Off-season beach handball participation lowers injury incidence among handball players—A cross-sectional survey on 641 athletes

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-04-18 DOI:10.1002/ksa.12677

Hannes Degenhardt, Maximilian Hinz, Benjamin D. Kleim, Marco-Christopher Rupp, Alexander-Stephan Henze, Sebastian Siebenlist, Romed P. Vieider, Yannick J. Ehmann

{"title":"Off-season beach handball participation lowers injury incidence among handball players—A cross-sectional survey on 641 athletes","authors":"Hannes Degenhardt, Maximilian Hinz, Benjamin D. Kleim, Marco-Christopher Rupp, Alexander-Stephan Henze, Sebastian Siebenlist, Romed P. Vieider, Yannick J. Ehmann","doi":"10.1002/ksa.12677","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To assess the effect of beach handball training during the indoor handball off-season on the incidence of indoor handball injuries over three seasons. It was hypothesised that off-season beach handball training would be associated with a lower injury incidence in indoor handball season.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>An online survey of indoor handball athletes was distributed between 04-06/2023. Athletes' demographics, activity level, beach handball training during indoor handball off-season, indoor handball injuries in the previous three years, injury mechanisms and time to return to sport were collected.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 641 athletes (22 years [interquartile range [IQR]: 19–26]; 62.1% female) from 36 different countries were included. 50.1% (<i>n</i> = 321) played beach handball in the off-season. The majority of athletes (92.7%, <i>n</i> = 594) played at a competitive (70.0%, <i>n</i> = 449) or a semi-professional (22.6%, <i>n</i> = 145) level. During the three-year period, 374 athletes (58.4%) reported a total of 501 injuries during indoor handball (incidence rate: 260.5 per 1000 athletes and year). The lower (66.1%) and upper extremity (26.3%) were the most frequently injured body parts. Overall, 87.0% (<i>n</i> = 436) of all athletes returned to indoor handball after injury. If participated in beach handball, a lower incidence of indoor handball injuries (odds ratio 0.60; [95% CI 0.42–0.87]; <i>p</i> = 0.006) and a lower injury rate in beach-and-indoor handball athletes was observed (225.3 vs. 295.8 injuries per 1000 athletes and year, <i>p</i> < 0.001).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Participation in beach handball during indoor handball off-season was associated with a significantly lower injury incidence during indoor handball. Beach handball may serve as a preventative training method to reduce injuries during breaks between indoor handball seasons.</p>\n </section>\n \n <section>\n \n <h3> Level of Evidence</h3>\n \n <p>Level III, retrospective comparative study.</p>\n </section>\n </div>","PeriodicalId":17880,"journal":{"name":"Knee Surgery, Sports Traumatology, Arthroscopy","volume":"33 6","pages":"2307-2316"},"PeriodicalIF":3.3000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ksa.12677","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knee Surgery, Sports Traumatology, Arthroscopy","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ksa.12677","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

To assess the effect of beach handball training during the indoor handball off-season on the incidence of indoor handball injuries over three seasons. It was hypothesised that off-season beach handball training would be associated with a lower injury incidence in indoor handball season.

Methods

An online survey of indoor handball athletes was distributed between 04-06/2023. Athletes' demographics, activity level, beach handball training during indoor handball off-season, indoor handball injuries in the previous three years, injury mechanisms and time to return to sport were collected.

Results

A total of 641 athletes (22 years [interquartile range [IQR]: 19–26]; 62.1% female) from 36 different countries were included. 50.1% (n = 321) played beach handball in the off-season. The majority of athletes (92.7%, n = 594) played at a competitive (70.0%, n = 449) or a semi-professional (22.6%, n = 145) level. During the three-year period, 374 athletes (58.4%) reported a total of 501 injuries during indoor handball (incidence rate: 260.5 per 1000 athletes and year). The lower (66.1%) and upper extremity (26.3%) were the most frequently injured body parts. Overall, 87.0% (n = 436) of all athletes returned to indoor handball after injury. If participated in beach handball, a lower incidence of indoor handball injuries (odds ratio 0.60; [95% CI 0.42–0.87]; p = 0.006) and a lower injury rate in beach-and-indoor handball athletes was observed (225.3 vs. 295.8 injuries per 1000 athletes and year, p < 0.001).

Conclusion

Participation in beach handball during indoor handball off-season was associated with a significantly lower injury incidence during indoor handball. Beach handball may serve as a preventative training method to reduce injuries during breaks between indoor handball seasons.

Level of Evidence

Level III, retrospective comparative study.

查看原文本刊更多论文

休赛期参与沙滩手球降低手球运动员受伤发生率——对641名运动员的横断面调查。

目的：评价三个赛季室内手球休赛期沙滩手球训练对室内手球损伤发生率的影响。假设淡季沙滩手球训练与室内手球季较低的损伤发生率相关。方法：于04-06/2023年对室内手球运动员进行在线调查。收集运动员的人口统计、活动水平、室内手球休赛期沙滩手球训练情况、前三年室内手球损伤情况、损伤机制和恢复运动时间。结果：共641名运动员(22岁[四分位数间距[IQR]: 19-26]；包括来自36个不同国家的62.1%女性。50.1% （n = 321）在休赛期玩过沙滩手球。大多数运动员（92.7%,n = 594）处于竞技水平（70.0%,n = 449）或半职业水平（22.6%,n = 145）。在三年中，374名运动员（58.4%）报告了室内手球运动中总共501次受伤（发病率：260.5 / 1000运动员和年）。下肢（66.1%）和上肢（26.3%）是最常受伤的身体部位。总体而言，87.0% （n = 436）的运动员在受伤后恢复室内手球。如果参加沙滩手球，室内手球损伤发生率较低(优势比0.60；[95% ci 0.42-0.87]；p = 0.006)，沙滩手球运动员和室内手球运动员的受伤率更低（225.3 vs 295.8 / 1000运动员和年）。p结论：在室内手球休赛期参加沙滩手球与室内手球受伤发生率显著降低相关。沙滩手球可以作为一种预防性的训练方法，在室内手球赛季之间的休息期间减少受伤。证据等级：III级，回顾性比较研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).