 female) constituting the intervention (21 teams) and control arm (n = 23 teams) in the trial were invited to take part in a survey. A questionnaire, based on the Reach, Efficacy, Adoption, Implementation, and Maintenance framework, addressing the end user perspective on risk factors and prevention of shoulder injuries, as well as key issues related to the application of the Oslo Sports Trauma Research Center (OSTRC) Shoulder Injury Prevention Programme, was distributed using electronic survey software. The response rate was 100%. Overall, the majority of coaches (84%) and captains (89%) believed that handball players are at high risk for shoulder injuries. All delivery agents in the trial reported to be familiar with the exercise program and the majority believed in a preventative effect (coaches 90% and captains 81%). Only a minority reported full compliance with the recommended frequency (coaches 29%, captains 14%), with program being too time‐consuming (coaches 67%, captains 81%) and lack of player motivation (coaches 76%, captains 62%) as the main barriers. Our results suggest that there is fertile ground for implementation of the OSTRC Shoulder Injury Prevention Programme in elite handball, with program length and lack of player motivation as the main barriers to overcome.

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Risk factors for dominant‐shoulder injury in elite female Australian cricket players: A prospective study

Murphy

Chivers

Mahony³

et al. 2020

Transl Sports Med

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The objectives of this prospective cohort study were to examine the risk factors for dominant‐shoulder injury within the Australian women's national cricket league during the 2017‐2018 season. A total of 115 elite female cricketers were included with a mean (SD) age of 26.0 (4.4) years. Univariate and multivariate logistic regression determined the relationship between physical performance and musculoskeletal screening tests and dominant‐shoulder injury. Fourteen players developed dominant‐shoulder injuries (12%) throughout the season. No demographic or physical performance tests were risk factors. Univariate analysis revealed shoulder IR:ER strength ratio (OR = 1.84, P = .01), back foot hip abduction strength (OR = 0.973, P = .049), and back foot hip adduction: abduction strength ratio (OR = 1.44, P = .047) were significantly associated with injury. Only shoulder IR:ER strength ratio remained significant (P = .016) in the multivariate logistic regression model with a 79% increased risk of shoulder injury for every 0.1 ratio increase. This study identified that within elite female cricketers, a shoulder IR:ER strength ratio >1.00 is the strongest risk factor for developing shoulder injury. Therefore, injury risk reduction programs in elite female cricketers should focus on keeping the shoulder IR: ER strength ratio closer to 1:1 to minimize shoulder injury burden.

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Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed

Abstract: None of the previously identified risk factors were associated with overuse shoulder injuries in a mixed-sex cohort of elite handball players.

Cited by 57 publications

References 40 publications

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Preseason Clinical Shoulder Test Results and Shoulder Injury Rate in Adolescent Elite Handball Players: A Prospective Study

Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation

Risk factors for dominant‐shoulder injury in elite female Australian cricket players: A prospective study

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