ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Decreased external rotation strength is a risk factor for overuse shoulder injury in youth elite handball athletes.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Prevention strategies and modifiable risk factors for upper extremity injury: a systematic review and meta-analysis for the Female, woman and/or girl Athlete Injury pRevention (FAIR) consensus.British journal of sports medicine · 2025Pooled it
- Risk Factors Associated with New Onset of Shoulder Pain and Injury Among the Athletic Population: A Systematic Review of the Literature.International journal of sports physical therapy · 2025Pooled it
- Preseason Screening Tests and Physical Assessments as Predictors of Injury in Handball Players: A Systematic Review.Sports (Basel, Switzerland) · 2026Review
- Shoulder Internal and External Rotator Strength Reliability and Validity in Healthy Adolescent Athletes.International journal of sports physical therapy · 2026Article
- Shoulder injuries prevention programmes in handball: a systematic review with meta-analysis.BMJ open sport & exercise medicine · 2025Article
- Relationship between Range of Motion and Isometric Shoulder Strength in Elite Team Handball Players.International journal of sports physical therapy · 2025Article
- The Association Between Internal and External Shoulder Load, Pre-season Strength and Power, with Shoulder Problems in Female Handball Players.International journal of sports physical therapy · 2025Article
- The Impact of Fascial ManipulationDiagnostics (Basel, Switzerland) · 2024Article
- Let´s Swing it -The Interaction Between Participation-Related Shoulder Load and Pre-season Trunk Rotation Power on Shoulder Problems in Male Handball Players.International journal of sports physical therapy · 2024Article
- A 6-week randomized-controlled field study: effect of isokinetic eccentric resistance training on strength, flexibility and muscle structure of the shoulder external rotators in male junior handball players.Frontiers in physiology · 2024Article
- Preliminary Insights into the Diagnostic Accuracy of the Modified Arm Care Screen Test for Overhead Athletes: An On-Field Tool for Injury Prevention.Healthcare (Basel, Switzerland) · 2023Article
- Effects of an 11-Week Detraining, Imposed by the COVID-19 Confinement, on Handball Players' Shoulder Rotator Isokinetic Profile, Shoulder Range of Motion, and Ball Release Velocity.Medicina (Kaunas, Lithuania) · 2023Article
- Preseason shoulder screening in volleyball players: is there any change during season?JSES international · 2023Article
- Effectiveness of overuse injury prevention programs on upper extremity performance in overhead youth athletes: A systematic review.Sports medicine and health science · 2023Review
- Prevalence of Shoulder and Elbow Overuse Injuries Among Competitive Overhead Youth Athletes in Singapore.Orthopaedic journal of sports medicine · 2023Article
- Article
- Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players.Frontiers in sports and active living · 2023Article
- Efficacy of Conservative Therapy in Overhead Athletes with Glenohumeral Internal Rotation Deficit: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2022Review
- Risk factors for shoulder injuries in handball: systematic review.BMC sports science, medicine & rehabilitation · 2022Article
- The Effect of Shoulder and Knee Exercise Programmes on the Risk of Shoulder and Knee Injuries in Adolescent Elite Handball Players: A Three-Armed Cluster Randomised Controlled Trial.Sports medicine - open · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOveruse shoulder injuries are common in youth handball, but research is limited. The purpose of this study was to identify pre-season risk factors associated with overuse shoulder injuries in this population.
methodsOne-hundred and thirty-eight (70 boys and 68 girls) youth elite players (age 14.1 ± 0.8 years, height 175.2 ± 8.2 cm, weight 64.0 ± 9.6 kg) completed a pre-season screening protocol. Passive glenohumeral range of motion and maximum external (ER) and internal rotation (IR) strength were measured with a manual goniometer and a hand-held dynamometer. Scapular dyskinesia and maximum throwing velocity were also assessed. Players completed standardised questionnaires over the 2017-2018 season and reported any overuse shoulder symptoms.
resultsDecreased isometric and eccentric ER strength was identified as a risk factor for overuse shoulder injury, both for absolute (OR 10.70, 95% CI 1.2-95.6, p = 0.034) and normalised ER strength (OR 1.2, 95% CI 1.0-1.4, p = 0.015) and the ER:IR strength ratio (OR 1.2, 95% CI 1.1-1.5, p = 0.012). ER gain of more than 7.5° (p = 0.025) and GIRD of more than 7.5° (p = 0.014) were identified as risk factors for overuse shoulder injury in girls. Scapular dyskinesia (OR 1.1, n.s.) and maximum throwing velocity did not seem to contribute to injury risk. The average response rate was 63%.
conclusionIn elite youth handball, deficits in ER strength is a risk factor for overuse shoulder injury for both sexes; ER gain and GIRD are only risk factors for girls. Focused pre-season assessments may aid the identification of risk factors for shoulder overuse injuries and the application of specific programmes to reduce risk. LEVEL OF EVIDENCE: II.
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