Aarhus University, Department of Public Health, Bartholins Allé 2, 8000 Aarhus C, Denmark.
Br J Sports Med. 2012 Jun;46(7):531-7. doi: 10.1136/bjsports-2012-091022. Epub 2012 May 3.
To assess the injury incidence in elite handball, and if gender and previous injuries are risk factors for new injuries.
Cohort study of 517 male and female elite handball players (age groups under (u)16, u-18 and senior). Participants completed a web survey establishing injury history, demographic information and sports experience, and provided weekly reports of time-loss injuries and handball exposure for 31 weeks by short message service text messaging (SMS). Injuries were further classified by telephone interview.
The weekly response rate ranged from 85% to 90% illustrating the promise of the SMS system as a tool in injury surveillance. Of 448 reported injuries, 165 injuries (37%) were overuse injuries and 283 (63%) traumatic injuries. Knee (19%) and ankle (29%) were the most common traumatic injuries. The injury incidence during match play was 23.5 (95% CI 17.8 to 30.4), 15.1 (95% CI 9.7 to 22.2), 11.1 (95% CI 7.0 to 16.6) injuries per 1000 match hours among senior, u-18 and u-16 players, respectively. U-18 male players had an overall 1.76 (95% CI 1.10 to 2.80) times higher risk of injury compared to females. Having had two or more previous injuries causing absence from handball for more than 4 weeks increased the risk of new injury in the u-16 group (IRR: 1.79 (95% CI 1.03 to 3.11)-2.23 (95% CI 1.22 to 4.10)).
The incidence of time-loss injuries in elite handball was higher during match play than previously reported in recreational handball. Previous injuries were a risk factor for new injuries among u-16 players. Male players had a significant higher injury rate in the u-18 group.
评估精英手球运动中的损伤发生率，以及性别和既往损伤是否是新损伤的危险因素。
对 517 名男女精英手球运动员（年龄组分别为 u-16、u-18 和成年组）进行队列研究。参与者通过网络调查建立了损伤史、人口统计学信息和运动经历，并通过短信服务的短信报告了 31 周的伤停时间损失和手球接触情况。通过电话访谈进一步对手部受伤情况进行分类。
每周的回复率在 85%至 90%之间，表明短信系统作为损伤监测工具具有很大的应用前景。在 448 例报告的损伤中，165 例（37%）为过度使用损伤，283 例（63%）为创伤性损伤。膝关节（19%）和踝关节（29%）是最常见的创伤性损伤。在比赛中，成年组、u-18 组和 u-16 组的损伤发生率分别为每 1000 比赛小时 23.5（95%CI 17.8 至 30.4）、15.1（95%CI 9.7 至 22.2）、11.1（95%CI 7.0 至 16.6）。u-18 男性运动员与女性相比，整体受伤风险高 1.76 倍（95%CI 1.10 至 2.80）。u-16 组中，有 2 次或 2 次以上导致手球缺阵超过 4 周的既往损伤，会增加新损伤的风险（IRR：1.79（95%CI 1.03 至 3.11）-2.23（95%CI 1.22 至 4.10））。
精英手球运动中的伤停时间损失发生率在比赛中高于以前在娱乐性手球中报告的发生率。既往损伤是 u-16 运动员发生新损伤的危险因素。在 u-18 组中，男性运动员的受伤率明显较高。
