Estudi prospectiu de maduració, desenvolupament i incidència lesional en l’handbol formatiu d’elit. L’estadi maduratiu pot ser un factor determinant d’incidència lesional a l’handbol?
Prospective study of maturity, development, and injury incidence in a professional Handball Academy. Could ‘maturational status’ be a risk factor for injury incidence indifferent handball team categories?
Mauricio Mónacoa, Mauricio Mónacob, Mauricio Mónacoc, José A. Gutiérrez Rincóna, José A. Gutiérrez Rincónd, J. Bruno Montoro Ronsanoe, Franchek Drobnica, Franchek Drobnicf, Lluís Til Péreza, Lluís Til Pérezf, Lourdes Ibáñez Todag, Carles Pedret Carballidoh, Carles Pedret Carballidoi, Joan Nardi Vilardagaj, Gil Rodasa
a Serveis Mèdics, Futbol Club Barcelona, Barcelona, Espanya
b Unitat de Pediatria Primària, Xarxa Sanitària i Social de Santa Tecla, Tarragona, Espanya
c Departament de Cirurgia, Facultat de Medicina, Universitat Autònoma de Barcelona, Hospital Vall d’Hebron, Barcelona, Espanya
d Consell Català de l’Esport, Esplugues de Llobregat, Barcelona, Espanya
e Servei de Farmàcia, Universitat Autònoma de Barcelona, Hospital Vall d’Hebron, Barcelona, Espanya
f GIRSANE CAR Sant Cugat del Vallès - Consorci Sanitari de Terrassa, Barcelona, Espanya
g Secció d’Endocrinologia, Universitat de Barcelona, Hospital Sant Joan de Déu, Barcelona, Espanya
h Unitat de Medicina de l’Esport, Clínica Diagonal, Esplugues de Llobregat, Barcelona, Espanya
i Unitat de Medicina del Tennis, Clínica Mapfre, Barcelona, Espanya
j Departament de Cirurgia, Servei de Traumatologia i Ortopèdia, Universitat Autònoma de Barcelona, Hospital Vall d’Hebron, Barcelona, Espanya
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Could ‘maturational status’ be a risk factor for injury incidence indifferent handball team categories?" ] ] "pdfFichero" => "278v50n185a90388891pdf001.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec937459" "palabras" => array:3 [ 0 => "Handbol" 1 => "Lesions esportives" 2 => "Estat maduratiu" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec937460" "palabras" => array:3 [ 0 => "Handball" 1 => "Sports injury" 2 => "Sexual maturity" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p class="elsevierStylePara"> L’objectiu d’aquest estudi és descriure la relació entre incidència lesional (IL) i estat maduratiu de jugadors homes d’handbol formatiu (HbF) d’alt nivell competitiu. Durant 2 temporades s’analitza la incidència de la lesió esportiva de forma prospectiva, els criteris de maduració biològica i la càrrega física d’exposició, de 133 jugadors. Se seguiren els criteris del consens UEFA sobre estudis d’epidemiologia lesional. Les variables utilitzades per analitzar l’estat maduratiu foren els estadis de Tanner, la pubertat, el pic de velocitat de creixement, el volum testicular i l’edat òssia. Es registraren 190 lesions en un total de 34.222 h d’exposició.<br /> La IL total mitjana de totes las categories fou de 5,6 lesions/1.000 h d’exposició. Durant la competició, el valor fou de 21,8 lesions/1.000 h, i en l’entrenament de 3,1 lesions/1.000 h. No es trobaren diferències estadísticament significatives entre IL, edat cronològica i els diferents estadis maduratius en l’ANOVA. L’anàlisi estadística multivariant registrà una certa tendència a associar la IL en la categoria competició (p = 0,07), i la IL en entrenament en Tanner (p = 0,091) i pubertat (p = 0,021).<br /> En conclusió, tot i que no es detectaren diferències significatives en la IL per edat en jugadors d’HbF, s’aprecia una tendència real en determinats estadis maduratius mitjançant l’anàlisi multivariant, cosa que caldria que es tingués en compte per planificar entrenaments i estratègies de prevenció de lesions esportives en el context de l’HbF.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStylePara"> The objective of this study is to determine the relationship between injury incidence (IL) and maturity stage in male elite handball players. A prospective study was conducted during two seasons, evaluating the sports injuries, maturity status and exposure time in hours in 133 young handball players, using the UEFA methodology model for epidemiological studies.<br /> The maturity stage with different parameters is presented, as well as Tanner’s stage, puberty stages, peak high velocity, testicular volume, and the bone age. Finally, 190 injuries from a total of 34,222 hours of exposure were registered.<br /> The mean total Injury Incidence (IL) by categories was 5.6 injuries/1000 hours of exposure. Injury incidence during competition: 21.8 injuries/1000 hours and in training: 3.1 injuries/1000 h, with no statistically significant differences between IL, chronological age, and different maturity stages using ANOVA.<br /> The multivariate statistical analysis showed a tendency of associations between IL in competition category (P = .07), and the IL in training for Tanner (P = .091) and puberty (P = .021).<br /> In conclusion: There was a significant difference in total IL by age categories in handball players, and there was a statistically significance tendency as regards some maturity stages using multivariate analysis. This last result should be taken into account when planning training seasons and strategies for injury prevention in the context of the handball training.</p>" ] ] ] "idiomaDefecto" => "ct" "url" => "/X8866581/0000005000000185/v0_201801081358/XX886658115888913/v0_201801081358/ct/main.assets" "Apartado" => array:4 [ "identificador" => "71856" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Treballs originals" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/X8866581/0000005000000185/v0_201801081358/XX886658115888913/v0_201801081358/ct/278v50n185a90388891pdf001.pdf?idApp=UINPBA00004N&text.app=https://apunts.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/XX886658115888913?idApp=UINPBA00004N" ]
Article information
ISSN: X8866581Original language: Català
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