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DOI: 10.1055/a-1121-7635
Functional Knee Performance Differences in Handball are Depending on Playing Class
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Abstract
Handball is one of the most traumatic sports. The knee is the most commonly injured joint. To prevent knee injuries, optimal functional knee stability is of great importance. Nevertheless, there is still no consensus about objective criteria for knee function. Depending on playing class, injury rates seem to differ. The purpose of this study was to evaluate knee function in handball depending on playing class and to establish reference data for functional knee stability. 261 handball players (25.1±5.8 years) performed a functional test including two- and one-legged stability assessments, jump tests, speed and agility analysis. Except for balance, differences between playing classes were detected in all tests with superior performance of high-class players (Germany’s 1st (“Oberliga”) and 2nd (“Verbandsliga”) non-elite playing class). High-class players achieved significant better results in jumping height (p≤0.011–0.029), relative power per body weight in the two-legged counter movement jump (p≤0.023) and speed and agility tests (p≤0.001). This study illustrates the relevance of playing class specific screening. Sports and playing class-specific databases will help to identify individual deficits and strengths in order to prevent injury and increase performance. Moreover, objective criteria for return to sports can be established.
Key word
knee function - playing class - reference data - functional test battery - nonprofessional handball - return to sport criteriaPublikationsverlauf
Eingereicht: 15. Mai 2019
Angenommen: 08. Februar 2020
Artikel online veröffentlicht:
25. Mai 2020
© Georg Thieme Verlag KG
Stuttgart · New York
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References
- 1 Giroto N, Hespahnhol Junior L, Gomes M. et al. Incidence and risk factors of injuries in Brazilian elite handball players: A prospective cohort study. Scand J Med Sci Sports 2017; 27: 195-202
- 2 Luig P, Krutsch W, Nerlich M. et al. Increased Injury rates after the restructure of Germany’s national second league of team handball. Knee Surg Sports Traumatol Arthrosc 2018; 26: 1884-1891
- 3 Laver L, Luig P, Achenbach L. et al. Handball injuries: Epidemiology and injury characterization: Part 1. In: Laver L, Landreau P, Seil R, Popovic N, Eds. Handball Sports Medicine. Berlin, Heidelberg: Springer; 2018: 141-153
- 4 Langevoort G, Myklebust G, Dvorak J. et al. Handball injuries during major international tournaments. Scand J Med Sci Sports 2007; 17: 400-407
- 5 Seil R, Nührenbörger C, Lion A. et al. Knee injuries in handball. Sports Orthopaedics and Traumatology Sport 2016; 32: 154-164
- 6 Petersen W, Stöhr A, Ellermann A. et al. Return to sports after ACL reconstruction. Recommendations of the DKG ligament expert group. OUP 2016; 5: 167-176
- 7 Manchado C, Tortosa-Martínez J, Vila H. et al. Performance factors in women's team handball: Physical and physiological aspects – a review. J Strength Cond Res 2013; 27: 1708-1719
- 8 Wagner H, Buchecker M, von Duvillard SP. et al. Kinematic description of elite vs. low level players in team-handball jump throw. J Sports Sci Med 2010; 9: 15-23
- 9 Seil R, Rupp S, Tempelhof S. et al. Sports injuries in team handball. A one-year prospective study of sixteen menʼs senior teams of a superior nonprofessional level. Am J Sports Med 1998; 26: 681-687
- 10 Laver L, Luig P, Achenbach L. et al. Handball injuries: Epidemiology and injury characterization: Part 2. In: Laver L, Landreau P, Seil R, Popovic N, Eds. Handball Sports Medicine. Berlin, Heidelberg: Springer; 2018: 155-165
- 11 Ardern CL, Taylor NF, Feller JA. et al. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014; 48: 1543-1552
- 12 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
- 13 Hildebrandt C, Müller L, Zisch B. et al. Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part I: Development of a new test battery. Knee Surg Sports Traumatol Arthrosc 2015; 23: 1273-1281
- 14 Herbst E, Hoser C, Hildebrandt C. et al. Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: Clinical application of a new test battery. Knee Surg Sports Traumatol Arthrosc 2015; 23: 1283-1291
- 15 Mukaka M. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012; 24: 69-71
- 16 Fleiss J, Levin B, Paik M. Statistical Methods for Rates and Proportions. New York: John Wiley & Sons; 2003
- 17 Newcombe R. Two-Sided confidence intervals for the single proportion: Comparison of seven methods. Stat Med 1998; 17: 857-872
- 18 Wagner H, Muller E. The effects of differential and variable training on the quality parameters of a handball throw. Sports Biomech 2008; 7: 54-71
- 19 McGhie D, Osteras S, Ettema G. et al. Strength determinants of jump height in the jump throw movement in women handball players. J Strength Cond Res. 2018
- 20 Chelly M, Hermassi S, Shephard R. Relationships between power and strength of the upper and lower limb muscles and throwing velocity in male handball players. J Strength Cond Res 2010; 24: 1480-1487
- 21 Fleck S, Smith S, Craib M. et al. Upper extremity isokinetic torque and throwing velocity in team handball. J Appl Sport Sci Res 1992; 6: 120-124
- 22 Massuça L, Fragoso I, Teles J. Attributes of top elite team-handball players. J Strength Cond Res 2014; 28: 178-186
- 23 Spasic M, Krolo A, Zenic N. et al. Reactive agility performance in handball Development and evaluation of a sport-specific measurement protocol. J Sports Sci Med 2015; 14: 501-506
- 24 Hermassi S, Fadhloun M, Chelly M. et al. Relationship between agility T-test and physical fitness measures as indicator of performance in elite adolescent handball players. Pedagog Psychol Med - Biol Probl Phys Train Sports 2011; 5: 125-131
- 25 Marques M, Izquierdo M. Kinetic and kinematic associations between vertical jump performance and 10-m sprint time. J Strength Cond Res 2014; 28: 2366-2371
- 26 Gorostiaga E, Granados C, Ibáñez J. et al. Differences in physical fitness and throwing velocity among elite and amateur male handball players. Int J Sports Med 2005; 26: 225-232
- 27 Fieseler G, Hermassi S, Hoffmeyer B. et al. Differences in anthropometric characteristics in relation to throwing velocity and competitive level in professional male team handball: A tool for talent profiling. J Sports Med Phys Fitness 2017; 57: 985-992
- 28 Milanese C, Piscitelli F, Lampis C. et al. Anthropometry and body composition of female handball players according to competitive level or the playing position. J Sports Sci 2011; 29: 1301-1309
- 29 Herbst E, Wierer G, Fischer F. et al. Functional assessments for anterior cruciate ligament reconstruction return to sport. Ann Jt 2017; 2: 37 DOI: 10.21037/aoj.2017.06.13.
- 30 Ebert J, Edwards P, Currie J. et al. Comparison of the ̒Back in Action̓ test battery to standard hop tests and isokinetic knee dynamometry in patients following anterior cruciate ligament reconstruction. Int J Sports Phys Ther 2018; 13: 389-400
- 31 Ardern CL, Taylor NF, Feller JA. et al. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med 2013; 47: 1120-1126
- 32 Webster K, Nagelli C, Hewett T. et al. Factors associated with psychological readiness to return to sport after anterior cruciate ligament reconstruction surgery. Am J Phys Med 2018; 46: 1545-1550
- 33 Burland J, Toonstra J, Werner J. et al. Decision to return to sport after anterior cruciate ligament reconstruction, part I: A qualitative investigation of psychosocial factors. J Athl Train 2018; 53: 452-463