Prevalence and risk factors in shoulder injuries in male and female handball players. Systematic review
DOI:
https://doi.org/10.47197/retos.v47.93935Keywords:
Prevalencia, Factores de riesgo, Lesión, Hombro, Balonmano., Prevalence, Risk factors, Injury, Shoulder, Handball.Abstract
Introduction: The shoulder is one of the most affected structures, in terms of injuries, in handball. Objective: To describe the typology, prevalence and risk factors of shoulder injuries in handball. Method: A systematic search of the last five years was carried out in six databases (Cinahl, Medline, Web of Science, Scopus, SportDiscus, PubMed), 15 articles were selected, of which 12 were observational studies and three were randomized clinical trials. Results: There is a higher prevalence on the dominant side. The most salient risk factors are: female sex, medial rotation deficit, weakness of the rotator muscles, dyskinesia, pain or instability in the trunk or lower limbs, increased sports load and even the playing position on the field. In addition, with age there is also a higher prevalence. Regarding prevention protocols, the results are disparate, that is, without significant results or with an increase in strength and a decrease in the prevalence of shoulder problems. Conclusions: Taking into account the risk factors, the higher prevalence in the dominant shoulder and the increase with age, it seems necessary to start with preventive protocols in adolescence. For this, more studies must be carried out with different protocols according to the characteristics of the player.
Keywords: Prevalence, Risk factors, Injury, Shoulder, Handball.
References
Achenbach, L., Clément, A. C., Hufsky, L., Greiner, S., Zeman, F., & Walter, S. S. (2019). The throwing shoulder in youth elite handball: soft-tissue adaptations but not humeral retrotorsion differ between the two sexes. Knee Surgery, Sports Traumatology, Arthroscopy, 27(12), 3937-3943.
Achenbach, L., Laver, L., Walter, S. S., Zeman, F., Kuhr, M., & Krutsch, W. (2020). Decreased external rotation strength is a risk factor for overuse shoulder injury in youth elite handball athletes. Knee Surgery, Sports Traumatology, Arthroscopy, 28(4), 1202-1211.
Andersson, S. H., Bahr, R., Clarsen, B., & Myklebust, G. (2017). Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players. British Journal of Sports Medicine, 51(14), 1073-1080.
Asker, M., Holm, L. W., Källberg, H., Waldén, M., & Skillgate, E. (2018). Female adolescent elite handball players are more susceptible to shoulder problems than their male counterparts. Knee Surgery, Sports Traumatology, Arthroscopy, 26(7), 1892-1900.
Asker, M., Waldén, M., Källberg, H., Holm, L. W., & Skillgate, E. (2020). Preseason clinical shoulder test results and shoulder injury rate in adolescent elite handball players: a prospective study. journal of orthopaedic & sports physical therapy, 50(2), 67-74.
Clarsen, B., Bahr, R., Andersson, S. H., Munk, R., & Myklebust, G. (2014). Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. British journal of sports medicine, 48(17), 1327-1333.
de Oliveira, V. M., Pitangui, A. C., Gomes, M. R., da Silva, H. A., Dos Passos, M. H., & de Araújo, R. C. (2017). Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function. Brazilian journal of physical therapy, 21(2), 107-113.
Drews, B., & Bauer, G. (2018). Risiko für Schulterprobleme im Vergleich zwischen männlichen und weiblichen Handballspielern. Sports Orthopaedics and Traumatology, 34(4), 396-397.
Forthomme, B., Croisier, J. L., Delvaux, F., Kaux, J. F., Crielaard, J. M., & Gleizes-Cervera, S. (2018). Preseason strength assessment of the rotator muscles and shoulder injury in handball players. Journal of Athletic Training, 53(2), 174-180.
Fredriksen, H., Cools, A., Bahr, R., & Myklebust, G. (2020). Does an effective shoulder injury prevention program affect risk factors in handball? A randomized controlled study. Scandinavian Journal of Medicine & Science in Sports, 30(8), 1423-1433.
Gaudet, S., Begon, M., & Tremblay, J. (2019). Cluster analysis using physical performance and self-report measures to identify shoulder injury in overhead female athletes. Journal of Science and Medicine in Sport, 22(3), 269-274.
Genevois, C., Berthier, P., Guidou, V., Muller, F., Thiebault, B., & Rogowski, I. (2014). Effects of 6-week sling-based training of the external-rotator muscles on the shoulder profile in elite female high school handball players. Journal of sport rehabilitation, 23(4), 286-295.
Giroto, N., Hespanhol Junior, L. C., Gomes, M. R. C., & Lopes, A. D. (2017). Incidence and risk factors of injuries in Brazilian elite handball players: a prospective cohort study. Scandinavian journal of medicine & science in sports, 27(2), 195-202.
Lubiatowski, P., Kaczmarek, P., Cisowski, P., Breborowicz, E., Grygorowicz, M., Dzianach, M., ... & Romanowski, L. (2018). Rotational glenohumeral adaptations are associated with shoulder pathology in professional male handball players. Knee Surgery, Sports Traumatology, Arthroscopy, 26(1), 67-75.
Luig, P., Krutsch, W., Nerlich, M., Henke, T., Klein, C., Bloch, H., ... & Achenbach, L. (2018). Increased injury rates after the restructure of Germany’s national second league of team handball. Knee Surgery, Sports Traumatology, Arthroscopy, 26(7), 1884-1891.
Maroto-Izquierdo, S., McBride, J. M., Gonzalez-Diez, N., García-López, D., González-Gallego, J., & de Paz, J. A. (2022). Comparison of Flywheel and Pneumatic Training on Hypertrophy, Strength, and Power in Professional Handball Players. Research Quarterly for Exercise and Sport, 93(1), 1-15.
Mascarin, N. C., de Lira, C. A. B., Vancini, R. L., de Castro Pochini, A., da Silva, A. C., & dos Santos Andrade, M. (2017). Strength training using elastic bands: Improvement of muscle power and throwing performance in young female handball players. Journal of sport rehabilitation, 26(3), 245-252.
Møller, M., Nielsen, R. O., Attermann, J., Wedderkopp, N., Lind, M., Sørensen, H., & Myklebust, G. (2017). Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players. British journal of sports medicine, 51(4), 231-237.
Myklebust, G., Hasslan, L., Bahr, R., & Steffen, K. (2013). High prevalence of shoulder pain among elite N orwegian female handball players. Scandinavian journal of medicine & science in sports, 23(3), 288-294.
Sekiguchi, T., Hagiwara, Y., Momma, H., Tsuchiya, M., Kuroki, K., Kanazawa, K., ... & Nagatomi, R. (2017). Coexistence of trunk or lower extremity pain with elbow and/or shoulder pain among young overhead athletes: a cross-sectional study. The Tohoku Journal of Experimental Medicine, 243(3), 173-178.
Van Herzeele, M., van Cingel, R., Maenhout, A., De Mey, K., & Cools, A. (2013). Does the application of kinesiotape change scapular kinematics in healthy female handball players?. International journal of sports medicine, 34(11), 950-955.
Vigolvino, L. P., Barros, B. R., Medeiros, C. E., Pinheiro, S. M., & Sousa, C. O. (2020). Analysis of the presence and influence of Glenohumeral Internal Rotation Deficit on posterior stiffness and isometric shoulder rotators strength ratio in recreational and amateur handball players. Physical Therapy in Sport, 42, 1-8.
Zaremski, J. L., Wasser, J. G., & Vincent, H. K. (2017). Mechanisms and treatments for shoulder injuries in overhead throwing athletes. Current sports medicine reports, 16(3), 179-188.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Retos
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.
