Neuromuscular exercises prevent severe knee injury in adolescent team handball players
Purpose Team handball is associated with a high risk of severe knee injury that needs to be reduced, particularly at the youth level. The purpose of this study was to show how an injury-prevention programme effectively reduces severe knee injury in adolescent team handball players. Methods Of 23 ado...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2018-07, Vol.26 (7), p.1901-1908 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Achenbach, Leonard Krutsch, Volker Weber, Johannes Nerlich, Michael Luig, Patrick Loose, Oliver Angele, Peter Krutsch, Werner |
| description | Purpose
Team handball is associated with a high risk of severe knee injury that needs to be reduced, particularly at the youth level. The purpose of this study was to show how an injury-prevention programme effectively reduces severe knee injury in adolescent team handball players.
Methods
Of 23 adolescent handball teams of both sexes, 13 were randomly allocated into the intervention group (168 players) and 10 into the control group (111 players). Players of the intervention group regularly participated in an injury-prevention programme for one season. Handball exposure and sustained injuries were documented for both groups on a monthly basis. The primary outcome parameter of the injury-prevention programme was the incidence of severe knee injury.
Results
Of the 279 included players, 68 (24%) sustained 82 injuries yielding an overall incidence of 1.85 injuries per 1000 h handball exposure (intervention group: 50 injuries/incidence: 1.90/1000 h; control group: 32 injuries/incidence: 1.78/1000 h). Knee injury was the second most frequent injury in adolescent team handball. The primary outcome parameter, severe knee injury occurred significantly more often in the control group [mean age (SD) 15.1 (1.0), injury incidence 0.33/1000 h] than in the intervention group [mean age (SD) 14.9 (0.9), injury incidence 0.04/1000 h]. The odds ratio was 0.11 (95% CI 0.01–0.90),
p
= 0.019. Other injuries to the lower extremities showed no significant difference between the two groups.
Conclusions
Frequent neuromuscular exercises prevent severe knee injury in adolescent team handball players and should thus be included in the practical routine as well as in the education of team coaches. |
| doi_str_mv | 10.1007/s00167-017-4758-5 |
| format | Article |
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Team handball is associated with a high risk of severe knee injury that needs to be reduced, particularly at the youth level. The purpose of this study was to show how an injury-prevention programme effectively reduces severe knee injury in adolescent team handball players.
Methods
Of 23 adolescent handball teams of both sexes, 13 were randomly allocated into the intervention group (168 players) and 10 into the control group (111 players). Players of the intervention group regularly participated in an injury-prevention programme for one season. Handball exposure and sustained injuries were documented for both groups on a monthly basis. The primary outcome parameter of the injury-prevention programme was the incidence of severe knee injury.
Results
Of the 279 included players, 68 (24%) sustained 82 injuries yielding an overall incidence of 1.85 injuries per 1000 h handball exposure (intervention group: 50 injuries/incidence: 1.90/1000 h; control group: 32 injuries/incidence: 1.78/1000 h). Knee injury was the second most frequent injury in adolescent team handball. The primary outcome parameter, severe knee injury occurred significantly more often in the control group [mean age (SD) 15.1 (1.0), injury incidence 0.33/1000 h] than in the intervention group [mean age (SD) 14.9 (0.9), injury incidence 0.04/1000 h]. The odds ratio was 0.11 (95% CI 0.01–0.90),
p
= 0.019. Other injuries to the lower extremities showed no significant difference between the two groups.
Conclusions
Frequent neuromuscular exercises prevent severe knee injury in adolescent team handball players and should thus be included in the practical routine as well as in the education of team coaches.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-017-4758-5</identifier><identifier>PMID: 29058022</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Exposure ; Extremities ; Health risks ; Incidence ; Injuries ; Injury prevention ; Intervention ; Knee ; Medicine ; Medicine & Public Health ; Orthopedics ; Parameters ; Players ; Prevention ; Team handball ; Teenagers ; Youth</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-07, Vol.26 (7), p.1901-1908</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p212t-2b1ee56f1d9fc876cca568a8e1c81727265405aefd41b434ebf67726c8ddaa793</cites><orcidid>0000-0002-9053-0624</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-017-4758-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-017-4758-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29058022$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Achenbach, Leonard</creatorcontrib><creatorcontrib>Krutsch, Volker</creatorcontrib><creatorcontrib>Weber, Johannes</creatorcontrib><creatorcontrib>Nerlich, Michael</creatorcontrib><creatorcontrib>Luig, Patrick</creatorcontrib><creatorcontrib>Loose, Oliver</creatorcontrib><creatorcontrib>Angele, Peter</creatorcontrib><creatorcontrib>Krutsch, Werner</creatorcontrib><title>Neuromuscular exercises prevent severe knee injury in adolescent team handball players</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
Team handball is associated with a high risk of severe knee injury that needs to be reduced, particularly at the youth level. The purpose of this study was to show how an injury-prevention programme effectively reduces severe knee injury in adolescent team handball players.
Methods
Of 23 adolescent handball teams of both sexes, 13 were randomly allocated into the intervention group (168 players) and 10 into the control group (111 players). Players of the intervention group regularly participated in an injury-prevention programme for one season. Handball exposure and sustained injuries were documented for both groups on a monthly basis. The primary outcome parameter of the injury-prevention programme was the incidence of severe knee injury.
Results
Of the 279 included players, 68 (24%) sustained 82 injuries yielding an overall incidence of 1.85 injuries per 1000 h handball exposure (intervention group: 50 injuries/incidence: 1.90/1000 h; control group: 32 injuries/incidence: 1.78/1000 h). Knee injury was the second most frequent injury in adolescent team handball. The primary outcome parameter, severe knee injury occurred significantly more often in the control group [mean age (SD) 15.1 (1.0), injury incidence 0.33/1000 h] than in the intervention group [mean age (SD) 14.9 (0.9), injury incidence 0.04/1000 h]. The odds ratio was 0.11 (95% CI 0.01–0.90),
p
= 0.019. Other injuries to the lower extremities showed no significant difference between the two groups.
