Voleybol Yaralanmaları ve Önleyici Yaklaşımlar: Bir Derleme Makalesi

Öz

ÖZET Voleybolda aerobik ve anaerobik yüklenmeler ve voleybola özgü hareketler nedeniyle kas-iskelet sistemi yaralanmaları oluşmaktadır. Bu derlemede, en yaygın görülen voleybol yaralanmaları, bu yaralanmaların risk faktörleri ve özleyici stratejileri incelenmiştir. Ayak bileği, diz, omuz ve bel yaralanmaları, voleybolda en sık karşılaşılan yaralanmalar olarak belirlenmiştir. Yaralanmaları önlemek amacıyla kural değişiklikleri, teknik eğitimler, destekleyici ekipmanlar, rehabilitasyon programları, nöromüsküler eğitim, stabilizasyon ve mobilite egzersizleri gibi çeşitli stratejiler önerilmektedir. Ayrıca, bireyselleştirilmiş izleme ve özel teknik programların uygulanması da yaralanma riskini azaltabilir. Bu derleme, voleybolcularda yaralanma riskini azaltmak ve performans kayıplarını minimize etmek için mevcut önleme stratejilerini değerlendirmekte ve daha etkili müdahaleler geliştirilmesi için gelecekte yapılacak araştırmalara ihtiyaç olduğunu vurgulamaktadır. Antrenörler ve sağlık profesyonelleri, mevcut bilgileri kullanarak voleybolcuların yaralanma riskini en aza indirmek için önleyici stratejileri uygulaması önerilir.

Anahtar Kelimeler

• Voleybol
• yaralanma
• risk faktörü
• koruma.

Volleyball Injurıes and Preventıon Strategıes: A Revıew

Abstract

Musculoskeletal injuries in volleyball can result from both aerobic and anaerobic loading, as well as volleyball-specific movements. This review delves into the most common volleyball injuries, their associated risk factors, and preventive strategies. It identifies ankle, knee, shoulder, and lumbal injuries as the most prevalent injuries in volleyball. The review proposes various strategies for injury prevention, including rule changes, technical training, supportive equipment, rehabilitation programs, neuromuscular training, stabilization and mobility exercises. Additionally, personalized monitoring and specific technical programs are suggested as potential measures to reduce the risk of injury. This review assesses current prevention strategies aimed at reducing injury risk and minimizing performance declines in volleyball players, while also emphasizing the need for future research to develop more effective interventions. Coaches and health professionals are encouraged to implement preventive strategies using the available information to minimize the risk of injury in volleyball players.

Keywords

• Volleyball
• injury
• risk factor
• prevention.

References

1. Agel, J., Palmieri-Smith, R. M., Dick, R., Wojtys, E. M., & Marshall, S. W. (2007). Descriptive epidemiology of collegiate women's volleyball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. Journal of Athletic Training, 42(2), 295-302.
2. Akoğlu, A. S., Erden, Z., Seyrek, O., & Çalik, M. (2017). Adolesan voleybol oyuncularında ayak bileği instabilitesi dengeyi ve yaralanma riskini etkiler mi? Journal of Exercise Therapy & Rehabilitation, 4.
3. Albaladejo-Saura, M., Vaquero-Cristóbal, R., Marcos-Pardo, P. J., & Esparza-Ros, F. (2021). Effect of an injury prevention program on the lower limb stability in young volleyball players. Journal of Sports Medicine and Physical Fitness, 61(7), 943-952. doi:10.23736/S0022-4707.20.11477-4
4. Augustsson, S. R., Augustsson, J., Thomeé, R., & Svantesson, U. (2006). Injuries and preventive actions in elite Swedish volleyball. Journal of Medical Science in Sports, 16(6), 433-440. doi:10.1111/j.1600-0838.2005.00517.x
5. Baugh, C. M., Weintraub, G. S., Gregory, A. J., Djoko, A., Dompier, T. P., & Kerr, Z. Y. (2018). Descriptive epidemiology of injuries sustained in National Collegiate Athletic Association men’s and women’s volleyball, 2013-2014 to 2014-2015. Sports Health, 10(1), 60–69. doi:10.1177/1941738117733685
6. Bere, T., Kruczynski, J., Veintimilla, N., Hamu, Y., & Bahr, R. (2015). Injury risk is low among world-class volleyball players: 4-year data from the FIVB Injury Surveillance System. British Journal of Sports Medicine, 49(17), 1132–1137. doi:10.1136/bjsports-2015-094959
7. Busko, K., Lewandowska, J., Lipińska, M., Michalski, R., & Pastuszak, A. (2013). Somatotype variables related to muscle torque and power output in female volleyball players. Acta Bioeng Biomech, 15(2), 119-126.
8. Challoumas, D., Stavrou, A., & Dimitrakakis, G. (2017). The volleyball athlete's shoulder: biomechanical adaptations and injury associations. Sports Biomech, 16(2), 220-237.

