The aim of the study was to record shoulder and trunk stability of elite female handball players and to investigate their effect on throwing velocity and accuracy. 151 female handball players (9 teams in total) from the Hungarian first league participated in a mid-season conditional survey. The study included tests of trunk and shoulder stability, and measurements of factors affecting shoulder stability, as well as throwing speed and throwing accuracy. After the conditional survey, 18 players were selected for the intervention group (IG) and 18 players for the control group (CG). Significant relationships were found between the medial stability of the shoulder joint (Y-balance) and throwing accuracy (upper right corner) (r = 0.766; p < 0.001), throwing accuracy (upper left corner) (r = 0.729; p < 0.001), total throwing accuracy (r = 0.907; p < 0.001). The IG showed significant improvement in trunk stability (p < 0.001), shoulder joint stability (p < 0.001), throwing velocity (p < 0.001), and throwing accuracy (p = 0.002), compared to the CG. These findings support the idea that trunk and shoulder stability are related to throwing performance of female handball players. Measuring and training these aforementioned factors, particularly medial shoulder stability, may be a valuable adjunct to improving throwing accuracy and throwing velocity.

Background: Anterior cruciate ligament (ACL) injuries in youth athletes are multifactorial, and the relative contributions of neuromuscular and neurocognitive variables remain inadequately comprehended. Methods: In this prospective cohort study, 220 young handball players (104 girls and 116 boys; mean age 16.3 ± 1.4 years) participated in functional testing with the Back in Action system and baseline neurocognitive evaluation with the ImPACT battery. During the 24-month follow-up period, orthopedic specialists identified ACL damage, which was confirmed by magnetic resonance imaging (MRI). Univariable logistic regression and receiver operating characteristic (ROC) curve analyses were conducted to evaluate predictive capability. Results: During the 24-month follow-up, 26 athletes sustained an ACL injury. Prolonged plyometric ground contact time was significantly associated with ACL injury occurrence in logistic regression analysis (p = 0.019) and demonstrated fair discriminatory ability (AUC = 0.63) (OR = 0.98 per ms; 0.98 95% CI: 0.964–0.997). Female sex emerged as a profound and independent risk factor (OR = 5.74). Conclusions: Neuromuscular performance, specifically plyometric ground contact time and female sex, has predictive ability for ACL damage in youth handball players, while separate cognition assessments failed to independently differentiate injury risk. These findings support the use of objective neuromuscular evaluation in comprehensive injury prevention strategies in youth sport.