Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Scand J Med Sci Sports. 2019 Dec;29(12):1996-2009. doi: 10.1111/sms.13522. Epub 2019 Aug 14.
We aimed to examine attitudes, beliefs, and current behavior toward risk factors and prevention of shoulder injuries, and to investigate the application of an exercise program during a cluster-randomized controlled trial aiming to prevent shoulder injuries in elite handball. All captains and coaches of 44 elite handball teams (22 male and 22 female) constituting the intervention (21 teams) and control arm (n = 23 teams) in the trial were invited to take part in a survey. A questionnaire, based on the Reach, Efficacy, Adoption, Implementation, and Maintenance framework, addressing the end user perspective on risk factors and prevention of shoulder injuries, as well as key issues related to the application of the Oslo Sports Trauma Research Center (OSTRC) Shoulder Injury Prevention Programme, was distributed using electronic survey software. The response rate was 100%. Overall, the majority of coaches (84%) and captains (89%) believed that handball players are at high risk for shoulder injuries. All delivery agents in the trial reported to be familiar with the exercise program and the majority believed in a preventative effect (coaches 90% and captains 81%). Only a minority reported full compliance with the recommended frequency (coaches 29%, captains 14%), with program being too time-consuming (coaches 67%, captains 81%) and lack of player motivation (coaches 76%, captains 62%) as the main barriers. Our results suggest that there is fertile ground for implementation of the OSTRC Shoulder Injury Prevention Programme in elite handball, with program length and lack of player motivation as the main barriers to overcome.
我们旨在研究精英手球运动员对肩部损伤风险因素和预防的态度、信念和当前行为，并调查在一项旨在预防肩部损伤的整群随机对照试验中应用运动方案的情况。该试验的干预组（21 支球队）和对照组（n=23 支球队）的所有队长和教练都被邀请参加一项调查。问卷调查以 Reach、Efficacy、Adoption、Implementation 和 Maintenance 框架为基础，从风险因素和预防肩部损伤的最终用户角度出发，以及与应用奥斯陆运动创伤研究中心（OSTRC）肩部损伤预防计划相关的关键问题。该问卷使用电子调查软件进行分发。回应率为 100%。总的来说，大多数教练（84%）和队长（89%）认为手球运动员肩部受伤的风险很高。试验中的所有执行者都报告说熟悉运动方案，并且大多数人相信有预防效果（教练 90%，队长 81%）。只有少数人报告完全遵守了推荐的频率（教练 29%，队长 14%），主要障碍是方案过于耗时（教练 67%，队长 81%）和缺乏运动员动力（教练 76%，队长 62%）。我们的研究结果表明，在精英手球中实施 OSTRC 肩部损伤预防计划有很大的潜力，但需要克服方案长度和缺乏运动员动力等主要障碍。
