Relationship Between Dysfunctions of Movement in the Lower Back and Pelvis With Overuse Injuries in Handball Players

The aim of this study is to assess the relationship between the presence of overuse injuries and failure to control of movement in those areas. For this, participants will perform some tests related to movement dysfunction lumbar-pelvic area to check for faults in one or more movement planes.

Study Overview

• Status: Completed
• Conditions: Overuse Injury; Dysfunction;Joint

Detailed Description

Handball is considered a high intensity sport even though the 70% of the time the game is standing or walking. The large number of repetitions of high intensity activities such as sprinting or jumping, associated with physical contact with opposing players, make this sport in a physically demanding activity. Furthermore, overuse injuries have been widely described but poorly quantified. In addition, is necessary to know the influence of static lumbar-pelvic position in low back pain and its correlation with stability. Not only strength is important for a good quality of movement, there should also be a specific muscle activation in order for a correct motor pattern. This coordinated action must be I just by the action of muscles agonists, antagonists and synergists.The aim of this study is to assess the relationship between the presence of overuse injuries and failure to control of movement in those areas. For this, participants will perform some tests related to movement dysfunction lumbar-pelvic area to check for faults in one or more movement planes.

• Study Type: Observational
• Enrollment (Actual): 22

Contacts and Locations

Study Locations

• Spain
  • Valencia
    • Moncada, Valencia, Spain, 46113
      • F Javier Montañez-Aguilera

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Male

• Sampling Method: Non-Probability Sample

Study Population

Fertiberia Puerto de Sagunto Club handball players, from national first division of Spain

Description

Inclusion Criteria:

• Players from the first team
• Without injury that does not allow movement tests

Exclusion Criteria:

• Spinal cord injury or tumor, myelopathy, neuropathy and spondylitis and spondylolisthesis in the lumbar spine.
• Tumors or major injuries in the knee or hip.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Control of lumbopelvic movement	It is seven tests to check the control of lumbopelvic movement. They are low-intensity tests to assess the ability to control movement of the stabilizing musculature. The mobilizing muscles should not have a dominant role in these tests. The test were recorder on video to be analyzed later	Once, at baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain sensation	Pain sensation measured with a visual analog scale	Once, at baseline
Epidemiological registry	Information related to injuries suffered by players	Through study completion, an average of 2 year

Collaborators and Investigators

• Sponsor: Cardenal Herrera University
• Investigators: Study Director: F Javier Montañez-Aguilera, PhD, CEU Cardenal Herrera University

Publications and helpful links

General Publications

• Karcher C, Buchheit M. On-court demands of elite handball, with special reference to playing positions. Sports Med. 2014 Jun;44(6):797-814. doi: 10.1007/s40279-014-0164-z.
• Michalsik LB, Aagaard P, Madsen K. Locomotion characteristics and match-induced impairments in physical performance in male elite team handball players. Int J Sports Med. 2013 Jul;34(7):590-9. doi: 10.1055/s-0032-1329989. Epub 2012 Dec 20.
• Bere T, Alonso JM, Wangensteen A, Bakken A, Eirale C, Dijkstra HP, Ahmed H, Bahr R, Popovic N. Injury and illness surveillance during the 24th Men's Handball World Championship 2015 in Qatar. Br J Sports Med. 2015 Sep;49(17):1151-6. doi: 10.1136/bjsports-2015-094972. Epub 2015 Jul 17.
• Danis CG, Krebs DE, Gill-Body KM, Sahrmann S. Relationship between standing posture and stability. Phys Ther. 1998 May;78(5):502-17. doi: 10.1093/ptj/78.5.502.
• Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, Fleming DA, McDonnell MK, Woolsey NB. Reliability of physical examination items used for classification of patients with low back pain. Phys Ther. 1998 Sep;78(9):979-88. doi: 10.1093/ptj/78.9.979.
• Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001 Feb;6(1):15-26. doi: 10.1054/math.2000.0388.

Study record dates

Study Major Dates

• Study Start: September 1, 2013
• Primary Completion (Actual): July 1, 2015
• Study Completion (Actual): September 1, 2016

Study Registration Dates

• First Submitted: November 1, 2016
• First Submitted That Met QC Criteria: November 2, 2016
• First Posted (Estimate): November 6, 2016

Study Record Updates

• Last Update Posted (Estimate): December 21, 2016
• Last Update Submitted That Met QC Criteria: December 20, 2016
• Last Verified: November 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Sprains and Strains; Wounds and Injuries; Joint Diseases; Cumulative Trauma Disorders
• Other Study ID Numbers: CEU C Herrera

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED