The Effect of Repetitive Drop Jumps among Different Heights on Bilateral Asymmetry of Countermovement Jumps

Background: The study explored the influence of repeated drop jumps (DJs) from different drop heights on the lower extremity bilateral asymmetry and muscle activation of countermovement jumps (CMJs). Methods: Eighteen male athletes performed 200 drop jumps (DJs200) from three drop jump height (DJH30, 40 and 50 cm). The CMJs were performed before the first DJ and after the 50th, 100th, 150th and 200th DJs, recording them as pre-CMJ, CMJs50, CMJs100, CMJs150 and CMJs200. One-way repeated measures ANOVA was used to compare differences among the three drop heights at pre-CMJ, CMJs50, CMJs100, CMJs150 and CMJs200, respectively. Results: The peak ground reaction forces (PGRF) of CMJs100, CMJs150 and CMJs200 at DJH50 were greater than at DJH30 and DJH40 (all p < 0.05). The muscle activation during CMJs50 at DJH50 was greater than at DJH30 and DJH40 (all p < 0.05). The muscle activation during CMJs100, CMJs150 and CMJs200 at DJH50 was smaller than at DJH40 and DJH30 (all p < 0.05). The PGRF had no significant difference among the three different drop heights during CMJs50 (p > 0.05). Conclusions: The DJs50 at DJH50 had no effect on the bilateral asymmetry and increased muscle activation of CMJs. The excessive DJs100 at DJH50 increased bilateral asymmetry and decreased CMJ muscle activation during CMJs.

The Calculation, Thresholds and Reporting of Inter-Limb Strength Asymmetry: A Systematic Review

The prevalence of inter-limb strength differences is well documented in the literature however, there are inconsistencies related to measurement and reporting, and the normative values and effects associated with inter-limb asymmetry. Therefore, the aims of this systematic review were to: 1) assess the appropriateness of existing indices for the calculation of asymmetry, 2) interrogate the evidence basis for literature reported thresholds used to define asymmetry and 3) summarise normative levels of inter-limb strength asymmetry and their effects on injury and performance. To conduct this systematic review, scientific databases (PubMed, Scopus, SPORTDiscus and Web of Science) were searched and a total of 3,594 articles were retrieved and assessed for eligibility and article quality. The robustness of each identified asymmetry index was assessed, and the evidence-basis of the identified asymmetry thresholds was appraised retrospectively using the references provided. Fifty-three articles were included in this review. Only four of the twelve identified indices were unaffected by the limitations associated with selecting a reference limb. Eighteen articles applied a threshold to original research to identify "abnormal" asymmetry, fifteen of which utilised a threshold between 10-15%, yet this threshold was not always supported by appropriate evidence. Asymmetry scores ranged between and within populations from approximate symmetry to asymmetries larger than 15%. When reporting the effects of strength asymmetries, increased injury risk and detriments to performance were often associated with larger asymmetry, however the evidence was inconsistent. Limitations of asymmetry indices should be recognised, particularly those that require selection of a reference limb. Failure to reference the origin of the evidence for an asymmetry threshold reinforces doubt over the use of arbitrary thresholds, such as 10-15%. Therefore, an individual approach to defining asymmetry may be necessary to refine robust calculation methods and to establish appropriate thresholds across various samples and methodologies that enable appropriate conclusions to be drawn.

The Effect of Differential Repeated Sprint Training on Physical Performance in Female Basketball Players: A Pilot Study

This pilot study aimed to determine the effects of differential learning in sprint running with and without changes of direction (COD) on physical performance parameters in female basketball players and to determine the feasibility of the training protocol. Nine female basketball players completed 4 weeks of repeated sprint training (RST) with (COD, n = 4) or without (NCOD, n = 5) changes of direction. A battery of sprints (0–10 and 0–25 m), vertical jumps (counter movement jump (CMJ), drop jump, and single-leg CMJs), and COD tests were conducted before and after intervention. NCOD completed two sets of ten sprints of 20 m, whereas COD performed 20 m sprints with a 180 degree turn at 10 m, returning to the starting line. Before each sprint, participants were instructed to provide different fluctuations (i.e., differential learning) in terms of varying the sprint. Both groups had 30 s of passive recovery between two sprints and 3 min between sets. A significant effect of time for the 0–10 m sprint, CMJ, and single leg-CMJ asymmetries were observed. Adding “erroneous” fluctuation during RST seems to be a suitable and feasible strategy for coaches to enhance physical performance in young female basketball players. However, further studies including larger samples and controlled designs are recommended to strengthen present findings.

Effects of Three Different Combined Training Interventions on Jump, Change of Direction, Power Performance, and Inter-Limb Asymmetry in Male Youth Soccer Players

BACKGROUND

This study compared the effects of performing different unilateral combined training interventions on diverse vertical and horizontal jumping performance parameters, change of direction, concentric and eccentric mean power, and their associated inter-limb asymmetries in young soccer players.

METHODS

Forty-seven young male soccer players (age: 15.5 ± 0.9 years) were distributed into three groups. Two groups performed the same training volume with both legs, beginning with the weaker leg (Stronger Volume Weaker leg group (SVW), n = 14) or with the stronger leg (Stronger Volume Stronger leg group, (SVS), n = 15). The third group executed double the volume with the weaker leg and also commenced with such leg (Double Volume Weaker leg group (DVW), n = 16) during a 10-week period. Pre- and post-intervention tests included a single-leg hop, single-leg lateral hop, triple hop, bilateral and unilateral countermovement jumps, a change of direction speed test, concentric and eccentric mean power during the lateral squat test, and their corresponding asymmetries.

RESULTS

Single-leg hop weaker leg, triple hop weaker leg, and bilateral countermovement jump improvements were achieved in the SVW (ES: 0.29 to 0.46) and DVW (ES: 0.55 to 0.73) groups. Between-groups analysis showed better results in single-leg hop in the SVW and DVW compared to group SVS. The DVW group achieved better improvements in countermovement jump in comparison to groups SVS and SVW.

CONCLUSIONS

Groups that started with the weaker leg seemed to achieve a greater volume of significant changes than when starting with the stronger leg. Performing a double volume on the weaker limb does not guarantee further improved performance compared to other groups.

Impact of prior anterior cruciate ligament, hamstring or groin injury on lower limb strength and jump kinetics in elite female footballers

OBJECTIVE

To compare lower limb strength and countermovement jump (CMJ) kinetics between elite female footballers with and without a history of anterior cruciate ligament reconstruction (ACLR), hamstring strain, or hip/groin injury.

DESIGN

Cross-sectional.

SETTING

Field-based.

PARTICIPANTS

369 elite female Australian football, soccer and rugby league players aged 15-35.

MAIN OUTCOME MEASURES

Isometric hip adductor and abductor strength, eccentric knee flexor strength, and CMJ vertical ground reaction forces, including between-leg asymmetry. Players reported their lifetime history of ACLR, and whether they had sustained a hamstring strain, or hip/groin injury in the previous 12-months.

RESULTS

Players with a unilateral history of ACLR (n = 24) had significant between-leg asymmetry in eccentric knee flexor strength (mean = -6.3%, 95%CI = -8.7 to -3.9%, P < .001), isometric hip abductor strength (mean = -2.5%, 95%CI = -4.3 to -0.7%, P = .008), and CMJ peak landing force (mean = -5.5%, 95%CI = -10.9 to -0.1%, P = .046). Together, between-leg asymmetry in eccentric knee flexor strength, isometric hip abductor strength, and CMJ peak landing force distinguished between players with and without prior ACLR with 93% accuracy.

CONCLUSION

Elite female footballers with a history of ACLR, but not hamstring or hip/groin injury, exhibit persistent between-leg asymmetries in lower limb strength and jump kinetics following a return to sport.

Levels of Agreement for the Direction of Inter-Limb Asymmetry during Four Simple Change-of-Direction Tests in Young Male Handball Players: A Pilot Study

The purpose of this pilot study was to investigate the effects of change-of-direction (CoD) angle (90° vs. 180°) and the inclusion of acceleration approach on total task time, CoD deficit, and agreement regarding inter-limb asymmetry direction across CoD tasks. The sample included 13 young male handball players (age: 22.4 ± 3.2 years). The CoD tasks were performed over a 10 m distance with 90° and 180° turns. Both CoD tasks were performed under two conditions: (1) from the standing start and, (2) with a 10 m prior acceleration approach. Linear sprint times over a 10 m distance were also recorded for the purpose of determining the CoD deficit. The differences between the outcomes of different test variants were assessed with pairwise t-tests and associated Cohen’s d effect size. The agreement in terms of inter-limb asymmetry direction was assessed descriptively, using percentage of agreement. Results showed that the inclusion of the 10 m approach reduced the total task time (mean differences ranging between 0.26 and 0.35 s; d = 2.27–4.02; p < 0.002). The differences between 90° and 180° turn times were statistically significant under both conditions: (a) without approach (0.44–0.48 s; d = 4.72–4.84; all p < 0.001), and (b) with approach (0.50–0.54 s; d = 4.41–5.03; p < 0.001). The agreement regarding inter-limb asymmetry direction among the tasks was 30.7–61.5%. The differences between the tasks could be explained by the angle–velocity trade-off. The results of this study imply that the CoD tasks should not be used interchangeably when assessing inter-limb asymmetries.

