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标题：STRATEGIES TO PREVENT AND TREAT POST - TRAUMATIC LESIONS IN HANDBALL GAME
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作者：TOMA STEFAN ; CIUCUREL CONSTANTIN ; ICONARU ELENA IOANA 等
期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2010
卷号：10
期号：2
页码：614-616
语种：English
出版社：Ovidius University Press
摘要：Purpose: The game of handball is a harmonious combination between natural movements as running,throwing and jumping on the one hand and simple specific movement skills,accessible and attractive on the other hand.Also the game of handball takes place on a background of intense psychical demands,which are highly educational and formative.Obtaining great performance requires from the athlete remarkable physical effort which leads to wear of body with permanent damage to health,especially when the preparation process is guided by empiricism and improvisation rather than scientific principles.The risk of accident is always present in sports activity and is often generated by known causes like exaggerations in graduation of effort,inadequate worm-up or aggressiveness in the play field.Detection and treatment of clinical forms,therapeutic conduct and athlete recovery are just some of the directions that need to be followed in order to obtain sustainable solutions to ensure performance.The main purpose of this research consists in bringing a prospective study of injuries in handball,giving a precise definition of the concept of trauma,following on personal data upon injury mechanisms and examining of these injuries for obtaining accurate information on such mechanisms and for recommending effective prevention methods.Methods: Accident prevention is possible only if causes that lead to them are known.These causes vary depending on the sport particularities,the environment,the play ground,equipment and installations,gender,pedagogical experience of the teachers etc.The subjects involved in the research were represented by the handball players that were monitored for a long period of time.A special attention must be given both to the body care which is related to recovery training and also to other parameters related to sports performance,throughout the whole competition year.The proposed prevention and conditioning program addresses to strengthening tendons and ligaments,together in the same time with muscles in order to strengthen the joints they cross,to help prevent injuries and to achieve full range of motion and stability.It is also important to increase flexibility and joints range of motion,using static stretching exercises for general flexibility,specific warm-up procedures,power training and resistive exercises according to specific activity.Results: Recovery is a complex interdisciplinary action involving professional medical and social aspects.According to the research,we observed that the body segment most exposed to trauma is the lower leg,which represents 63% of total disorders.The less affected area in terms of trauma is the trunk,which is 0,5% of the total.Statistical analysis and processing of survey’s data showed that the most requested body segment in terms of traumatic diseases is the knee and the least required are the thorax and the abdomen.Taking into account the nature of the condition,we observed that the most common affection in handball player is represented by the direct trauma,followed by the sprain and then the meniscus injury.Other lesions that are not in proportion as those mentioned above are: pseudoarthrosis and essential osteolysis.In conditions of modern handball practicing that involves total commitment,players are sometimes exposed to injuries.These traumas occur less frequently in training and official games.Conclusions: According to the records and the medical observed descriptions of handball players,we noticed that there was an analysis or an "examination" of the musculoskeletal system that has to include both the macro and microstructure of musculoskeletal system in order to determine an accurate diagnosis and to achieve a fair and effective therapy.For this achievement it must be established first a certain and detailed medical history,then the group of anatomical formations injured,which must determine the correct location of the lesion,the exact formation injured,either solitary or in combination with other formations localized in the immediate vicinity,superficially or in depth,through inspection and palpation.It is noted that one characteristic of the handball game is that this sport exposes to acute trauma that generates fractures,capsule-ligament injuries,muscle lesions and lesions of the meniscus.
关键词：handball;post – traumatic;lesions;rehabilitation;prevention.