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Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players

Handball players are at a high risk of suffering a sport-related injury. Recent studies in various adult populations (e.g., US Army soldiers/warrior athletes, and military members) showed that poor scores in the upper quarter Y-balance test (YBT-UQ) are related to an increased risk of injury. Yet, i...

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Autores principales: Bauer, Julian, Panzer, Stefan, Gruber, Markus, Muehlbauer, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106670/
https://www.ncbi.nlm.nih.gov/pubmed/37077424
http://dx.doi.org/10.3389/fspor.2023.1076373
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author Bauer, Julian
Panzer, Stefan
Gruber, Markus
Muehlbauer, Thomas
author_facet Bauer, Julian
Panzer, Stefan
Gruber, Markus
Muehlbauer, Thomas
author_sort Bauer, Julian
collection PubMed
description Handball players are at a high risk of suffering a sport-related injury. Recent studies in various adult populations (e.g., US Army soldiers/warrior athletes, and military members) showed that poor scores in the upper quarter Y-balance test (YBT-UQ) are related to an increased risk of injury. Yet, it is unclear whether this also applies to adolescent handball players. Thus, the present study aims to determine if pre-season YBT-UQ performance is associated with sport-related injuries during the competitive season in adolescent handball players. One hundred and thirty-three adolescent handball players (age: 15.4 ± 1.7 years; m = 99, f = 42) who competed in the second highest league in the Rhine-Ruhr region, Germany, during the 2021/2022 season participated in the study. Before the competitive season, the players performed the YBT-UQ to assess upper extremity mobility and stability of the throwing and non-throwing arm. Over the 8-month competitive season, the coaches monitored the occurrence of sports-related injuries once a week, using an injury report form from the legal accident insurance. Fifty-seven players (43%) incurred a sport-related injury during the competitive season, of which 27 (47%) had upper body injuries, and 30 (53%) were lower body injuries. The YBT-UQ performance of the throwing and non-throwing arm did not significantly differ between injured and non-injured players. Further, Cox proportional hazard survival regression model analyses revealed that only the presence of an inferolateral reach asymmetry score ≥7.75% arm length was associated with a moderate increase in the risk (hazard ratio = 2.18, 95% confidence interval = 1.02–4.68, p = 0.045) of lower but not upper or whole-body injuries. Our findings suggest that the YBT-UQ has limited value as a field-based screening tool to assess the risk of sport-related injuries in adolescent handball players.
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spelling pubmed-101066702023-04-18 Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players Bauer, Julian Panzer, Stefan Gruber, Markus Muehlbauer, Thomas Front Sports Act Living Sports and Active Living Handball players are at a high risk of suffering a sport-related injury. Recent studies in various adult populations (e.g., US Army soldiers/warrior athletes, and military members) showed that poor scores in the upper quarter Y-balance test (YBT-UQ) are related to an increased risk of injury. Yet, it is unclear whether this also applies to adolescent handball players. Thus, the present study aims to determine if pre-season YBT-UQ performance is associated with sport-related injuries during the competitive season in adolescent handball players. One hundred and thirty-three adolescent handball players (age: 15.4 ± 1.7 years; m = 99, f = 42) who competed in the second highest league in the Rhine-Ruhr region, Germany, during the 2021/2022 season participated in the study. Before the competitive season, the players performed the YBT-UQ to assess upper extremity mobility and stability of the throwing and non-throwing arm. Over the 8-month competitive season, the coaches monitored the occurrence of sports-related injuries once a week, using an injury report form from the legal accident insurance. Fifty-seven players (43%) incurred a sport-related injury during the competitive season, of which 27 (47%) had upper body injuries, and 30 (53%) were lower body injuries. The YBT-UQ performance of the throwing and non-throwing arm did not significantly differ between injured and non-injured players. Further, Cox proportional hazard survival regression model analyses revealed that only the presence of an inferolateral reach asymmetry score ≥7.75% arm length was associated with a moderate increase in the risk (hazard ratio = 2.18, 95% confidence interval = 1.02–4.68, p = 0.045) of lower but not upper or whole-body injuries. Our findings suggest that the YBT-UQ has limited value as a field-based screening tool to assess the risk of sport-related injuries in adolescent handball players. Frontiers Media S.A. 2023-04-03 /pmc/articles/PMC10106670/ /pubmed/37077424 http://dx.doi.org/10.3389/fspor.2023.1076373 Text en © 2023 Bauer, Panzer, Gruber and Muehlbauer. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Sports and Active Living
Bauer, Julian
Panzer, Stefan
Gruber, Markus
Muehlbauer, Thomas
Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players
title Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players
title_full Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players
title_fullStr Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players
title_full_unstemmed Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players
title_short Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players
title_sort associations between upper quarter y-balance test performance and sport-related injuries in adolescent handball players
topic Sports and Active Living
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106670/
https://www.ncbi.nlm.nih.gov/pubmed/37077424
http://dx.doi.org/10.3389/fspor.2023.1076373
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