9. Clarsen, B., Bahr, R., Heymans, M. W., Engedahl, M., Midtsundstad, G., Rosenlund, L., ... & Myklebust, G. (2015). The prevalence and impact of overuse injuries in five N orwegian sports: Application of a new surveillance method. Scandinavian journal of medicine & science in sports, 25(3), 323-330.
10. Cools, A. M., Johansson, F. R., Borms, D., & Maenhout, A. (2015). Prevention of shoulder injuries in overhead athletes: a science-based approach. Brazilian Journal of Physical Therapy, 19(5), 331-339. doi:10.1590/bjpt-rbf.2014.0109
11. Cuñado-González, Á., Martín-Pintado-Zugasti, A., & Rodríguez-Fernández, Á. L. (2019). Prevalence and factors associated with injuries in elite Spanish volleyball. Journal of sport rehabilitation, 28(8), 796-802.
12. de Vries, A. J., van der Worp, H., Diercks, R. L., van den Akker-Scheek, I., & Zwerver, J. (2015). Risk factors for patellar tendinopathy in volleyball and basketball players: A survey-based prospective cohort study. Scandinavian Journal of Medicine & Science in Sports, 25(5), 678–684. doi:10.1111/sms.12294
13. DeMorat, G., Weinhold, P., Blackburn, T., Chudik, S., & Garrett, W. (2004). Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. American Journal of Sports Medicine, 32(2), 477-483.
14. de Leeuw, A. W., van der Zwaard, S., van Baar, R., & Knobbe, A. (2022). Personalized machine learning approach to injury monitoring in elite volleyball players. European journal of sport science, 22(4), 511–520.
15. Dupuis, C., & Tourny-Chollet, C. (2003). Increasing Explosive Power of the Shoulder in Volleyball Players. Strength and Conditioning Journal, 25(6), 7-11.
16. Eerkes K. (2012). Volleyball injuries. Current sports medicine reports, 11(5), 251–256. https://doi.org/10.1249/JSR.0b013e3182699037
17. Emamvirdi, M., Letafatkar, A., & Khaleghi Tazji, M. (2019). The Effect of Valgus Control Instruction Exercises on Pain, Strength, and Functionality in Active Females With Patellofemoral Pain Syndrome. Sports Health, 11(3), 223-237. doi:10.1177/1941738119837622
18. Hadžić, V., Dervišević, E., Pori, P., Hadžić, A., & Sattler, T. (2022). Preseason shoulder rotational isokinetic strength and shoulder injuries in volleyball players. Isokinetics and Exercise Science, 30(3), 273-278.
19. Griffin, L. Y., Albohm, M. J., Arendt, E. A., et al. (2006). Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the Hunt Valley II meeting, January 2005. American Journal of Sports Medicine, 34(9), 1512-1532. doi:10.1177/0363546506286866
20. Kettunen, J. A., Kvist, M., Alanen, E., et al. (2001). Long-term prognosis for jumper's knee in male athletes: A prospective follow-up study. American Journal of Sports Medicine, 30, 689-692.
21. Kerr, Z. Y., Gregory, A. J., Wosmek, J., Pierpoint, L. A., Currie, D. W., Knowles, S. B., ... & Marshall, S. W. (2018). The first decade of web-based sports injury surveillance: descriptive epidemiology of injuries in US high school girls' volleyball (2005–2006 through 2013–2014) and National Collegiate Athletic Association women's volleyball (2004–2005 through 2013–2014). Journal of athletic training, 53(10), 926-937.
22. Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Medicine, 36(3), 189-198. doi:10.2165/00007256-200636030-00001
23. Kilding, A. E., Tunstall, H., & Kuzmic, D. (2008). Suitability of FIFA's "The 11" Training Programme for Young Football Players - Impact on Physical Performance. Journal of Sports Science and Medicine, 7(3), 320-326.
