Effects of a neuromuscular training program based on the improvement of jump-landing mechanics in adolescent female handball players

Authors

  • Maria Cadens Roca Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Lleida
  • Antoni Planas Anzano Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Lleida (UdL)
  • Xavier Peirau Teres Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Lleida (UdL)
  • Ariadna Benet Vigo Universitat Ramon Llull, FCS Blanquerna
  • Azahara Fort Vanmeerhaeghe Universitat Ramon Llull, FPCEE i FCS Blanquerna; Segle XXI, Federació Catalana de Bàsquet

DOI:

https://doi.org/10.47197/retos.v70.103383

Keywords:

handball, anterior cruciate ligament, neuromuscular training, plyometrics, maturation, woman

Abstract

Introduction: Handball poses a high risk of anterior cruciate ligament injury during landing after a jump.

Objective: To assess the effects of an eight-week neuromuscular training program in adolescent female handball players, with a specific focus on improving jump and landing patterns.

Methodology: Pre-experimental parallel-group design with repeated measures. The sample consisted of 15 female handball players aged 12 to 13, divided into two groups based on maturation phase. Both groups underwent the same neuromuscular training program. A test battery was employed to evaluate performance in jump, change of direction, and sprint actions, as well as to determine asymmetries between lower limbs: unilateral vertical, horizontal, and lateral jumps, Tuck Jump Assessment (standardized test for the analysis of jumping and landing technique), 90º and 180º directional changes, and a 10m linear sprint.

Results: Significant improvements were observed in the total score of the Tuck Jump Assessment and in physical performance variables (unilateral jumps and sprint). Players in the mid-maturation phase displayed a more positive response to the training program compared to late-maturing players.

Discussion: The results obtained in this study are consistent with previous research that has shown improvements in jump and sprint performance following plyometric training programs in young athletes.

Conclusions: The proposed program proved effective in reducing risks and enhancing performance, underscoring the importance of tailoring training to the maturation stage of the players.

References

Achenbach, L., Krutsch, V., Weber, J., Nerlich, M., Luig, P., Loose, O., Angele, P., & Krutsch, W. (2018). Neuromuscular exercises prevent severe knee injury in adolescent team handball players. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, 26(7), 1901–1908. https://doi.org/10.1007/s00167-017-4758-5

Acosta Tova, P. J. ., Sanabria Arguello, Y. D., & Samacá García, J. A. (2025). Relación entre potencia y somatotipo en balonmano. Retos, 62, 259–267. https://doi.org/10.47197/retos.v62.105518

Arede, J., Fernandes, J. F. T., Schöllhorn, W. I., & Leite, N. (2022). Differential Repeated Sprinting Train-ing in Youth Basketball Players: An Analysis of Effects According to Maturity Status. Interna-tional Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912265

Asadi, A., Arazi, H., Young, W. B., & Sáez de Villarreal, E. (2016). The Effects of Plyometric Training on Change-of-Direction Ability : A Meta-Analysis. International Journal of Sports Physiology and Performance, 11, 563–573. https://doi.org/https://doi.org/10.1123/ijspp.2015-0694

Bedoya, A. A., Miltenberger, M. R., & Lopez, R. M. (2015). Plyometric Training Effects On Athletic Per-formance In Youth Soccer Athletes: A Systematic Review. Journal OfStrength and Conditioning Research, 29(8), 2351-2360s. https://doi.org/10.1519/JSC.0000000000000877

Bencke, J., Aagaard, P., & Zebis, M. K. (2018). Muscle Activation During ACL Injury Risk Movements in Young Female Athletes: A Narrative Review. Frontiers in Physiology, 9, 445. https://doi.org/10.3389/fphys.2018.00445

Bettariga, F., Turner, A., Maloney, S., Maestroni, L., Jarvis, P., & Bishop, C. (2022). The Effects of Train-ing Interventions on Interlimb Asymmetries: A Systematic Review with Meta-analysis. Strength and Conditioning Journal, 44(5), 69–86. https://doi.org/10.1519/SSC.0000000000000701

Bishop, C., Lake, J., Loturco, I., Papadopoulos, K., Turner, A., & Read, P. (2018). Interlimb Asymmetries: The Need For An Individual Approach To Data Analysis. Journal of Strength and Conditioning Research, 00(00), 1–7. https://doi.org/10.1519/jsc.0000000000002729

Brewer, C. (2017). Athletic Movement Skills. In Human Kinetics.