An Assessment of the Hopping Strategy and Inter-Limb Asymmetry during the Triple Hop Test: A Test–Retest Pilot Study

The aims of the present study are to: (1) determine within- and between-session reliability of multiple metrics obtained during the triple hop test; and (2) determine any systematic bias in both the test and inter-limb asymmetry scores for these metrics. Thirteen male young American football athletes performed three trials of a triple hop test on each leg on two separate occasions. In addition to the total distance hopped, manual detection of touch down and toe-off were calculated via video analysis, enabling flight time (for each hop), ground contact time (GCT), reactive strength index (RSI), and leg stiffness (between hops) to be calculated. Results showed all coefficient of variation (CV) values were ≤ 10.67% and intraclass correlation coefficients (ICC) ranged from moderate to excellent (0.53–0.95) in both test sessions. Intrarater reliability showed excellent reliability for all metrics (CV ≤ 3.60%, ICC ≥ 0.97). No systematic bias was evident between test sessions for raw test scores (g = −0.34 to 0.32) or the magnitude of asymmetry (g = −0.19 to 0.43). However, ‘real’ changes in asymmetry (i.e., greater than the CV in session 1) were evident on an individual level for all metrics. For the direction of asymmetry, kappa coefficients revealed poor-to-fair levels of agreement between test sessions for all metrics (K = −0.10 to 0.39), with the exception of the first hop (K = 0.69). These data show that, given the inherent limitations of distance jumped in the triple hop test, practitioners can confidently gather a range of reliable data when computed manually, provided sufficient test familiarization is conducted. In addition, although the magnitude of asymmetry appears to show only small changes between test sessions, limb dominance does appear to fluctuate between test sessions, highlighting the value of also monitoring the direction of the imbalance.

Six methods for classifying lower-limb dominance are not associated with asymmetries during a change of direction task

Quantifying asymmetries between dominant and non-dominant limbs is a common research objective aimed at identifying systematic differences between limbs and establishing normative ranges of asymmetry. Multiple methods for classifying limb dominance exist, and it is unclear how different methods relate to directional asymmetries during change of direction (CoD). This study aimed to determine whether different methods of classifying limb dominance, including a novel CoD task-specific method, identified significant inter-limb asymmetries during a 90° CoD task. Fifty participants completed a testing battery consisting of jumping, hopping, CoD, and isokinetic dynamometry. Limb dominance was classified for each participant according to preferred kicking limb, vertical jump height, horizontal hop distance, initial force plate contact during landing, max isokinetic knee extensor strength, and turning velocity. Asymmetries in whole-body and joint-level mechanics were defined using each method. No method for classifying limb dominance was associated with consistent inter-limb biomechanical asymmetries during CoD, and no method was related to any other method. The magnitude of asymmetry relative to the magnitude of absolute asymmetry present within the cohort suggests that using these tasks to classify the dominant limb in this CoD is akin to assigning dominance to a randomly selected limb. Previous observations of group symmetry during CoD may be statistical artifacts as opposed to a true indication of normative movement. Until an appropriate means of classifying limbs during CoD is established, quantifying normative asymmetry based on limb dominance should be done with caution.

Intra- and Inter-Limb Strength Asymmetry in Soccer: A Comparison of Professional and Under-18 Players

(1) Background: the present study examined the isokinetic peak torque exerted by both knee extensors and flexors, anterior–posterior imbalance and the magnitude and direction of inter-limb asymmetry in professional and academy soccer players. (2) Methods: one hundred soccer players (professional = 50, elite academy = 50) volunteered to take part in this investigation. An isokinetic dynamometer was used to measure the knee extensor (quadriceps) and flexors muscle (hamstrings) torques of the limbs as well as inter-limb asymmetries—using a standard percentage difference equation. (3) Results: professional players exhibited significantly greater (effect size [ES] = large) strength levels in the quadriceps and hamstrings under both testing conditions, significantly higher (small to moderate) intra-limb ratio values for 60°·s⁻¹ but not for the 300°·s⁻¹ test condition, significantly (small to moderate) lower inter-limb asymmetry values for all test conditions, with the exception of the hamstrings at 60°·s⁻¹ and the direction of asymmetry was poor to slight, indicating that limb dominance was rarely the same between groups. (4) Conclusions: this study shows that isokinetic assessments, i.e., peak torque exerted by both knee extensors and flexors and intra-limb ratio, and the subsequent inter-limb asymmetry, i.e., magnitude and direction, can differentiate between professional and academy soccer players.

Seasonal variation of inter-limb jumping asymmetries in youth team-sport athletes

The main objective of the present study was to provide seasonal variation data for inter-limb asymmetry in youth elite team-sport athletes. Fifty-nine players performed the single-leg countermovement jump (SLCMJ) and the one leg hop for distance (OLHT) tests during pre-season, mid-season and end-season. A repeated-measures analysis of variance was conducted to determine magnitude differences in asymmetry scores between time points. Kappa coefficients (κ) were calculated to determine the levels of agreement for the direction of asymmetry. When comparing inter-limb asymmetry magnitudes across the season, the SLCMJ test showed significantly higher asymmetries at mid-season in comparison with pre-season and end-season (p< 0.01, d= -1.03 for pre to mid; p< 0.01, d= 1.12 for pre to end). However, OLHT inter-limb asymmetry magnitude remained consistent throughout the season (ES range = -0.02 to -0.06). For the direction of asymmetry, levels of agreement ranged from poor to slight in the SLCMJ (k= -0.10 to 0.18) and in the OLHT (k= -0.21 to 0.18). No significant differences were found between mean asymmetry values at any time point or for either test when comparing males and females. In conclusion, jump height asymmetry during the SLCMJ was the only metric to show significant magnitude changes across the season.

Relationship between Asymmetries Measured on Different Levels in Elite Basketball Players

In this study, we investigated the association of magnitude and agreement in direction between asymmetries measured on single-joint (hip and trunk), complex movement (jumping), and skill (change of direction (CoD)) levels. The study sample comprised 43 junior- and senior-level (age = 20.5 ± 6.0 years; height = 194.5 ± 7.2 cm; body mass = 86.8 ± 10.1 kg) elite male basketball players. Both limbs/sides were tested in hip and trunk isometric strength; passive range of motion (RoM); unilateral, horizontal, and vertical jumping; and CoD tests, from which asymmetry indexes were calculated. The associations between asymmetry magnitudes were calculated with Spearman’s ρ correlation coefficient. The agreement between the direction of asymmetries on different levels was calculated with Cohen’’s Kappa (κ) coefficient. The average magnitude of asymmetry varied substantially (2.9–40.3%). Most associations between asymmetry magnitudes measured on different levels were small and statistically non-significant, with a few exceptions of moderate and large associations. Asymmetry in single-leg countermovement jump parameters was strongly associated with hip abduction maximal strength (ρ = 0.58 and 0.50, p < 0.01). Agreement between asymmetry directions was slight to fair, with a few moderate exceptions. Results indicate that multiple tests are needed to obtain a comprehensive picture of athletes’ asymmetries and that universal thresholds and golden standard tests for return to play should be reconsidered and reinvestigated.

Comparison of Three Eccentric Overload Training Strategies on Power Output and Interlimb Asymmetry in Youth Soccer Players

BACKGROUND

The present study compared the effects of performing the lateral squat exercise in three different formats from eccentric overload training on concentric/eccentric peak/mean power and inter-limb asymmetries in young soccer players.

METHODS

Forty-five young male (U-17) soccer players were distributed into three groups. Two groups performed the same training volume with both legs, beginning with the weaker leg (SVW, n = 15) or with the stronger leg (SVS, n = 15). The third group executed double volume with the weaker leg and also commenced with such leg (DVW, n = 15) in the lateral squat during a 10-week period. Pre- and post-intervention metrics included concentric and eccentric peak/mean power during the lateral squat test and their corresponding asymmetries.

RESULTS

All groups improved all power variables. Concentric mean and peak power asymmetry were substantially reduced in the SVW (ES: 0.89), DVW (ES: 0.43), and in SVW (ES: 1.60). Eccentric mean and peak power asymmetry were also substantially decreased in SVW (ES: 0.81) and in DVW (ES: 0.68). Between-group analyses showed substantially better performance in concentric and eccentric variables with stronger and weaker legs in SVW and DVW groups compared with SVS.

CONCLUSIONS

Those groups which started with the weaker leg showed greater both power enhancements and reductions on inter-limb asymmetries.

