Abstract
Background: Handball is a team sport, and during a game, there is a lot of direct squabbling and close contact between the players. Objective: The goal of the research is to determine how handball training affected several aspects of physical fitness. The study also investigates the relationship between playing handball, passive hip range of motion (ROM), and the development of radiologically detectable hip osteoarthritis (OA) in formerly elite handball players. The research employed the exponential product algorithm for evaluating bilateral radiographs to classify and diagnose hip OA. This technique most likely evaluated subchondral sclerosis, osteophyte formation, joint space narrowing, and other radiological signs of OA in the individuals’ hip joints. Methods: The relationship among the risk of hip OA in long-term top handball players is explored, as well as the connections among hip ROM, OA, and pain. The research was conducted using a sample size of 20 ex-professional handball players and 39 control subjects. Information on demographics, loading patterns during exercise, and history of lower limb joint injury were gathered via a questionnaire. The inclusion criteria for individuals consisted former professional handball players with significant elite-level competitive experience, as well as control subjects with no background of high-impact sports. Confounding characteristics such as age, gender, and previous lower limb joint injuries were carefully controlled for using extensive demographic and injury history evaluations. To identify and categorize hip OA, bilateral radiographs were analyzed using the exponential product algorithm. The goniometer was used to assess the bilateral passive hip ROM. Long-term participation in elite handball at a high level was found to have a strong correlation with the hip development of osteoarthritis (OA). Sixty percent of handball players had been identified with OA in at least one hip joint, compared to only thirteen percent of control patients. Results: Hip flexion and medial rotation in the handball players were significantly decreased, whereas abduction, extension, and lateral rotation were increased considerably compared to the control values. When doing daily activities, the hip joints of the handball players with OA were less painful than those of the OA-afflicted control participants. Retired handball players seem to be at a much higher risk than the general population for developing early hip OA. Conclusion: The repetitive nature of handball-specific movements may result in anomalies that are seldom seen in the general population, which makes diagnosing pain and discomfort a challenging diagnostic challenge for sports physicians.
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