TY - JOUR A1 - Heyn, Jens Michael A1 - Fleckenstein, Johannes T1 - Incidence of injury and pain in referees in German national handball leagues: a cohort study T2 - BMC sports science, medicine & rehabilitation N2 - Background: Handball referees play an important role during a handball match. Surprisingly, not much is known about their sports-related injuries and resulting pain, therefore the purpose of our study was to focus on injuries and sports-related pain in referees in German handball leagues. Methods: During the 2018/19 national German handball season, referees of the German Federation of Handball (DHB) were contacted and asked to complete an injury and pain questionnaire on the penultimate matchday of the first and the second round of the season. Results: Seventy referees participated in the study. One in three referees reported an injury during the last year and perceived some form of pain. Of those suffering from pain, 16.7% referees reported chronic pain disorders. During the season, 31.4% of referees incurred an injury and the majority of the 70 referees officiated despite pain (nā€‰=ā€‰43). Prospectively-enrolled data suggested an incidence of 11.6 (95% CI: 10.3 to 13.0) injuries per 1000 match hours, and 19.0 (95% CI: 16.8 to 21.3) sports-related pain events per 1000 match hours. The most common injuries were foot and knee injuries and a substantial number of the referees (nā€‰=ā€‰25) reported taking analgesics for the pain. Conclusion: German handball referees are at risk of sports-related injuries with subsequent pain. Considering the injury profile, the incidence of sports-related pain events, and the high physiological demands of refereeing, it appears that prevention programs should be developed and integrated into the routine of the referee. KW - Pain management KW - Sports medicine KW - Team sports KW - Play sports KW - Epidemiology KW - Biopsychosocial Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62620 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-626201 SN - 2052-1847 N1 - The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Open Access funding enabled and organized by Projekt DEAL. VL - 13 IS - art. 88 SP - 1 EP - 7 PB - BioMed Central CY - London ER -