Effects of Interlimb Asymmetries on Acceleration and Change of Direction Speed: A Between-Sport Comparison of Professional Soccer and Cricket Athletes

ABSTRACT

Bishop, C, Read, P, Brazier, J, Jarvis, P, Chavda, S, Bromley, T, and Turner, A. Effects of interlimb asymmetries on acceleration and change of direction speed: a between-sport comparison of professional soccer and cricket athletes. J Strength Cond Res 35(8): 2095-2101, 2021-The first aim of this study was to quantify and compare asymmetries among professional soccer and cricket athletes. The second aim was to examine the association between asymmetries and performance within both groups. Professional soccer (n = 18) and cricket (n = 23) athletes performed single-leg countermovement jumps, single-leg drop jumps (SLDJs), a 10-m sprint, and 505 change of direction speed (CODS) tests. Interlimb asymmetries were calculated as a standard percentage difference, Mann-Whitney U tests conducted to establish systematic bias between groups, and Spearman's r correlations used to establish the relationship between asymmetry scores and speed and CODS performance. Soccer athletes sprinted faster, jumped higher, and had a greater reactive strength index (RSI) score than cricket athletes (p < 0.05). However, cricketers showed reduced ground contact times compared with footballers during the SLDJ (p < 0.05). The cricket group showed significantly greater jump height (asymmetry = 11.49 vs. 6.51%; p = 0.015) and RSI (asymmetry = 10.37 vs. 5.95%; p = 0.014) asymmetries compared with soccer players. These metrics were also associated with slower 505 times in the cricket group only (r = 0.56 -0.74; p < 0.01). These results show that between-limb asymmetries exhibit no association with speed and CODS in elite soccer players but are associated with reduced CODS in elite cricketers. Thus, the reduction of interlimb asymmetries may be of greater consideration when working with cricket vs. soccer athletes.

Acute Effect of Repeated Sprints on Interlimb Asymmetries During Unilateral Jumping

ABSTRACT

Bishop, C, McAuley, W, Read, P, Gonzalo-Skok, O, Lake, J, and Turner, A. Acute effect of repeated sprints on interlimb asymmetries during unilateral jumping. J Strength Cond Res 35(8): 2127-2132, 2021-The aim of this study was to investigate the effects of multiple repeated sprints on unilateral jump performance and interlimb asymmetries. Eighteen recreationally active men performed 3 single-leg countermovement jumps (SLCMJ) as baseline data. The repeated sprint protocol was 6 × 40 m with 20 seconds of passive rest between each sprint. This protocol was conducted 4 times, each set separated by 4 minutes of rest. Within that rest period, subjects performed one SLCMJ on each limb after 2 minutes of rest. A 1-way analysis of variance showed significant reductions (p < 0.05; effect size [ES] = -0.52 to -0.99) in jump height on both limbs after each set relative to baseline. Interlimb asymmetries increased at each time point and ranged from 7.62 to 14.67%, with significant increases in asymmetry seen after sets 3 (p = 0.046) and 4 (p = 0.002). Significant increases in sprint time were shown between sprints 1 and 6 in each set (p ≤ 0.01). A fatigue index (%) was also calculated and showed an exponential increase from 5.74% (set 1) to 13.50% (set 4), with significant differences between all sets (p < 0.001) with the exception of sets 3 and 4. Results from this study show that a 6 × 40-m repeated sprint protocol is a sufficient dose for implementing acute fatigue in recreationally active subjects. This was manifested by reductions in jump height at all time points and jump height asymmetries after the third and fourth sets. These findings indicate that jump height from unilateral jump testing may be a useful metric to use during the monitoring process in recreationally trained athletes.

Between-session reliability of performance and asymmetry variables obtained during unilateral and bilateral countermovement jumps in basketball players

This study aimed to evaluate the between-session reliability of single-leg performance and asymmetry variables during unilateral and bilateral countermovement jumps (CMJ). Twenty-three basketball players completed two identical sessions which consisted of four unilateral CMJs (two with each leg) and two bilateral CMJs. Mean and peak values of force, velocity and power, impulse, and jump height were obtained separately for each leg using a dual force platform. All performance variables presented an acceptable reliability (CVrange = 4.05-9.98%) with the exceptions of jump height for the unilateral CMJs and mean power, peak velocity, peak power, and impulse for the left leg during the bilateral CMJ (CV≥11.0%). Nine out of 14 variables were obtained with higher reliability during the unilateral CMJ (CVratio≥1.16), and 4 out of 14 during the bilateral CMJ (CVratio≥1.32). Asymmetry variables always showed an unacceptable reliability (ICCrange = 0.15-0.64) and poor/slight levels of agreement in direction (Kapparange = -0.10 to 0.15) for the unilateral CMJ, while an acceptable reliability (ICCrange = 0.74-0.77) and substantial levels of agreement in direction (Kapparange = 0.65 to 0.74) were generally obtained for the bilateral CMJ. These results suggest that single-leg performance can be obtained with higher reliability during the unilateral CMJ, while the bilateral CMJ provides more consistent measures of inter-limb asymmetries.

The Relationship Between Performance and Asymmetries in Different Multidirectional Sprint Tests in Soccer Players

Practitioners usually include change of direction (COD) and linear speed measurements in the testing batteries of soccer players; however, despite being a commonly occurring action, curve sprint (CS) ability is rarely assessed in soccer. The aims of this study were to analyze the association between linear sprint, CS, and COD speed performances, and compare the association and direction of asymmetries between these skills. Thirty-three male soccer players performed linear sprint (17 m), CS (17 m), and COD-90^⍛ speed tests (COD [8.5 + 8.5 m]). Our main findings were (a) a large relationship between linear and multidirectional tasks (COD-90^⍛ and CS tests) (r = from 0.6 to 0.64, p < 0.05), (b) a moderate relationship between CS and COD-90^⍛ tests (r = from 0.33 to 0.41, p < 0.05), with a certain opposite tendency (higher relationships between opposing directions [Curve_LEFT - COD_RIGHT; r = 0.41] than between equal directions [Curve_LEFT - COD_LEFT; r = 0.33]), and (c) no relationship (p > 0.05) between COD and CS asymmetries, with opposing directional dominance in ~70% of players (e.g., curve left and COD right dominance). These results indicate that performance in linear sprints is strongly related to performance in multidirectional trajectories, whereas CS and COD-90^⍛ seem to be more independent actions. Additionally, the direction of asymmetry or dominance is generally opposite between the non-linear tasks measured.

Normative Reference of the Single Leg, Medial Countermovement Jump in Adolescent Youth Ice Hockey Players

Functional performance tests provide quantitative information on specialized sport movements and are important for documenting training and fatigue. The single leg, medial countermovement jump provides objective measures of frontal plane force, velocity and power, and is relevant for ice hockey players given the similar lateral movement to ice skating. This study measured normative single leg, medial countermovement jump parameters (i.e., vertical and lateral maximum force, average concentric power and average concentric power during the last 100 ms) amongst male youth ice hockey players and assessed interlimb asymmetry in these healthy athletes. Ninety-one elite youth players participated in the study. Participants completed three right and three left jumps. Non-parametric tests were performed to evaluate between-jump and between-group comparisons. Many differences in jump force and power parameters were observed between the 10U/11U and 12U/13U age groups, and the 12U/13U and 14U/15U age groups, but differences were not as consistent between older or younger players. The average asymmetry index for each age group was less than 15% for force parameters, while the power parameters had larger asymmetry indices (between 9% and 22%). Our results provide age-specific reference values and asymmetry indices for male elite youth ice hockey players aged 10-18 years performing the single leg, medial countermovement jump.

Bilateral Symmetry of Jumping and Agility in Professional Basketball Players: Differentiating Performance Levels and Playing Positions

Although functional asymmetry is very common and normal in professional athletes, the better interlimb symmetry between dominant and nondominant sides (bilateral symmetry) could contribute to successful performance in basketball. The aim of this study was to evaluate the importance of bilateral symmetry of the one-leg jumping and agility performances in differentiating basketball players according to their (i) playing position (guards, forwards, and centers) and (ii) performance levels (first division vs. second division). The participants were 102 professional male basketball players, with all members of the teams competing in the two highest national divisions at the moment of testing (height: 194.92 ± 8.09 cm; body mass: 89.33 ± 10.91 kg; 21.58 ± 3.92 years of age). Performance levels (first division, N = 58 vs. second division, N = 44) and playing positions (guards, N = 48; forwards, N = 22; centers, N = 32) were observed as dependent variables. We measured one-leg jumping capacities (running vertical jump and lay-up vertical jump), basketball-specific preplanned agility (CODS), and basketball-specific reactive agility (RAG), all executed on dominant and nondominant sides. Accordingly, the bilateral symmetry of jumping and agility was calculated by calculating the ratio of the corresponding performances on the dominant and nondominant sides. Factorial analysis of variance (performance levels × positions) indicated that the bilateral symmetry of one-leg jumping differentiated players according to their playing position, with better bilateral symmetry among guards (F-test = 6.11 (medium effect size) and 5.81 (small effect size), p < 0.05 for lay-up and running-jump symmetry, respectively). Performance levels significantly differed in the bilateral symmetry of lay-up jump, with better symmetry for first-division players (F-test = 10.11 (medium effect size), p < 0.001), which was mostly influenced by significant differences among guards. Playing positions and performance levels did not differ in bilateral symmetry of the CODS and RAG. The study reveals the importance of bilateral symmetry of the sport-specific performance in differentiating playing positions and performance levels in basketball. Further studies in other multidirectional sports and other sport-specific performances are warranted.