Cadens, M., Planas-Anzano, A., Peirau-Terés, X., Benet-Vigo, A., & Fort-Vanmeerhaeghe, A. (2023). Neuromuscular and Biomechanical Jumping and Landing Deficits in Young Female Handball Players. Biology, 12(1), 1–14. https://doi.org/10.3390/biology12010134

Cadens, M., Planas Anzano, A., Matas-García, S., & Peirau Terés, X. (2021). Preventive Training of Ante-rior Cruciate Ligament Injuries in Female Handball Players : a Systematic Review. Apunts Edu-cació Física i Esports, 146, 68–77. https://doi.org/https://doi.org/10.5672/apunts.2014-0983.es.(2021/4).146.08

Chaabene, H., Negra, Y., Moran, J., Prieske, O., Sammoud, S., Ramirez-Campillo, R., & Granacher, U. (2021). Plyometric Training Improves Not Only Measures of Linear Speed, Power, and Change-of-Direction Speed But Also Repeated Sprint Ability in Young Female Handball Players. Journal of Strength and Conditioning Research, 35(8), 2230–2235. https://doi.org/10.1519/jsc.0000000000003128

Chelly, M. S., Hermassi, S., Aouadi, R., & Shephard, R. J. (2014). Effects of 8-week in-season plyometric training on upper and lower limb performance of elite adolescent handball players. Journal of Strength and Conditioning Research, 28(5), 1401–1410. https://doi.org/10.1519/JSC.0000000000000279

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. http://journal.um-surabaya.ac.id/index.php/JKM/article/view/2203

Dæhlin, T. E., & Chiu, L. Z. F. (2019). Forefoot and heel take-off strategies result in different distribu-tion of lower extremity work during landings. Journal of Sports Sciences, 37(21), 2475–2482. https://doi.org/10.1080/02640414.2019.1643201

Davies, M. J., Drury, B., Ramirez-Campillo, R., Chaabane, H., & Moran, J. (2019). Effect of Plyometric Training and Biological Maturation on Jump and Change of Direction Ability in Female Youth. Journal of Strength and Conditioning Research, Publish Ah(29). https://doi.org/10.1519/jsc.0000000000003216

Della Villa, F., Buckthorpe, M., Grassi, A., Nabiuzzi, A., Tosarelli, F., Zaffagnini, S., & Della Villa, S. (2020). Systematic video analysis of ACL injuries in professional male football (soccer): injury mechanisms, situational patterns and biomechanics study on 134 consecutive cases. British Journal of Sports Medicine, 54(23), 1423–1432. https://doi.org/10.1136/bjsports-2019-101247

Dempsey, A. R., Elliott, B. C., Munro, B. J., Steele, J. R., & Lloyd, D. G. (2012). Whole body kinematics and knee moments that occur during an overhead catch and landing task in sport. Clinical Biome-chanics, 27(5), 466–474. https://doi.org/10.1016/j.clinbiomech.2011.12.001

Donelon, T. A., Dos’Santos, T., Pitchers, G., Brown, M., & Jones, P. A. (2020). Biomechanical Determi-nants of Knee Joint Loads Associated with Increased Anterior Cruciate Ligament Loading Dur-ing Cutting: A Systematic Review and Technical Framework. Sports Medicine - Open, 6(1). https://doi.org/10.1186/s40798-020-00276-5

Dos’Santos, T., Thomas, C., & Jones, P. A. (2020). Assessing Interlimb Asymmetries: Are We Heading in the Right Direction? Strength & Conditioning Journal, 43(3), 91–100. https://doi.org/10.1519/ssc.0000000000000590

