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Ohtsubo R, Saito H, Hirose N. Characterizing Muscle Activity in Soccer Players with a History of Hamstring Strain Injuries during Accelerated Sprinting. J Sports Sci Med 2024; 23:656-662. [PMID: 39228776 PMCID: PMC11366853 DOI: 10.52082/jssm.2024.656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Accepted: 07/31/2024] [Indexed: 09/05/2024]
Abstract
This study aimed to characterize muscle activity in male soccer players with a history of hamstring strain injuries (HSI) during accelerated sprinting. Thirteen patients each in the HSI group (history of HSI) and in the healthy group (with no history of HSI) were included. 26 male soccer players of which 13 with and 13 without HSI history were included in this study. Ten muscles were evaluated on electromyography activity during overground sprinting. The testing protocol consisted of a maximal sprint over a distance of 30 meters. One running stride was divided into the early stance phase, late stance phase, early swing phase, mid-swing phase, and late swing phase, and the average muscle activity per phase and the timing of the peak root-mean-square value appearance during each stride were calculated. Statistical analysis was performed using repeated-measures two-way ANOVA (group × phase), and multiple comparison tests were performed using the Bonferroni method when the interaction or main effect was significant. The statistical significance level was set at p < 0.05. Gluteus maximus (Gmax), gluteus medius (Gmed), and external oblique (EO) showed activity differences based on HSI history. Gmax was 30% lower, EO was 20% lower, and Gmed was 40% higher in HSI group. This study suggests that, despite previous findings that HSI is most likely during the late swing phase, the HSI group shows a higher injury risk in the early stance phase. This is due to differences in trunk and gluteal muscle activity between the late swing and early stance phases compared to the healthy group. In summary, HSI group had lower activity in the muscles contributing to trunk instability, especially EO and Gmax, before and after ground impact during accelerated sprinting, compared to Healthy.
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Affiliation(s)
- Ryo Ohtsubo
- Graduate School of Sport Sciences, Waseda University, Tokyo, Japan
| | - Hiromi Saito
- Graduate School of Sport Sciences, Waseda University, Tokyo, Japan
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Vicens-Bordas J, Sarand AP, Beato M, Buhmann R. Hamstring Injuries, From the Clinic to the Field: A Narrative Review Discussing Exercise Transfer. Int J Sports Physiol Perform 2024; 19:729-737. [PMID: 38917984 DOI: 10.1123/ijspp.2024-0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 04/28/2024] [Accepted: 05/09/2024] [Indexed: 06/27/2024]
Abstract
PURPOSE The optimal approach to hamstring training is heavily debated. Eccentric exercises reduce injury risk; however, it is argued that these exercises transfer poorly to improved hamstring function during sprinting. Some argue that other exercises, such as isometric exercises, result in better transfer to running gait and should be used when training to improve performance and reduce injury risk. Given the performance requirements of the hamstrings during the terminal swing phase, where they are exposed to high strain, exercises should aim to improve the torque production during this phase. This should improve the hamstrings' ability to resist overlengthening consequently, improving performance and limiting strain injury. Most hamstring training studies fail to assess running kinematics postintervention. Of the limited evidence available, only eccentric exercises demonstrate changes in swing-phase kinematics following training. Studies of other exercise modalities investigate effects on markers of performance and injury risk but do not investigate changes in running kinematics. CONCLUSIONS Despite being inconsistent with principles of transfer, current evidence suggests that eccentric exercises result in transfer to swing-phase kinematics. Other exercise modalities may be effective, but the effect of these exercises on running kinematics is unknown.
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Affiliation(s)
- Jordi Vicens-Bordas
- Sport Performance Analysis Research Group (SPARG) and Sport and Physical Activity Studies Center (CEEAF), University of Vic-Central University of Catalonia, Vic, Spain
| | - Ali Parvaneh Sarand
- Department of Physical Education and Sport Sciences, University of Guilan, Rasht, Iran
| | - Marco Beato
- School of Health and Sports Sciences, University of Suffolk, Ipswich, United Kingdom
| | - Robert Buhmann
- School of Health and Behavioral Sciences, University of the Sunshine Coast, Sippy Downs, QLD, Australia
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3
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Kepir E, Demiral F, Akaras E, Paksoy AE, Sevindik Aktas B, Yilmaz Cankaya B, Oztop B, Yagiz G, Owen JA. Hamstring Muscle Stiffness in Athletes with and without Anterior Cruciate Ligament Reconstruction History: A Retrospective Study. J Clin Med 2024; 13:4370. [PMID: 39124637 PMCID: PMC11313014 DOI: 10.3390/jcm13154370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2024] [Revised: 07/13/2024] [Accepted: 07/16/2024] [Indexed: 08/12/2024] Open
Abstract
Introduction: Sports requiring sprinting, jumping, and kicking tasks frequently lead to hamstring strain injuries (HSI). One of the structural risk factors of HSI is the increased passive stiffness of the hamstrings. Anterior cruciate ligament (ACL) injury history is associated with a 70% increase in the incidence of HSI, according to a recent meta-analysis. The same report recommended that future research should concentrate on the relationships between the HSI risk factors. Hence, the present study aimed to retrospectively compare changes in the passive stiffness of the hamstrings in athletes with and without ACL reconstruction history. Methods: Using ultrasound-based shear-wave elastography, the mid-belly passive muscle stiffness values of the biceps femoris long head, semimembranosus, and semitendinosus muscles were assessed and compared amongst athletes with and without a history of ACL reconstruction. Results: There were no significant differences in the biceps femoris long head (injured leg (IL): 26.19 ± 5.28 KPa, uninjured contralateral (UL): 26.16 ± 7.41 KPa, control legs (CL): 27.64 ± 5.58 KPa; IL vs. UL: p = 1; IL vs. CL: p = 1; UL vs. CL: p = 1), semimembranosus (IL: 24.35 ± 5.58 KPa, UL: 24.65 ± 8.35 KPa, CL: 22.83 ± 5.67 KPa; IL vs. UL: p = 1; IL vs. CL: p = 1; UL vs. CL, p = 1), or semitendinosus (IL: 22.45 ± 7 KPa, UL: 25.52 ± 7 KPa, CL: 22.54 ± 4.4 KPa; IL vs. UL: p = 0.487; IL vs. CL: p = 1; UL vs. CL, p = 0.291) muscle stiffness values between groups. Conclusions: The passive mid-muscle belly stiffness values of the biceps femoris long head, semitendinosus, and semimembranosus muscles did not significantly differ between previously injured and uninjured athletes; therefore, further assessment for other muscle regions of hamstrings may be necessary. To collect more comprehensive data related to the structural changes that may occur following ACL reconstructions in athletes, a future study should examine the passive stiffness of wider muscle regions from origin to insertion.
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Affiliation(s)
- Ersagun Kepir
- Institute for Applied Human Physiology, School of Psychology and Sport Sciences, Bangor University, Bangor LL57 2DG, UK;
| | - Furkan Demiral
- Department of Radiology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Türkiye
| | - Esedullah Akaras
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, 25050 Erzurum, Türkiye
| | - Ahmet Emre Paksoy
- Department of Orthopaedic Surgery, Faculty of Medicine, Ataturk University, 25240 Erzurum, Türkiye
| | | | - Bahar Yilmaz Cankaya
- Department of Radiology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Türkiye
| | - Bilgehan Oztop
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ataturk University, 25240 Erzurum, Türkiye
| | - Gokhan Yagiz
- Department of Kinesiology, College of Health and Human Performance, East Carolina University, Greenville, NC 27858, USA
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Amasya University, 05100 Amasya, Türkiye
- Department of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo 192-0397, Japan
| | - Julian Andrew Owen
- Institute for Applied Human Physiology, School of Psychology and Sport Sciences, Bangor University, Bangor LL57 2DG, UK;
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Sever O, Öztaşyonar Y, Ceylan Hİ, Miçooğullari BO, Morgans R, Bragazzi NL. Unveiling the influence of hip isokinetic strength on lower extremity running kinematics in male national middle-distance runners: a correlational analysis. BMC Sports Sci Med Rehabil 2024; 16:157. [PMID: 39030608 PMCID: PMC11264927 DOI: 10.1186/s13102-024-00946-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Accepted: 07/08/2024] [Indexed: 07/21/2024]
Abstract
BACKGROUND The relationship between hip strength deficiency in various planes and musculoskeletal injuries within the movement system has been well-established in numerous studies. The present study sought to explore the relationships between hip strength and specific aspects of lower extremity running kinematics. METHODOLOGY To achieve this objective, the three-dimensional running kinematics of 21 male elite middle-distance runners (mean age: 19.7 ± 1.2 years; mean experience 6.5 ± 1.0 years) were assessed using nine high-speed cameras on a treadmill at a speed of 16 km·h⁻¹. Concurrently, isokinetic hip strength was measured at a speed of 60 deg·s⁻¹ in both the dominant and non-dominant legs. The Pearson correlation coefficient and Paired Samples t-test were utilized. RESULTS While no significant differences were found in several isokinetic strength measurements, notable differences in running kinematics were observed. Specifically, pelvic drop at midstance (MS) was significantly lower in the DL (5.79 ± 3.00°) compared to the NDL (8.71 ± 1.39°) with a large effect size (t=-4.04, p < 0.001, Cohen's d = 1.25). Additionally, knee adduction at maximum showed a moderate effect size difference, with the DL at 2.99 ± 1.13° and the NDL at 3.81 ± 1.76° (t=-2.74, p = 0.03, Cohen's d = 0.55). Results indicated a moderate to highly positive association between running knee adduction in the dominant leg and hip external rotation (r = 0.67, p < 0.05), concentric extension (r = 0.77, p < 0.05), and concentric abduction (r = 0.78, p < 0.05). Additionally, the running tibial external rotation angle in the dominant leg exhibited an inverse relationship with all strength measurements, with statistical significance observed only for concentric extension force (r=-0.68, p < 0.05). Furthermore, hip internal rotation force demonstrated a highly inverse correlation with foot pronation in the dominant leg (r=-0.70, p < 0.05) and anterior pelvic tilt in the non-dominant leg (r=-0.76, p < 0.05). CONCLUSIONS These findings underscore the interrelation between hip strength and running kinematics, particularly on the dominant side. In light of these observations, it is imperative to consider hip strength exercises as integral components for correcting running kinematics. Coaches should also be mindful that kinematic deviations contributing to running injuries may manifest unilaterally or specifically in the dominant leg.
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Affiliation(s)
- Ozan Sever
- Faculty of Sport Sciences, Ataturk University, Erzurum, 25240, Turkey
| | - Yunus Öztaşyonar
- Faculty of Sport Sciences, Ataturk University, Erzurum, 25240, Turkey
| | - Halil İbrahim Ceylan
- Physical Education and Sports Teaching Department, Kazim Karabekir Faculty of Education, Ataturk University, Erzurum, 25240, Turkey.
| | | | - Ryland Morgans
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - Nicola Luigi Bragazzi
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, Canada.
- Human Nutrition Unit (HNU), Department of Food and Drugs, Medical School, University of Parma, Building C, Via Volturno, 39, Parma, 43125, Italy.
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Carmona G, Moreno-Simonet L, Cosio PL, Astrella A, Fernández D, Cadefau JA, Rodas G, Jou C, Milisenda JC, Cano MD, Arànega R, Marotta M, Grau JM, Padullés JM, Mendiguchia J. Hamstrings on focus: Are 72 hours sufficient for recovery after a football (soccer) match? A multidisciplinary approach based on hamstring injury risk factors and histology. J Sports Sci 2024; 42:1130-1146. [PMID: 39087576 DOI: 10.1080/02640414.2024.2386209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 07/23/2024] [Indexed: 08/02/2024]
Abstract
This study aimed to assess acute and residual changes in sprint-related hamstring injury (HSI) risk factors after a football (soccer) match, focusing on recovery within the commonly observed 72-h timeframe between elite football matches. We used a multifactorial approach within a football context, incorporating optical and ultrastructural microscopic analysis of BFlh (biceps femoris long head) muscle fibres, along with an examination of BFlh fibre composition. Changes in sprint performance-related factors and HSI modifiable risk factors were examined until 3 days after the match (MD +3) in 20 football players. BFlh biopsy specimens were obtained before and at MD +3 in 10 players. The findings indicated that at MD +3, sprint-related performance and HSI risk factors had not fully recovered, with notable increases in localized BFlh fibre disruptions. Interestingly, match load (both external and internal) did not correlate with changes in sprint performance or HSI risk factors nor with BFlh fibre disruption. Furthermore, our study revealed a balanced distribution of ATPase-based fibre types in BFlh, with type-II fibres associated with sprint performance. Overall, the results suggest that a 72-h recovery period may not be adequate for hamstring muscles in terms of both HSI risk factors and BFlh fibre structure following a football match.