The Reliability of Common Functional Performance Tests within an Experimental Test Battery for the Lower Extremities

The main aim of this study was to determine the test-retest reliability of an experimental functional test battery: Y-balance test (YBT), single-leg countermovement jump (SLCMJ), single-leg hop for distance (SLH), side-hop (SH), speedy-jump (SJ), agility-T (AT), and lower extremity functional test (LEFT). Secondary aims were (1) to determine the mean range for the limb symmetry index (LSI) and (2) to detect significant differences in performance between test-retest sessions. Twenty-two healthy adults (14 males, 8 females; age 23.3 ± 3.9) were tested by the same rater during two different sessions (T1-T2), with a seven-day interval, under the same conditions. Reliability analysis showed good-to-excellent reliability (0.89 < ICC < 0.97; 0.80 < α < 0.98) for the test battery. LSI ranged from 95.9 ± 6.7% (SH-T1) to 104.4 ± 12.5% (SLCMJ-T2). Repeated measures ANOVA detected significant performance differences between sessions in the LEFT (p = 0.009) and for non-dominant sides in the SLH (p = 0.015), SH (p = 0.007), and SJ (p = 0.011). The high reliability of the test battery suggests a potential use in clinical sports practice. The LSI range of ≥95% was proposed as a benchmark for healthy adults. Learning effect seems to have played a crucial role in the T2 improvements of the non-dominant side for hop performances (SLH, SH, SJ) and speed performance (LEFT).

Inter-Limb Jump Asymmetries and Their Association with Sport-Specific Performance in Young Male and Female Swimmers

This study aimed to examine inter-limb jump asymmetries and their association with sport-specific performance in young swimmers. Thirty-eight (male, n = 19; female, n = 19) regional/national level young swimmers (age: 12.3 ± 1.2 years; height: 159.6 ± 8.2 cm; body mass: 52.5 ± 9.2 kg) participated in this study. Inter-limb asymmetries were assessed for single-leg countermovement jump (_SLCMJ) and single-leg standing long jump (_SLSLJ). Sport-specific performance was evaluated using front crawl (i.e., 50 m and 25 m) and front crawl kick (i.e., 50 m and 25 m). The kappa coefficient revealed a "slight" level of agreement (Κ = 0.156, 0.184, and 0.197 for female, male, and all, respectively) between the direction of asymmetry for _SLCMJ and _SLSLJ, indicating that asymmetries rarely favored the same limb during both tests. A paired sample t-test showed a significant difference (p = 0.025) between asymmetry scores obtained in _SLCMJ and _SLSLJ. No significant difference was found in asymmetry scores between males and females (p = 0.099 to 0.977). Additionally, no association between asymmetry scores and sport-specific performance was observed (p > 0.05). Our findings highlight the independent nature of inter-limb asymmetries derived from _SLCMJ and _SLSLJ among young male and female swimmers. Further, our results suggest no association between jumping asymmetries and sport-specific performance.

Jumping Asymmetries Are Associated With Speed, Change of Direction Speed, and Jump Performance in Elite Academy Soccer Players

ABSTRACT

Bishop, C, Brashill, C, Abbott, W, Read, P, Lake, J, and Turner, A. Jumping asymmetries are associated with speed, change of direction speed, and jump performance in elite academy soccer players. J Strength Cond Res 35(7): 1841-1847, 2021-The aim of this study was to establish interlimb asymmetries across different age groups in elite academy male soccer players and to examine any relationships between asymmetry and measures of physical performance. Fifty-one players from an English Premier League soccer academy were split into under-23 (n = 21), under-18 (n = 14), and under-16 (n = 16) groups and performed bilateral and unilateral countermovement jumps, 5-, 10-, and 20-m sprints, and a 505 change of direction speed tests. All tests showed low variability (coefficient of variation ≤ 2.5%) and good to excellent reliability (intraclass correlation coefficient = 0.80-0.99). A 1-way analysis of variance showed that the under-23 group was significantly faster than the under-16 group during the 20-m sprint (2.90 vs. 2.98 s; p = 0.02; effect size = 0.94). No other significant differences were present between groups. Interlimb asymmetry was quantified from the single-leg countermovement jump, and no significant differences in the magnitude of asymmetry were present between groups. However, multiple significant correlations were present in each age group between asymmetry and physical performance tests, all of which were indicative of reduced athletic performance. Results from this study show that although interlimb asymmetry scores are comparable across age groups in elite academy soccer players, differences as low as 5% are associated with reduced physical performance during jumping, sprinting, and change of direction speed tasks. This study suggests the importance of monitoring jump height asymmetries in elite academy soccer players.

Unilateral or Bilateral Standing Broad Jumps: Which Jump Type Provides Inter-Limb Asymmetries with a Higher Reliability?

This study aimed to compare the between-session reliability of performance and asymmetry variables between unilateral and bilateral standing broad jumps (SBJ). Twenty-four amateur basketball players (12 males and females) completed two identical sessions which consisted of four unilateral SBJs (two with each leg) and two bilateral SBJs. Mean and peak values of force, velocity and power, and impulse were obtained separately for each leg using a dual force platform. Inter-limb asymmetries were computed using the standard percentage difference for the unilateral SBJ, and the bilateral asymmetry index-1 for the bilateral SBJ. All performance variables generally presented an acceptable absolute reliability for both SBJs (CV range = 3.65-9.81%) with some exceptions for mean force, mean power, and peak power obtained with both legs (CV range = 10.00-15.46%). Three out of 14 variables were obtained with higher reliability during the unilateral SBJ (CVratio ≥ 1.18), and 5 out of 14 during the bilateral SBJ (CVratio ≥ 1.27). Asymmetry variables always showed unacceptable reliability (ICCrange = -0.40 to 0.58), and slight to fair levels of agreement in their direction (Kappa range = -0.12 to 0.40) except for unilateral SBJ peak velocity [Kappa = 0.52] and bilateral SBJ peak power [Kappa = 0.51]) that showed moderate agreement for both SBJs. These results highlight that single-leg performance variables can be generally obtained with acceptable reliability regardless of the SBJ variant, but the reliability of the inter-limb asymmetries in the conditions examined in the present study is unacceptable to track individual changes in performance.

IMU-Based Effects Assessment of the Use of Foot Orthoses in the Stance Phase during Running and Asymmetry between Extremities

The objectives of this study were to determine the amplitude of movement differences and asymmetries between feet during the stance phase and to evaluate the effects of foot orthoses (FOs) on foot kinematics in the stance phase during running. In total, 40 males were recruited (age: 43.0 ± 13.8 years, weight: 72.0 ± 5.5 kg, height: 175.5 ± 7.0 cm). Participants ran on a running treadmill at 2.5 m/s using their own footwear, with and without the FOs. Two inertial sensors fixed on the instep of each of the participant’s footwear were used. Amplitude of movement along each axis, contact time and number of steps were considered in the analysis. The results indicate that the movement in the sagittal plane is symmetric, but that it is not in the frontal and transverse planes. The right foot displayed more degrees of movement amplitude than the left foot although these differences are only significant in the abduction case. When FOs are used, a decrease in amplitude of movement in the three axes is observed, except for the dorsi-plantar flexion in the left foot and both feet combined. The contact time and the total step time show a significant increase when FOs are used, but the number of steps is not altered, suggesting that FOs do not interfere in running technique. The reduction in the amplitude of movement would indicate that FOs could be used as a preventive tool. The FOs do not influence the asymmetry of the amplitude of movement observed between feet, and this risk factor is maintained. IMU devices are useful tools to detect risk factors related to running injuries. With its use, even more personalized FOs could be manufactured.

