A simple change of routine means less risk of shoulder injuries in handball

Researchers have devised a special warming-up programme for the prevention of shoulder injuries.

Research Fellow Stig Haugsbø Andersson
Research Fellow Stig Haugsbø Andersson at NIH Photo: NIH

Research Fellow Stig Haugsbø Andersson at the Norwegian School of Sport Sciences (NIH) studied whether it is possible to prevent shoulder problems in handball at the highest level.

His findings are encouraging.

Using a ten-minute warm-up programme, the risk of shoulder injury was considerably less among players taking part in the survey.

"The results were very positive. There will always be five or six players on any top handball team who are struggling with shoulder injuries. If they follow our warm-up programme, the number of players with shoulder problems will be reduced to three," says Haugsbø Andersson.

New warm-up programme

46 ladies' and men's teams from the Norwegian Elite and First Division took part in the research project. Half of the teams performed their traditional warm-up, while the rest included the new programme.

The training programme to prevent shoulder problems includes exercises to provide more mobility and strength in the shoulder, increasing shoulder blade strength and rotational movement in the spine.

"The coach or team captain were responsible for warm-ups instead of the club's medical personnel. This is important, so that the programme can also be used by handball teams in the lower divisions that do not have a medical team," explains Haugsbø Andersson.

But problems were also reported with the new warm-up programme. These mainly concerned it being too time-consuming and that the recommended frequency was not followed.

"We recommend that the programme is used at least three times a week. But the average reported was only 1.6 times a week," he said.

High potential for fewer injuries

Many handball players do not reach their full potential because they struggle with shoulder problems.

Injuries often come in isolation, and training therefore has to be stepped down when problems arise. That means players are unable to achieve an optimum continuity in their training, which can degrade performance.

This is true not only for elite players but also for players in lower divisions.

"Top teams have around five training sessions per week. That amounts to approximately 100 hours of warming-up a year. If those hours are spent on a programme able to prevent shoulder problems, then the chances are that the players will be able to avoid such ailments in the future," says Haugsbø Andersson.

Lack of research on prevention

Previous research has documented high rates of shoulder problems occurring in top handball teams. But there have never been any studies conducted on prevention.

"Preparing and testing a training programme is both a time-consuming and costly process. But it's also what has been missing in order to find a solution to a major problem for handball. I benefitted from working closely with the Norwegian Handball Federation," says Haugsbø Andersson.

Need to change the warm-up culture

Both coaches and captains taking part in the survey told us that they strongly believe that the programme has a preventative effect on shoulder problems. Nevertheless, only 30 percent of the same group reported that they will be using it next season.

"This shows that many coaches don't take warm-ups seriously and run on "autopilot" and traditional warm-up methods rather than rethinking this important aspect of training," he said.

Haugsbø Andersson now hopes that the new training programme can become a part of the curriculum for coach education, to be able to influence the culture of warming up in handball clubs.