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Female adolescent elite handball players are more susceptible to shoulder problems than their male counterparts
Karolinska Inst, Sweden; Naprapathogskolan Scandinavian Coll Naprapath Man, Sweden.
Karolinska Inst, Sweden.
Publ Hlth Agcy Sweden, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Hassleholm Kristianstad Ystad Hosp, Sweden.
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2018 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 26, no 7, p. 1892-1900Article in journal (Refereed) Published
Abstract [en]

Shoulder problems are frequent among senior elite handball players. The objective of this study was to assess the prevalence of shoulder problems among adolescent elite handball players and to investigate potential differences in gender, school grade, playing position and playing level. During the 2014 and 2015 pre-season periods, 471 players (age 15-18 years, 54% female) completed a comprehensive baseline questionnaire regarding history of any shoulder pain and shoulder problems experienced during the past season. The players were monitored weekly for one competition season (September-April) regarding shoulder problems and the amount of match and training. Generalised linear models with a binomial link function were used to calculate a prevalence ratio (PR) with 95% confidence interval (CI) to compare the subgroups of players. In total, 110 players (23%) reported having substantial shoulder problems (defined as moderate/severe reduction in training volume, or moderate/severe reduction in performance, or complete inability to participate) at some point during the follow-up season, of which almost half reported complete inability to participate. Of those players reporting substantial problems, 43% (95% CI 39-48) did so for at least 3 consecutive weeks during the season. The prevalence was significantly higher in female players (PR 1.46, 95% 1.04-2.06) and in backcourt players (PR 1.58, 95% CI 1.08-2.32), but no differences were found for school grade (PR 1.21 95% CI 0.88-1.67) or playing level (PR 1.09 95% CI 0.76-1.56). The prevalence of substantial shoulder problems in adolescent elite handball players is high, especially among females, and this warrants further studies on risk factors for shoulder injury and the development of prevention strategies in handball players already before the age of 15. These findings also highlight the importance of introducing a clinical monitoring programme on a routine basis and improving the medical support, taking gender-related aspects into consideration, at handball-profiled secondary schools. II.

Place, publisher, year, edition, pages
SPRINGER , 2018. Vol. 26, no 7, p. 1892-1900
Keywords [en]
Athletic injuries; Prevalence; Overuse injury; Overhead sport; Throwing injury; Glenohumeral joint
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:liu:diva-149872DOI: 10.1007/s00167-018-4857-yISI: 000437249800003PubMedID: 29427220OAI: oai:DiVA.org:liu-149872DiVA, id: diva2:1236418
Note

Funding Agencies|Centrum for Idrottsforskning [CIF 2015/11, CIF 2016/6]; Folksam Insurance Company; Swedish Naprapathic Association

Available from: 2018-08-02 Created: 2018-08-02 Last updated: 2019-05-01

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Waldén, Markus

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