Biomechanical Comparison of Three Perceived Effort.10
Biomechanical Comparison of Three Perceived Effort.10
Biomechanical Comparison of Three Perceived Effort.10
T
eam handball is a popular sport worldwide, and cians may choose to focus on effort initially in the early
according to the International Handball Federa- stages of return to throwing. However, clinicians may
tion (IHF), over 30 million athletes in 183 coun- choose to begin with distance because it is an objective
tries currently play the sport. Although the measure, whereas effort is subjective and is difficult to
quantify. The integration of an interval throwing protocol
Address correspondence to Gretchen D. Oliver, goliver@auburn.edu. is common; however, there is currently no information
31(1)/80–87 regarding return-to-play throwing protocols in team
Journal of Strength and Conditioning Research handball. One of the first steps in establishing an interval
Ó 2016 National Strength and Conditioning Association throwing protocol specific to team handball is to gain an
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understanding of the ability of team handball players to shot kinematics and kinetics were significantly different
throw at different levels of perceived effort. In a sample of at each of the perceived effort shots. If significant
healthy baseball pitchers, Fleisig et al. (7) evaluated the differences were observed, further post hoc repeated-
ability of the pitchers to throw at 50 and 75% effort. The measures ANOVAs were performed for each variable by
results indicated that the velocities were significantly throwing event. Pairwise comparisons were then ana-
greater than what was suggested by the investigators. lyzed to determine which effort levels were significantly
Although velocity is just one potential indicator of an different.
athlete’s ability to throw at a selected level of perceived
effort, examining the kinematics during the throwing Subjects
motion across trials may be a better indicator of the effec- Eleven male team handball players (23.09 6 3.05 years;
tiveness and the demands of throwing at a certain per- 185.12 6 8.33 cm; 89.65 6 12.17 kg) volunteered to par-
centage of perceived effort. ticipate in this study. The subjects were all members of
From a clinical prospective, concerns exist in team the same National Team training program that trained
handball about how to effectively implement a return to for 2.5 h$d 21 for 5 d$wk 21. This sample included 5 back-
throwing protocol in players with shoulder injuries due to court players (25.2 6 2.8 years; 188.1 6 8.1 cm; 92.8 6
the differences in ball mass between a team handball 9.0 kg; 4.8 6 2.8 years of experience), 3 wing players
(14.99–16.75 oz) and the relevant literature that presents (21.5 6 2.1 years; 179.1 6 5.9 cm; 78.5 6 7.0 kg; 2.3 6
data with a baseball (5.11 oz). With a handball being 1.9 years of experience), and 2 pivot players (21.0 6
approximately 3 times the weight of a baseball, the first 0 years; 189.7 6 9.8 cm; 104.1 6 6.9 kg; 1.8 6 1.1 years
step in the developmental process of an interval throwing of experience). The Auburn University Institutional
protocol is to examine the kinematics at different levels of Review Board approved all testing protocols. Before data
perceived effort, at a common distance that these players collection, all testing procedures were explained to each
throw. The set shot involves a stable base of support and subject, and they were informed of the benefits and risks
contact with the floor and would be implicated early in of the investigation before signing an institutionally
a return to throwing protocol to ensure that the player is approved informed consent document to participate in
focused on using proper shot mechanics before progress- the study.