The Relationship between Symmetrical and Asymmetrical Jumps and Their Influence on Speed Abilities: Gender Consideration

Purpose: Plyometric exercises, in the form of jumping, are extreme physical activities. The aim of the study was to determine how symmetrical-single versus asymmetrical-continued plyometric exercises differ between men and women and affect speed abilities. Methods: Twenty-two healthy females and forty-four males from different sports practices participated in the investigation. The countermovement jump (CMJ) and drop jump (DJ) of 40/60 cm box were performed on two independent and synchronized force platforms (Bilateral Tensiometric Platform S2P, Ljubljana, Slovenia). The measurement of a standing long jump (SLJ) and all continuous jumps: standing five jumps (SFJ), standing bounce triple jump (SBTJ), five double-leg jumps (FD-LJ), and a 10 m horizontal single leg jump (HSLJ-10mL/R) were performed using OptoJump–Next Microgate (OptoJump, Bolzano, Italy). Results: Statistically significant differences were noted in all jump kinematic and somatic parameters, in favor of the men. The correlations between values of height of symmetrical jumps (bilateral) and distance (SLJ) were stronger in women despite the shorter jumps than the men. When an alpha-level of 0.01 was set, this study demonstrated a stronger correlation between symmetrical-single and asymmetrical-continuous plyometrics exercises and sprints, both men and women. This relationship is due to their similar kinematic and dynamic structures with sprinting steps. Conclusions: The results showed a large dispersion of the relationship (p < 0.05) between jumps and sprints divided into 10, 20 and 30 m, both in men and women. Both types of exercises implemented as a plyometric training regime are an extremely important tool for sprint speed development.

Seasonal Variation of Physical Performance and Inter-limb Asymmetry in Professional Cricket Athletes

ABSTRACT

Bishop, C, Weldon, A, Hughes, J, Brazier, J, Loturco, I, Turner, A, and Read, P. Seasonal variation of physical performance and interlimb asymmetry in professional cricket athletes. J Strength Cond Res 35(4): 941-948, 2021-The aims of this study were to: (a) determine the seasonal variation of physical performance in professional cricket players and (b) determine the seasonal variation of interlimb asymmetries in the same cohort of professional players. Fifteen male professional cricket players (age: 20.60 ± 1.59 years; height: 1.82 ± 0.08 m; and body mass: 78.70 ± 11.23 kg) performed unilateral countermovement jumps (CMJs), unilateral drop jumps, 10 m sprints and 505 change of direction (COD) speed tests at pre (March), mid (June), and end (September) of the 2018 season. Interlimb asymmetry was quantified in the unilateral CMJ (jump height and concentric impulse), unilateral drop jump (jump height and reactive strength index [RSI]), and 505 (total time and COD deficit). Significant changes (p < 0.05) were evident for the following tests: unilateral CMJ (effect size [ES] range = 0.67-1.00), 505 on the right leg (ES = 0.70), 10 m (ES range = -1.39 to 0.70), and COD deficit (ES range = 0.70-0.80), with the largest changes evident for 10-m sprint. No significant differences were evident in drop jump performance throughout the season. For the magnitude of asymmetry, significant changes in jump height asymmetry from the unilateral CMJ were evident from mid to end of season (ES = 0.72). For the direction of asymmetry, levels of agreement ranged from poor to substantial in the unilateral CMJ (kappa = -0.21 to 0.72), fair to substantial in the unilateral drop jump (kappa range = 0.33 to 0.74), and slight to moderate during the 505 test (kappa range = 0.06 to 0.44), with RSI showing noticeably better results than other tests or metrics. These data show that the largest changes in performance scores throughout the season came from the 10-m test, which practitioners may wish to consider implementing if not doing so already. Furthermore, both unilateral jump tests showed their use for asymmetry interpretation, which practitioners may wish to consider implementing in to their test batteries. Specifically, jump height asymmetry during the unilateral CMJ was the only metric to exhibit meaningful changes between time points, whereas RSI was the metric that exhibited more consistent limb dominance characteristics for the direction of asymmetry.

Unilateral Isometric Squat: Test Reliability, Interlimb Asymmetries, and Relationships With Limb Dominance

ABSTRACT

Bishop, C, Read, P, Lake, J, Loturco, I, Dawes, J, Madruga, M, Romero-Rodrigues, D, Chavda, S, and Turner, A. Unilateral isometric squat: Test reliability, interlimb asymmetries, and relationships with limb dominance. J Strength Cond Res 35(2S): S144-S151, 2021-The aim of this study was to determine test reliability, establish interlimb asymmetries and their associations with force production capability on the dominant (D) and nondominant (ND) limbs during the unilateral isometric squat test. Twenty-eight recreational sport athletes attended a single-test session after familiarization and performed 3 trials on each limb with 140° of hip and knee flexion, to assess peak force (PF), rate of force development (RFD), and impulse at different time intervals. Reliability, interlimb asymmetries, and Pearson's r correlations were computed thereafter. Test reliability was metric-dependent with only PF showing good levels of reliability on both limbs (coefficient of variation = 5.44-5.70; intraclass correlation coefficient = 0.93-0.94). Interlimb asymmetries ranged from 8.36 to 25.46%, with a tendency for RFD and impulse asymmetries to reduce as time intervals increased. Three significant negative relationships of a possible 49 (r = -0.43 to -0.47; p < 0.05) were found between asymmetries and performance on the D limb. However, 31 significant negative correlations (r = -0.42 to -0.71; p < 0.05) were found between asymmetries and performance on the ND limb. These findings demonstrate that practitioners may only be able to use PF as a reliable test metric during a unilateral isometric strength test. Furthermore, the negative association between asymmetries and strength performance on the ND limb may indicate that the reduction of imbalances through targeted training interventions may be warranted.

A Narrative Review of Limb Dominance: Task Specificity and the Importance of Fitness Testing

ABSTRACT

Virgile, A and Bishop, C. A narrative review of limb dominance: Task specificity and the importance of fitness testing. J Strength Cond Res 35(3): 846-858, 2021-Preferential limb function must be sustained through repetitious asymmetrical activities for continuous athletic development and, ultimately, optimal athletic performance. As such, the prevalence of limb dominance and between-limb differences is common in athletes. Severe between-limb differences have been associated with reductions in athletic performance and increased injury risk in athletes. However, in the current literature, the terms limb preference and limb dominance have been used interchangeably. Together, these terms include a limb that is subjectively preferred and one that is objectively dominant in 1 or more performance measures from a variety of athletic tasks. In this review, we (a) discuss reported correspondence between task-specific limb preference and limb dominance outcomes in athletes, (b) provide greater context and distinction between the terms limb preference and limb dominance, and (c) offer pragmatic strategies for practitioners to assess context-specific limb dominance. A limb that is subjectively preferred is not necessarily objectively dominant in 1 or more athletic qualities or sport-specific tasks. Further to this, a limb that is objectively superior in 1 task may not exhibit such superiority in a separate task. Thus, limb preference and limb dominance are both task-specific. As such, we propose that practitioners intentionally select tasks for limb dominance assessment which resemble the most relevant demands of sport. Because limb dominance profiles are inconsistent, we suggest that practitioners increase assessment frequency by integrating limb dominance testing into standard training activities. This will allow practitioners to better understand when changes reflect sport-specific adaptation vs. potential performance or injury ramifications.

Does a Loaded Warm-Up Influence Jump Asymmetry and Badminton-Specific Change of Direction Performance?

PURPOSE

Previously, it has been shown that loaded warm-up (LWU) can improve change-of-direction speed (CODS) in professional badminton players. However, the effect of asymmetry on CODS in badminton players and the influence of LWU on asymmetry has not been examined.

METHODS

A total of 21 amateur badminton players (age 29.5 [8.4] y, playing experience 8.4 [4.2] y) completed 2 trials. In the first, they performed a control warm-up. In the second, they performed the same warm-up but with 3 exercises loaded with a weight vest (LWU). Following both warm-ups, players completed single-leg countermovement jump and badminton-specific CODS tests.

RESULTS

No significant differences between control warm-up and LWU were observed for CODS, single-leg countermovement jump, or single-leg countermovement jump asymmetry. However, small effect sizes suggested faster CODS (mean difference: -5%; d = -0.32) and lower asymmetries (mean difference: -3%; d = -0.39) following LWU. Five players (24%) experienced CODS improvements greater than the minimum detectable change while 2 (10%) responded negatively. Asymmetry was not correlated with CODS following control warm-up (ρ = .079; P = .733) but was negatively associated with CODS after LWU (ρ = -.491; P = .035).

CONCLUSION

LWU may prove a strategy to trial on an individual basis, but generic recommendations should not be applied.

Associations between Inter-Limb Asymmetries in Jump and Change of Direction Speed Tests and Physical Performance in Adolescent Female Soccer Players

The association between asymmetries in jump and change of direction (COD) with physical performance in several sports show inconclusive results. The purposes of this study were to: (1) measure inter-limb asymmetries in three distinct groups in adolescent female soccer players and, (2) to determine the association between inter-limb asymmetries and physical performance in different age groups. Fifty-four players were distributed in three age groups: U-18, U-16 and U-14. All of them performed a series of jumps, sprints and change of direction speed tests. Asymmetries were assessed as the percentage difference between limbs, with the equation: 100/Max value (right and left) * in value (right and left) * -1 + 100. Mean inter-limb asymmetries were 2.91%, 4.82% and 11.6% for 180° COD, single leg hop and single leg countermovement jump tests respectively, but higher percentages of asymmetries were observed in many players individually. U-18 and U-16 showed significant differences on 180° left COD compared to U-14. Effect size (ES): 0.80 and 0.74, respectively; U-18 presented differences on single left leg hop test compared to U-14, ES: -0.72; U-16 also showed differences on 40 m speed compared to U-14, ES 0.87 (All p < 0.05). Jumping and COD physical tests show asymmetries in adolescent female soccer players, but these asymmetries do not interfere with physical performance. The largest asymmetry was observed in the single leg countermovement jump, and no asymmetries between groups were found. Due to the high variability in the direction of asymmetries, it is recommended to consider players' individual asymmetries for designing specific training programs.

