Asimenia Gioftsidou, Paraskevi Malliou, Polina Sofokleous, George Pafis, Anastasia Beneka, and George Godolias
Department of Physical Education and Sports Science, Democritus University of Thrace, Komotini, Greece


The purpose of the present study was to investigate, the effectiveness of a balance
training program in male professional handball players. Thirty professional handball players
were randomly divided into experimental and control group. The experimental group (N=15),
additional to the training program, followed an intervention balance program for 12 weeks. All
subjects performed a static balance test (deviations from the horizontal plane). The results
revealed that the 12-week balance training program improved (p<0.01) all balance performance
indicators in the experimental group. Thus, a balance training program can increase balance
ability of handball players, and could used as a prevent tool for lower limbs muscular skeletal

Keywords: handball players, proprioception, balance training

Bahr, R., Lian, O., & Bahr, I. A. (1997). A twofold reduction in the incidence of acute ankle
sprains in volleyball after the introduction of an injury prevention program: a prospective
cohort study. Scandinavian Journal of Medicine & Science in Sports 7(3), 172-177.
A. Gioftsidou et al.
Caraffa, A., Cerulli, G., Projetti, M., Aisa, G., & Rizzo, A. (1996). Prevention of anterior
cruciate ligament injuries in soccer. A prospective cïntrolled study of proprioceptive
training. Knee Surgery, Sports Traumatology, Arthroscopy, 4(1), 19-21.
Chong, R. K., Ambrose, A., Carzoli, J., Hardison, L., & Jacobson, B. (2001). Source of
improvement in balance control after a training program for ankle proprioception.
Perceptual and Motor Skills, 92(1), 265-72.
Gioftsidou, A., Malliou, P., Pafis, G., Beneka, A., Godolias, G., & Maganaris C. (2006). The
effects of soccer training and timing of balance training on balance ability. European
Journal of Applied Physiology, 96, 659-664.
Goldie, P. A., Bach, T. M., & Evans, O. M. (1989). Force platform measures for evaluating
postural control: Reliability and validity. Archives of Physical Medicine and
Rehabilitation, 70, 510-517.
Guskiewicz, K. M., & Perrin, D. H. (1996). Research and clinical applications of assessing
balance. Journal of Sport Rehabilitation, 5, 45-63.
Hanney, W. (2000). Proprioceptive training for ankle instability. Strength and Conditioning,
22(5), 63-68.
Hawkins, R. D., & Fuller, C. W. (1999). A prospective epidemiological study of injuries in four
English professional football clubs. British Journal of Sports Medicine, 33, 196-203.
Hertel, J., Braham, R. A., Hale, S. A., & Olmsted-Kramer, L. C. (2006). Simplifying the star
excursion balance test: Analyses of subjects with and without chronic ankle instability.
Journal of Orthopaedic & Sports Physical Therapy, 36, 131-137.
Hewett, T. E., Lindenfeld, T. N., Riccobene, J. V., & Noyes, F. R. (1999). The effect of
neuromuscular training on the incidence of knee injury in female athletes. A
prospective study. American Journal of Sports Medicine, 27, 699-706.
Hewett, T. E., Myer, G. D., & Ford, K. R. (2001). Prevention of anterior cruciate ligament
injuries. Current Women’s Health Reports, 1, 218-224.
Hoffman, M., & Payne, G. (1995). The effects of proprioceptive ankle Disk Training on Healthy
Subjects. Journal of Orthopaedic Sports Physical Therapy, 21(2), 90-93.
Hrysomallis, C. (2007). Relationship Between Balance Ability, Training and Sports Injury Risk.
Sports Medicine, 37(6), 547-556.
Irrgang, J.J., Whitney, S., & Cox, E. (1994). Balance and proprioceptive training for
rehabilitation of the lower extremity. Journal of Sport Rehabilitation, 3, 68-83.
Junge, A., Rosch, D., Peterson, L., Graf-Baumann, T., & Dvorak, J. (2002). Prevention of soccer
injuries: a prospective intervention study in youth amateur players. American Journal of
Sports Medicine, 30, 652-659.
Malliou, P., Gioftsidou, A., Pafis, G., Beneka, A., & Godolias, G. (2004). Proprioceptive training