ing to the more complex jump shot, which is performed
in the air. Early implementation of proper set shot Procedures
mechanics would allow clinicians to work from a standard The MotionMonitor (Innovative Sports Training, Chica-
distance with the focus being on the perceived effort of go, IL, USA) synced with electromagnetic tracking
players. system (Track Star; Ascension Technologies, Inc., Bur-
Therefore, the purpose of this study was to examine the lington, VT, USA) was used to collect data. The electro-
set shot in team handball players at 50, 75, and 100% magnetic tracking system has been validated for tracking
perceived effort to determine whether differences in the humeral movements, producing trial-by trial-interclass
kinematics exist between these effort levels. The goal of correlation coefficients for axial humeral rotation during
this investigation is to use these data to help sports humeral elevation in the scapular plane in both loaded
medicine clinicians assess whether players can successfully and nonloaded conditions in excess of 0.96 (12). With
alter the mechanics of the set shot at less than maximal electromagnetic tracking systems, field distortion has
effort to assist in the development of a sport-specific been shown to be the cause of error in excess of 58 at
interval throwing protocol for team handball players. It a distance of 2 m from an extended range transmitter
was hypothesized that the kinematics of the set shot would (5), but increases in instrumental sensitivity have reduced
be similar with the exception of the segmental angular this error to near 108 before system calibration and 28
accelerations, which would be significantly greater for the after system calibration (5,13,20). Thus before data col-
maximum effort shots. lection, the current system was calibrated using previ-
ously established techniques (5,10,15,16,18–22). After
METHODS calibration, magnitude of error in determining the posi-
Experimental Approach to the Problem tion and orientation of the electromagnetic sensors
We used an exploratory 3-group comparison design to within the calibrated world axes system was less than
examine whether set shot kinematics in team handball 0.01 m and 38, respectively. The collection rate for all
players were different at 50, 75, and 100% perceived effort kinematic data describing the position and orientation
levels. Each subject performed 2 set shots at each effort of electromagnetic sensors was set at 100 Hz
level, and the effort levels were randomized for each (15,17,19,22,30). Raw data were independently filtered
subject. along each global axis using a fourth order Butterworth
A within subjects repeated-measures analysis of vari- filter with a cutoff frequency of 13.4 Hz (15,17,19,22,30).
ance (ANOVA) was performed to determine whether set Force plate data were sampled at a rate of 1,000 Hz.
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
Rate of Perceived Effort in Team Handball Players
Subjects had a series of 11 electromagnetic sensors (9,25). The shoulder joint center was calculated from
(Track Star; Ascension Technologies, Inc.) attached at the the rotation between the humerus relative to the scapula,
following locations: (1) first thoracic vertebra (T1) and the hip joint center was from the rotation of the
spinous process; (2) pelvis at sacral vertebrae 1 (S1); (3) femur relative to the pelvis. The rotation method was
deltoid tuberosity of the throwing arm humerus; (4) implemented with the joint stabilized and then passively
throwing arm wrist, between the radial and ulnar styloid moved in 10 positions in a small circular pattern (9). The
processes; (5) acromioclavicular joint of the throwing variation in the measurement of the joint center had to
arm; (6) third metacarpal of the throwing hand; (7–8) have a root mean square error of less than 0.003 m to be
bilateral shank centered between the head of the fibula accepted.
and lateral malleolus; (9–10) bilateral lateral aspect of the Raw data regarding sensor orientation and position
femur (15,17,18,32); and (11) third metatarsal of the stride were transformed to locally based coordinate systems for
leg foot. Student researchers, who were trained in the each of the respective body segments. Two points
application techniques, applied the sensors. Sensors were described the longitudinal axis of each segment, and the
affixed to the skin using PowerFlex cohesive tape (And- third point defined the plane of the segment (15). The
over Healthcare, Inc., Salisbury, MA) to ensure the sen- second axis was perpendicular to the plane, and the third
sors remained secure throughout testing. Following the axis was defined as perpendicular to the first and second
application of the sensors, an additional sensor was axes. The world axis was defined as the y-axis in the ver-
attached to a stylus and used for digitization following tical direction, horizontal and to the right of y was the
previously established guidelines (15,17,18,32). Subjects x-axis, and posterior was the z-axis (15,17–19,22). Euler
stood in anatomical position during digitization to guar- angle decomposition sequences were used to describe
antee accurate bony landmark identification. The medial both the position and orientation of the body segments
and lateral aspect of each joint was digitized, and the (15,17–19,22).
midpoint of the 2 points was calculated to determine
the joint center (15,17,18,21,22,32). A link segment model Throwing Protocol
was developed through digitization of joint centers for After digitization, subjects were allotted an unlimited
the ankle, knee, hip, shoulder, thoracic vertebrae 12 time to warm up and become familiar with the testing
(T12) to lumbar vertebrae 1 (L1), and C7 to thoracic protocols. A standardized warm-up was not used because
vertebrae 1 (T1). The spinal column was defined as the the investigators wanted to ensure that each subject felt
digitized space between the associated spinous processes, that they were properly ready to perform the requested
whereas the ankle and knee were defined as the midpoints shots. Once a subject deemed himself ready, the testing
of the digitized medial and lateral malleoli, medial and protocols began. Subjects performed 2 maximal perceived
lateral femoral condyles, respectively. The shoulder effort set shots, 2 set shots at 75% perceived effort, and 2
and hip joint centers were estimated using the rotation shots at 50% perceived effort from a distance of 8 m, using
method. This method of calculating a joint center has an IHF size 3 team handball (26–28). The number of set
been reported as providing accurate positional data shots at each level of perceived effort was arbitrarily cho-
sen. The order in which each
subject completed each shot
was randomized. Only accu-
rate shots that hit the center
of a 1 3 1 m2 target at
a height of 1.75 m were saved
(26–28).
