Drole Kristina, Busch Aglaja, Paravlic Armin, Doupona Mojca, Steffen Kathrin
Faculty of Sport, Institute of Kinesiology, University of Ljubljana, Ljubljana, Slovenia.
School of Health Professions, Division of Physiotherapy, Bern University of Applied Sciences, Bern, Switzerland.
BMJ Open Sport Exerc Med. 2025 Apr 5;11(2):e002460. doi: 10.1136/bmjsem-2025-002460. eCollection 2025.
To describe the prevalence, incidence and burden of injuries and illnesses, including their patterns (mechanisms, affected body parts/organ systems) across playing positions (wing, back, line and goalkeeper) in elite adult male handball players.
The Slovenian version of the Oslo Sports Trauma Research Center Questionnaire on Health Problems (OSTRC-H2-SLO) was used to record health problems (HP) weekly during the 45-week handball season 2022/23.
The study included 189 athletes (age: 23.3±4.4 years). With a weekly response rate of 93%, the mean weekly prevalence of HP was 13.3% (95% CI: 12% to 15%). The overall incidence was 2.2 HP per player per year (95% CI: 1.9 to 2.4), with a cumulative 3318 days lost and a mean time loss of 10.7 days per problem. Acute injuries represented the highest prevalence, incidence and more than 4× greater burden than overuse injuries and illnesses. The knee was the most frequently injured site for both acute and overuse injuries. For acute injuries, the ankle was the second most affected site, while the pelvis/lower back and shoulder were common in overuse injuries. Respiratory illnesses comprised 48% of all illnesses. Wings had the highest prevalence (17%), while backs exhibited the highest incidence (0.99 HP per player per year 95% CI 0.84-1.17), and goalkeepers faced the longest time-loss per HP.
Our findings emphasise the need for position-specific medical care and prevention programmes, targeting knee, ankle, pelvis/lower back, shoulder and respiratory tract. Wings and backs require particular attention due to their high prevalence and burden, while goalkeepers need specialised rehabilitation protocols.
NCT05471297.
描述成年男子精英手球运动员受伤和患病的患病率、发病率及负担情况，包括其在不同比赛位置（边锋、后卫、前锋和守门员）的模式（机制、受影响的身体部位/器官系统）。
在2022/23赛季为期45周的手球赛季中，使用奥斯陆运动创伤研究中心健康问题调查问卷的斯洛文尼亚语版本（OSTRC-H2-SLO）每周记录健康问题（HP）。
该研究纳入了189名运动员（年龄：23.3±4.4岁）。每周回复率为93%，HP的平均每周患病率为13.3%（95%置信区间：12%至15%）。总体发病率为每名运动员每年2.2次HP（95%置信区间：1.9至2.4），累计损失3318天，每个问题的平均失能时间为10.7天。急性损伤的患病率、发病率最高，且负担比过度使用损伤和疾病高出4倍多。膝盖是急性损伤和过度使用损伤最常受伤的部位。对于急性损伤，脚踝是第二大受影响部位，而骨盆/下背部和肩部在过度使用损伤中较为常见。呼吸系统疾病占所有疾病的48%。边锋的患病率最高（17%），而后卫的发病率最高（每名运动员每年0.99次HP，95%置信区间0.84-1.17），守门员每次HP的失能时间最长。
我们的研究结果强调了针对特定位置的医疗护理和预防计划的必要性，目标是膝盖、脚踝、骨盆/下背部、肩部和呼吸道。边锋和后卫因其高患病率和负担需要特别关注，而守门员需要专门的康复方案。
NCT05471297。