(balance exercises) reduces lower extremity injuries in young soccer players. Journal of
Back Musculoskeletal Rehabilitation, 17, 101-104.
McHugh, M. P., Tyler, T., Mirabella, M., Mullaney, M., & Nicholas, S. (2007). The
effectiveness of a balance training intervention in reducing the incidence of noncontact
ankle sprains in high school football players. American Journal of Sports Medicine,
35(8), 1289-1294.
Meeuwisse, W. H., Sellmer, R., & Hagel, B. E. (2003). Rates and risks of injury during
intercollegiate basketball. American Journal of Sports Medicine, 31, 379-385.
The effects of balance traininq in handball players
Olmsted, L. C., Carcia, C. R., Hertel, J., & Shultz, S. J. (2002). Efficacy of the star excursion
balance tests in detecting reach deficits in subjects with chronic ankle instability. Journal
of Athletic Training, 37, 501-506.
Olsen, O., Myklebust, G., Engebretsen, L., Holme, I., & Bahr, R. (2005). Exercises to prevent
lower limb injuries in youth sports: cluster randomised controlled trial. British Medical
Journal, 330, 449-452.
Paillard, T., Noe, F., Riviere, T., Marion, V., Montoya, R., & Dupui, P. (2006). Postural
performance and strategy in the unipedal stance of soccer players at different levels of
competition. Journal of Athletic Training, 41(2), 172-176.
Petersen, W., Zantop, T., Steensen, M., Hypa, A., Wessolowski, T., & Hassenpflug, J.
(2002). Prevention of lower extremity injuries in handball: initial results of the handball
injuries prevention programme. Sportverletz Sportschaden, 16, 122-126.
Petersen, W., Braun, C., Bock, W., Schmidt, K., Weimann, A., Drescher, W., et al. (2005). A
controlled prospective case control study of a prevention training program in female team
handball players: the German experience. Archives of Orthopaedic and Trauma Surgery,
125(9), 614-621.
Ricotti, L. (2011). Static and dynamic balance in young athletes. Journal of Human Sport &
Exercise, 6(4), 616-628.
Ross, S. E., & Guskiewicz, K. M. (2004). Examination of static and dynamic postural stability in
individuals with functionally stable and unstable ankles. Clinical Journal of Sport
Medicine, 14, 332-338.
Rozzi, S. L., Lephart, S. M., Sterner, R., & Kuligowski, L. (1999). Balance training for persons
with functionally unstable ankles. Journal of Orthopaedic Sports Physical Therapy,
29(8), 478-486.
Sammarco, G. J. (1995). Rehabilitation of the foot and ankle. St. Louis, Missouri: Mosby-Year
Soderman, K., Werner, S., Pietila, T., Engstrom, B., & Alfredson. H. (2000). Balance board
training: prevention of traumatic injuries of the lower extremites in female soccer
players? A prospective randomized intervention study. Knee Surgery and Sports
Traumatology Arthroscopy, 8, 356-363.
Tippett, S., & Voight, M. (1995). Functional Progressions for Sport Rehabilitation. Human
Tropp, H., Askling, C., & Gillquist, J. (1985). Prevention of ankle sprains. American Journal of
Sports Medicine, 13, 259–262.
Wedderkopp, N., Kalthoft, M., Lundgaard, B., Rosendahl, M., & Froberg, K. (1997). Injuries in
young female players in European team handball. A prospective intervention study.
Scandinavian Journal of Medicine and Science in Sports, 7, 342-347.
Wedderkopp, N., Kaltoft, M., Lundgaard, B., Rosendahl, M., & Froberg. K. (1999). Prevention
of injuries in young female players in European team handball. A prospective
intervention study. Scandinavian Journal of Medicine and Science in Sports, 9, 41-47.
Wedderkopp, N., Kaltoft, M., Holm, R., & Froberg, K. (2003). Comparison of two intervention
programmes in young female players in European handball – with and without ankle disc.
Scandinavian Journal of Medicine and Science in Sports, 13, 371-375.
Zachazewski, J., Magee, D., & Quillen, W. (1996). Athletic injuries and rehabilitation. W.B.
Saunders Company, pp. 236-261.
A. Gioftsidou et al.
Zech, A., Hubscher, M., Vogt, L., Banzer, W., Hansel, F., & Pfeifer, K. (2009). Neuromuscular
training for rehabilitation of sports injuries. A systematic review. Medicine & Science in
Sports & Exercise, 41, 1831-1841.