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Affiliation(s)
- Gerard Carmona
- TecnoCampus, Departament de Ciències de la Salut, Grup de Recerca Tecnologia Aplicada a l'Alt Rendiment i la Salut (TAARS), Universitat Pompeu Fabra, Mataró, Spain
| | - Lia Moreno-Simonet
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | - Pedro Luís Cosio
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | - Andrea Astrella
- International Doctoral School, Rey Juan Carlos University, Madrid, Spain
- Physiotherapy Department, RX2 Sports & Health, Madrid, Spain
| | - Daniel Fernández
- Sports performance Department, Futbol Club Barcelona, Rink Hockey, Barcelona, Spain
| | - Joan Aureli Cadefau
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | - Gil Rodas
- Sports Medicine Unit, Hospital Clinic and Sant Joan de Déu, Barcelona, Spain
- Medical Department, Medical Department of Futbol Club Barcelona (FIFA Medical Center of Excellence) and Barça Innovation, Barcelona, Spain
- Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Cristina Jou
- Pathology Department and Biobank, Hospital Sant Joan de Déu Barcelona, Barcelona, Spain
- Applied Research in Neuromuscular Diseases, Sant Joan de Déu Research Institut (IRSJD), Barcelona, Spain
- Centre for Biomedical Network Research on Rare Diseases (CIBERER), Instituto de Salud Carlos III, Madrid, Spain
| | - José César Milisenda
- Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
- Muscle Research and Mitochondrial Function Lab, Centre de Recerca Biomèdica CELLEX - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Vall d'Hebron Institut de Recerca, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - María Dolores Cano
- Muscle Research and Mitochondrial Function Lab, Centre de Recerca Biomèdica CELLEX - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
| | - Raquel Arànega
- Muscle Research and Mitochondrial Function Lab, Centre de Recerca Biomèdica CELLEX - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
| | - Mario Marotta
- Leitat Foundation, Leitat Technological Center, Carrer de la Innovació 2, Terrassa, Barcelona, Spain
- Department of Internal Medicine, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Josep Maria Grau
- Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
- Muscle Research and Mitochondrial Function Lab, Centre de Recerca Biomèdica CELLEX - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Department of Internal Medicine, Hospital Clinic of Barcelona, Barcelona, Spain
| | - Josep Maria Padullés
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | - Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
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Kellis E, Kekelekis A, Drakonaki EE. Thoracolumbar Fascia and Lumbar Muscle Stiffness in Athletes with A History of Hamstring Injury. J Sports Sci Med 2024; 23:436-444. [PMID: 38841644 PMCID: PMC11149066 DOI: 10.52082/jssm.2024.436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Accepted: 05/09/2024] [Indexed: 06/07/2024]
Abstract
The purpose of this study was to examine the differences in thoracolumbar fascia (TLF) and lumbar muscle modulus in individuals with and without hamstring injury using shear wave elastography (SWE). Thirteen male soccer players without a previous hamstring injury and eleven players with a history of hamstring injury performed passive and active (submaximal) knee flexion efforts from 0°, 45° and 90° angle of knee flexion as well as an active prone trunk extension test. The elastic modulus of the TLF, the erector spinae (ES) and the multifidus (MF) was measured using ultrasound SWE simultaneously with the surface electromyography (EMG) signal of the ES and MF. The TLF SWE modulus was significantly (p < 0.05) higher in the injured group (range: 29.86 ± 8.58 to 66.57 ± 11.71 kPa) than in the uninjured group (range: 17.47 ± 9.37 to 47.03 ± 16.04 kPa). The ES and MF modulus ranged from 14.97 ± 4.10 to 66.57 ± 11.71 kPa in the injured group and it was significantly (p < .05) greater compared to the uninjured group (range: 11.65 ± 5.99 to 40.49 ± 12.35 kPa). TLF modulus was greater than ES and MF modulus (p < 0.05). Active modulus was greater during the prone trunk extension test compared to the knee flexion tests and it was greater in the knee flexion test at 0° than at 90° (p < 0.05). The muscle EMG was greater in the injured compared to the uninjured group in the passive tests only (p < 0.05). SWE modulus of the TLF and ES and MF was greater in soccer players with previous hamstring injury than uninjured players. Further research could establish whether exercises that target the paraspinal muscles and the lumbar fascia can assist in preventing individuals with a history of hamstring injury from sustaining a new injury.
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Affiliation(s)
- Eleftherios Kellis
- Laboratory of Neuromechanics, Department of Physical Education and Sport Sciences at Serres, Aristotle University of Thessaloniki, Greece
| | - Afxentios Kekelekis
- Laboratory of Neuromechanics, Department of Physical Education and Sport Sciences at Serres, Aristotle University of Thessaloniki, Greece
| | - Eleni E Drakonaki
- Department of Anatomy, Medical School, University of Crete, Heraklion Crete, Greece
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Novillo Á, Cordón-Carmona A, García-Aliaga A, Roman IR, Del Campo RL, Resta R, Buldú JM. Analysis of player speed and angle toward the ball in soccer. Sci Rep 2024; 14:11780. [PMID: 38782938 PMCID: PMC11116510 DOI: 10.1038/s41598-024-62480-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 05/17/2024] [Indexed: 05/25/2024] Open
Abstract
The study analyzes how the magnitude and angle of the speed of soccer players change according to the distance to the ball and the phases of the game, namely the defensive and attacking phases. We observed how the role played in the team (goalkeeper, defender, midfielder, or forward) strongly determines the speed pattern of players. As a general trend, the speed's modulus is incremented as their position is closer to the ball, however, it is slightly decreased when arriving at it. Next, we studied how the angle of the speed with the direction to the ball is related to the distance to the ball and the game phases. We observed that, during the defensive phase, goalkeepers are the players that run more parallel to the ball, while forwards are the ones running more directly to the ball position. Importantly, this behavior changes dramatically during the attacking phase. Finally, we show how the proposed methodology can be used to analyze the speed-angle patterns of specific players to understand better how they move on the pitch according to the distance to the ball.
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Affiliation(s)
- Álvaro Novillo
- Complex Systems Group, Universidad Rey Juan Carlos, C/ Tulipán, 28933, Móstoles, Madrid, Spain
- Grupo Interdisciplinar de Sistemas Complejos (GISC), 28933, Móstoles, Madrid, Spain
| | - Antonio Cordón-Carmona
- Facultad de Ciencias de la Actividad Física y del Deporte (INEF-Departamento de Deportes), Universidad Politécnica de Madrid, C/Martín Fierro, 7, 28040, Madrid, Spain
| | - Abraham García-Aliaga
- Facultad de Ciencias de la Actividad Física y del Deporte (INEF-Departamento de Deportes), Universidad Politécnica de Madrid, C/Martín Fierro, 7, 28040, Madrid, Spain.
| | - Ignacio Refoyo Roman
- Facultad de Ciencias de la Actividad Física y del Deporte (INEF-Departamento de Deportes), Universidad Politécnica de Madrid, C/Martín Fierro, 7, 28040, Madrid, Spain
| | | | | | - Javier M Buldú
- Complex Systems Group, Universidad Rey Juan Carlos, C/ Tulipán, 28933, Móstoles, Madrid, Spain.
- Grupo Interdisciplinar de Sistemas Complejos (GISC), 28933, Móstoles, Madrid, Spain.
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Astrella A, Iordanov D, De Caro D, Jiménez-Reyes P, Mendiguchia J. Biceps femoris muscle-tendon strain during an entire overground sprint acceleration: a biomechanical explanation for hamstring injuries in the acceleration phase. Sports Biomech 2024:1-14. [PMID: 38739086 DOI: 10.1080/14763141.2024.2353233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 05/02/2024] [Indexed: 05/14/2024]
Abstract
The objectives of this study were to analyse the peak muscle-tendon (MT) strain of the hamstring during an entire acceleration sprint overground and examine their relationship with relative joint angles and segment orientation in the sagittal plane, which are the direct causes of MT strain. Kinematic data were recorded using a 3D inertial motion capture system in 21 male semi-professional soccer players during 40-metre overground sprint. Scaled musculoskeletal models were used to estimate peak MT strain in the hamstring over 16 steps. Biceps femoris long head (BFLH) exhibited the largest peaks in MT strain compared to semitendinosus (ST) and semimembranosus (SM) muscles across all the steps, with its overall strain decreased as the number of steps and maximum speed increased. Hip flexion angle was found to be a strong predictor (p < 0.001) of joint angles, being the orientation of the pelvis in the sagittal plane of the segment with the greatest influence (p < 0.001) on the peak MT strain of BFLH during sprinting. The current study provides a biomechanical explanation for the high proportion of hamstring injuries in the acceleration phase of sprinting.
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Affiliation(s)
- Andrea Astrella
- International Doctoral School, Rey Juan Carlos University, Madrid, Spain
- Department of Muscle Science, RX2 Sports & Health, Madrid, Spain
| | - Daniel Iordanov
- Sports Department, Universidad Politecnica de Madrid, Madrid, Spain
| | - Dario De Caro
- Department of Muscle Science, RX2 Sports & Health, Madrid, Spain
| | | | - Jurdan Mendiguchia
- Department of Muscle Science, RX2 Sports & Health, Madrid, Spain
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
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9
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Bramah C, Tawiah-Dodoo J, Rhodes S, Elliott JD, Dos’Santos T. The Sprint Mechanics Assessment Score: A Qualitative Screening Tool for the In-field Assessment of Sprint Running Mechanics. Am J Sports Med 2024; 52:1608-1616. [PMID: 38544464 PMCID: PMC11064464 DOI: 10.1177/03635465241235525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 01/03/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND Qualitative movement screening tools provide a practical method of assessing mechanical patterns associated with potential injury development. Biomechanics play a role in hamstring strain injury and are recommended as a consideration within injury screening and rehabilitation programs. However, no methods are available for the in-field assessment of sprint running mechanics associated with hamstring strain injuries. PURPOSE To investigate the intra- and interrater reliability of a novel screening tool assessing in-field sprint running mechanics titled the Sprint Mechanics Assessment Score (S-MAS) and present normative S-MAS data to facilitate the interpretation of performance standards for future assessment uses. STUDY DESIGN Cohort study (diagnosis); Level of evidence, 3. METHODS Maximal sprint running trials (35 m) were recorded from 136 elite soccer players using a slow-motion camera. All videos were scored using the S-MAS by a single assessor. Videos from 36 players (18 men and 18 women) were rated by 2 independent assessors blinded to each other's results to establish interrater reliability. One assessor scored all videos in a randomized order 1 week later to establish intrarater reliability. Intraclass correlation coefficients (ICCs) based on single measures using a 2-way mixed-effects model, with absolute agreement with 95% CI and kappa coefficients with percentage agreements, were used to assess the reliability of the overall score and individual score items, respectively. T-scores were calculated from the means and standard deviations of the male and female groups to present normative data values. The Mann-Whitney U test and the Wilcoxon signed-rank test were used to assess between-sex differences and between-limb differences, respectively. RESULTS The S-MAS showed good intrarater (ICC, 0.828 [95% CI, 0.688-0.908]) and interrater (ICC, 0.799 [95% CI, 0.642-0.892]) reliability, with a standard error of measurement of 1 point. Kappa coefficients for individual score items demonstrated moderate to substantial intra- and interrater agreement for most parameters, with percentage agreements ranging from 75% to 88.8% for intrarater and 66.6% to 88.8% for interrater reliability. No significant sex differences were observed for overall scores, with mean values of 4.2 and 3.8 for men and women, respectively (P = .27). CONCLUSION The S-MAS is a new tool developed for assessing sprint running mechanics associated with lower limb injuries in male and female soccer players. The reliable and easy-to-use nature of the S-MAS means that this method can be integrated into practice, potentially aiding future injury screening and research looking to identify athletes who may demonstrate mechanical patterns potentially associated with hamstring strain injuries.
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Affiliation(s)
- Christopher Bramah
- School of Health & Society, University of Salford, Salford, Manchester, UK
- Manchester Institute of Health & Performance, Manchester, UK
| | | | - Samantha Rhodes
- School of Health & Society, University of Salford, Salford, Manchester, UK
- Manchester Institute of Health & Performance, Manchester, UK
- Nuffield Health, Manchester Institute of Health & Performance, UK
| | - Joshua D. Elliott
- Manchester Institute of Health & Performance, Manchester, UK
- Nuffield Health, Manchester Institute of Health & Performance, UK
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Thomas Dos’Santos
- Department of Sport & Exercise Sciences, Manchester Metropolitan University, Manchester, UK
- Manchester Institute of Sport, Metropolitan University, Manchester, UK
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10
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Kellis E, Konstantopoulos A, Salonikios G, Ellinoudis A. Does Pelvic Tilt Angle Influence the Isokinetic Strength of the Hip and Knee Flexors and Extensors? J Funct Morphol Kinesiol 2024; 9:73. [PMID: 38651431 PMCID: PMC11036241 DOI: 10.3390/jfmk9020073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 04/03/2024] [Accepted: 04/10/2024] [Indexed: 04/25/2024] Open
Abstract
The purpose of this study was to examine the effect of pelvic tilt angle on maximum hip and knee muscles' strength and antagonist/agonist strength ratios. Twenty-one young males and females performed maximum isokinetic concentric knee extension-flexion and hip extension-flexion efforts at 60°·s-1, 120°·s-1, and 180°·s-1 from three positions: anterior, neutral, and posterior pelvic tilt. Peak torques and knee flexor-to-extensor and hip flexor-to-extensor torque ratios were analyzed. An analysis of variance showed that peak hip extensor torque was significantly greater in the anterior pelvic tilt condition compared to either neutral or posterior pelvic tilt angles (p > 0.05). No effects of changing pelvic tilt angle on hip flexor, knee flexor, or knee extension values were found (p > 0.05). The hip flexor-to-extensor torque ratio decreased (p < 0.05) in the anterior pelvic tilt position relative to the other positions, while no difference in the knee flexor-to-extensor ratio between pelvic positions was observed (p > 0.05). This study shows that an increased anterior pelvic tilt affects the maximum isokinetic strength of the hip extensors, supporting previous suggestions regarding the link between pelvic position and hip and knee muscle function. Isokinetic testing from an anterior pelvic tilt position may alter the evaluation of hip flexion/extension strength.