Statistical Analyses
The throwing motion was
divided into the events of
stride foot contact (FC),
maximum shoulder external
rotation (MER), ball release
(BR), and maximum shoulder
internal rotation (MIR)
(Figure 1). The mean data
were compiled for the 2 trials
Figure 1. The events of the set shot throwing motion in team handball players. at each perceived effort level.
All kinematic and kinetic
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TABLE 1. Set shot ball speed statistics at 3 levels of perceived effort in team handball players.
data for this study were reduced using MotionMonitor Shoulder Kinematics
(Innovative Sports Training) software. All statistical anal- Shoulder elevation was significantly different at MIR (p ,
yses were performed using SPSS software (version 20.0; 0.01). Also at the shoulder, plane of elevation was signifi-
SPSS, Inc., Chicago, IL, USA), with an alpha level set cantly different at BR (p , 0.01).
a priori at p # 0.05. Next, a within-subjects repeated-
Trunk Kinematics
measures ANOVA was used to determine whether set
Trunk flexion was significantly different between the 3 effort
shot kinematics and kinetics were significantly different
levels at BR (p , 0.01) and MIR (p = 0.001). Also, trunk
at each of the perceived effort shots. If significant
lateral flexion was significantly different at BR (p = 0.001)
differences were observed, further post hoc repeated-
and MIR (p , 0.001), and pelvis axial rotation (p , 0.001)
measures ANOVAs were performed for each variable
was significantly different across the 3 shots. Pelvis lateral
by throwing event. Pairwise comparisons were then
flexion was significantly different at FC (p , 0.001) and
analyzed to determine which effort levels were signifi-
MER (p = 0.010). At MER, there was significantly less pelvis
cantly different.
lateral flexion in the 50% shots compared with the 75% shots
RESULTS (p = 0.010).
Set shot ball speed data are presented in Table 1. Significant Segmental Velocity
differences in ball speed were observed between all 3 effort When examining segmental velocities, significant differences
level throws. Descriptive kinematic and kinetic data are pre- were observed for trunk rotational velocity, humerus rota-
sented in Tables 2–4. tional velocity, and forearm rotational velocity. Trunk
TABLE 2. Trunk and pelvis kinematics during the 50, 75, and 100% effort set shots in team handball players,
mean (SD).
Foot 50 10.3 (7.1) 9.9 (10.8) 271.1 (16.0)*† 6.6 (5.2)*† 244.7 (20.9)*†
contact 75 11.4 (6.5) 10.8 (10.8) 277.9 (16.4)* 8.2 (5.4)*z 250.4 (21.1)*z
100 12.3 (6.2) 11.4 (10.4) 285.5 (16.3)† 10.0 (4.3)†z 259.2 (23.7)†z
Maximum 50 2.3 (6.4) 7.6 (10.7) 222.8 (12.8) 1.3 (5.3)* 25.7 (24.4)
external 75 2.0 (7.5) 9.2 (10.9) 224.7 (20.1) 2.9 (5.1)* 212.2 (25.2)
rotation 100 21.1 (8.3) 7.4 (10.4) 223.7 (12.8) 3.1 (4.7) 211.0 (21.5)
Ball release 50 29.2 (8.0)† 216.2 (14.1)† 14.1 (14.5) 21.5 (7.3) 8.9 (18.3)
75 211.5 (7.5)z 218.3 (15.6)z 13.3 (16.8) 21.2 (7.7) 8.4 (17.9)
100 217.5 (8.8)†z 225.2 (14.4)†z 17.8 (16.6) 22.7 (8.0) 11.7 (17.3)
Maximum 50 214.7 (8.1)*† 220.0 (13.5)*† 22.2 (14.6) 22.5 (8.5) 12.3 (14.0)
internal 75 220.3 (9.7)*z 224.8 (14.2)*z 21.8 (17.1) 22.6 (9.0) 11.6 (15.2)
rotation 100 229.0 (11.2)†z 232.1 (13.6)†z 20.4 (19.0) 24.5 (9.5) 12.8 (15.1)
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Rate of Perceived Effort in Team Handball Players
TABLE 3. Scapula and shoulder kinematics during the 50, 75, and 100% effort set shots in team handball, mean
(SD).
