Does an effective shoulder injury prevention program affect risk factors in handball? A randomized controlled study.
external rotation strength
handball
range of motion
shoulder
Journal
Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
26
09
2019
revised:
23
03
2020
accepted:
27
03
2020
pubmed:
16
4
2020
medline:
10
2
2021
entrez:
16
4
2020
Statut:
ppublish
Résumé
Shoulder problems are common in handball, but injury risk reduction is possible by implementing a prevention program. However, player compliance to the program remains a challenge, with feedback from players that the program is too time consuming. To develop a more efficient program, we aimed to assess the effect of the Oslo Sports Trauma Research Center shoulder injury prevention program on external rotation (ER) strength and internal rotation (IR) range of motion (ROM), considered to represent key risk factors for injury. Four youth handball teams (three females, one males, 57 players, mean age 17.1 years) were randomized to an intervention or control group. The intervention program was conducted three times per week as a part of handball warm-up for 18 weeks, supervised by physical therapists. The main outcome variables were the between-group differences in ER strength and IR ROM change from baseline to postintervention. Isometric ER strength was measured with a handheld dynamometer and IR ROM with a digital goniometer. Mean dominant shoulder isometric ER strength increased both in the intervention (10%) and the control group (6%) during the intervention, but there was no significant group by time interaction (group difference: 0.06 N/kg (95% CI: -0.04 to 0.17). IR ROM did not change in either group during the intervention. The Oslo Sports Trauma Research Center shoulder injury prevention program did not affect the risk factors ER strength and IR ROM. The preventive effect of the program must therefore be due to other factors.
Sections du résumé
BACKGROUND
BACKGROUND
Shoulder problems are common in handball, but injury risk reduction is possible by implementing a prevention program. However, player compliance to the program remains a challenge, with feedback from players that the program is too time consuming.
AIM
OBJECTIVE
To develop a more efficient program, we aimed to assess the effect of the Oslo Sports Trauma Research Center shoulder injury prevention program on external rotation (ER) strength and internal rotation (IR) range of motion (ROM), considered to represent key risk factors for injury.
METHODS
METHODS
Four youth handball teams (three females, one males, 57 players, mean age 17.1 years) were randomized to an intervention or control group. The intervention program was conducted three times per week as a part of handball warm-up for 18 weeks, supervised by physical therapists. The main outcome variables were the between-group differences in ER strength and IR ROM change from baseline to postintervention. Isometric ER strength was measured with a handheld dynamometer and IR ROM with a digital goniometer.
RESULTS
RESULTS
Mean dominant shoulder isometric ER strength increased both in the intervention (10%) and the control group (6%) during the intervention, but there was no significant group by time interaction (group difference: 0.06 N/kg (95% CI: -0.04 to 0.17). IR ROM did not change in either group during the intervention.
CONCLUSION
CONCLUSIONS
The Oslo Sports Trauma Research Center shoulder injury prevention program did not affect the risk factors ER strength and IR ROM. The preventive effect of the program must therefore be due to other factors.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
1423-1433Subventions
Organisme : Royal Norwegian Ministry of Culture
Organisme : South-Eastern Norway Regional Health Authority
Organisme : International Olympic Committee
Organisme : Norwegian Olympic Committee & Confederation of Sport
Organisme : Norsk Tipping AS
Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Kelly BT, Barnes RP, Powell JW, Warren RF. Shoulder injuries to quarterbacks in the national football league. Am J Sports Med. 2004;32(2):328-331.
Aasheim C, Stavenes H, Andersson SH, Engbretsen L, Clarsen B. Prevalence and burden of overuse injuries in elite junior handball. BMJ Open Sport Exerc Med. 2018;4(1):e000391.
Achenbach L, Laver L, Walter SS, Zeman F, Kuhr M, Krutsch W. Decreased external rotation strength is a risk factor for overuse shoulder injury in youth elite handball athletes. Knee Surg Sports Traumatol Arthrosc. 2019;28(4):1202-1211.
Andersson SH, Bahr R, Clarsen B, Myklebust G. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed. Br J Sports Med. 2018;52(18):1191-1198.
Asker M, Holm LW, Kallberg H, Walden M, Skillgate E. Female adolescent elite handball players are more susceptible to shoulder problems than their male counterparts. Knee Surg Sports Traumatol Arthrosc. 2018;26(7):1892-1900.
Clarsen B, Bahr R, Andersson SH, Munk R, Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med. 2014;48(17):1327-1333.
Mohseni-Bandpei MA, Keshavarz R, Minoonejhad H, Mohsenifar H, Shakeri H. Shoulder pain in Iranian elite athletes: the prevalence and risk factors. J Manipulative Physiol Ther. 2012;35(7):541-548.
Myklebust G, Hasslan L, Bahr R, Steffen K. High prevalence of shoulder pain among elite Norwegian female handball players. Scand J Med Sci Sports. 2013;23(3):288-294.
Andersson SH, Bahr R, Clarsen B, Myklebust G. Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players. Br J Sports Med. 2017;51(14):1073-1080.
Forthomme B, Croisier JL, Delvaux F, Kaux JF, Crielaard JM, Gleizes-Cervera S. Preseason strength assessment of the rotator muscles and shoulder injury in handball players. J Athl Train. 2018;53(2):174-180.
Forthomme B, Wieczorek V, Frisch A, Crielaard JM, Croisier JL. Shoulder pain among high-level volleyball players and preseason features. Med Sci Sports Exerc. 2013;45(10):1852-1860.
Shitara H, Kobayashi T, Yamamoto A, et al. Prospective multifactorial analysis of preseason risk factors for shoulder and elbow injuries in high school baseball pitchers. Knee Surg Sports Traumatol Arthrosc. 2017;25(10):3303-3310.