Enhancing High-Intensity Actions During a Basketball Game After a Strength Training Program With Random Recovery Times Between Sets

ABSTRACT

Arede, J, Leite, N, Tous-Fajardo, J, Bishop, C, and Gonzalo-Skok, O. Enhancing high-intensity actions during a basketball game after a strength training program with random recovery times between sets. J Strength Cond Res XX(X): 000-000, 2021-To examine the effects of a strength training program with random recovery times between sets in consideration of several physical parameters, high-intensity actions, and spatial exploration index during a simulated basketball game. Twenty male basketball players (age: 19.45 ± 4.36 years) were assigned randomly to either strength training group (n = 10) or control group (n = 10). The strength training included parallel back squat and bench press exercises, twice a week for the duration of 10 weeks, with 2 blocks of 5 sets × 5 repetitions interspersed with variable passive recovery (range = 15-35 seconds) between sets, and constant passive recovery (3 minutes) between blocks with the load that maximized propulsive power output. The pre- and posttest assessments included jumping (bilateral and unilateral), change of direction, straight sprinting, and a 5-on-5 full-court situation. The external training load was assessed using the local positioning system, and the internal load was recorded with the use of individual heart rate monitors. A significant interaction effect (group × time) was observed on countermovement jump, unilateral right hops, high-intensity accelerations and decelerations, and peak accelerations and decelerations in the 5-on-5 full-court situation. Relative improvements observed and recorded in the training group on unilateral right hops, accelerations, and decelerations were correlated. Similar results were observed on 0- to 25-m sprints, high-intensity decelerations, peak accelerations, and decelerations. Strength training paired with random recovery times enhanced physical and game-related aspects in the observed basketball players.

Acute and Delayed Effects of Fatigue on Ground Reaction Force, Lower Limb Stiffness and Coordination Asymmetries During a Landing Task

Landing is a critical phase of movement for injury occurrence, in which lower limbs should be used equally to better absorb the shock. However, it has been suggested that fatigue can lead to the appearance of asymmetries. The aim of this study was to verify the acute and delayed effects of fatigue on the lower limb asymmetry indexes of peak ground reaction force, leg stiffness and intra-limb coordination during a landing task. Fifteen physically active men performed a fatigue protocol composed of 14 sets of 10 continuous vertical jumps, with a one-minute rest interval between the sets. A step-off landing task was performed before, immediately after, 24 h and 48 h after the fatigue protocol. Two force plates and a video analysis system were used. The symmetry index equation provided the asymmetry indexes. For statistical analysis, ANOVA and effect size analysis were utilized. Inferential statistics did not show the effect of fatigue in the asymmetry indexes for any variable or condition (p > .05). Moderate effect sizes were observed for peak ground reaction force (0.61) and leg stiffness (0.61) immediately after the application of the protocol. In conclusion, fatigue does not seem to significantly change the asymmetries of lower limbs, especially regarding intra-limb coordination. The moderate effects observed for peak ground reaction force and leg stiffness asymmetries suggest that these variables may be acutely affected by fatigue.

Unilateral vs. bilateral hamstring strength assessments: comparing reliability and inter-limb asymmetries in female soccer players

The aims in the present study were to assess reliability for two unilateral and two bilateral field-based hamstring assessments and compare magnitude, direction and agreement of inter-limb asymmetry between tests and sessions. Twenty-nine female soccer players (age: 21.1 ± 4.5 years; height: 169.7 ± 5.8 cm; body mass: 66.2 ± 6.4 kg) performed three repetitions per leg of unilateral isometric 30° and 90° knee flexion (KF) tasks, and three repetitions total for a bilateral 90° isometric KF and Nordic hamstring exercise. Absolute reliability of most methods were acceptable (<10%). Relative reliability within-session was fair to excellent (ICC≥0.784; lower bound 95%CI ≥0.623). Greater variability in between-session relative reliability was observed during the unilateral tests, demonstrating poor to good (ICC = 0.698-0.798; lower bound 95%CI = 0.274-0.638). Bilateral assessments demonstrated similar ranges of poor to excellent (ICC = 0.679-0.963; lower bound 95%CI = 0.231-0.790). Agreement between-session for inter-limb asymmetry identification was slight and fair in the unilateral tests, with moderate to substantial agreement demonstrated in the bilateral. Being the most reliable within- and between-sessions, demonstrating substantial agreement in asymmetry between-sessions, the NHE would be most appropriate to identify inter-limb asymmetry and assess chronic changes in hamstring strength.

Influence of Load and Phase of Contraction on Lateral Symmetries in Flywheel Squats

Assessment of lateral symmetries (LS) of lower limbs has been widely investigated. However, there are no studies about LS during exposure to high eccentric and concentric loads during flywheel (FW) squats. A total of 422 young, physically active participants performed squats on an FW device with different equidistant loads (0.05, 0.125 and 0.2 kg∙m2). The mean and peak force of the left and right leg were assessed for the concentric and eccentric contaction phase. LS values were calculated for each load and phase of squat. Our results showed that the absolute mean and peak force of the concentric and eccentric phase of contraction had excellent reliability, while LS values were more reliable when eccentric force was used for their calculation. Mean and peak forces were increased with the higher FW load. In general, we found a decrease in LS values in the concentric phase of contraction with the higher load. Moreover, values of LS are similar to a wide range of other functional movements. Nevertheless, symmetrical force application during squatting on a FW device should be satisfied regardless of the FW load. Due to the large sample size, our results are valuable as a reference point when athletes are evaluated during training.

Asymmetry Thresholds for Common Screening Tests and Their Effects on Jump Performance in Professional Soccer Players

CONTEXT

Arbitrary asymmetry thresholds are regularly used in professional soccer athletes, notwithstanding the sparse literature available to examine their prevalence.

OBJECTIVE

To establish normative and positional asymmetry values for commonly used screening tests and investigate their relationships with jumping performance.

DESIGN

Cross-sectional study.

SETTING

Elite soccer screening.

PATIENTS OR OTHER PARTICIPANTS

A total of 203 professional male soccer players.

MAIN OUTCOME MEASURE(S)

Bilateral and unilateral jumping; range of motion; and hamstrings (HAM), quadriceps (QUAD), and hip-adductor and -abductor strength tests were used to quantify asymmetry. Players were divided into 4 quartiles (Q1-Q4) based on the magnitude of their asymmetry for each test. Single composite scores were also developed to group tests by range of motion and HAM, QUAD, hip-adduction, and hip-abduction strength, and differences in jump performance were examined among players in each quartile.

RESULTS

Large variability (range = 5.2%-14.5%) was evident in asymmetry scores across the different tests and physical qualities. Forwards displayed greater asymmetry in concentric quadriceps and eccentric hip-abduction strength (P < .05). The HAM and QUAD composite scores indicated that Q4 players' jumps were shorter than those in other quartiles during a single-legged countermovement jump and 10-second hop (P < .05). No decrements in unilateral jump performance were shown among players in each quartile for range of motion or hip-adduction and -abduction strength, and no composite measures of asymmetry affected bilateral jump performance.

CONCLUSIONS

No single asymmetry threshold was present for all tests; the outcomes were task, variable, and population specific. Larger asymmetries in HAM and QUAD strength appeared to be detrimental to unilateral jump performance.

Whole-body morphological asymmetries in high-level female tennis players: A cross‑sectional study

This cross-sectional study aimed to examine the degree of whole-body morphological asymmetries in female tennis players. Data were collected in 19 high-level female tennis players (21.3 ± 3.4 years). Based on anthropometric measurements (upper arm, lower arm, wrist, upper leg and lower leg circumferences as well as elbow and knee widths) and dual x-ray absorptiometry research scans (bone mineral density (BMD), bone mineral content (BMC), lean mass (LM), fat mass (FM) as well as humerus, radio-ulnar, femur and tibia bone lengths), within-subject morphological asymmetries for both upper (dominant vs. non-dominant) and lower (contralateral vs. ipsilateral) extremities were examined. Upper arm (p = 0.015), lower arm (p < 0.001) and wrist circumferences (p < 0.001), elbow width (p = 0.049), BMD (p < 0.001), BMC (p < 0.001), LM (p = 0.001), humerus (p = 0.003) and radio-ulnar bone length (p < 0.001) were all greater in the dominant upper extremity. BMC (p < 0.001) and LM (p < 0.001) were greater in the contralateral lower extremity, whereas FM (p = 0.028) was greater in the ipsilateral lower extremity. This is the first study to report significant side-to-side differences in both upper and lower extremities in high-level female tennis players.

