| Paper title: |
Prevention and outcome measurement strategies to reduce the future impact of back pain in handball |
| DOI: | 10.4316/SAM.2023.0211 |
| Published in: | Volume XVI issue 2/ 2023 |
| Publishing date: | 2023 |
| Pages: | 92-101 |
| Author(s): | Gabriela Iuliana Cazac |
| Abstract. | From a physical therapist’s perspective, one of the best ways to prevent back pain is to try to identify variables determined to be predisposing factors and to control certain somatic-related factors in junior players. To take steps in this direction, in close correlation with theoretical arguments, we proposed as prevention tools some specific outcome measurement strategies to control and verify over time certain factors that predispose to back pain episodes, such as low levels of the trunk muscular endurance and coordination or lateral muscular asymmetries. The existence of muscle asymmetries was identified by bioimpedance performed with the Tanita MC 780 MA analyzer and trunk muscle endurance and coordination levels were checked with the McGill trunk muscle endurance test battery. Junior players showed poor trunk muscle strength and an imbalance between the three main muscle groups and some lateral muscle mass asymmetries between dominant and non-dominant body parts. Approaching and presenting this strategic vision for the prevention of back pain in handball players can provide professionals in the field with information to guide, evaluate, verify and implement a future individualized prevention program. |
| Keywords: | handball, low back pain, outcome measure, prevention |
| References: |
1. Rocha, R. (2018). Back Injuries and Management of Low Back Pain in Handball. In L. Laver, P. Landreau, R. Seil, & N. Popovic (Eds.), Handball Sports Medicine (pp. 375-385). Berlin, Germany: Springer. 2. Vij, N., Naron, I., Tolson, H., Rezayev, A., Kaye, A., Viswanath, O. & Urits, I. (2022). Back pain in adolescent athletes: a narrative review. Orthopedic reviews, 14 (3), 37097. 3. Untea, Gh. (2002). Traumatologia sportivă. Ecomiotomografia. Masajul în sport. In I. Drăgan (Ed.), Medicină Sportivă (p.255). București: Editura Medicală. 4. Brown, K., Patel, D., Darmawan, D. (2017). Participation in sports in relation to adolescent growth and development. Translational Pediatrics, 6(3), 150-159 5. Kaleth, A., Mikesky, A. (2010). Impact of Early Sport Specialization. Journal of Physical Education, Recreation & Dance, 81(8), 29-37. 6. Devon, E. P., Blackstone, M. M. (2011). Sports Medicine. In T. Florin & St. Ludwig (Eds.), Netter’s Pediatrics (p.151). Elsevier. 7. Jayanthi, N. A., La Bella, C. R., Fischer, D., Pasulka, J., Dugas, L. R. (2015). Sports-specialized intensive training and the risk of injury in young athletes: a clinical case-control study. Am J Sports Med., 43(4), 794-801. 8. Jacob, T., Baras, M., Zeev, A., Epstein, L. (2004). Physical activities and low back pain: a community-based study. Medicine & Science in Sports & Exercise, 36(1), 9-15. 9. Soomro, N., Sanders, R., Hackett, D., Hubka, T., Ebrahimi, S., Freeston, J., Cobley, S. (2016). The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. American Journal of Sports Medicine, 44(9), 2415-24. 10. Difiori, J., Benjamin, H., Brenner, J., Gregory, A., Jayanthi, N., Landry, G., Luke, A. (2014). Overuse Injuries and Burnout in Youth Sports: A Position Statement from the American Medical Society for Sports Medicine. British journal of sports medicine, 48(4), 287-8. 11. Donatelli, R. A., & Thurner, M. S. (2014). The Young Athlete’s Spinal Mechanics. In Lyle Micheli, Cynthia Stein, O’Brien, M. & Pierre d’Hemecourt (Eds.), Spinal Injuries and Conditions in Young Athletes (pp.17-24). New York: Springer. 12. Hangai, M. (2015). The Epidemiology of Low Back Disorders in Athletes. In K. Kanosue, T. Ogawa, M. Fukano & T. Fukubayashi (Eds.), Sports Injuries and Prevention (pp. 375-381). Japan: Springer. 