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Int J Sports Med
DOI: 10.1055/a-2591-6454
Training & Testing

The Effect of upper Extremity Proprioception on Technical Performance in Handball players

Esranur Terzi 
1   Faculty of Sports Science, Recep Tayyip Erdoğan University, Merkez, Turkey (Ringgold ID: RIN175650)
,
RecepFatih Kayhan 
2   Faculty of Sports Science, Marmara University, Istanbul, Turkey (Ringgold ID: RIN52982)
,
Halil İbrahim Çakır
1   Faculty of Sports Science, Recep Tayyip Erdoğan University, Merkez, Turkey (Ringgold ID: RIN175650)
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ABSTRACT

The aim of this study was to investigate the effect of upper extremity proprioception on free throw accuracy, speed and reaction speed in handball players. Fifteen professional male handball players were selected through random sampling. Proprioception was assessed with a goniometer, reaction speed with a light trainer system, and free throw speed with a sport radar. Linear regression analysis was used to determine the effect levels between variables. Our study determined that free throw speed, free throw accuracy, and reaction speed performances improved as proprioceptive sensory acuity increased during shoulder flexion (R 2=between 0.280 and 0.659; p<0.05) and extension (R 2=between 0.270 and 0.590; p<0.05), shoulder external rotation (R 2=between 0.461 and 0.873; p<0.01), elbow flexion (R 2=between 0.477 and 0.840; p<0.01) and extension (R 2=between 0.275 and 0.574; p<0.05). In addition, it was determined that shoulder internal rotation proprioceptive sensory acuity had a positive effect on free throw accuracy and reaction speed performances (R 2=between 0.338 and 0.415; p<0.05) except for free throw speed (p>0.05). We conclude that higher proprioceptive acuity enhances motor control of joints, contributing to enhanced athletic performance. Considering the decisive role of technical skills in score production, it is predicted that improving proprioceptive sense may improve the score performance of athletes by improving technical skills.

Keywords

free throw accuracy - free throw speed - handball - joint position sense - motor control - reaction speed


Publication History

Received: 20 January 2025

Accepted after revision: 17 April 2025

Article published online:
20 May 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • References