Edouard P, Degache F, Oullion R, Plessis JY, Gleizes-Cervera S, Calmels P. Shoulder strength imbalances as injury risk in handball. Int J Sports Med. 2013;34(7):654-660.
Møller M, Nielsen RO, Attermann J, et al. Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players. Br J Sports Med. 2017;51(4):231-237.
Almeida GP, Silveira PF, Rosseto NP, Barbosa G, Ejnisman B, Cohen M. Glenohumeral range of motion in handball players with and without throwing-related shoulder pain. J Shoulder Elbow Surg. 2013;22(5):602-607.
Tyler TF, Mullaney MJ, Mirabella MR, Nicholas SJ, McHugh MP. Risk factors for shoulder and elbow injuries in high school baseball pitchers: the role of preseason strength and range of motion. Am J Sports Med. 2014;42(8):1993-1999.
Andersson SH, Bahr R, Olsen MJ, Myklebust G. Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation. Scand J Med Sci Sports. 2019;29(12):1996-2009.
Moher D, Hopewell S, Schulz KF, et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. Int J Surg. 2012;10(1):28-55.
Stark T, Walker B, Phillips JK, Fejer R, Beck R. Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review. PM&R. 2011;3(5):472-479.
Wilk KE, Reinold MM, Macrina LC, et al. Glenohumeral internal rotation measurements differ depending on stabilization techniques. Sports Health. 2009;1(2):131-136.
Stratford PW, Balsor BE. A comparison of make and break tests using a hand-held dynamometer and the Kin-Com. J Orthop Sports Phys Ther. 1994;19(1):28-32.
van Cingel R, Habets B, Willemsen L, Staal B. Shoulder dynamic control ratio and rotation range of motion in female junior elite handball players and controls. Clin J Sport Med. 2017;28(2):153-158.
Clarsen B, Myklebust G, Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013;47(8):495-502.
Alberta FG, ElAttrache NS, Bissell S, et al. The development and validation of a functional assessment tool for the upper extremity in the overhead athlete. Am J Sports Med. 2010;38(5):903-911.
Mascarin NC, de Lira CAB, Vancini RL, da Silva AC, Andrade MS. The effects of preventive rubber band training on shoulder joint imbalance and throwing performance in handball players: A randomized and prospective study. J Bodyw Mov Ther. 2017;21(4):1017-1023.
Maurissen JP, Vidmar TJ. Repeated-measure analyses: Which one? A survey of statistical models and recommendations for reporting. Neurotoxicol Teratol. 2017;59:78-84.
Genevois C, Berthier P, Guidou V, Muller F, Thiebault B, Rogowski I. Effects of 6-week sling-based training of the external-rotator muscles on the shoulder profile in elite female high school handball players. J Sport Rehabil. 2014;23(4):286-295.
Hibberd EE, Oyama S, Spang JT, Prentice W, Myers JB. Effect of a 6-week strengthening program on shoulder and scapular-stabilizer strength and scapular kinematics in division I collegiate swimmers. J Sport Rehabil. 2012;21(3):253-265.
Batalha NM, Raimundo AM, Tomas-Carus P, Marques MA, Silva AJ. Does an in-season detraining period affect the shoulder rotator cuff strength and balance of young swimmers? J Strength Cond Res. 2014;28(7):2054-2062.
Niederbracht Y, Shim AL, Sloniger MA, Paternostro-Bayles M, Short TH. Effects of a shoulder injury prevention strength training program on eccentric external rotator muscle strength and glenohumeral joint imbalance in female overhead activity athletes. J Strength Cond Res. 2008;22(1):140-145.
Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: a systematic review of randomized controlled trials. J Sport Rehabil. 2017;26(4):294-305.
Chepeha JC, Magee DJ, Bouliane M, Sheps D, Beaupre L. Effectiveness of a posterior shoulder stretching program on university-level overhead athletes: randomized controlled trial. Clin J Sport Med. 2018;28(2):146-152.
Ralston GW, Kilgore L, Wyatt FB, Buchan D, Baker JS. Weekly training frequency effects on strength gain: a meta-analysis. Sports Med Open. 2018;4(1):36.
Naclerio F, Faigenbaum AD, Larumbe-Zabala E, et al. Effects of different resistance training volumes on strength and power in team sport athletes. J Strength Cond Res. 2013;27(7):1832-1840.
Cools AMJ, Vanderstukken F, Vereecken F, et al. Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: reference values for overhead athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24(12):3838-3847.
Møller M, Attermann J, Myklebust G, et al. The inter- and intrarater reliability and agreement for field-based assessment of scapular control, shoulder range of motion, and shoulder isometric strength in elite adolescent athletes. Phys Ther Sport. 2018;32:212-220.
Cools AM, Johansson FR, Borms D, Maenhout A. Prevention of shoulder injuries in overhead athletes: a science-based approach. Braz J Phys Therapy. 2015;19(5):331-339.
Peitz M, Behringer M, Granacher U. A systematic review on the effects of resistance and plyometric training on physical fitness in youth- What do comparative studies tell us? PLoS ONE. 2018;13(10):e0205525.
Hickey D, Solvig V, Cavalheri V, Harrold M, McKenna L. Scapular dyskinesis increases the risk of future shoulder pain by 43% in asymptomatic athletes: a systematic review and meta-analysis. Br J Sports Med. 2018;52(2):102-110.
Ellenbecker TS, Kibler WB, Bailie DS, Caplinger R, Davies GJ, Riemann BL. Reliability of scapular classification in examination of professional baseball players. Clin Orthop Relat Res. 2012;470(6):1540-1544.
Bury J, West M, Chamorro-Moriana G, Littlewood C. Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther. 2016;25:35-42.