Injuries of players of handball club "Nexe Našice" and physiotherapeutic prevention and rehabilitation procedures

Rukomet je dinamičan sport, u kojem je izrazito izraženo sučeljavanje igrača i nagla promjena ritma i smjera kretanja, što zahtijeva dobru fizičku i psihičku pripremu igrača. Zbog toga je rukomet jedan od najtežih i najgrubljih sportova s velikom učestalošću ozljeda. Rukometaši najčešće ozljeđuju donje ekstremitete, pri čemu su najizraženija koljena i gležnjevi, ali ne zaostaju ni ostale ozljede poput ramena i prstiju. U rukometu akutne ozljede najčešće nastaju zbog specifičnih i složenih pokreta koje igrači izvode tijekom treninga ili natjecanja. Igrači će se najvjerojatnije ozlijediti u tri tipične situacije, uključujući: udaranje lopte, uspostavljanje kontakta s igračem i doskok nakon skoka ili promjene smjera. Ozljede prednjeg križnog ligamenta i uganuća gležnja javljaju se vrlo često, najčešće u fazi doskoka. U procesu rehabilitacije važan je individualan pristup svakom pacijentu, planski i strukturirano provoditi proces, što znači na početku rehabilitacije postaviti unaprijed zadane ciljeve i vremenske okvire unutar kojih očekujemo postizanje određenih ciljeva te vremenski okviri promjena pacijenata. Uz dobru rehabilitaciju i pravilne metode, sportaše ćemo što prije vratiti na teren. Zbog velike učestalosti ozljeda, vrlo važan dio rehabilitacije je prevencija, kroz propriocepcijske i neuromuskularne vježbe koje imaju za cilj spriječiti ponovnu pojavu ozljede i omogućiti sportašu povratak sportu.Handball is a dynamic sport, in which the confrontation between the players and the sudden change of rhythm and direction of movement is very pronounced, which requires a good physical and mental preparation of the players. This is why handball is one of the hardest and roughest sports with a high frequency of injuries. Handball players most often injure their lower extremities, with the knees and ankles being the most common, but other injuries such as shoulders and fingers are not far behind. In handball, acute injuries most often occur due to specific and complex movements that players perform during training or competition. Players are most likely to be injured in three typical situations, including: hitting the ball, making contact with a player, and landing after a jump or change of direction. Anterior cruciate ligament injuries and ankle sprains occur very often, most often in the landing phase. In the rehabilitation process, it is important to have an individual approach to each patient, to carry out the process in a planned and structured manner, which means at the beginning of rehabilitation to set predetermined goals and time frames within which we expect to achieve certain goals. and time frames. patient changes. With good rehabilitation and proper methods, we will return the athletes to the field as soon as possible. Due to the high frequency of injuries, a very important part of rehabilitation is prevention, through proprioception and neuromuscular exercises aimed at preventing the recurrence of injuries and allowing the athlete to return to sports