{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:13:33Z","timestamp":1791591213686,"version":"4.3.4"},"reference-count":29,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T00:00:00Z","timestamp":1740614400000},"content-version":"unspecified","delay-in-days":57,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2025,1,27]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study describes the magnitude and burden of injuries and illnesses in elite Dutch female adolescent and young adult handball players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective open cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>10 consecutive seasons were studied using a database including all injuries and illnesses needing medical attention. In total, 102 handball players, who participated in a full-time programme of the Dutch Handball Academy between August 2009 and July 2019, were included. Injuries were classified according to the consensus statement of the International Olympic Committee. Exposure hours were categorised into training and competition exposure. Training exposure included all handball and strength and conditioning sessions. Burden was defined as the injury duration in days divided by the total exposure hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 916 injuries in 101 players and 95 illnesses in 59 players were reported. The average seasonal prevalence was 83.2% for acute injuries and 78.7% for repetitive injuries. The overall incidence rate was 4.24\/1000 exposure hours with an incidence of 23.06\/1000 competition hours and 2.19\/1000 practice hours. The highest average seasonal prevalence and burden were observed for repetitive injuries of the lumbosacral spine, knee and lower leg and acute injuries of the ankle and knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>High injury prevalence proportions and competition incidence rates were observed. Repetitive injuries of the lumbosacral spine, knee and lower leg, as well as acute injuries of the knee and ankle, formed the largest problem. Future prevention programmes in elite Dutch adolescent and young adult female handball players should therefore focus on these injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjsem-2024-002204","type":"journal-article","created":{"date-parts":[[2025,2,27]],"date-time":"2025-02-27T23:21:20Z","timestamp":1740698480000},"page":"e002204","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Descriptive study on injuries and illness in Dutch female adolescent and young adult handball players"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5559-7137","authenticated-orcid":false,"given":"Riff","family":"Ekelschot","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Anna Ziekenhuis, Geldrop, Noord-Brabant, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Van den Bekerom","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, Noord-Holland, The Netherlands"},{"name":"Department of Human Movement Sciences, Vrije Universiteit Amsterdam Faculteit der Gedrags- en Bewegingswetenschappen, Amsterdam, Noord-Holland, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Van Maanen-Coppens","sequence":"additional","affiliation":[{"name":"Dutch Handball Federation, Arnhem, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9227-8234","authenticated-orcid":false,"given":"Evert","family":"Verhagen","sequence":"additional","affiliation":[{"name":"Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centres - Vrije Universiteit Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,2,27]]},"reference":[{"key":"2025121106000939000_11.1.e002204.1","doi-asserted-by":"publisher","DOI":"10.2478\/hukin-2018-0001"},{"key":"2025121106000939000_11.1.e002204.2","doi-asserted-by":"crossref","unstructured":"Laver L , Luig P , Achenbach L , et al . Handball injuries: epidemiology and injury characterization: part 1. In: Laver L , Landreau P , Seil R , et al ., eds. Handball sports medicine. 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