The Effect of a Shoulder Training Program to Prevent Shoulder Pain Among Girls in Junior Team Handball

Overview

Very little is known about the potential for preventing the prevalence of shoulder complaints in handball players, particularly younger players. The aim of this study is to evaluate the effect of a shoulder training program on shoulder pain during a season of team handball.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Prevention
    • Masking: None (Open Label)
  • Study Primary Completion Date: May 2015

Detailed Description

Six teams, consisting of 13 to 25 players each, were randomized into two groups throughout their competition seasons. Three teams participated in a seven–month, three–times–a–week shoulder–muscle strength–training program while three teams participated in a comparable handball training program but did not conduct any specific upper–body strength training. Effects of this strength–training program were evaluated by comparing pre– and post–training data from a survey on shoulder complaints based on a self–report questionnaire (quick DASH) and Visual Analogue Scale (VAS). The players completed the VAS on pain once a month. In addition to that the players were tested in a maximum push up test, dynamometer test for internal and external rotation strength in the shoulder and throwing distance in the pre- and posttest.

Interventions

  • Other: Exercise
    • Three teams participated in a seven–month, three–times–a–week shoulder–muscle strength–training program while three teams participated in a comparable handball training program but did not conduct any specific upper–body strength training.
  • Other: Control group
    • The three teams in the Control Group trained as normal throughout the season and participated in a comparable handball training program, but did not conduct any specific upper–body strength training

Arms, Groups and Cohorts

  • Other: Training group
    • Six teams, consisting of 13 to 25 players each, were randomized into two groups throughout their competition season; the training Group (intervention Group) and the Control Group.The intervention group completed strength training exercises Three times a week the Whole competition season.
  • Other: Control group
    • The three teams in the Control Group trained as normal throughout the season and participated in a comparable handball training program, but did not conduct any specific upper–body strength training

Clinical Trial Outcome Measures

Primary Measures

  • Shoulder pain (Visual Analogue Scale)
    • Time Frame: 7 months
    • Effects of this strength–training program were evaluated by comparing pre– and post–training data from a survey on shoulder complaints based on a self–report questionnaire (quick DASH) and Visual Analogue Scale (VAS). The players completed the VAS form on shoulder pain in the beginning of the season, then once a month throughout the season, and then in the end of the season.

Secondary Measures

  • Shoulder strength
    • Time Frame: 7 months
    • External and internal rotation strength in the shoulder was measured with a handheld dynamometer in the beginning and in the end of the season.
  • Push ups
    • Time Frame: 7 months
    • The Maximum number of push ups the players were able to perform was recorded in the beginning and in the end of the season.
  • Throwing distance
    • Time Frame: 7 months
    • The Maximum throwing distance With a handball was recorded in the beginning and in the end of the season.
  • Shoulder function (Quick DASH)
    • Time Frame: 7 months
    • The quick DASH questionaire was completed in the beginning and in the end of the season. In addition to the VAS and Quick DASH, the players were tested in a maximum push up test, dynamometer test for internal and external rotation strength in the shoulder and throwing distance in the pre- and posttest (see secondary outcome measures).

Participating in This Clinical Trial

Inclusion Criteria

  • team handball players in the top division in the J16 class in the Trøndelag region in Norway

Exclusion Criteria

  • previous shoulder operations og fractures in the shoulder region

Gender Eligibility: Female

Minimum Age: 15 Years

Maximum Age: 17 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Norwegian University of Science and Technology
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Jan Harry Størksen, Study Director, Norwegian University of Science and Technology

Citations Reporting on Results

Østerås H, Sommervold M, Skjølberg A. Effects of a strength-training program for shoulder complaint prevention in female team handball athletes. A pilot study. J Sports Med Phys Fitness. 2015 Jul-Aug;55(7-8):761-7. Epub 2014 Dec 17.

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