Effects of successive judo matches on interlimb asymmetry and bilateral deficit

OBJECTIVE

To verify the effects of successive judo matches on interlimb asymmetry and bilateral deficit in judo athletes.

DESIGN

Repeated measures; SETTING: University Judo center.

PARTICIPANTS

Fourteen male judo athletes.

OUTCOME MEASURES

Four simulated matches consisting of 4-min. Before the first match and after each match athletes were submitted to single leg tests - Countermovement Jump (SL_CMJ) and Standing Long Jump (SL_SLJ), and handgrip strength (HGS) in the dominant and non-dominant limbs. Interlimb asymmetry was calculated in both jumps and handgrip strength tests.

RESULTS

Most jump-derived variables did not change the magnitude of asymmetry throughout the matches (p > 0.05), with the exception of jump height asymmetry in SL_CMJ, that increased after the second match (p = 0.001). The HGS decreased in both hands from the first match (p < 0.001), without asymmetry. The highest bilateral strength deficit was observed in post-match 1 and post-match 2 (close to 10%).

CONCLUSION

Four-successive judo matches did not change the magnitude of interlimb asymmetry, with exception of SL_CMJ height, which increased after the second match. The handgrip strength decreased throughout the matches, but similarly in both hands. Finally, the direction of asymmetry showed consistency throughout the matches only for SL_CMJ height.

Change of Direction Performance Is Influenced by Asymmetries in Jumping Ability and Hip and Trunk Strength in Elite Basketball Players

Change of direction (COD) ability is essential for sport performance in high level team sports such as basketball, however, the influence of asymmetries on COD ability is relatively unknown. Forty-three junior and senior level elite basketball players performed isometric hip and trunk strength testing, passive hip and trunk range of motion testing, and unilateral horizontal and vertical jumps, as well as the T-test to measure COD performance. Mean asymmetry values ranged from 0.76% for functional leg length up to 40.35% for rate of torque development during hip flexion. A six-variable regression model explained 48% (R2 = 0.48; p < 0.001) of variation in COD performance. The model included left hip internal/external rotation strength ratio, and inter-limb asymmetries in hip abduction rate of torque development, hip flexion range of motion, functional leg length, single leg triple jump distance, and peak torque during trunk lateral flexion. Results suggest that the magnitude of asymmetries is dependent of task and parameter, and using universal asymmetry thresholds, such as <10 %, is not optimal. The regression model showed the relationship between asymmetries and COD performance. None of tests were sufficient to explain a complex variable like COD performance.

Inter-limb strength asymmetry in adolescent distance runners: Test-retest reliability and relationships with performance and running economy

The purpose of this investigation was, firstly, to quantify the test-retest reliability of strength measures in adolescent distance runners; and secondly, to explore the relationships between inter-limb strength asymmetry and performance and running economy (RE) in a similar cohort of young runners. For the reliability study, twelve (n = 6 female) post-pubertal adolescent distance runners performed an isometric quarter-squat on a dual force plate and unilateral isometric hip extension and hip abduction tests on two occasions. For the correlation study, participants (n = 31) performed the strength tests plus a submaximal incremental running assessment and a maximal running test. Running economy was expressed as the average energy cost of running for all speeds below lactate turnpoint and was scaled for body mass using a previously calculated power exponent. Allometrically scaled peak force during the quarter-squat and peak torque in the hip strength tasks showed acceptable levels of reproducibility (typical error ≤6.3%). Relationships between strength asymmetry and performance and RE were low or negligible (r < 0.47, p > 0.05), except for hip abduction strength asymmetry and RE in the female participants (r = 0.85, p < 0.001, n = 16). Practitioners should consider inter-limb hip abduction strength asymmetry on an individual level, and attempting to reduce this asymmetry in females may positively impact RE.

Relationship between force-velocity-power profiles and inter-limb asymmetries obtained during unilateral vertical jumping and singe-joint isokinetic tasks

We explored the associations between force-velocity-power (FVP) profiles and inter-limb asymmetries in FVP profiles obtained during unilateral jumping and single-leg isokinetic knee extension and flexion tasks. Thirty (13 senior and 17 junior) basketball players performed unilateral jumps with different levels of unloading (0-40% body mass) and isokinetic knee extension and flexion at different angular velocities (60-300°/s) with each leg. Senior and junior basketball players exhibited similar jump performance, normalized knee extensor and flexor strength, and relatively similar jumping and isokinetic FVP profiles. No significant associations between unilateral jump and isokinetic knee extension and flexion FVP parameters were found (all r ≤ 0.26; p > 0.05). Inter-limb asymmetries had no or very weak associations with unilateral jump height (-0.2 < r < 0.2; all p > 0.1); also, inter-limb asymmetries in jump and isokinetic FVP parameters were generally weakly associated (median r < 0.1). Finally, unilateral jump height was weakly-to-moderately associated with isokinetic F₀, jumping P_max, and normalized knee extension isokinetic peak torque at 60°/s and 240°/s (r = 0.35-0.57). These results suggest that the generalizability of the FVP profile of isolated muscle groups to complex ballistic tasks is weak.

The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review

BACKGROUND

Non-contact injuries such as anterior cruciate ligament ruptures often occur during physical load toward the end of a match. This is ascribed to emerging processes due to exercise-induced fatigue. Moreover, non-contact injuries often occur during dynamic actions such as landing or cutting movements. Inter-limb asymmetries are suggested as one possible cause for those injuries based on findings indicating that asymmetries between limbs are associated with a higher injury risk. Hence, assessing inter-limb asymmetry during physical load in the condition of exercise-induced fatigue is warranted to identify potentially relevant precursors for non-contact injuries.

OBJECTIVE

The objective of this study was to overview the current state of evidence concerning the influence of exercise-induced fatigue on inter-limb asymmetries through a systematic review.

METHODS

A systematic literature search was conducted using the databases Web of Science, Scopus, PubMed, SURF, and SPONET to identify studies that assessed inter-limb asymmetries of healthy people, calculated with an asymmetry equation, before and after, or during a loading protocol.

RESULTS

Thirteen studies were included in the systematic review. The loading protocols involved running, race walking, jumping, squatting, soccer, rowing, and combinations of different exercises. Moreover, different tasks/procedures were used to assess inter-limb asymmetries, e.g., squats, single-leg countermovement jumps, gait analysis, or isokinetic strength testing. The results seem to depend on the implemented loading protocol, the tasks/procedures, and the measured parameters.

CONCLUSIONS

Future research needs more systematization and consistency, assessing the effect of exercise-induced fatigue on inter-limb asymmetries. Moreover, the emergence of inter-limb asymmetries should be regarded in the context of sport-specific movements/tasks. Testing before, after, and during a physical loading protocol is advisable to consider the influence of exercise-induced fatigue on sport-specific tasks and to identify the possible mechanisms underlying load-dependent inter-limb asymmetries with regard to risk of non-contact injury.

Effects of Differential Jump Training on Balance Performance in Female Volleyball Players

The purpose of this study was to determine whether coordinative jump training that induces neuromuscular stimuli can affect balance performance, associated with injury risk, in elite-level female volleyball players. During the competitive season, the balance performance of 12 elite female players (highest Austrian division) was obtained via a wobble board (WB; 200 Hz) placed on an AMTI force plate (1000 Hz). Three identically repeated measurements defined two intervals (control and intervention phases), both comparable in duration and regular training. The intervention included 6 weeks of differential training (8 sessions of 15–20 min) that delivered variations in dynamics around the ankle joints. Multilevel mixed models were used to assess the effect on postural control. WB performance decreased from 27.0 ± 13.2% to 19.6 ± 11.3% during the control phase and increased to 54.5 ± 16.2% during the intervention (β = 49.1 ± 3.5; p < 0.001). Decreased sway area [cm²] (β = −7.5 ± 1.6; p < 0.001), anterior–posterior (β = −4.1 ± 0.4; p < 0.001) and mediolateral sway [mm] (β = −2.7 ± 0.6; p = 0.12), and mean velocity [mm∙s−1] (β = −9.0 ± 3.6; p < 0.05) were observed during the intervention compared with the control phase. Inter-limb asymmetry was reduced (β = −41.8 ± 14.4; p < 0.05). The applied training concept enhanced balance performance and postural control in elite female volleyball players. Due to the low additional physiological loads of the program and increased injury risk during the competitive season, we recommend this intervention for supporting injury prevention during this period.

Effects of Combined Strength and Power Training on Physical Performance and Interlimb Asymmetries in Adolescent Female Soccer Players

PURPOSE

To examine the effects of an 8-week combined strength and power training intervention on physical performance and interlimb asymmetries in adolescent female soccer players.