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Affiliation(s)
- Eleftherios Kellis
- Laboratory of Neuromechanics, Department of Physical Education and Sport Sciences at Serres, Aristotle University of Thessaloniki, TEFAA Serres, Agios Ioannis, 62100 Serres, Greece (A.E.)
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11
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Bramah C, Mendiguchia J, Dos'Santos T, Morin JB. Exploring the Role of Sprint Biomechanics in Hamstring Strain Injuries: A Current Opinion on Existing Concepts and Evidence. Sports Med 2024; 54:783-793. [PMID: 37725240 PMCID: PMC11052868 DOI: 10.1007/s40279-023-01925-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2023] [Indexed: 09/21/2023]
Abstract
Hamstring strain injuries are one of the most common injuries in sprint-based sports with the mechanism of injury considered the result of an interaction between applied mechanical strain and the capacity of the muscle to tolerate strain. To date, injury prevention and rehabilitation strategies have frequently focused on enhancing the capacity of the hamstrings to tolerate strain, with little consideration of factors directly influencing mechanical strain. Sprint running biomechanics are one factor proposed to influence the mechanical strain applied to the hamstrings that may be modified (towards reduced strain) within rehabilitation and injury prevention programs. This article aims to explore the theoretical mechanistic link between sprint running mechanics and hamstring strain injury, along with the available supporting evidence. In doing so, it hopes to provide practitioners with an understanding of mechanical parameters that may influence hamstring strain injury whilst also identifying areas for further research exploration.
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Affiliation(s)
- Christopher Bramah
- School of Health and Society, University of Salford, Allerton Building, Frederick Road Campus, Salford, M6 6PU, UK.
- Manchester Institute of Health and Performance, Manchester, UK.
| | - Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Centre, Barañain, Spain
| | - Thomas Dos'Santos
- Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, UK
- Manchester Institute of Sport, Metropolitan University, Manchester, UK
| | - Jean-Benoȋt Morin
- University Jean Monnet Saint-Etienne, Lyon 1, University Savoie Mont-Blanc, Inter-University Laboratory of Human Movement Biology, EA 7424, Saint-Etienne, France
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12
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Gurchiek RD, Teplin Z, Falisse A, Hicks JL, Delp SL. Hamstrings are stretched more and faster during accelerative running compared to speed-matched constant speed running. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.03.25.586659. [PMID: 38585841 PMCID: PMC10996654 DOI: 10.1101/2024.03.25.586659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
Abstract
Background Hamstring strain injuries are associated with significant time away from sport and high reinjury rates. Recent evidence suggests that hamstring injuries often occur during accelerative running, but investigations of hamstring mechanics have primarily examined constant speed running on a treadmill. To help fill this gap in knowledge, this study compares hamstring lengths and lengthening velocities between accelerative running and constant speed overground running. Methods We recorded 2 synchronized videos of 10 participants (5 female, 5 male) during 6 accelerative running trials and 6 constant speed running trials. We used OpenCap (a markerless motion capture system) to estimate body segment kinematics for each trial and a 3-dimensional musculoskeletal model to compute peak length and step-average lengthening velocity of the biceps femoris (long head) muscle-tendon unit. To compare running conditions, we used linear mixed regression models with running speed (normalized by the subject-specific maximum) as the independent variable. Results At running speeds below 75% of top speed accelerative running resulted in greater peak lengths than constant speed running. For example, the peak hamstring muscle-tendon length when a person accelerated from running at only 50% of top speed was equivalent to running at a constant 88% of top speed. Lengthening velocities were greater during accelerative running at all running speeds. Differences in hip flexion kinematics primarily drove the greater peak muscle-tendon lengths and lengthening velocities observed in accelerative running. Conclusion Hamstrings are subjected to longer muscle-tendon lengths and faster lengthening velocities in accelerative running compared to constant speed running. This provides a biomechanical explanation for the observation that hamstring strain injuries often occur during acceleration. Our results suggest coaches who monitor exposure to high-risk circumstances (long lengths, fast lengthening velocities) should consider the accelerative nature of running in addition to running speed.
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Affiliation(s)
- Reed D. Gurchiek
- Department of Bioengineering, Clemson University, Clemson, SC 29634, USA
- Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
| | - Zachary Teplin
- Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
| | - Antoine Falisse
- Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
| | - Jennifer L. Hicks
- Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
| | - Scott L. Delp
- Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
- Department of Mechanical Engineering, Stanford University, Stanford, CA 94305, USA
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13
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Kenneally-Dabrowski C, Serpell BG. Where to next for hamstrings? A biomechanical and anatomical perspective. Br J Sports Med 2024; 58:287-288. [PMID: 38049986 DOI: 10.1136/bjsports-2023-107274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2023] [Indexed: 12/06/2023]
Affiliation(s)
- Claire Kenneally-Dabrowski
- Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia
| | - Benjamin G Serpell
- Geelong Cats, Geelong, Victoria, Australia
- School of Science and Technology, University of New England, Armidale, New South Wales, Australia
- University of Canberra Research Institute for Sport and Exercise, University of Canberra, Bruce, ACT, Australia
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14
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Mendiguchia J, Garrues MA, Schilders E, Myer GD, Dalmau-Pastor M. Anterior pelvic tilt increases hamstring strain and is a key factor to target for injury prevention and rehabilitation. Knee Surg Sports Traumatol Arthrosc 2024; 32:573-582. [PMID: 38391038 DOI: 10.1002/ksa.12045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 12/16/2023] [Accepted: 12/19/2023] [Indexed: 02/24/2024]
Abstract
PURPOSE Hamstring muscle strain injury is very common in sports involving high-speed running. Hamstring muscles originate from the ischial tuberosity and thus pelvic position may influence hamstring strain during different sports movements like sprinting, but this has only been evaluated by indirect methods. This study tested the hypothesis that a change in anterior pelvic tilt causes elongation of the overall hamstring complex and disproportionately elongates proximal relative to distal muscle regions. METHODS Seven fresh-frozen specimens (full lower limb with pelvis and lumbar spine) were used for this in vitro study. Specimens were dissected to enable visualization of the hamstring muscles and then fixed into a custom-made testing bench that allowed controlled movement of the pelvis over a fixed femur and tibia. Nine markers were inserted into the hamstring muscles to allow intra- and intermuscle difference measurements. Then, six different anterior pelvic angles were used to measure the difference in hamstring muscle lengthening through a three-dimensional reconstruction system based on stereoscopic machine vision technology. RESULTS An increase in anterior pelvic tilt produced a significant non-uniform increase in tissue elongation in all regions of the three hamstring muscles (semitendinosus, semimembranosus [SMB] and biceps femoris long head), which was greater in the proximal (>1 cm every 5°) compared to the distal region (≈0.4 cm every 5°). At the proximal hamstring region, SMB showed significantly greater length changes compared to conjoint tendons with nonstatistically significant elongation differences between muscles at the distal region. CONCLUSION Considering the results of the study, the pelvis segment will likely play a fundamental role as a strain regulator of hamstring muscles. These results will have an impact on injury rehabilitation and prevention processes of hamstring injuries, as well as optimize future musculoskeletal models and avoid potential underestimation of the hamstring muscle-tendon complex lengthening during high-speed running. LEVEL OF EVIDENCE N/A.
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Affiliation(s)
- Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
| | - Mirian Aranzazu Garrues
- Physiology Department, Faculty of Medicine and Nursing, University of the Basque Country, Biscay, Spain
| | - Ernest Schilders
- Department of Orthopaedic Surgery, Fortius Clinic-FIFA Medical Centre of Excellence, London, UK
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
| | - Gregory D Myer
- Emory Sports Performance and Research Center (SPARC), Flowery Branch, Georgia, USA
- Emory Sports Medicine Center, Atlanta, Georgia, USA
- Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia, USA
- The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA
- Youth Physical Development Centre, Cardiff Metropolitan University, Wales, UK
| | - Miki Dalmau-Pastor
- Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
- MIFAS by GRECMIP (Minimally Invasive Foot and Ankle Society), Merignac, France
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15
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Hajek M, Williams MD, Bourne MN, Roberts LA, Morris NR, Shield AJ, Headrick J, Duhig SJ. Hamstring and knee injuries are associated with isometric hip and trunk muscle strength in elite Australian Rules and Rugby League players. J Sci Med Sport 2024; 27:172-178. [PMID: 38218663 DOI: 10.1016/j.jsams.2023.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 08/08/2023] [Accepted: 10/05/2023] [Indexed: 01/15/2024]
Abstract
OBJECTIVES This study investigated relationships between isometric trunk and hip extensor strength, lumbar muscle morphology, and the risk of hamstring and knee ligament injuries in Australian Football League and National Rugby League players. DESIGN Prospective cohort study. METHODS Trunk and hip extensor strength, multifidus and quadratus lumborum cross-sectional area were measured during the 2020 pre-season. Logistic regressions and decision trees were employed to explore associations between maximum strength, strength endurance, multifidus and quadratus lumborum cross-sectional area, age, previous injuries, and hamstring and knee ligament injury risk. RESULTS Greater strength endurance [odds ratio = 0.42 (0.23-0.74), p = 0.004] and maximum strength [odds ratio = 0.55 (0.31-0.94), p = 0.039] reduced hamstring injury risk. Increased risk of knee ligament injuries was associated with larger multifidus [odds ratio = 1.66 (1.14-2.45), p = 0.008] and higher multifidus to quadratus lumborum ratio (odds ratio = 1.57 (1.13-2.23), p = 0.008]. Decision tree models indicated that low strength endurance (< 99 Nm) characterised hamstring strains, while high (≥ 1.33) multifidus to quadratus lumborum ratio mitigated risk. Knee ligament injuries were associated with larger (≥ 8.49 cm2) multifidus, greater (≥ 1.25) multifidus to quadratus lumborum ratio, and lower maximum strength (< 9.24 N/kg). CONCLUSIONS Players with lower trunk and hip extensor maximum strength and strength endurance had increased risk of hamstring injuries, while knee ligament injury risk was elevated with larger multifidus cross-sectional area, higher multifidus to quadratus lumborum ratio, and lower maximum trunk and hip extensor strength.
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Affiliation(s)
- Martin Hajek
- School of Health Sciences and Social Work, Griffith University, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Australia.
| | | | - Matthew N Bourne
- School of Health Sciences and Social Work, Griffith University, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Australia
| | - Llion A Roberts
- School of Health Sciences and Social Work, Griffith University, Australia; School of Human Movement and Nutrition Sciences, The University of Queensland, Australia
| | - Norman R Morris
- School of Health Sciences and Social Work, Griffith University, Australia; Metro North Hospital and Health Service, The Prince Charles Hospital, Allied Health Research Collaborative, Australia
| | - Anthony J Shield
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia
| | - Jonathon Headrick
- School of Health Sciences and Social Work, Griffith University, Australia
| | - Steven J Duhig
- School of Health Sciences and Social Work, Griffith University, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Australia
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16
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Edouard P, Lahti J, Fleres L, Ahtiainen J, Ulvila JJ, Lehtinen T, Virtanen N, Taipale T, Bellver M, Peltonen V, Thibault M, Huuhka T, Toivonen RM, Morin JB, Mendiguchia J. A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study. BMJ Open Sport Exerc Med 2024; 10:e001866. [PMID: 38347859 PMCID: PMC10860081 DOI: 10.1136/bmjsem-2023-001866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/31/2024] [Indexed: 02/15/2024] Open
Abstract
Objective To test whether a musculoskeletal multifactorial and individualised hamstring muscle injury (HMI) risk reduction programme could reduce HMI risk in professional football. Methods We conducted a prospective cohort study in Finnish premier football league teams, with the 2019 season used as a control and an intervention conducted in the 2021 season. Screening was conducted to provide individualised programmes and monitor progress. Cox regression with hazard ratio (HR) was used with HMI as outcome and season as explanatory variable, including all players for primary analysis and those who performed the two seasons for secondary analysis. Results 90 players were included in the control and 87 in the intervention seasons; 31 players performed in the 2 seasons. Twenty HMIs were recorded during the control and 16 during the intervention seasons. Cox regression analyses revealed that HMI risk at any given time was not significantly different between control and intervention seasons (for all players: HR 0.77 (95% CI 0.39 to 1.51), p=0.444; for the 31 players: HR 0.32 (95% CI 0.01 to 1.29), p=0.110)). For the 31 players, the HMI burden was significantly reduced in the intervention compared with the control season (RR 0.67 (95% CI 0.53 to 0.85)). Higher compliance with knee strength training, maximal velocity exposure and lower performance reductions in maximal theoretical horizontal force and knee flexor force were associated with lower HMI incidence. Conclusions Although the primary analysis did not reveal any significant effect of the intervention to reduce HMI risk in professional football, the programme was feasible, and additional secondary analyses showed a significant association between the intervention and lower HMI burden, incidence and risk.