  • 1 Clark NC, Röijezon U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther 2015; 20 (03) 378-387
    CrossrefPubMedSearch in Google Scholar
  • 2 Proske U, Gandevia SC. The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Physiol Rev 2012; 92: 1651-1697
    CrossrefPubMedSearch in Google Scholar
  • 3 Lisberger S, Thach T. Principles of Neural Science. New York: McGraw Hill; 2013
    Search in Google Scholar
  • 4 Nagai T, Sell TC, Abt JP, Lephart SM. Reliability, precision, and gender differences in knee internal/external rotation proprioception measurements. Phys Ther Sport 2012; 13 (04) 233-237
    CrossrefPubMedSearch in Google Scholar
  • 5 Wolpert DM, Diedrichsen J, Flanagan JR. Principles of sensorimotor learning. Nat Rev Neurosci 2011; 12 (12) 739-751
    CrossrefPubMedSearch in Google Scholar
  • 6 Needle AR, Charles B Buz S, Farquhar WB, Thomas SJ, Rose WC, Kaminski TW. Muscle spindle traffic in functionally unstable ankles during ligamentous stress. J Athl Train 2013; 48 (02) 192-202
    CrossrefPubMedSearch in Google Scholar
  • 7 Kayhan RF, Terzi E, Bayrakdaroğlu S, Ceylan Hİ, Bıyıklı T. Isometric shoulder and hip strength impact on throwing velocity and reactive strength. Int J Sports Med 2024; 45: 1055-1065
    Thieme ConnectPubMedSearch in Google Scholar
  • 8 Kayhan RF, Terzi E, Bayrakdaroğlu S, Ceylan Hİ, Morgans R, Nikolaidis PT. Exploring the associations between ankle dorsal and plantar flexion strength, reactive strength index, and balance in elite youth soccer players. Sport Sci Health 2024; 20: 1-12
    CrossrefPubMedSearch in Google Scholar
  • 9 Terzi E, Kalkavan A. To what extent do somatotype structures affect athletic performance in professional athletes?. J Sports Med Phys Fitness 2024; 64 (07) 650-660
    CrossrefPubMedSearch in Google Scholar
  • 10 Hewett TE, Ford KR, Myer GD. Anterior cruciate ligament injuries in female athletes: Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 2006; 34 (03) 490-498
    CrossrefPubMedSearch in Google Scholar
  • 11 Mandelbaum BR, Silvers HJ, Watanabe DS. et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 2005; 33 (07) 1003-1010
    CrossrefPubMedSearch in Google Scholar
  • 12 Bayrakdaroğlu S, Eken Ö, Bayer R. et al. Effects of Swedish massage at different times of the day on dynamic and static balance in taekwondo athletes. Healthcare 2024; 12 (02) 165
    CrossrefPubMedSearch in Google Scholar
  • 13 Kayhan RF, Kizilet A, Kizilet T. Development of a video-based test for assessing decision-making proficiency in football referees. Proc Inst Mech Eng P 2024; 238 (03) 1(1)
    PubMedSearch in Google Scholar
  • 14 Fukui T, Kim S, Takahshi M. Hip and knee moment during trunk flexion, extension, lateral flexion and rotation in standing. Proceedings of Annual Meeting of Japanese Society for Orthopaedic Biomechanics. Showa University, Japan;. 2002
    Search in Google Scholar
  • 15 Zarei M, Eshghi S, Hosseinzadeh M. The effect of a shoulder injury prevention programme on proprioception and dynamic stability of young volleyball players; a randomized controlled trial. BMC Sports Sci Med Rehabil 2021; 13 (01) 71
    CrossrefPubMedSearch in Google Scholar
  • 16 Coves A, Caballero C, Moreno FJ. Relationship between kinematic variability and performance in basketball free-throw. Int J Perform Anal Sport 2020; 20 (06) 931-941
    CrossrefPubMedSearch in Google Scholar
  • 17 Feng J, Hung TM, Huang R, Hou S, Ren J. Role of proprioception in slow and rapid movements. Percept Mot Skills 2020; 127 (02) 281-298
    CrossrefPubMedSearch in Google Scholar
  • 18 Vila H, Ferragut C. Throwing speed in team handball: a systematic review. Int J Perform Anal Sport 2019; 19 (05) 724-736
    CrossrefPubMedSearch in Google Scholar
  • 19 Elaoud A, Barhoumi W, Zagrouba E, Agrebi B. Skeleton-based comparison of throwing motion for handball players. J Ambient Intell Human Comput 2020; 11: 419-431
    CrossrefPubMedSearch in Google Scholar
  • 20 Antohea BA, Raţă M, Raţă BC, Raţă G. Proprioceptive exercises and their role in improving static and dynamic joint stability in ankle sprains in handball players. Sci Sports 2023; 38 (04) 377-384
    CrossrefPubMedSearch in Google Scholar
  • 21 Kaczmarek P, Lubiatowski P, Cisowski P. et al. Handball players have superior shoulder proprioception: a prospective controlled study. J Shoulder Elbow Surg 2024; 33 (01) e1-e12
    CrossrefPubMedSearch in Google Scholar
  • 22 Hadjisavvas S, Efstathiou MA. et al. Effect of concentric exercise-induced fatigue on proprioception, motor control and performance of the upper limb in handball players. PLoS One 2024; 19 (12) e0315103