24. Laskowski, K. D., & Ebben, W. P. (2016). Profile of women collegiate strength and conditioning coaches. Journal of Strength and Conditioning Research, 30(12), 3481–3493.
25. Lian, O. B., Engebretsen, L., & Bahr, R. (2005). Prevalence of jumper's knee among elite athletes from different sports: A cross-sectional study. American Journal of Sports Medicine, 33, 561-567.
26. Maas, M., Verhagen, E., Zwerver, J., & Gouttebarge, V. (2017). Incidence, aetiology and prevention of musculoskeletal injuries in volleyball: A systematic review of the literature. European Journal of Sport Science, 17(6), 765-793. doi:10.1080/17461391.2017.1306114
27. Malliaras, P., Cook, J. L., & Kent, P. (2006). Reduced ankle dorsiflexion range may increase the risk of patellar tendon injury among volleyball players. Journal of Science and Medicine in Sport, 9(4), 304-309.
28. McLean, S. G., Fellin, R. E., Suedekum, N., Calabrese, G., Passerallo, A., & Joy, S. (2007). Impact of fatigue on gender-based high-risk landing strategies. Medicine & Science in Sports & Exercise, 39(3), 502-514.
29. McGuine, T. A., Post, E., Biese, K., et al. (2020). The incidence and risk factors for injuries in girls volleyball: A prospective study of 2072 players. Journal of Athletic Training. doi:10.4085/182-20
30. Migliorini, F., Rath, B., Tingart, M., Niewiera, M., Colarossi, G., Baroncini, A., & Eschweiler, J. (2019). Injuries among volleyball players: a comprehensive survey of the literature. Sport Sciences for Health, 15, 281-293.
31. Mizoguchi, Y., Akasaka, K., Otsudo, T., Shimada, N., & Naka, H. (2022). Efficacy of semi-customized exercises in preventing low back pain in high school volleyball players: A randomized controlled trial. Medicine, 101(36), e30358.
32. Niederbracht, Y., Shim, A. L., Sloniger, M. A., Paternostro-Bayles, M., & Short, T. H. (2008). Effects of a shoulder injury prevention strength training program on eccentric external rotator muscle strength and glenohumeral joint imbalance in female overhead activity athletes. Journal of Strength and Conditioning Research, 22(1), 140-145. doi:10.1519/JSC.0b013e31815f5634
33. Nocera, J., Rubley, M., Holcomb, W., & Guadagnoli, M. (2006). The Effects of Repetitive Throwing on Shoulder Proprioception and Internal and External Rotation Strength. Journal of Sport Rehabilitation, 15(4), 351-362.
34. O’Leary, C. B., Cahill, C. R., Robinson, A. W., et al. (2013). A systematic review: The effects of podiatrical deviations on nonspecific chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation, 26, 117–123.
35. Quatman, C. E., & Hewett, T. E. (2009). The anterior cruciate ligament injury controversy: Is "valgus collapse" a sex-specific mechanism? British Journal of Sports Medicine, 43(5), 328-335. doi:10.1136/bjsm.2009.059139
36. Reeser, J. C., Fleisig, G. S., Bolt, B., & Ruan, M. (2010). Upper limb biomechanics during the volleyball serve and spike. Sports Health, 2(5), 368-374. doi:10.1177/1941738110374624
37. Reeser, J. C., Verhagen, E., Briner, W. W., Askeland, T. I., & Bahr, R. (2006). Strategies for the prevention of volleyball related injuries. British Journal of Sports Medicine, 40(7), 594-600. doi:10.1136/bjsm.2005.018234
38. Richman, E. H., Qureshi, M. B., Brinkman, J. C., et al. (2021). Lower Back Injuries in NCAA Female Volleyball Athletes: A 5-Year Epidemiologic Characterization. Orthopaedic Journal of Sports Medicine, 9(11), 23259671211050893.
39. Schmidt CP, Zwingenberger S, Walther A, Reuter U, Kasten P, Seifert J, Gunther KP, Stiehler M (2014) Prevalence of low back pain in adolescent athletes—an epidemiological investigation. Int J Sports Med 35(8):684–689.