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Affiliation(s)
- Pascal Edouard
- Inter‐university Laboratory of Human Movement Science (LIBM EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint Etienne, France
- Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France
| | - Johan Lahti
- Department of Strength & Conditioning R5 Athletics & Health Performance center, Helsinki, Finland
| | - Luca Fleres
- Faculty of Sport and Health Sciences, Neuromuscular Research Center, University of Jyväskylä, Jyvaskyla, Finland
| | - Juha Ahtiainen
- Faculty of Sport and Health Sciences, Neuromuscular Research Center, University of Jyväskylä, Jyvaskyla, Finland
| | | | | | | | | | | | | | | | | | | | - Jean-Benoit Morin
- Inter‐university Laboratory of Human Movement Science (LIBM EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint Etienne, France
- Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
| | - Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
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17
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Murakami Y, Nishida S, Yoshida R, Kasahara K, Kumazaki A, Sakuma H, Fujimoto H, Kaneko Y, Abe O, Nakamura M. Relationship Between Nordic Hamstring Strength and Single Leg Bridge Test in University Soccer Players. J Sport Rehabil 2024; 33:27-32. [PMID: 37917973 DOI: 10.1123/jsr.2022-0451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 08/20/2023] [Accepted: 08/20/2023] [Indexed: 11/04/2023]
Abstract
CONTEXT Nordic hamstring strength (NH strength) and single leg bridge test (SLBT) scores are used to predict the risk of hamstring strain injury. Although NH strength and SLBT scores may be related, the relationship between NH strength and SLBT score remains unknown. OBJECTIVES This study investigated the relationship between NH strength and SLBT scores in university soccer players. DESIGN Cross-sectional study. SETTING Research laboratory. PARTICIPANTS 38 male university soccer players. MAIN OUTCOME MEASURES NH strength and SLBT scores. INTERVENTIONS A participant was instructed to lean forward gradually at the slowest possible speed from a kneeling posture with the knee joint flexed 90° for the NH strength measurement. Participants in the SLBT crossed their arms over their chests, pushed down from their heels, and lifted their hips off the ground as many times as they could until they failed. We investigated the relationship between NH strength and SLBT scores in the left and right sides using Spearman rank correlation coefficient. Additionally, we calculated the percentage of left-right asymmetry in NH strength and SLBT scores and investigated the relationship between these variables using Pearson correlation coefficient. RESULTS There were no significant correlations between NH strength and SLBT scores in the right (rs = .239, P = .16) and left (rs = .311, P = .065) legs. Furthermore, there was no significant relationship between NH strength and SLBT between-limb asymmetry (r = .073, P = .671). CONCLUSIONS NH strength and SLBT scores could be different indexes, indicating either maximal muscle strength or muscle endurance. Thus, the findings suggested that when assessing risk factors for hamstring strain injury, both NH strength and SLBT scores should be measured.
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Affiliation(s)
- Yuta Murakami
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Satoru Nishida
- Faculty of Sports and Health Science, Ryutsu Keizai University, Ryugasaki, Ibaraki, Japan
| | - Riku Yoshida
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Kazuki Kasahara
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Akira Kumazaki
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
- Faculty of Health Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Hirokazu Sakuma
- Faculty of Health Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Hirosi Fujimoto
- Faculty of Health Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Yuki Kaneko
- Faculty of Health Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Otoka Abe
- Faculty of Health Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Masatoshi Nakamura
- Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Saga, Japan
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Edouard P, Reurink G, Mackey AL, Lieber RL, Pizzari T, Järvinen TAH, Gronwald T, Hollander K. Traumatic muscle injury. Nat Rev Dis Primers 2023; 9:56. [PMID: 37857686 DOI: 10.1038/s41572-023-00469-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/22/2023] [Indexed: 10/21/2023]
Abstract
Traumatic muscle injury represents a collection of skeletal muscle pathologies caused by trauma to the muscle tissue and is defined as damage to the muscle tissue that can result in a functional deficit. Traumatic muscle injury can affect people across the lifespan and can result from high stresses and strains to skeletal muscle tissue, often due to muscle activation while the muscle is lengthening, resulting in indirect and non-contact muscle injuries (strains or ruptures), or from external impact, resulting in direct muscle injuries (contusion or laceration). At a microscopic level, muscle fibres can repair focal damage but must be completely regenerated after full myofibre necrosis. The diagnosis of muscle injury is based on patient history and physical examination. Imaging may be indicated to eliminate differential diagnoses. The management of muscle injury has changed within the past 5 years from initial rest, immobilization and (over)protection to early activation and progressive loading using an active approach. One challenge of muscle injury management is that numerous medical treatment options, such as medications and injections, are often used or proposed to try to accelerate muscle recovery despite very limited efficacy evidence. Another challenge is the prevention of muscle injury owing to the multifactorial and complex nature of this injury.
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Affiliation(s)
- Pascal Edouard
- Université Jean Monnet, Lyon 1, Université Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology, Saint-Etienne, France.
- Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France.
| | - Gustaaf Reurink
- Department of Orthopedic Surgery and Sports Medicine, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands
- Academic Center for Evidence-based Sports Medicine (ACES), Academic Medical Center, Amsterdam, Netherlands
- The Sports Physicians Group, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands
| | - Abigail L Mackey
- Institute of Sports Medicine Copenhagen, Department of Orthopaedic Surgery M, Bispebjerg Hospital, Copenhagen, Denmark
- Center for Healthy Aging, Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Richard L Lieber
- Shirley Ryan AbilityLab, Chicago, IL, USA
- Departments of Physical Medicine and Rehabilitation and Biomedical Engineering, Northwestern University, Chicago, IL, USA
- Hines VA Medical Center, Maywood, IL, USA
| | - Tania Pizzari
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Tero A H Järvinen
- Tampere University and Tampere University Hospital, Tampere, Finland
| | - Thomas Gronwald
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
| | - Karsten Hollander
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
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19
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Crawford SK, Hickey J, Vlisides J, Chambers JS, Mosiman SJ, Heiderscheit BC. The effects of hip- vs. knee-dominant hamstring exercise on biceps femoris morphology, strength, and sprint performance: a randomized intervention trial protocol. BMC Sports Sci Med Rehabil 2023; 15:72. [PMID: 37365624 DOI: 10.1186/s13102-023-00680-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 06/14/2023] [Indexed: 06/28/2023]
Abstract
BACKGROUND The hamstrings are an important muscle group that contribute to horizontal force during sprint acceleration and are also the most injured muscle group in running-based sports. Given the significant time loss associated with hamstrings injury and impaired sprinting performance following return to sport, identifying exercises that drive adaptations that are both protective of strain injury and beneficial to sprint performance is important for the strength and conditioning professional. This paper describes the study protocol investigating the effects of a 6-week training program using either the hip-dominant Romanian deadlift (RDL) or the knee-dominant Nordic hamstring exercise (NHE) on hamstring strain injury risk factors and sprint performance. METHODS A permuted block randomized (1:1 allocation) intervention trial will be conducted involving young, physically-active men and women. A target sample size of 32 will be recruited and enrolled participants will undergo baseline testing involving extended-field-of-view ultrasound imaging and shear wave elastography of the biceps femoris long head muscle, maximal hamstrings strength testing in both the RDL and NHE, and on-field sprint performance and biomechanics. Participants will complete the 6-week training intervention using either the RDL or NHE, according to group allocation. Baseline testing will be repeated at the end of the 6-week intervention followed by 2 weeks of detraining and a final testing session. The primary outcome will be regional changes in fascicle length with secondary outcomes including pennation angle, muscle cross sectional area, hamstring strength, and maximal sprint performance and biomechanics. An exploratory aim will determine changes in shear wave velocity. DISCUSSION Despite extensive research showing the benefits of the NHE on reducing hamstring strain injury risk, alternative exercises, such as the RDL, may offer similar or potentially even greater benefits. The findings of this study will aim to inform future researchers and practitioners investigating alternatives to the NHE, such as the RDL, in terms of their effectiveness in reducing rates of hamstring strain injury in larger scale prospective intervention studies. TRIAL REGISTRATION The trial is prospectively registered on ClinicalTrials.gov (NCT05455346; July 15, 2022).
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Affiliation(s)
- Scott K Crawford
- Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA.
- Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI, USA.
- Department of Kinesiology, Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, 1300 University Ave, Madison, WI, 53706, USA.
| | - Jack Hickey
- School of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia
- Sports Performance, Recovery, Injury and New Technologies Research Centre, Australian Catholic University, Fitzroy, VIC, Australia
- Department of Sport Science and Nutrition, Maynooth University, County Kildare, Ireland
| | - Jessica Vlisides
- Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA
| | - Jennifer S Chambers
- Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA
| | - Samuel J Mosiman
- Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI, USA
| | - Bryan C Heiderscheit
- Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI, USA
- Badger Athletic Performance Program, University of Wisconsin-Madison, Madison, WI, USA
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20
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Mach MS, Ebersole KT, Ericksen HE, Nguyen AD, Earl-Boehm JE. Standing Pelvic Tilt Is Associated With Dynamic Pelvic Tilt During Running When Measured by 3-Dimensional Motion Capture. J Appl Biomech 2023:1-7. [PMID: 37328156 DOI: 10.1123/jab.2022-0226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 04/20/2023] [Accepted: 05/01/2023] [Indexed: 06/18/2023]
Abstract
Standing pelvic tilt (PT) is related to biomechanics linked with increased risk of injury such as dynamic knee valgus. However, there is limited evidence on how standing PT relates to dynamic PT and whether the palpation meter (PALM), a tool to measure standing PT, is valid against 3-dimensional (3D) motion analysis. The purposes of this study were to (1) determine the criterion validity of the PALM for measuring standing PT and (2) identify the relationship between standing PT and dynamic PT during running. Participants (n = 25; 10 males and 15 females) had their standing PT measured by the PALM and 3D motion analysis. Dynamic PT variables were defined at initial contact and toe off. No relationship between the 2 tools was found. Significant large positive relationships between standing PT and PT at initial contact (r = .751, N = 25, P < .001) and PT at toe off (r = .761, N = 25, P < .001) were found. Since no relationship was found between standing PT measured by the PALM and 3D motion analysis, the PALM is not a valid alternative to 3D motion analysis. Clinicians may be able to measure standing PT and gain valuable information on dynamic PT, allowing clinicians to quickly assess whether further biomechanical testing is needed.
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Affiliation(s)
- Madison S Mach
- Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI,USA
| | - Kyle T Ebersole
- Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI,USA
| | - Hayley E Ericksen
- Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI,USA
| | - Anh-Dung Nguyen
- Department of Athletic Training, West Virginia University, Morgantown, WV,USA
| | - Jennifer E Earl-Boehm
- Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI,USA
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21
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Fazzari C, Macchi R, Ressam C, Kunimasa Y, Nicol C, Martha C, Bolmont B, Sainton P, Hays A, Vercruyssen F, Lapole T, Bossard M, Casanova R, Bringoux L, Chavet P. Neuromuscular adjustments to unweighted running: the increase in hamstring activity is sensitive to trait anxiety. Front Physiol 2023; 14:1212198. [PMID: 37334048 PMCID: PMC10272775 DOI: 10.3389/fphys.2023.1212198] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 05/18/2023] [Indexed: 06/20/2023] Open
Abstract
Introduction: Originally developed for astronauts, lower body positive pressure treadmills (LBPPTs) are increasingly being used in sports and clinical settings because they allow for unweighted running. However, the neuromuscular adjustments to unweighted running remain understudied. They would be limited for certain lower limb muscles and interindividually variable. This study investigated whether this might be related to familiarization and/or trait anxiety. Methods: Forty healthy male runners were divided into two equal groups with contrasting levels of trait anxiety (high, ANX+, n = 20 vs. low, ANX-, n = 20). They completed two 9-min runs on a LBPPT. Each included three consecutive 3-min conditions performed at 100%, 60% (unweighted running), and 100% body weight. Normal ground reaction force and electromyographic activity of 11 ipsilateral lower limb muscles were analyzed for the last 30 s of each condition in both runs. Results: Unweighted running showed muscle- and stretch-shortening cycle phase-dependent neuromuscular adjustments that were repeatable across both runs. Importantly, hamstring (BF, biceps femoris; STSM, semitendinosus/semimembranosus) muscle activity increased during the braking (BF: +44 ± 18%, p < 0.001) and push-off (BF: +49 ± 12% and STSM: +123 ± 14%, p < 0.001 for both) phases, and even more so for ANX+ than for ANX-. During the braking phase, only ANX+ showed significant increases in BF (+41 ± 15%, p < 0.001) and STSM (+53 ± 27%, p < 0.001) activities. During the push-off phase, ANX+ showed a more than twofold increase in STSM activity compared to ANX- (+119 ± 10% vs. +48 ± 27, p < 0.001 for both). Conclusion: The increase in hamstring activity during the braking and push-off phases may have accelerated the subsequent swing of the free-leg, likely counteracting the unweighting-induced slowing of stride frequency. This was even more pronounced in ANX+ than in ANX-, in an increased attempt not to deviate from their preferred running pattern. These results highlight the importance of individualizing LBPPT training and rehabilitation protocols, with particular attention to individuals with weak or injured hamstrings.