Conclusions
Frequent neuromuscular exercises prevent severe knee injury in adolescent team handball players and should thus be included in the practical routine as well as in the education of team coaches.</description><subject>Exposure</subject><subject>Extremities</subject><subject>Health risks</subject><subject>Incidence</subject><subject>Injuries</subject><subject>Injury prevention</subject><subject>Intervention</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Parameters</subject><subject>Players</subject><subject>Prevention</subject><subject>Team handball</subject><subject>Teenagers</subject><subject>Youth</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkUtLAzEUhYMotlZ_gBsJuHETzTszSym-oOhG3YbMzB1tzTxMZsT-e1NaEVydy70fh8s5CJ0yeskoNVeRUqYNocwQaVRG1B6aMikEMUKafTSlueSEU6Un6CjGFaVplPkhmvCcqoxyPkWvjzCGrhljOXoXMHxDKJcRIu4DfEE74JgkAP5oAfCyXY1hnQS7qvMQyw0wgGvwu2urwnmPe-_WEOIxOqidj3Cy0xl6ub15nt-TxdPdw_x6QXrO-EB4wQCUrlmV12VmdFk6pTOXASszZrjhWkmqHNSVZIUUEopam7Qts6pyzuRihi62vn3oPkeIg22W6S3vXQvdGC3LlZSCMpkl9PwfuurG0KbvLKda6JSi0Ik621Fj0UBl-7BsXFjb38QSwLdATKf2DcKfDaN2U4vd1mKTod3UYpX4ATFlffY</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Achenbach, Leonard</creator><creator>Krutsch, Volker</creator><creator>Weber, Johannes</creator><creator>Nerlich, Michael</creator><creator>Luig, Patrick</creator><creator>Loose, Oliver</creator><creator>Angele, Peter</creator><creator>Krutsch, Werner</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9053-0624</orcidid></search><sort><creationdate>20180701</creationdate><title>Neuromuscular exercises prevent severe knee injury in adolescent team handball players</title><author>Achenbach, Leonard ; Krutsch, Volker ; Weber, Johannes ; Nerlich, Michael ; Luig, Patrick ; Loose, Oliver ; Angele, Peter ; Krutsch, Werner</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p212t-2b1ee56f1d9fc876cca568a8e1c81727265405aefd41b434ebf67726c8ddaa793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Exposure</topic><topic>Extremities</topic><topic>Health risks</topic><topic>Incidence</topic><topic>Injuries</topic><topic>Injury prevention</topic><topic>Intervention</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Parameters</topic><topic>Players</topic><topic>Prevention</topic><topic>Team handball</topic><topic>Teenagers</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Achenbach, Leonard</creatorcontrib><creatorcontrib>Krutsch, Volker</creatorcontrib><creatorcontrib>Weber, Johannes</creatorcontrib><creatorcontrib>Nerlich, Michael</creatorcontrib><creatorcontrib>Luig, Patrick</creatorcontrib><creatorcontrib>Loose, Oliver</creatorcontrib><creatorcontrib>Angele, Peter</creatorcontrib><creatorcontrib>Krutsch, Werner</creatorcontrib><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Achenbach, Leonard</au><au>Krutsch, Volker</au><au>Weber, Johannes</au><au>Nerlich, Michael</au><au>Luig, Patrick</au><au>Loose, Oliver</au><au>Angele, Peter</au><au>Krutsch, Werner</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuromuscular exercises prevent severe knee injury in adolescent team handball players</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>26</volume><issue>7</issue><spage>1901</spage><epage>1908</epage><pages>1901-1908</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Team handball is associated with a high risk of severe knee injury that needs to be reduced, particularly at the youth level. The purpose of this study was to show how an injury-prevention programme effectively reduces severe knee injury in adolescent team handball players.
Methods
Of 23 adolescent handball teams of both sexes, 13 were randomly allocated into the intervention group (168 players) and 10 into the control group (111 players). Players of the intervention group regularly participated in an injury-prevention programme for one season. Handball exposure and sustained injuries were documented for both groups on a monthly basis. The primary outcome parameter of the injury-prevention programme was the incidence of severe knee injury.
Results
Of the 279 included players, 68 (24%) sustained 82 injuries yielding an overall incidence of 1.85 injuries per 1000 h handball exposure (intervention group: 50 injuries/incidence: 1.90/1000 h; control group: 32 injuries/incidence: 1.78/1000 h). Knee injury was the second most frequent injury in adolescent team handball. The primary outcome parameter, severe knee injury occurred significantly more often in the control group [mean age (SD) 15.1 (1.0), injury incidence 0.33/1000 h] than in the intervention group [mean age (SD) 14.9 (0.9), injury incidence 0.04/1000 h]. The odds ratio was 0.11 (95% CI 0.01–0.90),
p
= 0.019. Other injuries to the lower extremities showed no significant difference between the two groups.
Conclusions
Frequent neuromuscular exercises prevent severe knee injury in adolescent team handball players and should thus be included in the practical routine as well as in the education of team coaches.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29058022</pmid><doi>10.1007/s00167-017-4758-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9053-0624</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-07, Vol.26 (7), p.1901-1908 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; SpringerLink Journals - AutoHoldings |
| subjects | Exposure Extremities Health risks Incidence Injuries Injury prevention Intervention Knee Medicine Medicine & Public Health Orthopedics Parameters Players Prevention Team handball Teenagers Youth |
| title | Neuromuscular exercises prevent severe knee injury in adolescent team handball players |
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