Foot 50 14.5 (11.2) 219.9 (11.3) 23.8 (11.2) 2.3 (13.5) 289.2 (12.9) 240.0 (26.9)
contact 75 15.4 (10.9) 220.1 (11.6) 25.5 (12.2) 0.7 (14.7) 0.7 (14.7) 290.3 (11.0)
100 14.4 (12.5) 219.1 (11.1) 24.9 (13.8) 21.2 (12.0) 288.4 (10.8) 234.2 (28.5)
Maximum 50 21.7 (14.4) 225.4 (9.1) 24.1 (13.2) 23.48 (15.3) 86.5 (62.7) 263.0 (42.0)
External 75 22.1 (11.6) 224.8 (10.9) 25.9 (17.0) 18.9 (13.3) 285.4 (64.2) 260.9 (46.6)
rotation 100 20.0 (10.0) 226.9 (10.4) 23.0 (15.5) 17.0 (11.7) 285.3 (65.0) 264.0 (46.6)
Ball 50 34.3 (17.5) 213.0 (8.3) 211.9 (11.5) 38.1 (18.0)* 273.9 (50.1) 243.4 (31.6)
release 75 32.2 (14.0) 214.6 (7.7) 211.2 (10.2) 31.7 (17.8)* 274.4 (51.6) 244.3 (33.4)
100 31.6 (15.4) 213.1 (8.4) 213.5 (12.1) 29.0 (17.5)† 274.0 (53.4) 239.3 (38.4)
Maximum 50 45.1 (15.1) 27.1 (9.0) 214.4 (11.5) 53.2 (21.3) 275.9 (9.2)* 2.3 (14.1)
internal 75 46.0 (16.6) 26.5 (9.5) 215.3 (11.6) 49.7 (23.0) 278.1 (7.2)*z 21.7 (11.8)
rotation 100 46.8 (16.8) 27.6 (9.8) 216.9 (11.0) 49.9 (21.1) 282.5 (8.5)z 24.0 (12.8)
segmental velocity was significantly different at MER (p , Humerus velocity was significantly different across 3 effort
0.001) and BR (p , 0.001). Humerus velocity was signifi- levels at MIR. Lastly, forearm velocity was significantly
cantly different at the events of MER (p , 0.001), BR (p , different at MER (p = 0.006) and MIR (p , 0.001) of the
0.001), and MIR (p , 0.001) during the 3 set shots. throwing motion.
TABLE 4. Angular rotational velocities during the 50, 75, and 100% effort set shots in team handball players, mean
(SD).
Foot contact 50 173.2 (101.0) 223.6 (144.0) 457.6 (181.3) 680.0 (205.1)
75 193.3 (122.6) 279.5 (180.7) 509.3 (230.2) 746.4 (254.9)
100 228.6 (144.0) 332.3 (224.4) 559.3 (227.6) 776.5 (261.5)
Maximum external 50 305.5 (95.2) 535.7 (104.1)* 774.9 (123.2)* 797.4 (101.1)*
rotation
75 377.8 (86.9) 629.0 (111.7)† 858.2 (152.4) 933.0 (196.9)
100 488.6 (118.7) 786.8 (103.0)*† 984.0 (120.1)* 974.3 (90.6)*
Ball release 50 127.2 (94.8) 297.0 (136.0)*z 960.8 (315.3)*z 1,735.0 (290.2)
75 156.3 (96.4) 410.2 (141.7)z 1,087.6 (294.3)†z 1,687.8 (355.6)
100 152.7 (82.7) 440.1 (162.8)* 1,267.5 (217.9)*† 1,898.5 (394.6)
Maximum internal 50 73.5 (41.8) 174.4 (58.2) 739.7 (92.0)*z 771.3 (130.7)*z
rotation
75 103.5 (59.3) 209.8 (82.9) 873.5 (89.1)†z 918.0 (198.4)†z
100 116.1 (52.39) 245.6 (102.54) 967.1 (94.29)*† 984.7 (128.95)*†
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Rate of Perceived Effort in Team Handball Players
completed to limit intraindividual variation. In a similar 7. Fleisig, GS, Zheng, N, and Barrentine, SW. Kinematic and Kinetic
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