    CrossrefPubMedSearch in Google Scholar
  • 23 Marin MI, Robert S, Sakizlian RE, Rusu L, Rusu RM. A biomechanical evaluation of the upper limb kinematic parameters of the throwing action in handball: a case study. Appl Sci 2024; 14 (02) 667
    CrossrefPubMedSearch in Google Scholar
  • 24 Alex-Paul S, Virgil EV, Roxana-Nicoleta P. The impact of proprioception during the training period of male junior II players. Sport Soc 2024; 24 (02) 1-5
    CrossrefPubMedSearch in Google Scholar
  • 25 Houglum PA, Bertoti DB. Brunnstrom’s Clinical Kinesiology. Philadelphia: FA Davis; 2011
    Search in Google Scholar
  • 26 Burkett B. Applied Sport Mechanics. Champaign, IL: Human Kinetics; 2018
    Search in Google Scholar
  • 27 Tang WT, Shung HM. Relationship between isokinetic strength and shooting accuracy at different shooting ranges in Taiwanese elite high school basketball players. Isokinet Exerc Sci 2005; 13 (03) 169-174
    CrossrefPubMedSearch in Google Scholar
  • 28 Kaya D, Callaghan MJ, Donmez G, Doral MN. Shoulder joint position sense is negatively correlated with free-throw percentage in professional basketball players. Isokinet Exerc Sci 2012; 20 (03) 189-196
    CrossrefPubMedSearch in Google Scholar
  • 29 Button C, Macleod M, Sanders R, Coleman S. Examining movement variability in the basketball free-throw action at different skill levels. Res Q Exerc Sport 2003; 74 (03) 257-269
    CrossrefPubMedSearch in Google Scholar
  • 30 Robins R, Wheat J, Irwin G. et al. The effect of shooting distance on movement variability in basketball. J Hum Mov Stud 2006; 50 (04) 217-238
    PubMedSearch in Google Scholar
  • 31 Szabo DA, Neagu N, Teodorescu S, Panait CM, Sopa IS. Study on the influence of proprioceptive control versus visual control on reaction speed, hand coordination, and lower limb balance in young students 14–15 years old. Int J Environ Res Public 2021; 18 (19) 10356
    CrossrefPubMedSearch in Google Scholar
  • 32 Bompa T, Buzzichelli C. Periodization Training for Sports. Human Kinetics; 2015
    Search in Google Scholar
  • 33 Cools AM, De Wilde L, Van Tongel A, Ceyssens C, Ryckewaert R, Cambier DC. Measuring shoulder external and internal rotation strength and range of motion: comprehensive intra-rater and inter-rater reliability study of several testing protocols. J Shoulder Elbow Surg 2014; 23 (10) 1454-1461
    CrossrefPubMedSearch in Google Scholar
  • 34 Ferrari JD, Bach BR, Bush-Joseph CA, Wang T, Bojchuk J. Anterior cruciate ligament reconstruction in men and women: an outcome analysis comparing gender. Arthroscopy 2001; 17 (06) 588-596
    CrossrefPubMedSearch in Google Scholar
  • 35 Mullaney MJ, McHugh MP, Johnson CP, Tyler TF. Reliability of shoulder range of motion comparing a goniometer to a digital level. Physiother Theory Pract 2010; 26 (05) 327-333
    CrossrefPubMedSearch in Google Scholar
  • 36 Skinner HB, McMahon PJ. Current Diagnosis & Treatment in Orthopedics. McGraw Hill; 2014
    Search in Google Scholar
  • 37 Zwierko T, Florkiewicz B, Fogtman S. et al. The ability to maintain attention during visuomotor task performance in handball players and non-athletes. Cent Eur J Sport Sci Med 2014; 3 (07) 99-106
    PubMedSearch in Google Scholar
  • 38 Gogebakan R, Basturk D, Arguz A. et al. The effect of sports specific warm-up on lower and upper extremity visual response time in female athletes. Phys Educ Students 2024; 28 (05) 296-302
    CrossrefPubMedSearch in Google Scholar
  • 39 Rios LJC, Cuevas-Aburto J, Martínez-García D. et al. Reliability of throwing velocity during non-specific and specific handball throwing tests. Int J Sports Med 2021; 42 (09) 825-832
    Thieme ConnectPubMedSearch in Google Scholar
  • 40 Cakir HI. Descriptive Statistics. Introduction to Data Analysis in Sports Sciences. In: Kalkavan A. ed Efe Academy; 2021
    Search in Google Scholar
  • 41 Kayhan RF. Relationship and Impact Analysis. Introduction to Data Analysis in Sports Sciences. In: Kalkavan A, ed. Efe Academy; 2021
    Search in Google Scholar
  • 42 Sutton P, Lund Ohlsson M, Röijezon U. Reduced shoulder proprioception due to fatigue after repeated handball throws and evaluation of test–retest reliability of a clinical shoulder joint position test. Shoulder Elbow 2024; 16 1_suppl 100-109
    CrossrefPubMedSearch in Google Scholar
  • 43 Rousanoglou E, Noutsos K, Bayios I, Boudolos K. Ground reaction forces and throwing performance in elite and novice players in two types of handball shot. J Hum Kinet 2014; 40: 49-55
    CrossrefPubMedSearch in Google Scholar
