Evidence map›Paper›PMID 40249011›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025

Off-season beach handball participation lowers injury incidence among handball players-A cross-sectional survey on 641 athletes.

Hannes Degenhardt, Maximilian Hinz, Benjamin D Kleim, Marco-Christopher Rupp, Alexander-Stephan Henze, Sebastian Siebenlist, Romed P Vieider, Yannick J Ehmann

Abstract read
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Off-season beach handball participation lowers injury incidence among handball players-A cross-sectional survey on 641 athletes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hannes DegenhardtDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-8298-7926
Maximilian HinzDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Benjamin D KleimDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Marco-Christopher RuppDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Alexander-Stephan HenzeDepartment of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany.
Sebastian SiebenlistDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0009-0005-3193-6869
Romed P VieiderDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Yannick J EhmannDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.

Funding

AGA - Society for Arthroscopy and Joint Surgery (Zurich, Switzerland)
6 · The paper itself

Abstract

purposeTo assess the effect of beach handball training during the indoor handball off-season on the incidence of indoor handball injuries over three seasons. It was hypothesised that off-season beach handball training would be associated with a lower injury incidence in indoor handball season.

methodsAn online survey of indoor handball athletes was distributed between 04-06/2023. Athletes' demographics, activity level, beach handball training during indoor handball off-season, indoor handball injuries in the previous three years, injury mechanisms and time to return to sport were collected.

resultsA total of 641 athletes (22 years [interquartile range [IQR]: 19-26]; 62.1% female) from 36 different countries were included. 50.1% (n = 321) played beach handball in the off-season. The majority of athletes (92.7%, n = 594) played at a competitive (70.0%, n = 449) or a semi-professional (22.6%, n = 145) level. During the three-year period, 374 athletes (58.4%) reported a total of 501 injuries during indoor handball (incidence rate: 260.5 per 1000 athletes and year). The lower (66.1%) and upper extremity (26.3%) were the most frequently injured body parts. Overall, 87.0% (n = 436) of all athletes returned to indoor handball after injury. If participated in beach handball, a lower incidence of indoor handball injuries (odds ratio 0.60; [95% CI 0.42-0.87]; p = 0.006) and a lower injury rate in beach-and-indoor handball athletes was observed (225.3 vs. 295.8 injuries per 1000 athletes and year, p < 0.001).

conclusionParticipation in beach handball during indoor handball off-season was associated with a significantly lower injury incidence during indoor handball. Beach handball may serve as a preventative training method to reduce injuries during breaks between indoor handball seasons. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Indexed as

Athletic InjuriesAdultAthletesCross-Sectional StudiesFemaleHumansIncidenceMaleReturn to SportSeasonsSportsSurveys and QuestionnairesYoung Adultathletic injuriesbeach handballindoor handballinjury preventionreturn to sport

Identifiers

PMID40249011
PMCPMC12104784

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.