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Affiliation(s)
| | - Robin Macchi
- Aix-Marseille Université, CNRS, ISM, Marseille, France
- French Institute of Sport (INSEP), Laboratory Sport, Expertise and Performance (EA 7370), Paris, France
| | | | - Yoko Kunimasa
- Department of Health and Sport Sciences, Niigata University, Niigata, Japan
| | | | - Cécile Martha
- Aix-Marseille Université, CNRS, ISM, Marseille, France
| | | | | | - Arnaud Hays
- Aix-Marseille Université, CNRS, ISM, Marseille, France
| | | | - Thomas Lapole
- Université Jean Monnet, Université Savoie Mont-Blanc, LIBM, St-Etienne, France
| | - Martin Bossard
- Université Gustave Eiffel, COSYS-PICS-L, F-77454 Marne-la-Vallée, France
| | - Rémy Casanova
- Aix-Marseille Université, CNRS, ISM, Marseille, France
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22
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Vial S, Cochrane Wilkie J, Turner M, Blazevich AJ. Fatigue does not increase limb asymmetry or induce proximal joint power shift in habitual, multi-speed runners. J Sports Sci 2023; 41:1250-1260. [PMID: 37837327 DOI: 10.1080/02640414.2023.2268374] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 10/03/2023] [Indexed: 10/16/2023]
Abstract
During prolonged jogging, joint moment and work tend to decrease in the distal (ankle) joint but increase at proximal (hip/knee) joints as performance fatigue manifests, and such adaptations might be expected to occur in sprinting. Fatigue is also thought to increase inter-limb asymmetries, which is speculated to influence injury risk. However, the effects of fatigue on sprint running gait have been incompletely studied, so these hypotheses remain untested. Using statistical parametric mapping, we compared 3-D kinematics and ground reaction force production between the dominant (DL) and non-dominant (NDL) legs of 13 soccer players during both non-fatigued and fatigued sprint running. Contrary to the tested hypotheses, relative between-leg differences were greater in non-fatigued than fatigued sprinting. DL generated higher propulsive impulse due to increased ankle work, while NDL exhibited greater vertical impulse, potentially due to greater hip flexion prior to downward foot acceleration. Whilst few changes were detected in DL once fatigued, NDL shifted towards greater horizontal force production, largely resulting from an increase in plantar flexion (distal-joint) moments and power. After fatiguing running, inter-limb asymmetry was reduced and no distal-to-proximal shift in joint work was detected. These adaptations may attenuate decreases in running speed whilst minimising injury risk.
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Affiliation(s)
- Shayne Vial
- Centre for Human Performance, School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
- Centre for Precision Health, School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
| | - Jodie Cochrane Wilkie
- Centre for Human Performance, School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
- Physical Activity, Sport and Exercise Research Theme, Faculty of Health, Southern Cross University, QLD, Australia
| | - Mitchell Turner
- Centre for Precision Health, School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
| | - Anthony J Blazevich
- Centre for Human Performance, School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
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23
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Prince C, Latella S, Gachon B, Picot B. Reliability and validity of 2D-video analysis to objectively assess hamstring performance during the H-test. Sports Biomech 2023:1-14. [PMID: 37154270 DOI: 10.1080/14763141.2023.2203132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
The H-test is commonly used during return-to-sport decisions after hamstring muscle injury. The primary aim was to evaluate the reliability of two-dimensional (2D) video analysis for the H-Test. The second aim was to assess its validity compared to an electronic gyroscope (gold standard), and the third aim was to establish normative values. We conducted a cross-sectional study including 30 healthy individuals. Mean, maximal velocities (VMean and Vmax) and range of motion (ROM) of hip flexion were captured during the H-test to evaluate inter-rater and test-retest reliability using intraclass correlation coefficient (ICC2,1) and standard error of measurement (SEM). Correlation analysis (r) and as typical error of estimate (TEE) were used to assess the validity between the video and the gyroscope. Reliability was excellent for ROM (ICC:0.91, [95% CI:0.83-0.95]), moderate for VMean (ICC:0.57; [95% CI:0.32-0.74]) and VMax (ICC:0.64, [95% CI:0.43-0.79]). Strong positive correlations were found between video and gyroscope for VMean (r = 0.79, [95% CI:0.71-0.86]) and VMax (r = 0.84, [95% CI:0.77-0.89]) and very strong for ROM (r = 0.89, [95% CI:0.85-0.93]). Males exhibited a higher VMax (p < 0.001) than females, while females had a higher ROM (p < 0.001). 2D-video analysis is a valid and reliable method to assess ROM during the H-Test and could easily be implemented in clinical practice.
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Affiliation(s)
- Caroline Prince
- Univ Savoie Mont Blanc, Interuniversity Laboratory of Human Movement Sciences, Chambéry, France
- Physiotherapy Department and Motion Analysis Lab, Swiss Olympic Medical Center, La Tour Hospital, Meyrin, Switzerland
- Société Française des Masseurs Kinésithérapeute du Sport, SFMKS-Lab, Pierrefitte-sur-Seine, France
| | - Sébastien Latella
- Univ Savoie Mont Blanc, Interuniversity Laboratory of Human Movement Sciences, Chambéry, France
| | - Benoit Gachon
- Univ Savoie Mont Blanc, Interuniversity Laboratory of Human Movement Sciences, Chambéry, France
| | - Brice Picot
- Univ Savoie Mont Blanc, Interuniversity Laboratory of Human Movement Sciences, Chambéry, France
- Société Française des Masseurs Kinésithérapeute du Sport, SFMKS-Lab, Pierrefitte-sur-Seine, France
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24
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Caldbeck P, Dos'Santos T. How do soccer players sprint from a tactical context? Observations of an English Premier League soccer team. J Sports Sci 2023; 40:2669-2680. [PMID: 36849467 DOI: 10.1080/02640414.2023.2183605] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
The aim of this study was to quantify and tactically contextualise (i.e., phase of play and tactical outcome [TO]) sprints (≥7.0 m/s) of an English Premier League (EPL) soccer team during match-play. Videos of 901 sprints (10 matches) were evaluated using the Football Sprint Tactical-Context Classification System. Sprints occurred within a variety of phases of play (attacking/defensive organisation and transitions) and TOs, both out- and in-possession, with position-specific differences. Most sprints were completed out-possession (58%), with "closing down" the most observed TO (28%). In-possession, "run the channel" (25%) was the most observed TO. Centre backs predominantly performed "ball down the side" sprints (31%), whereas central midfielders mostly performed "covering" sprints (31%). Central forwards and wide midfielders mostly performed "closing down" (23% and 21%) and "run the channel" (23% and 16%) sprints when out- and in-possession, respectively. Full backs most frequently performed "recovery" and "overlap" runs (14% each). This study provides insights into the specific physical-tactical characteristics of sprints performed from an EPL soccer team. This information can be used to assist in the development of position-specific physical preparation programmes, and more ecologically valid and contextualised gamespeed and agility sprint drill construction to better reflect the demands of soccer.
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Affiliation(s)
- Paul Caldbeck
- Sports Science Department, Sportlight Technology LTD, Oxford, UK
| | - Thomas Dos'Santos
- Department of Sport and Exercise Sciences, Musculoskeletal Science and Sports Medicine Research Centre, Manchester Metropolitan University, Manchester, UK.,Manchester Institute of Sport, Manchester Metropolitan University, Manchester, UK
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25
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Edouard P, Mendiguchia J, Guex K, Lahti J, Prince C, Samozino P, Morin JB. Sprinting: a key piece of the hamstring injury risk management puzzle. Br J Sports Med 2023; 57:4-6. [PMID: 35927000 DOI: 10.1136/bjsports-2022-105532] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2022] [Indexed: 01/06/2023]
Affiliation(s)
- Pascal Edouard
- Inter-University Laboratory of Human Movement Biology, Univ Lyon, UJM-Saint-Etienne, Saint-Etienne, France .,Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
| | - Kenny Guex
- School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.,Swiss Athletics, Haus des Sports, Ittigen, Switzerland
| | - Johan Lahti
- LAMHESS, Université Côte d'Azur, Nice, France
| | - Caroline Prince
- Inter-university Laboratory of Human Movement Biology, EA 7424, Univ Savoie Mont Blanc, Chambéry, France.,Physiotherapy department and motion analysis lab, Swiss Olympic Medical Center, La Tour Hospital, Meyrin, Switzerland
| | - Pierre Samozino
- Inter-university Laboratory of Human Movement Biology, EA 7424, Univ Savoie Mont Blanc, Chambéry, France
| | - Jean-Benoît Morin
- Inter-University Laboratory of Human Movement Biology, Univ Lyon, UJM-Saint-Etienne, Saint-Etienne, France.,Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand
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26
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Otsuka M, Isaka T, Terada M, Arimitsu T, Kurihara T, Shinohara Y. Associations of time to return to performance following acute posterior thigh injuries with running biomechanics, hamstring function, and structure in collegiate sprinters: A prospective cohort design. Clin Biomech (Bristol, Avon) 2022; 100:105789. [PMID: 36272256 DOI: 10.1016/j.clinbiomech.2022.105789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 09/26/2022] [Accepted: 10/02/2022] [Indexed: 02/07/2023]
Abstract
BACKGROUND The time to return to sport from acute hamstring strain injuries is associated with several functional and structural impairments. However, not all previous studies assessed the preinjury level before acute hamstring strain injuries directly. The purpose of this study was to examine the associations of the time to return to performance following acute hamstring strain injuries with deficits in running biomechanics, hamstring function and structure in collegiate sprinters by a prospective study. METHODS Using a prospective cohort design, 72 participants were recruited from a collegiate track and field team. At the preinjury assessment, a 60-m running-specific test, passive straight leg raise test and isometric knee flexion strength test were assessed at the beginning of the competitive season for three consecutive years (2017-2019). Afterwards, postinjury examinations were performed only in sprinters with acute hamstring strain injuries. FINDINGS Twelve sprinters strained their hamstring muscle (incidence rate of hamstring strain injuries: 16.7%); the majority (n = 10) were classified as grades 0-2. The running speed deficit of the running-specific test was associated with the time to return to performance as well as the passive straight leg raise test deficit. In the running-specific test, lower-limb kinetic deficits were more strongly associated with the time to return to performance compared to lower-limb kinematic deficits. INTERPRETATION A running-specific test may be considered one of the most convenient and valid tests for assessing rehabilitation progress after acute hamstring strain injuries.
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Affiliation(s)
- M Otsuka
- Faculty of Sport Science, Nippon Sport Science University, Tokyo, Japan.
| | - T Isaka
- Faculty of Health and Sport Science, Ritsumeikan University, Shiga, Japan
| | - M Terada
- Faculty of Health and Sport Science, Ritsumeikan University, Shiga, Japan
| | - T Arimitsu
- Faculty of Health Care, Hachinohe Gakuin University, Aomori, Japan
| | - T Kurihara
- Faculty of Science and Engineering, Kokushikan University, Tokyo, Japan
| | - Y Shinohara
- Faculty of Health and Sport Science, Ritsumeikan University, Shiga, Japan
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27
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Caldbeck P, Dos’Santos T. A classification of specific movement skills and patterns during sprinting in English Premier League soccer. PLoS One 2022; 17:e0277326. [PMID: 36367861 PMCID: PMC9651586 DOI: 10.1371/journal.pone.0277326] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 10/24/2022] [Indexed: 11/13/2022] Open
Abstract
The aim of this study was to quantify and contextualize sprinting actions (≥ 7.0 m/s) of English Premier League (EPL) soccer match-play with respect to the movement skills and patterns employed. Video footage (3.2.6, Premier League DVMS, ChyronHego) and raw video-based locomotor coordinates of 901 sprint efforts from 10 matches of an EPL soccer team (2017-2018), were evaluated using the Football Sprint Movement Classification System pertaining to transition, initiation, and actualisation of sprint movement skills and patterns. The results from a one-way ANOVA or independent t-test revealed that, generally, most sprinting actions begun from a linear initiation position compared to lateral or rear (63%, d = 5.0-5.3, p < 0.01), without a change of direction (COD) (48%, d = 4.9-5.6, p < 0.01) compared to lateral, front-back, back-front, and from forward travelling (linear and diagonal) transition movements (68%, d = 2.1-5.7, p < 0.01) compared to lateral or rear. Additionally, most sprints were initiated with a rolling acceleration (66%, d = 3.2, p < 0.01) compared to explosive acceleration, often performed with a degree of curvature (86%, d = 7.2, p < 0.01) compared to linear, with torso rotation (62%, d = 2.7, p < 0.01) compared to no rotation, and typically end with an action such as duelling with an opponent or involvement with the ball (49%). Additionally, the sprint movement characteristics proportions slightly differed across playing positions. Overall, this study confirms that sprints during EPL soccer matches are initiated from and performed with a variety of different movement skills and patterns in relation to different sport-specific outcomes. This data can be used to assist in the development of more effective physical preparation programmes, inform position-specific contextualized sprinting drills to achieve better specificity and potential transfer of training, while also informing speed testing protocols.
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Affiliation(s)
- Paul Caldbeck
- Sports Science Department, Sportlight Technology LTD, Oxford, United Kingdom
| | - Thomas Dos’Santos
- Department of Sport and Exercise Sciences, Musculoskeletal Science and Sports Medicine Research Centre, Manchester Metropolitan University, Manchester, United Kingdom
- Manchester Institute of Sport, Manchester Metropolitan University, Manchester, United Kingdom
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28
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Romero V, Lahti J, Castaño Zambudio A, Mendiguchia J, Jiménez Reyes P, Morin JB. Effects of Fatigue Induced by Repeated Sprints on Sprint Biomechanics in Football Players: Should We Look at the Group or the Individual? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14643. [PMID: 36429363 PMCID: PMC9691012 DOI: 10.3390/ijerph192214643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 11/04/2022] [Accepted: 11/04/2022] [Indexed: 06/16/2023]
Abstract
The aim of this study was to analyse the influence of fatigue on sprint biomechanics. Fifty-one football players performed twelve maximal 30 m sprints with 20 s recovery between each sprint. Sprint kinetics were computed from running speed data and a high-frequency camera (240 Hz) was used to study kinematic data. A cluster analysis (K-mean clustering) was conducted to classify individual kinematic adaptations. A large decrease in maximal power output and less efficiency in horizontally orienting the ground reaction force were observed in fatigued participants. In addition, individual changes in kinematic components were observed, and, according to the cluster analysis, five clusters were identified. Changes in trunk, knee, and hip angles led to an overall theoretical increase in hamstring strain for some players (Cluster 5, 20/51) but to an overall decrease for some others (Cluster 1, 11/51). This study showed that the repeated sprint ability (RSA) protocol had an impact on both kinetics and kinematics. Moreover, fatigue affected the kinematics in a different way for each player, and these individual changes were associated with either higher or lower hamstring length and thus strain.