  • 44 Pontaga I, Zidens J. Shoulder rotator muscle dynamometry characteristics: side asymmetry and correlations with ball-throwing speed in adolescent handball players. J Hum Kinet 2014; 42 (01) 41-50
    CrossrefPubMedSearch in Google Scholar
  • 45 Zapartidis I, Skoufas D, Vareltzis I, Christodoulidis T, Toganidis T, Kororos P. Factors influencing ball throwing velocity in young female handball players. Open Sports Med J 2009; 3 (01) 39-43
    CrossrefPubMedSearch in Google Scholar
  • 46 Ager AL, Borms D, Deschepper L. et al. Proprioception: How is it affected by shoulder pain? A systematic review. J Hand Ther 2020; 33 (04) 507-516
    CrossrefPubMedSearch in Google Scholar
  • 47 Myers JB, Lephart SM. Sensorimotor deficits contributing to glenohumeral instability. Clin Orthop Relat Res 2002; 400: 98-104
    PubMedSearch in Google Scholar
  • 48 Zacharakis ED, Bourdas DI, Kotsifa MI. et al. Effect of balance and proprioceptive training on balancing and technical skills in 13-14-year-old youth basketball players. J Phys Educ Sport 2020; 20 (05) 2487-2500
    CrossrefPubMedSearch in Google Scholar
  • 49 Stewart T. The five basic skills of basketball https://www.livestrong.com/article/500 227-the-five-basic-skills-of-basketball/ [Retrieved: 7/01/2024] 2024
    PubMed
  • 50 Nobre TL, Rocha LY, Ramos CC. et al. The use of proprioceptive neuromuscular facilitation for increasing throwing performance. Rev Bras Med Esporte 2020; 26: 332-336
    CrossrefPubMedSearch in Google Scholar
  • 51 Rhyu HS, Kim SH, Park HS. The effects of band exercise using proprioceptive neuromuscular facilitation on muscular strength in lower extremity. J Exerc Rehabil 2015; 11 (01) 36
    CrossrefPubMedSearch in Google Scholar
  • 52 Nodehi-Moghadam A, Nasrin N, Kharazmi A, Eskandari Z. A comparative study on shoulder rotational strength, range of motion and proprioception between the throwing athletes and non-athletic persons. Asian J Sports Med 2012; 4 (01) 34-40
    CrossrefPubMedSearch in Google Scholar
  • 53 Mota N, Ribeiro F. Association between shoulder proprioception and muscle strength in water polo players. Isokinet Exerc Sci 2012; 20 (01) 17-21
    CrossrefPubMedSearch in Google Scholar
  • 54 Hams AH, Evans K, Adams R, Waddington G, Witchalls J. Throwing performance in water polo is related to in-water shoulder proprioception. J Sports Sci 2019; 37 (22) 2588-2595
    CrossrefPubMedSearch in Google Scholar
  • 55 Sevrez V, Bourdin C. On the role of proprioception in making free throws in basketball. Res Q Exerc Sport 2015; 86 (03) 274-280
    CrossrefPubMedSearch in Google Scholar
  • 56 Han J, Waddington G, Anson J, Adams R. Level of competitive success achieved by elite athletes and multi-joint proprioceptive ability. J Sci Med Sport 2015; 18 (01) 77-81
    CrossrefPubMedSearch in Google Scholar
  • 57 Riches C. Skill-related components of fitness and basketball. Posted in conditioning, general basketball coaching, general coaching https://functionalbasketballcoaching .com/skill-related-components-of-fitness-and-basketball/ [Retrieved: 7/01/2024] 2024
    PubMed
  • 58 Yosmaoglu HB, Kaya D, Guney H. et al. Is there a relationship between tracking ability, joint position sense, and functional level in patellofemoral pain syndrome?. Knee Surg Sports Traumatol Arthrosc 2013; 21: 2564-2571
    PubMedSearch in Google Scholar
  • 59 Gandevia SC. Proprioception, tensegrity, and motor control. J Mot Behav 2014; 46 (03) 199-201
    CrossrefPubMedSearch in Google Scholar
  • 60 Wiesmeier IK, Dalin D, Maurer C. Elderly use proprioception rather than visual and vestibular cues for postural motor control. Front Aging Neurosci 2015; 7: 97
    CrossrefPubMedSearch in Google Scholar
  • 61 Han J, Waddington G, Adams R, Anson J, Liu Y. Assessing proprioception: a critical review of methods. J Sport Health Sci 2016; 5 (01) 80-90
    CrossrefPubMedSearch in Google Scholar
  • 62 Dube SP, Mungal SU, Kulkarni MB. Simple visual reaction time in badminton players: a comparative study. Natl J Physiol Pharm Pharmacol 2015; 5 (01) 18-20
    CrossrefPubMedSearch in Google Scholar
  • 63 Gomboş L, Costeliana LM, Pop IN. The proprioceptive training in the preparation of handball players. EpSBS. 2016. 15. 410-417
    CrossrefSearch in Google Scholar
  • 64 Aman JE, Elangovan N, Yeh IL, Konczak J. The effectiveness of proprioceptive training for improving motor function: a systematic review. Front Hum Neurosci 2015; 8: 1075
    CrossrefPubMedSearch in Google Scholar
  • 65 Freeston J, Adams RD, Rooney K. Shoulder proprioception is not related to throwing speed or accuracy in elite adolescent male baseball players. J Strength Cond Res 2015; 29 (01) 181-187
    CrossrefPubMedSearch in Google Scholar