Fort-Vanmeerhaeghe, A., Benet, A., Miranda, S., Montalvo, A. M., Myer, G. D., Mirada, S., Montalvo, A. M., & Myer, G. D. (2018). Sex and maturation differences in performance of functional jumping and landing deficits in youth athletes. Journal of Sport Rehabilitation, 28(6), 606–613. https://doi.org/10.1123/jsr.2017-0292

Fort-Vanmeerhaeghe, A., Montalvo, A. M., Lloyd, R. S., Read, P., & Myer, G. D. (2017). Intra- and Inter-Rater Reliability of the Modified Tuck Jump Assessment. Journal of Sports Science & Medicine, 16(1), 117–124.

Fort-Vanmeerhaeghe, A., Romero-Rodriguez, D., Lloyd, R. S., Kushner, A., & Myer, G. D. (2016). Inte-grative Neuromuscular Training in Youth Athletes. Part II: Strategies to Prevent Injuries and Improve Performance. Strength and Conditioning Journal, 38(4), 9–27. https://doi.org/10.1519/SSC.0000000000000234

Gaamouri, N., Hammami, M., Cherni, Y., Rosemann, T., Knechtle, B., Chelly, M. S., & van den Tillaar, R. (2023). The effects of 10-week plyometric training program on athletic performance in youth female handball players. Frontiers in Sports and Active Living, 5(July), 1–10. https://doi.org/10.3389/fspor.2023.1193026

Hammami, M., Gaamouri, N., Suzuki, K., Shephard, R. J., & Chelly, M. S. (2020). Effects of Upper and Lower Limb Plyometric Training Program on Components of Physical Performance in Young Female Handball Players. Frontiers in Physiology, 11(August). https://doi.org/10.3389/fphys.2020.01028

Hewett, T. E., & Myer, G. D. (2011). The Mechanistic Connection Between the Trunk, Hip, Knee, and Anterior Cruciate Ligament Injury. Exercise and Sport Sciences Reviews, 39(4), 161–166. https://doi.org/10.1097/JES.0b013e3182297439

Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S. J., Colosimo, A. J., McLean, S. G., Van Den Bogert, A. J., Paterno, M. V, & Succop, P. (2005). Biomechanical measures of neuromuscular control and val-gus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A pro-spective study. American Journal of Sports Medicine, 33(4), 492–501. https://doi.org/10.1177/0363546504269591

Hewett, T. E., Stroupe, A. L., Nance, T. A., & Noyes, F. R. (1996). Plyometric Training in Female Ath-letes. Decreased impact forces and increased hamstring torques. The American Journal of Sports Medicine, 24(6), 765–773.

Jeffreys, I. (2019). El Calentamiento. Maximizar el rendimiento y mejorar el desarrollo físico a largo plazo (Madrid). Ediciones Tutor, S.A.

Johnson, B. A., Salzberg, C. L., & Stevenson, D. A. (2011). A systematic review: Plyometric training pro-grams for young children. In Journal of Strength and Conditioning Research (Vol. 25, Issue 9, pp. 2623–2633). https://doi.org/10.1519/JSC.0b013e318204caa0

Karadenizli, Z. I. (2016). The effects of plyometric training on balance, anaerobic power and physical fitness parameters in handball. Anthropologist, 24(3), 751–761. https://doi.org/10.1080/09720073.2016.11892072

Klugman, M. F., Brent, J. L., Myer, G. D., Ford, K. R., & Hewett, T. E. (2011). Does an In-Season Only Neuromuscular Training Protocol Reduce Deficits Quantified by the Tuck Jump Assessment? Clinics in Sports Medicine, 30(4), 825–840. https://doi.org/10.1016/j.csm.2011.07.001

Koo, T. K., & Li, M. Y. (2016). A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. Journal of Chiropractic Medicine, 15(2), 155–163. https://doi.org/10.1016/j.jcm.2016.02.012

