Ekelschot Riff, Van den Bekerom Michel, Van Maanen-Coppens Linda, Verhagen Evert
Department of Sports Medicine, Anna Ziekenhuis, Geldrop, Noord-Brabant, The Netherlands.
Department of Orthopaedic Surgery, OLVG, Amsterdam, Noord-Holland, The Netherlands.
BMJ Open Sport Exerc Med. 2025 Feb 27;11(1):e002204. doi: 10.1136/bmjsem-2024-002204. eCollection 2025.
This study describes the magnitude and burden of injuries and illnesses in elite Dutch female adolescent and young adult handball players.
A retrospective open cohort study.
10 consecutive seasons were studied using a database including all injuries and illnesses needing medical attention. In total, 102 handball players, who participated in a full-time programme of the Dutch Handball Academy between August 2009 and July 2019, were included. Injuries were classified according to the consensus statement of the International Olympic Committee. Exposure hours were categorised into training and competition exposure. Training exposure included all handball and strength and conditioning sessions. Burden was defined as the injury duration in days divided by the total exposure hours.
In total, 916 injuries in 101 players and 95 illnesses in 59 players were reported. The average seasonal prevalence was 83.2% for acute injuries and 78.7% for repetitive injuries. The overall incidence rate was 4.24/1000 exposure hours with an incidence of 23.06/1000 competition hours and 2.19/1000 practice hours. The highest average seasonal prevalence and burden were observed for repetitive injuries of the lumbosacral spine, knee and lower leg and acute injuries of the ankle and knee.
High injury prevalence proportions and competition incidence rates were observed. Repetitive injuries of the lumbosacral spine, knee and lower leg, as well as acute injuries of the knee and ankle, formed the largest problem. Future prevention programmes in elite Dutch adolescent and young adult female handball players should therefore focus on these injuries.
本研究描述了荷兰精英女性青少年和年轻成年手球运动员受伤和患病的程度及负担。
一项回顾性开放队列研究。
使用一个包含所有需要医疗护理的伤病情况的数据库，对连续10个赛季进行了研究。总共纳入了102名手球运动员，他们在2009年8月至2019年7月期间参加了荷兰手球学院的全日制项目。损伤根据国际奥委会的共识声明进行分类。暴露时间分为训练暴露和比赛暴露。训练暴露包括所有手球训练以及力量和体能训练课程。负担定义为损伤持续天数除以总暴露时间。
共报告了101名运动员的916例损伤和59名运动员的95例疾病。急性损伤的平均季节性患病率为83.2%，重复性损伤为78.7%。总体发病率为4.24/1000暴露小时，比赛小时发病率为23.06/1000，训练小时发病率为2.19/1000。腰骶部脊柱、膝盖和小腿的重复性损伤以及脚踝和膝盖的急性损伤的平均季节性患病率和负担最高。
观察到较高的损伤患病率和比赛发病率。腰骶部脊柱、膝盖和小腿的重复性损伤以及膝盖和脚踝的急性损伤是最大的问题。因此，荷兰精英青少年和年轻成年女性手球运动员未来的预防计划应关注这些损伤。