13. Kaneoka, K. (2015). Low Back Disorders Among Athletes and Its Prevention. In K. Kanosue, T. Ogawa, M. Fukano & T. Fukubayashi (Eds.), Sports Injuries and Prevention (pp. 367-373). Japan: Springer. 14. Mitchell, T., Burnett, A., O’Sullivan, P. (2016). The athletic spine. In D. Joyce, & D. Lewindon (Eds.), Sports Injury Prevention and Rehabilitation: Integrating Medicine and Science for Performance Solutions (pp.289-303). London and New York: Routledge. 15. McGill, S. M. (2002). Low Back Disorders: Evidence-Based Prevention and Rehabilitation (pp.114-122). Champaign, IL:Human Kinetics. 16. Biering-Sørensen, F. (1984). Physical measurements as risk indicators for low-back trouble over a one-year period. Spine (Phila Pa 1976), 9(2), 106-19. 17. Victora Ruas, C., Vieira, A. (2017). Do Muscle Strength Imbalances and Low Flexibility Levels Lead to Low Back Pain? A Brief Review. Journal of Functional Morphology and Kinesiology, 2(3), 29 18. Peterson, L., & Renstrom, P. A. F. H. (2017). Sports Injuries: Prevention, Treatment and Rehabilitation, Fourth Edition. CRC Press. 19. Meeuwisse, W., & Bahr, R. (2009). A systematic approach to sports injury prevention. In R. Bahr & L. Engebretsen (Eds.), Sports Injury Prevention (pp.7-15). Wiley-Blackwell. 20. Campa, F., Toselli, S. și alții (2021). Assessment of Body Composition in Athletes: A Narrative Review of Available Methods with Special Reference to Quantitative and Qualitative Bioimpedance Analysis. Nutrients, 13(5), 1620 21. Ritzer, E.E., Yang, J., Kistamgari, S., Collins, C. L. & Smith, G. A. (2021). An epidemiologic comparison of acute and overuse injuries in high school sports. Inj. Epidemiol, 8(1), 51 22. Yang, J., Tibbetts, S. A., Covassin, T., Cheng, G., Nayar, S. & Heiden, E. (2012). Epidemiology of overuse and acute injuries among competitive colle-giate athletes. Journal of Athletic Training, 47(2), 198–204 23. Lutter, C., Gräber, S., Jones, G., Groß, J., Tadda, L., Tischer, T. (2023). Epidemiology of Acute and Overuse Injuries in Underwater Rugby. Orthop J Sports Med. 11(8), 23259671231181582. 24. Jacobsson, J., Timpka, T., Kowalski, J., Nilsson, S., Ekberg, J., Renström, P. (2012). Prevalence of musculoskeletal injuries in Swedish elite track and field athletes. Am J Sports Med., 40(1), 163-9. 25. Fleisig, G. S., Andrews, J. R., Cutter, G. R., Weber, A., Loftice, J., McMichael, C., Hassell, N. & Lyman, S. (2011). Risk of serious injury for young baseball pitchers: a 10-year prospective study. Am J Sports Med., 39(2), 253-7. 26. Myklebust, G., Hasslan, L., Bahr, R. & Steffen, K. (2013). High prevalence of shoulder pain among elite Norwegian female handball players. Scand J Med Sci Sports, 23(3), 288-94. 27. Visnes, H. & Bahr, R. (2013). Training volume and body composition as risk factors for developing jumper’s knee among young elite volleyball players. Scand J Med Sci Sports, 23(5), 607-13 28. Guppy, F. & Wallance, J. (2012). The Measurement of Body Composition in an Athletic Population: The Importance of DXA. Measurement and Control, 45(6), 177-181. 29. McGill, S.M. (1998). Low back exercises: evidence for improving exercise regimens. Physical Therapy, 78(7), 754-65. 30. Bishop, C., Turner, A., Read, P. (2018). Effects of inter-limb asymmetries on physical and sports performance: A systematic review. J. Sports Sci., 36(10), 1135-1144 31. Weerasingh, M., Sandaruwan, D., Nisansala, A., Kodikara, D. N., Dharmaratne, A. & Keppitiyagama, C. (2016). Computer aid assessment of muscular imbalance for preventing overuse injuries in athletes. Proceedings of the 2nd International Conference on Communication and Information Processing, pp. 244-248, DOI:10.1145/3018009.3018023 32. Jones, P. A. & Bampouras, T. M. (2010). A comparison of isokinetic and functional methods of assessing bilateral strength imbalance. Journal of Strength and Conditioning Research, 24(6), 1553–1558 |
| Back to the journal content | |