Kovács, I., Tihanyi, J., Devita, P., Rácz, L., Barrier, J., & Hortobágyi, T. (1999). Foot placement modifies kinematics and kinetics during drop jumping. Medicine and Science in Sports and Exercise, 31(5), 708–716. https://doi.org/10.1097/00005768-199905000-00014

LaBella, C. R., Hennrikus, W., Hewett, T. E., Fitness, C. S. M., & Orthopaedics, S. (2014). Anterior Cruci-ate Ligament Injuries: Diagnosis, Treatment, and Prevention. Pediatrics, 133(5), e1437–e1450. https://doi.org/10.1542/peds.2014-0623

Lindblom, H., Walden, M., Carlfjord, S., Hagglund, M., Waldén, M., Carlfjord, S., & Hägglund, M. (2020). Limited positive effects on jump-landing technique in girls but not in boys after 8 weeks of in-jury prevention exercise training in youth football. Knee Surgery, Sports Traumatology, Ar-throscopy, 28(2), 528–537. https://doi.org/10.1007/s00167-019-05721-x

Lloyd, R. S., Meyers, R. W., & Oliver, J. L. (2011). The Natural Development and Trainability of Plyome-tric Ability During Childhood. Strength and Conditioning Journal, 33(2), 23–32. https://doi.org/10.1519/ssc.0b013e3182093a27

Lloyd, R. S., & Oliver, J. L. (2012). The youth physical development model: A new approach to long-term athletic development. Strength and Conditioning Journal, 34(3), 61–72. https://doi.org/10.1519/SSC.0b013e31825760ea

Luna, B., Chiner, P. M., Puchades, V. P., Marzal, A. C., Aliaga, A. R., & Lafarga, C. B. (2021). Cambios en fuerza explosiva y agilidad tras un entrenamiento online en jóvenes jugadores de baloncesto confinados por COVID-19. Retos, 41, 256-264. https://doi.org/10.47197/retos.v0i41.83011

Manchado, C., Tortosa-Martínez, J., Vila, H., Ferragut, C., & Platen, P. (2013). Performance factors in women’s team handball: Physical and physiological aspects-a review. Journal of Strength and Conditioning Research, 27(6), 1708–1719. https://doi.org/10.1519/JSC.0b013e3182891535

Maniar, N., Cole, M. H., Bryant, A. L., & Opar, D. A. (2022). Muscle Force Contributions to Anterior Cru-ciate Ligament Loading. Sports Medicine, 0123456789. https://doi.org/10.1007/s40279-022-01674-3

Mark A Goss-Sampson. (2020). Statistical Analysis in JASP - A Students Guide. Journal of Visual Lan-guages & Computing, 11(3), 55. https://www.m-cul-tu-re.go.th/mculture_th/download/king9/Glossary_about_HM_King_Bhumibol_Adulyadej’s_Funeral.pdf

Mero, A., Komi, P. V., & Gregor, R. J. (1992). Biomechanics of Sprint Running. Sports Medicine, 13(6), 376–392. http://www.livestrong.com/article/352085-biomechanics-of-sprint-running/

Meszler, B., & Váczi, M. (2019). Effects of short-term in-season plyometric training in adolescent fe-male basketball players. Physiology International, 106(2), 168–179. https://doi.org/10.1556/2060.106.2019.14

Mirwald, R. L., Baxter-Jones, A. D. G., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine and Science in Sports and Exercise, 34(4), 689–694. https://doi.org/10.1249/00005768-200204000-00020

Mojaddarasil, M., & Sadigh, M. J. (2021). Parametric analysis of landing injury: The effect of landing posture and joint displacement. Physical and Engineering Sciences in Medicine, 44(3), 755–772. https://doi.org/10.1007/s13246-021-01023-0

