Rückkehr zum Handballspiel nach einer Schulterverletzung

Verletzt sich ein Handballer an der Schulter, möchte er schnell wieder zurück aufs Spielfeld. Doch das Risiko für Rückschläge und erneute Verletzungen ist wegen der hohen Belastung beim Werfen groß. Insbesondere beim Übergang vom Kraft- zum Wurftraining ist daher besondere Vorsicht geboten.

Publication History

Article published online:
28 January 2021

• Literatur

• 1 Aasheim C, Stavenes H, Andersson SH. et al. Prevalence and burden of overuse injuries in elite junior handball. BMJ Open Sport Exerc Med 2018; 4 (01) e000391
• 2 Achenbach L, Laver L, Walter SS. et al. Decreased external rotation strength is a risk factor for overuse shoulder injury in youth elite handball athletes. Knee Surg Sports Traumatol Arthrosc 2019; 29: 1202-1211
• 3 Andersson SH, Bahr R, Clarsen B. et al. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: Previous findings could not be confirmed. Br J Sports Med 2018; 52: 1191-1198
• 4 Ardern C, Gasgow P, Schneiders A. et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. J Sports Med 2016; 50: 853-64
• 5 Asker M, Waldén M, Kallberg H. et al. A prospective cohort study identifying risk factors for shoulder injuries in adolescent elite handball players: The Karolinska Handball Study (KHAST) study protocol. BMC Musculoskelet Disord 2017; 18: 485
• 6 Asker M, Waldén M, Källberg H. et al. Preseason clinical shoulder test results and shoulder injury rate in adolescent elite handball players: A prospective study. J Orthop Sports Phys Ther 2020; 50: 67-74
• 7 Asker M. Shoulder injuries in adolescent elite handball players. Doctoral thesis, Karolinska Institutet. 2019 https://openarchive.ki.se/xmlui/handle/10616/46852 Stand: 20.11.2020
• 8 Black G, Gabbett T, Cole M. et al. Monitoring workload in throwing-dominant sports: A systematic review. Sports Med 2016; 46: 1503-16
• 9 Clarsen B, Bahr R, Andersson SH. et al. Reduced gleno-humeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: A prospective cohort study. Br J Sports Med 2014; 48: 1327-33
• 10 Cools AM, De Wilde L, Van Tongel A. et al. 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: 1454-61
• 11 Cools AM, Vanderstukken F, Vereecken F. et al. Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: Reference values for overhead athletes. Knee Surg Sports Traumatol Arthrosc 2016; 24: 3838-3847
• 12 Edouard P, Degache F, Oullion R. et al. Shoulder strength imbalances as injury risk in handball. Int J Sports Med 2013; 34: 654-60
• 13 Johansson FR, Skillgate E, Lapauw ML. et al. Measuring eccentric strength of the shoulder external rotators using a handheld dynamometer: Reliability and validity. J Athl Train 2015; 50: 719-25
• 14 Liaghat B, Bencke J, Zebis MK. et al. Shoulder rotation strength changes from preseason to midseason: A cohort study of 292 youth elite handball players without shoulder problems. Sports Phys Ther 2020; 50: 381-387
• 15 Møller M, Nielsen RO, Attermann J. et al. Handball load and shoulder injury rate: A 31-week cohort study of 679 elite youth handball players. Br J Sports Med 2017; 51: 231-237
• 16 Shrier I. Strategic Assessment of Risk and Risk Tolerance (StARRT) framework for return-to-play decision-making. Br J Sports Med 2015; 49: 1311-15
• 17 van Cingel R, Habets B, Willemsen L. et al. Shoulder dynamic control ratio and rotation range of motion in female junior elite handball players and controls. Clin J Sport Med 2018; 28: 153-158
• 18 Van den Tillaar R, Ettema G. A three-dimensional analysis of overarm throwing in experienced handball players. J Appl Biomech 2007; 23: 12-9