Movement dysfunctions in lumbar and hip area related to overuse injures in handball male players of the first national league

Introduction: In Handball many players train and play with pain during the season. Sometimes overuse injuries are overviewed, and evidence shows that altered movement patterns have a direct influence in this type of lesion. We try to show the direct relationship between movement failures in a specific direction and overuse injuries in first national league handball players. Methods: A sample of 22 handball male players (mean age: 25.8 years) was included in the study. The mean period performing as elite athletes was 7.7 years. During two seasons, overuse injuries were recorded. Movement test for lumbar spine and hip control were performed (Comerford et al. 2012).The test were recorded and assessed during its performance and after reviewed by two physical therapists. Every video was assessed with the Kinovea® software to record angles and timing. Injuries over 2.5 on VAS and failure in the tests were compared. Results: There 10 cases (45.4%) reporting left knee pain, 4 (18.2%) right knee pain, and 6 (27.3%) referred low back pain. Hip flexion during forward bending showed a mean range of 86.4±12.6 degrees, over the benchmark. Prone knee flexion was 109.5±6.3 on average, failing in 21 case (95.5%) the benchmark range. During execution of prone knee flexion, the stabilizer disclosed a mean value 73.2±8.9 mmHg of values, being above the benchmark range in 5 cases (22.7%) and below in one case (4.5%). Failure in double knee flexion in prone position was related to the experience of pain in the jumping knee (p<0.05). Monopodal squat failure in the jumping knee was related with the experience of low back pain (p<0.05). All cases with low back pain displayed failure during Crook lift test. Discussion: Failure in crook lift test and prone knee flexion were related to extension and rotation lumbar spine syndromes. Likewise hip position and its range of motion can be linked to low back pain (Van Dillen et al. 2000), as well as with knee pain (Levinger et al. 2007). Overuse pain recorded in lumbar and knee and failed tests on low back spine and hip seem to lead to an extension rotation dysfunction pattern in lumbar spine and lack of rotation control on the hip, especially in the jumping leg. Further studies with an extensive sampling should be performed to understand the role of motion dysfunction on the development of overuse injuries.
© Copyright 2016 21th Annual Congress of the European College of Sport Science (ECSS), Vienna, 6. -9. July 2016. Published by University of Vienna. All rights reserved.

Subjects: handball movement load injury damage high performance sport elite sport hip thorax
Notations: biological and medical sciences sport games
Published in: 21th Annual Congress of the European College of Sport Science (ECSS), Vienna, 6. -9. July 2016
Editors: A. Baca, B. Wessner, R. Diketmüller, H. Tschan, M. Hofmann, P. Kornfeind, E. Tsolakidis
Published: Wien University of Vienna 2016
Pages: 337
Document types: congress proceedings
Language: English
Level: advanced