Mothersole, G. A., Cronin, J. B., & Harris, N. K. (2013). Key prerequisite factors influencing landing forc-es in netball. Strength and Conditioning Journal, 35(2), 47–54. https://doi.org/10.1519/SSC.0b013e318289b79e

Myer, G. D., Ford, K. R., & Hewett, T. E. (2008). Tuck Jump Assessment for Reducing Anterior Cruciate Ligament Injury Risk. Athletic Therapy Today, 13(1), 39–44. https://doi.org/10.1080/10810730902873927.Testing

Noyes, F. R., & Barber Westin, S. D. (2012). Anterior cruciate ligament injury prevention training in female athletes: A systematic review of injury reduction and results of athletic performance tests. Sports Health, 4(1), 36–46. https://doi.org/10.1177/1941738111430203

Olsen, O. E., 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(7489), 449–452. https://doi.org/10.1136/bmj.38330.632801.8F

Peitz, M., Behringer, M., & Granacher, U. (2018). A systematic review on the effects of resistance and plyometric training on physical fitness in youth-What do comparative studies tell us? In PLoS ONE (Vol. 13, Issue 11). https://doi.org/10.1371/journal.pone.0207641

Petushek, E. J., Sugimoto, D., Stoolmiller, M., Smith, G., & Myer, G. D. (2019). Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Ath-letes: A Systematic Review and Meta-analysis. American Journal of Sports Medicine, 47(7), 1744–1753. https://doi.org/10.1177/0363546518782460

Podraza, J. T., & White, S. C. (2010). Effect of knee flexion angle on ground reaction forces, knee mo-ments and muscle co-contraction during an impact-like deceleration landing: Implications for the non-contact mechanism of ACL injury. Knee, 17(4), 291–295. https://doi.org/10.1016/j.knee.2010.02.013

Pollard, C. D., Sigward, S. M., & Powers, C. M. (2010). Limited hip and knee flexion during landing is associated with increased frontal plane knee motion and moments. Clinical Biomechanics, 25(2), 142–146. https://doi.org/10.1016/j.clinbiomech.2009.10.005

Ramirez-Campillo, R., Alvarez, C., Garcia-Hermoso, A., Keogh, J. W. L., García-Pinillos, F., Pereira, L. A., & Loturco, I. (2020). Effects of jump training on jumping performance of handball players: A systematic review with meta-analysis of randomised controlled trials. International Journal of Sports Science and Coaching, 15(4), 584–594. https://doi.org/10.1177/1747954120928932

Ramírez-Campillo, R., Burgos, C. H., Henríquez-Olguín, C., Andrade, D. C., Martínez, C., Álvarez, C., Cas-tro-Sepúlveda, M., Marques, M. C., & Izquierdo, M. (2015). Effect of unilateral, bilateral, and combined plyometric training on explosive and endurance performance of young soccer play-ers. Journal of Strength and Conditioning Research, 29(5), 1317–1328. https://doi.org/10.1519/JSC.0000000000000762

Rimmer, E., & Sleivert, G. (2000). Effects of a Plyometrics Intervention Program on Sprint Perfor-mance. Journal of Strength and Conditioning Research, 14(3), 295–301. https://doi.org/10.1519/00124278-200008000-00009

Saez de Villareal, E., Calleja-Gonzalez, J., Alcaraz, P. E., & Feito-Blanco, J. (2023). Positive Effects of Plyometric vs . Eccentric-Overload Training on Performance in Young Male Handball Players.

Sannicandro, I., Cofano, G., Rosa, R. A., & Piccinno, A. (2014). Balance training exercises decrease low-er-limb strength asymmetry in young tennis players. Journal of Sports Science and Medicine, 13(2), 397–402.