METHODS

Thirty-seven adolescent female soccer players (age 16.1 [1.1] y) were randomly assigned to a control group (n = 18) or experimental group (n = 19). The experimental group performed combined strength and power training twice a week, which consisted of strength and power exercises that trained the major muscles of the lower body and trunk musculature. Preintervention and postintervention tests included unilateral and bilateral horizontal and countermovement jump tests, a 40-m sprint test (10- and 30-m split times), a 10-m sprint with a 180° change-of-direction (COD) test, and a multiple-COD test (V-cut test). Asymmetries were also analyzed in the unilateral tests.

RESULTS

Significant group-by-time interaction of the improvement between pretest and posttest was observed for speed (effect size [ES]: -1.30 to -1.16) and COD tests (ES: -0.62 to -0.61) but not in jumping (ES: -0.09 to 0.28) and interlimb-asymmetry tests (ES: -0.13 to 0.57).

CONCLUSIONS

The short-term in-season combined strength and power training program induced greater speed and COD performance improvements than soccer training alone in adolescent female soccer players.

The effect of increasing heel height on lower limb symmetry during the back squat in trained and novice lifters

Background

Symmetry during lifting is considered critical for allowing balanced power production and avoidance of injury. This investigation assessed the influence of elevating the heels on bilateral lower limb symmetry during loaded (50% of body weight) high-bar back squats.

Methods

Ten novice (mass 67.6 ± 12.4 kg, height 1.73 ± 0.10 m) and ten regular weight trainers (mass 66.0 ± 10.7 kg, height 1.71 ± 0.09 m) were assessed while standing on both the flat level floor and on an inclined board. Data collection used infra-red motion capture procedures and two force platforms to record bilateral vertical ground reaction force (GRF_vert) and ankle, knee and hip joint kinematic and kinetic data. Paired t-tests and statistical parametric mapping (SPM1D) procedures were used to assess differences in discrete and continuous bilateral symmetry data across conditions.

Results

Although discrete joint kinematic and joint moment symmetry data were largely unaffected by raising the heels, the regular weight trainers presented greater bilateral asymmetry in these data than the novices. The one significant finding in these discrete data showed that raising the heels significantly reduced maximum knee extension moment asymmetry (P = 0.02), but in the novice group only. Time-series analyses indicated significant bilateral asymmetries in both GRF_vert and knee extension moments mid-way though the eccentric phase for the novice group, with the latter unaffected by heel lift condition. There were no significant bilateral asymmetries in time series data within the regular weight training group.

Conclusions

This investigation highlights that although a degree of bilateral lower limb asymmetry is common in individuals performing back squats, the degree of this symmetry is largely unaffected by raising the heels. Differences in results for discrete and time-series symmetry analyses also highlight a key issue associated with relying solely on discrete data techniques to assess bilateral symmetry during tasks such as the back squat.

Rotational flywheel training in youth female team sport athletes: could inter-repetition movement variability be beneficial?

BACKGROUND

The aim of this study was to analyze the effects of an inter-repetition variable rotational flywheel training program (variable) over standard rotational flywheel training (Standard).

METHODS

Twenty-four youth female team-sports players were randomly assigned to both training groups (variable, N.=12; standard, N.=12), which consisted of 1 set of 3 rotational flywheel exercises ×10-12 repetitions, biweekly for a period of 6-weeks. The participants included in variable group were instructed to perform the movement randomly in one of the three directions (0°, 45° right, and 45° left). Measurements included reactive strength, jumping, change of direction, and sprinting tests; patellar tendon condition was also assessed.

RESULTS

Substantial improvements were found in vertical jump with left leg (16.9%), lateral jump with right leg (13.6%), and patellar condition in left leg (4.1%) for standard group, but also in reactive strength index in right leg landing (33.9%), vertical jump with right (10.1%) and left leg (12.0%) for variable group. A significant interaction effect (group × time) was observed on patellar condition in right leg (F=10.02, P<0.01, η²=0.37), favoring variable group.

CONCLUSIONS

Rotational flywheel training programs were beneficial for youth-female team-sports athletes, although the movement variability may play a key role to develop different and specific physical adaptations.

Factors influencing bilateral deficit and inter-limb asymmetry of maximal and explosive strength: motor task, outcome measure and muscle group

PURPOSE

The purpose of the present study was to investigate the influence of strength outcome [maximal voluntary contraction (MVC) torque vs. rate of torque development (RTD)], motor task (unilateral vs. bilateral) and muscle group (knee extensors vs. flexors) on the magnitude of bilateral deficits and inter-limb asymmetries in a large heterogeneous group of athletes.

METHODS

259 professional/semi-professional athletes from different sports (86 women aged 21 ± 6 years and 173 men aged 20 ± 5 years) performed unilateral and bilateral "fast and hard" isometric maximal voluntary contractions of the knee extensors and flexors on a double-sensor dynamometer. Inter-limb asymmetries and bilateral deficits were compared across strength outcomes (MVC torque and multiple RTD measures), motor tasks and muscle groups.

RESULTS

Most RTD outcomes showed greater bilateral deficits than MVC torque for knee extensors, but not for knee flexors. Most RTD outcomes, not MVC torque, showed higher bilateral deficits for knee extensors compared to knee flexors. For both muscle groups, all RTD measures resulted in higher inter-limb asymmetries than MVC torque, and most RTD measures resulted in greater inter-limb asymmetries during unilateral compared to bilateral motor tasks.

CONCLUSIONS

The results of the present study highlight the importance of outcome measure, motor task and muscle group when assessing bilateral deficits and inter-limb asymmetries of maximal and explosive strength. Compared to MVC torque and bilateral tasks, RTD measures and unilateral tasks could be considered more sensitive for the assessment of bilateral deficits and inter-limb asymmetries in healthy professional/semi-professional athletes.

Agreement Between Dribble and Change of Direction Deficits to Assess Directional Asymmetry in Young Elite Football Players

This study aimed to examine the agreement between asymmetries of dribble and change of direction (COD) deficits and to determine their potential difference to each other. Sixteen young elite football players were recruited and tested for sprint (over 10 m), dribbling (90°CODdribbling) and COD (90°CODrunning) performance in dominant (fastest) and non-dominant (slowest) directions. Dribble and COD deficits were computed to express dribbling and COD ability without the influence of acceleration. The asymmetric index (AI%) of both dribble and COD deficits were obtained for both directions. The level of agreement between dribble and COD deficits was assessed by Cohen’s kappa statistic (κ). Results showed that AI% measured by dribble and COD deficits presented a poor level of agreement (κ = −0.159), indicating their imbalance did not favor the same direction. Moreover, AI% of the dribble deficit was significantly higher than those of the COD deficit. This study demonstrated that asymmetries in dribbling and change of direction performance (measured by dribble and COD deficit) were not in agreement to favor the same direction, also displaying a significant difference to each other. Practitioners should consider the task-specificity of asymmetry to reduce the imbalance in dribbling and COD performance.

Lower Limb Kinetic Asymmetries in Professional Soccer Players With and Without Anterior Cruciate Ligament Reconstruction: Nine Months Is Not Enough Time to Restore "Functional" Symmetry or Return to Performance

BACKGROUND

Residual between-limb deficits are a possible contributing factor to poor outcomes in athletic populations after anterior cruciate ligament reconstruction (ACLR). Comprehensive appraisals of movement strategies utilized by athletes at key clinical milestones during rehabilitation are warranted.

PURPOSE

To examine kinetic parameters recorded during a countermovement jump with a force platform in healthy professional soccer players and to compare their performance with those who had undergone ACLR at different stages of their rehabilitation.

STUDY DESIGN

Cross-sectional study; Level of evidence, 3.

METHODS

A total of 370 male professional soccer players attended a physical screening assessment where they performed at counter jump movement protocol on dual force plates and were divided into 4 groups: group 1 (<6 months post-ACLR), group 2 (6-9 months post-ACLR), group 3 (>9 months post-ACLR), and group 4 (healthy matched controls).

RESULTS

Players in the later phases of rehabilitation increased their jump performance; however, values were significantly lower than those of healthy matched controls (P > .05). Significant between-limb differences were present for both eccentric- and concentric-phase variables (P < .05), with effect sizes ranging from moderate to very large (d = 0.42-1.35). Asymmetries were lower in players who were further away from surgery; however, between-limb differences remained significantly greater in players >9 months after ACLR versus matched controls-specifically, for concentric impulse, concentric peak force, eccentric deceleration impulse, and eccentric deceleration rate of force development asymmetry (P < .05). Logistic regression identified concentric impulse asymmetry as being most strongly associated with a history of ACLR when group prediction analysis was performed (ACLR group 1, 2, or 3 vs matched controls), with odds ratios ranging from 1.50 to 1.91.

CONCLUSION

Between-limb deficits in key eccentric and concentric loading parameters remain >9 months after ACLR, indicating a compensatory offloading strategy to protect the involved limb during an athletic performance task. Concentric impulse asymmetry could be considered an important variable to monitor during rehabilitation.