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Affiliation(s)
- Valentin Romero
- Centre for Sport Studies, Rey Juan Carlos University, 28942 Madrid, Spain
| | - Johan Lahti
- Laboratory of Human Motricity, Education Sport and Health (LAMHESS), Université Côte d’Azur, F-06200 Nice, France
| | | | - Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, 31010 Barañain, Spain
| | | | - Jean-Benoît Morin
- Inter-University Laboratory of Human Movement Biology (LIBM EA 7424), University of Lyon, University Jean Monnet, F-42023 Saint Etienne, France
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29
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Schneider C, Van Hooren B, Cronin J, Jukic I. The Effects of Training Interventions on Modifiable Hamstring Strain Injury Risk Factors in Healthy Soccer Players: A Systematic Review. Strength Cond J 2022. [DOI: 10.1519/ssc.0000000000000736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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30
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Adams L, Pace N, Heo A, Hunter I, Johnson AW, Mitchell UH. Internal and External Oblique Muscle Asymmetry in Sprint Hurdlers and Sprinters: A Cross-Sectional Study. J Sports Sci Med 2022; 21:120-126. [PMID: 35250341 DOI: 10.52082/jssm.2022.120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 01/17/2022] [Indexed: 12/30/2022]
Abstract
The abdominal muscles are vital in providing core stability for functional movements during most activities. There is a correlation between side asymmetry of these muscles and dysfunction. Thus, the purpose of this study was to evaluate and compare trunk muscle morphology and trunk rotational strength between sprint hurdlers, an asymmetrical sport, and sprinters, a symmetrical sport. Twenty-one trained collegiate sprint hurdlers and sprinters were recruited for the study (Hurdlers: 4M, 7F; Sprinters: 8M, 2F), average age (years) hurdlers: 20 ± 1.2; sprinters: 20.4 ± 1.9, height (cm) hurdlers: 172.6 ± 10.2; sprinters: 181.7 ± 4.5, and weight (kg) hurdlers: 67.6 ± 12.0; sprinters: 73.9 ± 5.6. Using real-time ultrasound, panoramic images of the internal oblique (IO) and external oblique (EO) were obtained at rest and contracted (flexion and rotation) in a seated position for both right and left sides of the trunk. While wearing a specially crafted shoulder harness, participants performed three maximal voluntary trunk rotational contractions (MVC). The three attempts were then averaged to obtain an overall MVC score for trunk rotation strength. Average MVC trunk rotational strength to the right was greater among all participants, p < 0.001. The IO showed greater and significant thickness changes from resting to contracted state than the EO, this was observed in all participants. The IO side asymmetry was significantly different between groups p < 0.01. Hurdlers, involved in a unilaterally demanding sport, exhibited the expected asymmetry in muscle morphology and in trunk rotational strength. Interestingly, sprinters, although involved in a seemingly symmetrical sport, also exhibited asymmetrical trunk morphology and trunk rotational strength.
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Affiliation(s)
- Lauren Adams
- Department of Exercise Sciences, Brigham Young University, Provo, UT, USA
| | - Nicolas Pace
- Department of Exercise Sciences, Brigham Young University, Provo, UT, USA
| | - Austin Heo
- Department of Exercise Sciences, Brigham Young University, Provo, UT, USA
| | - Iain Hunter
- Department of Exercise Sciences, Brigham Young University, Provo, UT, USA
| | - A Wayne Johnson
- Department of Exercise Sciences, Brigham Young University, Provo, UT, USA
| | - Ulrike H Mitchell
- Department of Exercise Sciences, Brigham Young University, Provo, UT, USA
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Poor Reporting of Exercise Interventions for Hamstring Strain Injury Rehabilitation: A Scoping Review of Reporting Quality and Content in Contemporary Applied Research. J Orthop Sports Phys Ther 2022; 52:130-141. [PMID: 34546816 DOI: 10.2519/jospt.2022.10641] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To review the quality of reporting and identify the content of exercise interventions prescribed for hamstring strain injury (HSI) rehabilitation in the scientific literature from 2010 to 2020. DESIGN Scoping review. LITERATURE SEARCH We searched the bibliometric databases Web of Science, CINAHL, SPORTDiscus, Scopus, Cochrane Library, MEDLINE, and Embase. STUDY SELECTION CRITERIA Original research articles (randomized controlled trials and cohort studies) published from 2010 to 2020 that described an exercise rehabilitation intervention for participants with acute HSIs were included. Injuries must have been confirmed within 7 days of occurrence via clinical assessment and/or diagnostic imaging. DATA SYNTHESIS The quality of reporting, in terms of completeness of exercise intervention description, was evaluated using the Consensus on Exercise Reporting Template (CERT), and the content of interventions was categorized into exercise types. RESULTS Fourteen studies were included; exercise intervention quality of reporting was moderate in 3 studies and low in 11 studies. Using the 19-item CERT, an average of 8.8 items (range, 4-14) were reported across all studies. Two studies reported sufficient exercise content and progression information to allow replication. Exercises categorized as hamstring flexibility, hamstring strength, running related, and non-hamstring specific were prescribed in 13, 11, 10, and 10 studies, respectively. Half of the included studies incorporated all 4 exercise types in their exercise interventions. CONCLUSION There is a wide variety of exercise interventions applied in published research that has addressed HSI rehabilitation. Researchers must improve reporting quality to support other professionals in replicating exercise interventions and help practitioners to effectively implement research in practice. J Orthop Sports Phys Ther 2022;52(3):130-141. Epub 21 Sep 2021. doi:10.2519/jospt.2022.10641.
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Nishida S, Nakamura M, Kiyono R, Sato S, Yasaka K, Yoshida R, Nosaka K. Relationship between Nordic hamstring strength and maximal voluntary eccentric, concentric and isometric knee flexion torque. PLoS One 2022; 17:e0264465. [PMID: 35213652 PMCID: PMC8880649 DOI: 10.1371/journal.pone.0264465] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 02/10/2022] [Indexed: 12/03/2022] Open
Abstract
Nordic hamstring exercise is performed to prevent knee flexor muscle strain injuries and used to assess their injury risks. However, what exactly Nordic hamstring strength indicates is not clear. We investigated the relationship between Nordic hamstring strength and maximal voluntary contraction (MVC) torque of the knee flexors measured by an isokinetic dynamometer. Sixteen healthy young men who had not experienced hamstring strain injuries participated in the study. In Nordic hamstring, each participant was instructed to lean forward as far as possible in 3 s (approximately 30°/s), and force at the ankle joint of the dominant leg was measured during the movement. The force was multiplied by lower leg length and converted into torque. MVC torque of the knee flexors was measured isometrically at 30°, 45°, 60°, and 90° knee flexion joint angles, and concentrically and eccentrically at 30°/s and 60°/s in 10°–90° knee flexion for the dominant leg in a prone position. Correlations among the dependent variables were assessed using Pearson’s correlation coefficients. Peak Nordic hamstring torque ranged 96.8–163.5 Nm, and peak MVC eccentric torque ranged 50.7–109.4 Nm at 30°/s and 59.2–121.2 Nm at 60°/s. No significant correlations were evident between the peak Nordic hamstring torque and peak eccentric knee flexion torque (r = 0.24–0.3, p = 0.26–0.4). This was also the case for the Nordic hamstring torque and MVC torque of isometric (r = −0.03–0.1, p = 0.71–0.92) and concentric contractions (r = 0.28–0.49, p = 0.053–0.29). These results show that Nordic hamstring strength is not associated with the knee flexor torque measured by an isokinetic dynamometer. It may be that other factors than static and dynamic hamstring strengths affect Nordic hamstring strength.
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Affiliation(s)
- Satoru Nishida
- Faculty of Sports and Health Science, Fukuoka University, Fukuoka, Japan
- * E-mail:
| | - Masatoshi Nakamura
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan
| | - Ryosuke Kiyono
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan
| | - Shigeru Sato
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan
| | - Koki Yasaka
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan
| | - Riku Yoshida
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan
| | - Kazunori Nosaka
- Center for Exercise and Sports Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
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Abstract
Hamstring strain injuries are common among athletes and often require rehabilitation to prepare players for a timely return to sport performance while also minimizing reinjury risk. Return to sport is typically achieved within weeks of the injury; however, subsequent athlete performance may be impaired, and reinjury rates are high. Improving these outcomes requires rehabilitation practitioners (eg, athletic trainers and physical therapists) to understand the causes and mechanisms of hamstring strain injury, know how to perform a thorough clinical examination, and progress loading to the site of injury safely and effectively. This narrative review discusses current clinical concepts related to these aspects of rehabilitation for hamstring strain injury, with the aim of helping practitioners improve athletes' outcomes. Collectively, this knowledge will inform the implementation of evidence-based rehabilitation interventions.
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Affiliation(s)
- Jack T. Hickey
- School of Behavioural and Health Sciences, Australian Catholic University, Melbourne
,Sports Performance, Recovery, Injury and New Technologies Research Centre, Australian Catholic University, Melbourne
| | - David A. Opar
- School of Behavioural and Health Sciences, Australian Catholic University, Melbourne
,Sports Performance, Recovery, Injury and New Technologies Research Centre, Australian Catholic University, Melbourne
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Vicente-Mampel J, Bautista IJ, Martín F, Maroto-Izquierdo S, Van Hooren B, Baraja-Vegas L. Effects of ankle position during the Nordic Hamstring exercise on range of motion, heel contact force and hamstring muscle activation. Sports Biomech 2022:1-13. [PMID: 35045792 DOI: 10.1080/14763141.2021.2025416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 12/30/2021] [Indexed: 10/19/2022]
Abstract
One of the main benefits of the Nordic Hamstring Exercise (NHE) is that it can be performed without the need of any extra material. However, numerous technical execution variables such as the ankle and pelvis position can influence the performance. The primary aims of this study were to investigate the effects of ankle position (i.e., plantar or dorsal flexion) on Nordic Hamstring Break Point (NHBP), repetition time and heel contact force. A secondary aim was to investigate differences in biceps femoris long head and semitendinosus muscle activation. Male professional field hockey players (n = 12) volunteered for the study. Paired t-tests were used to analyse the effect of ankle position on muscle NHBP, eccentric peak torque and repetition time. Ankle dorsal flexion resulted in a higher NHBP (p = 0.002, effect size [ES] = 1.48 [0.57 to 2.38]), repetition time (p = 0.004, ES = 0.98 [0.24 to 1.72]) and both absolute and relative heel contact force (p = 0.028, ES = 0.67 [0.01 to 1.34], p = 0.017, ES = 0.76 [0.07 to 1.44], respectively) compared to plantar flexion. Muscle activation was not significant different. This study showed a higher NHBP, absolute and relative heel contact force and repetition time with a dorsal flexed ankle vs. a plantar flexed ankle in the NHE, without changes in hamstrings muscle activation.
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Affiliation(s)
- Juan Vicente-Mampel
- Department of Physiotherapy, Catholic University of Valencia, Torrent, Spain
| | - Iker J Bautista
- Department of Physiotherapy, Catholic University of Valencia, Torrent, Spain
| | - Fernando Martín
- Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | | | - Bas Van Hooren
- Department of Nutrition and Movement Sciences, Nutrim School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands
| | - Luis Baraja-Vegas
- Department of Physiotherapy, Catholic University of Valencia, Torrent, Spain
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Comparison of ROM, perceived tightness, and kinetic variables during balance, walking, and running tasks in athletes with and without hamstring tightness using sensor insoles. SPORT SCIENCES FOR HEALTH 2022. [DOI: 10.1007/s11332-021-00873-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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36
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Can We Modify Maximal Speed Running Posture? Implications for Performance and Hamstring Injury Management. Int J Sports Physiol Perform 2021; 17:374-383. [PMID: 34794121 DOI: 10.1123/ijspp.2021-0107] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 06/27/2021] [Accepted: 07/03/2021] [Indexed: 11/18/2022]
Abstract
PURPOSE Sprint kinematics have been linked to hamstring injury and performance. This study aimed to examine if a specific 6-week multimodal intervention, combining lumbopelvic control and unning technique exercises, induced changes in pelvis and lower-limb kinematics at maximal speed and improved sprint performance. METHODS Healthy amateur athletes were assigned to a control or intervention group (IG). A sprint test with 3-dimensional kinematic measurements was performed before (PRE) and after (POST) 6 weeks of training. The IG program included 3 weekly sessions integrating coaching, strength and conditioning, and physical therapy approaches (eg, manual therapy, mobility, lumbopelvic control, strength and sprint "front-side mechanics"-oriented drills). RESULTS Analyses of variance showed no between-group differences at PRE. At POST, intragroup analyses showed PRE-POST differences for the pelvic (sagittal and frontal planes) and thigh kinematics and improved sprint performance (split times) for the IG only. Specifically, IG showed (1) a lower anterior pelvic tilt during the late swing phase, (2) greater pelvic obliquity on the free-leg side during the early swing phase, (3) higher vertical position of the front-leg knee, (4) an increase in thigh angular velocity and thigh retraction velocity, (5) lower between-knees distance at initial contact, and (6) a shorter ground contact duration. The intergroup analysis revealed disparate effects (possibly to very likely) in the most relevant variables investigated. CONCLUSION The 6-week multimodal training program induced clear pelvic and lower-limb kinematic changes during maximal speed sprinting. These alterations may collectively be associated with reduced risk of muscle strain and were concomitant with significant sprint performance improvement.