40. Seminati, E., & Minetti, A. E. (2013). Overuse in volleyball training/practice: A review on shoulder and spine-related injuries. European Journal of Sport Science, 13(6), 732-743. doi:10.1080/17461391.2013.773090
41. Shih, Y. F., & Wang, Y. C. (2019). Spiking Kinematics in Volleyball Players With Shoulder Pain. Journal of Athletic Training, 54(1), 90-98. doi:10.4085/1062-6050-216-17
42. Smith, C. E., Nyland, J., Caudill, P., Brosky, J., & Caborn, D. N. (2008). Dynamic trunk stabilization: a conceptual back injury prevention program for volleyball athletes. Journal of orthopaedic & sports physical therapy, 38(11), 703-720.
43. Stickley, C. D., Hetzler, R. K., Freemyer, B. G., & Kimura, I. F. (2008). Isokinetic peak torque ratios and shoulder injury history in adolescent female volleyball athletes. Journal of Athletic Training, 43(6), 571-577. doi:10.4085/1062-6050-43.6.571
44. Stamm, R., Stamm, M., & Thomson, K. (2005). Role of adolescent female volleyball players' psychophysiological properties and body build in performance of different elements of the game. Perceptual and Motor Skills, 101(1), 108-120. doi:10.2466/pms.101.1.108-120
45. Stasinopoulos, D. (2004). Comparison of three preventive methods in order to reduce the incidence of ankle inversion sprains among female volleyball players. British Journal of Sports Medicine, 38(2), 182-185. doi:10.1136/bjsm.2002.003947
46. Sundell, C. G., Jonsson, H., Ådin, L., et al. (2013). Clinical examination, spondylolysis and adolescent athletes. International Journal of Sports Medicine, 34, 263–267.
47. Thomas, S. J., Swanik, K. A., Swanik, C., & Huxel, K. C. (2009). Glenohumeral rotation and scapular position adaptations after a single high school female sports season. Journal of Athletic Training, 44(3), 230-237. doi:10.4085/1062-6050-44.3.230
48. Tooth, C., Gofflot, A., Schwartz, C., et al. (2020). Risk Factors of Overuse Shoulder Injuries in Overhead Athletes: A Systematic Review. Sports Health, 12(5), 478-487.
49. Tsai, Y. J., Chia, C. C., Lee, P. Y., Lin, L. C., & Kuo, Y. L. (2020). Landing Kinematics, Sports Performance, and Isokinetic Strength in Adolescent Male Volleyball Athletes: Influence of Core Training. Journal of Sport Rehabilitation, 29(1), 65-72. doi:10.1123/jsr.2018-0015
50. Vaandering, K., Meeuwisse, D., MacDonald, K., et al. (2022). Injuries in Youth Volleyball Players at a National Championship: Incidence, Risk Factors, and Mechanisms of Injury. Clinical Journal of Sport Medicine. doi:10.1097/JSM.0000000000001098
51. Verhagen, E. A., Van der Beek, A. J., Bouter, L. M., Bahr, R. M., & Van Mechelen, W. (2004). A one season prospective cohort study of volleyball injuries. British Journal of Sports Medicine, 38(4), 477-481. doi:10.1136/bjsm.2003.005785
52. Wang, H. K., & Cochrane, T. (2001). A descriptive epidemiological study of shoulder injury in top level English male volleyball players. International Journal of Sports Medicine, 22(2), 159-163. doi:10.1055/s-2001-11346
53. Zahradnik D, Jandacka D, Uchytil J, Farana R, Hamill J (2015) Lower extremity mechanics during landing after a volleyball block as a risk factor for anterior cruciate ligament injury. Phys Ther Sport 16(1):53–58
54. Zarei, M., Eshghi, S., & Hosseinzadeh, M. (2021). The effect of a shoulder injury prevention programme on proprioception and dynamic stability of young volleyball players; a randomized controlled trial. BMC sports science, medicine and rehabilitation, 13(1), 71