Sell, T. C., Ferris, C. M., Abt, J. P., Tsai, Y.-S., Myers, J. B., Fu, F. H., & Lephart, S. M. (2007). Predictors of proximal tibia anterior shear force during a vertical stop-jump. Journal of Orthopaedic Re-search : Official Publication of the Orthopaedic Research Society, 25(12), 1589–1597. https://doi.org/10.1002/jor.20459

Sherar, L. B., Mirwald, R. L., Baxter-Jones, A. D. G., & Thomis, M. (2005). Prediction of adult height us-ing maturity-based cumulative height velocity curves. Journal of Pediatrics, 147(4), 508–514. https://doi.org/10.1016/j.jpeds.2005.04.041

Shin, C. S., Chaudhari, A. M., & Andriacchi, T. P. (2011). Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone. Medicine and Science in Sports and Exercise, 43(8), 1484–1491. https://doi.org/10.1249/MSS.0b013e31820f8395

Suchomel, T. J., Wagle, J. P., Douglas, J., Taber, C. B., Harden, M., Gregory Haff, G., & Stone, M. H. (2019). Implementing eccentric resistance training—Part 1: A brief review of existing methods. Journal of Functional Morphology and Kinesiology, 4(2). https://doi.org/10.3390/jfmk4020038

Takahashi, S., Nagano, Y., Ito, W., Kido, Y., & Okuwaki, T. (2019). A retrospective study of mechanisms of anterior cruciate ligament injuries in high school basketball, handball, judo, soccer, and vol-leyball. Medicine, 98(26), e16030. https://doi.org/10.1097/md.0000000000016030

Taylor, J. B., Waxman, J. P., Richter, S. J., & Shultz, S. J. (2015). Evaluation of the effectiveness of anteri-or cruciate ligament injury prevention programme training components: A systematic review and meta-analysis. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2013-092358

Turner, A., Cscs, D., Brazier, J., Bishop, C., Chavda, S., Cree, J., & Read, P. (2015). Data analysis for strength and conditioning coaches: Using excel to analyze reliability, differences, and relation-ships. Strength and Conditioning Journal, 37(1), 76–83. https://doi.org/10.1519/SSC.0000000000000113

Turner, A. N. (2022). But did my athlete improve ? Assessing performance changes when N = 1. Profes-sional Strength & Conditioning, 63.

Wagner, H., Gierlinger, M., Adzamija, N., Ajayi, S., Bacharach, D. W., & Von Duvillard, S. P. (2017). Spe-cific physical training in elite male team handball. In Journal of Strength and Conditioning Re-search (Vol. 31, Issue 11). https://doi.org/10.1519/JSC.0000000000002094

Wilkerson, G. B., Colston, M. A., Short, N. I., Neal, K. L., Hoewischer, P. E., & Pixley, J. J. (2004). Neuro-muscular Changes in Female Collegiate Athletes Resulting from A Plyometric Jump-Training Program. Journal of Athletic Training, 39(1), 17–23.

Yoo, J. H., Lim, B. O., Ha, M., Lee, S. W., Oh, S. J., Lee, Y. S., & Kim, J. G. (2010). A meta-analysis of the effect of neuromuscular training on the prevention of the anterior cruciate ligament injury in female athletes. Knee Surgery, Sports Traumatology, Arthroscopy, 18(6), 824–830. https://doi.org/10.1007/s00167-009-0901-2

Zebis, M. K., Andersen, L. L., Brandt, M., Myklebust, G., Bencke, J., Lauridsen, H. B., Bandholm, T., Thor-borg, K., Hölmich, P., & Aagaard, P. (2016). Effects of evidence-based prevention training on neuromuscular and biomechanical risk factors for ACL injury in adolescent female athletes: a randomised controlled trial. British Journal of Sports Medicine, 50(9), 552–557. https://doi.org/10.1136/bjsports-2015-094776

Published

2025-07-15

How to Cite

Cadens Roca, M., Planas Anzano, A., Peirau Teres, X., Benet Vigo, A., & Fort Vanmeerhaeghe, A. (2025). Effects of a neuromuscular training program based on the improvement of jump-landing mechanics in adolescent female handball players. Retos, 70, 805–823. https://doi.org/10.47197/retos.v70.103383

Issue

Section

Original Research Article

Most read articles by the same author(s)