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Hughes R, Cross M, Stokes K, Tobin D, Power E, McNally S, Pamment J. Novel biomechanical injury risk score demonstrates correlation with lower limb posterior chain injury in 50 elite-level rugby union athletes. BMJ Open Sport Exerc Med 2021; 7:e001062. [PMID: 34745646 PMCID: PMC8527128 DOI: 10.1136/bmjsem-2021-001062] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2021] [Indexed: 01/07/2023] Open
Abstract
Objectives Lower limb posterior chain injury (PCI) is common among athletic populations, with multifactorial risk factors including age, previous injury, strength measurements, range of motion and training load. Biomechanics are commonly considered in the prevention and rehabilitation of PCI by performance staff. However, there is no documented testing method to assess for associations between biomechanics and PCI. The aim of this study was to investigate whether there is an association between an easily applicable, novel biomechanical assessment tool and PCI. Methods Fifty male elite-level rugby union athletes (age 22.83±5.08) participating in the highest tier of England were tested at the start of the 2019 preseason period and PCIs (N=48) were recorded over the 2019/2020 playing season. Participants’ biomechanics were analysed using two-dimensional video analysis against an injury risk score (IRS) system in the performance of the combined movement—prone hip extension and knee flexion. Participants’ biomechanics in carrying out this movement were scored against the 10-point IRS, where the more compensatory movement recorded sees an increase in an individual’s IRS. Participants’ IRS was then compared against the number of PCIs sustained and Spearman’s correlation coefficient was used for statistical analysis. Results There is a significant association between IRS and PCI (R=0.542, p<0.001). Linear regression demonstrated that an increase in 1 in IRS was associated with a 35% increase in PCI incidence (R²=0.346). Conclusion A significance between the IRS and PCI provides preliminary support for its use as an injury risk assessment tool.
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Affiliation(s)
- Rhys Hughes
- Performance Medical Department, Gloucester Rugby Ltd, Gloucester, UK.,Department for Health, University of Bath, Bath, UK
| | - Matt Cross
- Research and Rugby Development, Premier Rugby Ltd, Twickenham, UK
| | - Keith Stokes
- Department for Health, University of Bath, Bath, UK.,Medical Research, Rugby Football Union, Twickenham, London, UK
| | - Daniel Tobin
- Performance Medical Department, Gloucester Rugby Ltd, Gloucester, UK
| | - Eoin Power
- Performance Medical Department, Gloucester Rugby Ltd, Gloucester, UK
| | - Steph McNally
- Performance Medical Department, Gloucester Rugby Ltd, Gloucester, UK
| | - Jonathan Pamment
- Performance Medical Department, Gloucester Rugby Ltd, Gloucester, UK
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38
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Kalema RN, Schache AG, Williams MD, Heiderscheit B, Siqueira Trajano G, Shield AJ. Sprinting Biomechanics and Hamstring Injuries: Is There a Link? A Literature Review. Sports (Basel) 2021; 9:sports9100141. [PMID: 34678922 PMCID: PMC8540816 DOI: 10.3390/sports9100141] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 09/29/2021] [Accepted: 10/02/2021] [Indexed: 11/25/2022] Open
Abstract
Hamstring strain injury (HSI) is a common and costly injury in many sports such as the various professional football codes. Most HSIs have been reported to occur during high intensity sprinting actions. This observation has led to the suggestion that a link between sprinting biomechanics and HSIs may exist. The aim of this literature review was to evaluate the available scientific evidence underpinning the potential link between sprinting biomechanics and HSIs. A structured search of the literature was completed followed by a risk of bias assessment. A total of eighteen studies were retrieved. Sixteen studies involved retrospective and/or prospective analyses, of which only three were judged to have a low risk of bias. Two other case studies captured data before and after an acute HSI. A range of biomechanical variables have been measured, including ground reaction forces, trunk and lower-limb joint angles, hip and knee joint moments and powers, hamstring muscle–tendon unit stretch, and surface electromyographic activity from various trunk and thigh muscles. Overall, current evidence was unable to provide a clear and nonconflicting perspective on the potential link between sprinting biomechanics and HSIs. Nevertheless, some interesting findings were revealed, which hopefully will stimulate future research on this topic.
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Affiliation(s)
- Rudy N. Kalema
- Faculty of Health, School of Exercise and Nutrition Sciences, Queensland University of Technology, O Block Victoria Park Road, Kelvin Grove, QLD 4059, Australia; (G.S.T.); (A.J.S.)
- Correspondence:
| | - Anthony G. Schache
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, VIC 3086, Australia;
| | - Morgan D. Williams
- Faculty of Life Sciences and Education, University of South Wales, Pontypridd CF37 IDL, UK;
| | - Bryan Heiderscheit
- Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI 53705, USA;
| | - Gabriel Siqueira Trajano
- Faculty of Health, School of Exercise and Nutrition Sciences, Queensland University of Technology, O Block Victoria Park Road, Kelvin Grove, QLD 4059, Australia; (G.S.T.); (A.J.S.)
| | - Anthony J. Shield
- Faculty of Health, School of Exercise and Nutrition Sciences, Queensland University of Technology, O Block Victoria Park Road, Kelvin Grove, QLD 4059, Australia; (G.S.T.); (A.J.S.)
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Wolski L, Pappas E, Hiller C, Halaki M, Fong Yan A. Is there an association between high-speed running biomechanics and hamstring strain injury? A systematic review. Sports Biomech 2021:1-27. [PMID: 34569907 DOI: 10.1080/14763141.2021.1960418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 07/16/2021] [Indexed: 10/20/2022]
Abstract
Despite increased awareness of the multifactorial nature of Hamstring Strain Injury (HSI), the role of running biomechanics remains unclear. The aim of this systematic review was to investigate whether an association exists between running biomechanics and HSI. Five databases were searched from inception to January 2021. Eligibility criteria included epidemiological studies that provide data on running biomechanics in athletes who have sustained a HSI (retrospectively or prospectively) and compared to control data. Searches yielded 4,798 articles. Twelve met the selection criteria. Biomechanical analysis differed considerably across studies, thus meta-analyses was not possible. Studies largely found either no differences or contradicting findings between running biomechanics of athletes who have sustained a HSI (retrospectively or prospectively) and controls, with the exception of lateral trunk kinematics and horizontal propulsive forces. It is important to note some concern regarding the quality of included studies, particularly sample size, increasing the risk of bias associated with results. Further research utilising validated methods of biomechanical analysis, is needed to determine if an association exists between running biomechanics and HSI. Until then, definitive conclusions cannot be drawn as to whether specific biomechanical interventions should be included in injury prevention and/or rehabilitation programmes.
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Affiliation(s)
- Lisa Wolski
- Discipline of Exercise and Sports Science
- Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Evangelos Pappas
- Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
- School of Medicine and Illawarra Health & Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
| | - Claire Hiller
- Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
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Kalema RN, Duhig SJ, Williams MD, Donaldson A, Shield AJ. Sprinting technique and hamstring strain injuries: A concept mapping study. J Sci Med Sport 2021; 25:209-215. [PMID: 34600821 DOI: 10.1016/j.jsams.2021.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 09/09/2021] [Accepted: 09/16/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The aim of this study was to explore expert opinion to identify the components of sprinting technique they believed to be risk factors for hamstring strain injuries (HSI). DESIGN Mixed-method research design. METHODS The Concept Systems groupwisdom™ web platform was used to analyse and collect data. Participants brainstormed, sorted and rated the components of sprinting technique to consider in a HSI prevention strategy. RESULTS Twenty-three experts (academic/researcher, physiotherapist, strength and conditioning coaches and sprint coaches) brainstormed 66 statements that were synthesised and edited to 60 statements. Nineteen participants sorted the statements into clusters and rated them for relative importance and confidence they could be addressed in a hamstring injury prevention program. Multidimensional scaling and cluster analysis identified a 8-cluster solution modified to a 5-cluster solution by the research team: Training prescription (10 statements, mean importance: 3.79 out of 5 and mean confidence: 3.79); Neuromuscular and tendon properties (9, 3.09, 3.08); Kinematics parameters/Technical skills (27, 2.99, 2.98); Kinetics parameters (10, 2.85, 2.92); and Hip mechanics (4, 2.70, 2.63). The statement: "low exposure to maximal sprint running" located in the cluster "Training prescription" received the highest mean importance (4.55) and confidence ratings (4.42) of all statements. CONCLUSION The five clusters of components of sprinting technique believed to be risk factors for HSIs in order of most to least important were: training prescription, neuromuscular and tendon properties, kinematics parameters/technical drills, kinetics parameters and hip mechanics.
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Affiliation(s)
- Rudy N Kalema
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia.
| | - Steven J Duhig
- School of Allied Health Sciences - Exercise and Sport, Griffith University, Australia.
| | - Morgan D Williams
- Faculty of life Sciences and Education, University of South Wales, United Kingdom.
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Australia.
| | - Anthony J Shield
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia.
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Edouard P, Lahti J, Nagahara R, Samozino P, Navarro L, Guex K, Rossi J, Brughelli M, Mendiguchia J, Morin JB. Low Horizontal Force Production Capacity during Sprinting as a Potential Risk Factor of Hamstring Injury in Football. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7827. [PMID: 34360125 PMCID: PMC8345704 DOI: 10.3390/ijerph18157827] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 06/18/2021] [Accepted: 07/06/2021] [Indexed: 01/09/2023]
Abstract
Clear decreases in horizontal force production capacity during sprint acceleration have been reported after hamstring injuries (HI) in football players. We hypothesized that lower FH0 is associated with a higher HI occurrence in football players. We aimed to analyze the association between sprint running horizontal force production capacities at low (FH0) and high (V0) velocities, and HI occurrence in football. This prospective cohort study included 284 football players over one season. All players performed 30 m field sprints at the beginning and different times during the season. Sprint velocity data were used to compute sprint mechanical properties. Players' injury data were prospectively collected during the entire season. Cox regression analyses were performed using new HI as the outcome, and horizontal force production capacity (FH0 and V0) was used at the start of the season (model 1) and at each measurement time point within the season (model 2) as explanatory variables, adjusted for individual players' (model 2) age, geographical group of players, height, body mass, and previous HI, with cumulative hours of football practice as the time scale. A total of 47 new HI (20% of all injuries) were observed in 38 out of 284 players (13%). There were no associations between FH0 and/or V0 values at the start of the season and new HI occurrence during the season (model 1). During the season, a total of 801 measurements were performed, from one to six per player. Lower measured FH0 values were significantly associated with a higher risk of sustaining HI within the weeks following sprint measurement (HR = 2.67 (95% CI: 1.51 to 4.73), p < 0.001) (model 2). In conclusion, low horizontal force production capacities at low velocity during early sprint acceleration (FH0) may be considered as a potential additional factor associated with HI risk in a comprehensive, multifactorial, and individualized approach.
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Affiliation(s)
- Pascal Edouard
- UJM-Saint-Etienne, Laboratory Interuniversity of Human Movement Sciences, University Lyon, EA 7424, F-42023 Saint-Etienne, France; (J.R.); (J.-B.M.)
- Sports Medicine Unity, Department of Clinical and Exercise Physiology, Faculty of Medicine, University Hospital of Saint-Etienne, CEDEX 2, F-42055 Saint-Etienne, France
| | - Johan Lahti
- LAMHESS, Université Côte d’Azur, F-06200 Nice, France;
| | - Ryu Nagahara
- Sports Research and Development Core, University of Tsukuba, Ibaraki 305-8574, Japan;
- Faculty of Sports and Budo Coaching Studies, National Institute of Fitness and Sports in Kanoya, Kagoshima 891-2393, Japan
| | - Pierre Samozino
- Laboratory Interuniversity of Human Movement Sciences, University Savoie Mont Blanc, EA 7424, F-73000 Chambéry, France;
| | - Laurent Navarro
- Mines Saint-Etienne, Centre CIS, Université de Lyon, Université Jean Monnet, INSERM, U 1059 Sainbiose, F-42023 Saint-Etienne, France;
| | - Kenny Guex
- School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, 1011 Lausanne, Switzerland;
- Department of Sprints, Hurdles and Relays, Swiss Athletics, Haus des Sports, 3063 Ittigen, Switzerland
| | - Jérémy Rossi
- UJM-Saint-Etienne, Laboratory Interuniversity of Human Movement Sciences, University Lyon, EA 7424, F-42023 Saint-Etienne, France; (J.R.); (J.-B.M.)
| | - Matt Brughelli
- Sports Performance Research Institute New Zealand, Auckland University of Technology, 1010 Auckland, New Zealand;
| | - Jurdan Mendiguchia
- Department of Physical Therapy, Zentrum Rehabilitation and Performance Center, 31002 Pamplona, Spain;
| | - Jean-Benoît Morin
- UJM-Saint-Etienne, Laboratory Interuniversity of Human Movement Sciences, University Lyon, EA 7424, F-42023 Saint-Etienne, France; (J.R.); (J.-B.M.)
- LAMHESS, Université Côte d’Azur, F-06200 Nice, France;
- Sports Performance Research Institute New Zealand, Auckland University of Technology, 1010 Auckland, New Zealand;
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Sederberg M, LaMarche L, Skinner L, Cushman DM. Distal semimembranosus tendinopathy: A narrative review. PM R 2021; 14:1010-1017. [PMID: 34218525 DOI: 10.1002/pmrj.12667] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 06/18/2021] [Accepted: 06/25/2021] [Indexed: 11/09/2022]
Abstract
Distal semimembranosus tendinopathy is a relatively uncommon diagnosis that can be responsible for medial knee pain. The semimembranosus tendon inserts on the posteromedial knee and is surrounded by the semimembranosus bursa, with both the bursa and tendon potential sources of pain. Similar to other tendinopathies, semimembranosus tendinopathy often occurs with overuse of the musculotendinous unit and is commonly seen in runners. Diagnosis can be made clinically and may be substantiated with use of ultrasound or magnetic resonance imaging. Scant literature exists evaluating the efficacy of treatments for this condition. Consequently, best practice for treatment is inferred from other similar tendinopathies, clinical expertise, and smaller studies on semimembranosus tendinopathy. Extrapolating from other tendinopathies, rehabilitation should be the cornerstone of initial treatment, with focus on kinetic chain and gait abnormalities, hamstring strength and neuromuscular control, and progressive tendon loading. Recalcitrant cases with a coexisting bursopathy can be treated with an ultrasound-guided bursal corticosteroid injection. Future studies may help delineate the optimal treatment regimen for this relatively uncommon diagnosis.
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Affiliation(s)
- Mark Sederberg
- Division of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, Utah, USA
| | - Laura LaMarche
- Department of Physical Therapy, University of Utah, Salt Lake City, Utah, USA
| | - Lee Skinner
- Department of Physical Therapy, University of Utah, Salt Lake City, Utah, USA
| | - Daniel M Cushman
- Division of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, Utah, USA
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Cuthbert M, Ripley NJ, Suchomel TJ, Alejo R, McMahon JJ, Comfort P. Electromyographical Differences Between the Hyperextension and Reverse-Hyperextension. J Strength Cond Res 2021; 35:1477-1483. [PMID: 34027916 DOI: 10.1519/jsc.0000000000004049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
ABSTRACT Cuthbert, M, Ripley, NJ, Suchomel, TJ, Alejo, R, McMahon, JJ, and Comfort, P. Electromyographical differences between the hyperextension and reverse-hyperextension. J Strength Cond Res 35(6): 1477-1483, 2021-The aims of this study were to compare muscle activation of the erector spinae (ES), gluteus maximus (GMax), and biceps femoris (BF) during the hyperextension (HE) and reverse-HE (RHE) exercises. Ten subjects (age, 23 ± 4 years; height, 175.9 ± 6.9 cm; mass, 75.2 ± 9.7 kg) had electromyography (EMG) electrodes placed on the ES, GMax, and BF muscles in accordance with SENIAM (Surface EMG for Non-Invasive Assessment of Muscles) guidelines. Subjects performed 3 maximum voluntary isometric contraction trials of lumbar extension and hip extension using a handheld and isokinetic dynamometer, respectively, to normalize the EMG during the HE and RHE exercises. Three repetitions of each exercise were executed in a randomized order. High reliability (intraclass correlation coefficient ≥0.925) was observed with low variability (coefficient of variation [CV] < 10%) in all but the GMax during the extension phase of the HE (CV = 10.64%). During the extension and flexion phases, the RHE exhibited significantly greater (p ≤ 0.024; 34.1-70.7% difference) peak EMG compared with the HE in all muscles tested. Similarly, the RHE resulted in significantly greater mean EMG compared with the HE (p ≤ 0.036; 28.2-65.0% difference) in all muscles except the BF during the flexion phase (p = 9.960). Therefore, the RHE could be considered as a higher-intensity exercise for the posterior chain muscles compared with the HE, potentially eliciting greater increases in strength of the posterior chain muscles.
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Affiliation(s)
- Matthew Cuthbert
- Directorate of Psychology and Sport, University of Salford, Salford, Greater Manchester, United Kingdom
- Technical Directorate Division, the Football Association Group, St George's Park, Burton Upon Trent, Staffordshire, United Kingdom
| | - Nicholas J Ripley
- Directorate of Psychology and Sport, University of Salford, Salford, Greater Manchester, United Kingdom
| | - Timothy J Suchomel
- Directorate of Psychology and Sport, University of Salford, Salford, Greater Manchester, United Kingdom
- Department of Human Movement Sciences, Carrol University, Waukesha, Wisconsin
| | - Robert Alejo
- California State University Northridge, Northridge, California
| | - John J McMahon
- Directorate of Psychology and Sport, University of Salford, Salford, Greater Manchester, United Kingdom
| | - Paul Comfort
- Directorate of Psychology and Sport, University of Salford, Salford, Greater Manchester, United Kingdom
- Institute for Sport, Physical Activity and Leisure, Carnegie School of Sport, Leeds Beckett University, Leeds, United Kingdom ; and
- Center for Exercise and Sport Science Research, Edith Cowan University, Joondalup, Australia
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Bautista IJ, Vicente-Mampel J, Baraja-Vegas L, Segarra V, Martín F, Van Hooren B. The effects of the Nordic hamstring exercise on sprint performance and eccentric knee flexor strength: A systematic review and meta-analysis of intervention studies among team sport players. J Sci Med Sport 2021; 24:931-938. [PMID: 33893033 DOI: 10.1016/j.jsams.2021.03.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 02/23/2021] [Accepted: 03/09/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The primary aim of this study was to investigate the effects of the Nordic hamstring exercise (NHE) on sprint performance (i.e., 5, 10 and 20m) and explore associations between study characteristics and sprint outcomes in team sport players. Secondary aims were to (1) investigate the effects of the NHE on eccentric strength of the knee flexors (ESKF) with categorical subgroup analysis to determine differences between recreationally, well-trained individuals and young athletes, (2) determine the relation between ESKF and sprint performance in team sport players, and (3) explore the effect of study characteristics (i.e., weekly volume, time duration and body mass) on ESKF. METHODS Electronic databases were searched until the 20th of June 2020. 17 studies met the inclusion criteria. Random-effects meta-analyses were used to determine the mean difference (MD) or standardized change of mean difference (SCMD) between NHE and control group for sprint time and ESKF, respectively. RESULTS NHE interventions showed a positive effect on sprint performance (-0.04s [-0.08, -0.01]). Sub-group meta-analyses indicated no significant differences in 5 and 20m sprint performance (MDsprint(5m)=-0.02s [-0.10, 0.06]) and (MD sprint(20m)=-0.05s [-0.30, 0.19]), respectively. A significant difference was however found for 10m sprint performance (MDsprint(10m)=-0.06s [-0.10, -0.01]). Meta-analysis on the effects of the NHE on ESKF showed a significant benefit of 0.83 SCMD [0.55, 1.12] in favour of the intervention group. CONCLUSIONS Studies with some concerns or high risk of bias show that training programs involving the NHE can have small beneficial effects on sprint performance in team sport players. Studies with some concerns or high risk of bias showed moderate beneficial effects on ESKF among a sample of relatively untrained individuals. However, for well-trained team sport players, the improvements in ESKF were less consistent, suggesting a higher training intensity during the NHE may be required to induce adaptations.
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Affiliation(s)
- Iker J Bautista
- Department of Physiotherapy, Catholic University of Valencia, Spain.
| | | | | | - Víctor Segarra
- ProElite Performance, CESADE Physiotherapist Clinic, Spain
| | - Fernando Martín
- Department of Physical Education and Sports, University of Valencia, Spain
| | - Bas Van Hooren
- Department of Nutrition and Movement Sciences, UNTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, The Netherlands
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Implementing Strength Training Strategies for Injury Prevention in Soccer: Scientific Rationale and Methodological Recommendations. Int J Sports Physiol Perform 2021; 16:456-461. [DOI: 10.1123/ijspp.2020-0862] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 12/08/2020] [Accepted: 12/09/2020] [Indexed: 11/18/2022]
Abstract
Due to the negative effects that injuries have on performance, club finances, and long-term player health (permanent disability after a severe injury), prevention strategies are an essential part of both sports medicine and performance. Purpose: To summarize the current evidence regarding strength training for injury prevention in soccer and to inform its evidence-based implementation in research and applied settings. Conclusions: The contemporary literature suggests that strength training, proposed as traditional resistance, eccentric, and flywheel training, may be a valid method to reduce injury risk in soccer players. Training strategies involving multiple components (eg, a combination of strength, balance, plyometrics) that include strength exercises are effective at reducing noncontact injuries in female soccer players. In addition, the body of research currently published supports the use of eccentric training in sports, which offers unique physiological responses compared with other resistance exercise modalities. It seems that the Nordic hamstring exercise, in particular, is a viable option for the reduction of hamstring injuries in soccer players. Moreover, flywheel training has specific training peculiarities and advantages that are related to the combination of both concentric and eccentric contraction, which may play an important role in injury prevention. It is the authors’ opinion that strength and conditioning coaches should integrate the strength training methods proposed here in their weekly training routine to reduce the likelihood of injuries in their players; however, further research is needed to verify the advantages and disadvantages of these training methods to injury prevention using specific cohorts of soccer players.
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Tanveer F, Arslan SA, Darain H, Ahmad A. Reliability of Hand-Held Dynamometer for assessing Isometric Lumbar Muscles Strength in Asymptomatic Healthy Population. Pak J Med Sci 2021; 37:461-465. [PMID: 33679932 PMCID: PMC7931324 DOI: 10.12669/pjms.37.2.3621] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Objective: To determine intra-rater and inter-rater reliability of hand-held dynamometer for assessing isometric lumbar muscle strength in asymptomatic healthy population. Methods: It was a cross-sectional study conducted at the department of physiotherapy, University of Lahore Teaching Hospital, Lahore, Pakistan, from July 2020 to August 2020 through non probability-purposive sampling technique. Thirty healthy subjects were tested at thirty-degree lumbar flexion and zero-degree lumbar extension positions. Two raters assessed isometric strength of lumbar flexor and extensor muscles, by a hand-held dynamometer. Strength was measured and recorded by each of the two raters and re-assessed after a week. Correlation and pairwise comparison were done between readings. ICC values were calculated for the assessment of isometric lumbar muscle strength using handheld dynamometer. Results: A total of 30 healthy subjects had participated with mean age of 22.84±1.21 years, height 174.33±6.83 cm, weight 68.58±5.08 kg and BMI 22.52±0.35. Findings showed an excellent intra-rater (ICC 2, k = 0.95 to 0.97) and inter-rater (ICC 2, k = 0.94 to 0.95) reliability. Conclusions: Hand held dynamometer demonstrated an excellent intra- and inter-rater reliability for assessment of isometric lumbar muscles strength of healthy subject at clinical setting as it is simple to use, portable and cost-effective for the precise measurement of lumbar muscles strength.
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Affiliation(s)
- Fahad Tanveer
- Dr. Fahad Tanveer, PhD (Scholar) University Institute of Physical Therapy, The University of Lahore, Lahore, Pakistan
| | - Syed Asadullah Arslan
- Dr. Syed Asadullah Arslan, PhD University Institute of Physical Therapy, The University of Lahore, Lahore, Pakistan
| | - Haider Darain
- Dr. Haider Darain, PhD, Institute of Physical Medicine & Rehabilitation, Khyber Medical University, Peshawar, Pakistan
| | - Ashfaq Ahmad
- Dr. Ashfaq Ahmad, PhD University Institute of Physical Therapy, The University of Lahore, Lahore, Pakistan
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Lahti J, Huuhka T, Romero V, Bezodis I, Morin JB, Häkkinen K. Changes in sprint performance and sagittal plane kinematics after heavy resisted sprint training in professional soccer players. PeerJ 2020; 8:e10507. [PMID: 33362970 PMCID: PMC7747683 DOI: 10.7717/peerj.10507] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 11/16/2020] [Indexed: 11/25/2022] Open
Abstract
Background Sprint performance is an essential skill to target within soccer, which can be likely achieved with a variety of methods, including different on-field training options. One such method could be heavy resisted sprint training. However, the effects of such overload on sprint performance and the related kinetic changes are unknown in a professional setting. Another unknown factor is whether violating kinematic specificity via heavy resistance will lead to changes in unloaded sprinting kinematics. We investigated whether heavy resisted sled training (HS) affects sprint performance, kinetics, sagittal plane kinematics, and spatiotemporal parameters in professional male soccer players. Methods After familiarization, a nine-week training protocol and a two-week taper was completed with sprint performance and force-velocity (FV) profiles compared before and after. Out of the two recruited homogenous soccer teams (N = 32, age: 24.1 ± 5.1 years: height: 180 ± 10 cm; body-mass: 76.7 ± 7.7 kg, 30-m split-time: 4.63 ± 0.13 s), one was used as a control group continuing training as normal with no systematic acceleration training (CON, N = 13), while the intervention team was matched into two HS subgroups based on their sprint performance. Subgroup one trained with a resistance that induced a 60% velocity decrement from maximal velocity (N = 10, HS60%) and subgroup two used a 50% velocity decrement resistance (N = 9, HS50%) based on individual load-velocity profiles. Results Both heavy resistance subgroups improved significantly all 10–30-m split times (p < 0.05, d = − 1.25; −0.62). Post-hoc analysis showed that HS50% improved significantly more compared to CON in 0–10-m split-time (d = 1.03) and peak power (d = 1.16). Initial maximal theoretical horizontal force capacity (F0) and sprint FV-sprint profile properties showed a significant moderate relationship with F0 adaptation potential (p < 0.05). No significant differences in sprinting kinematics or spatiotemporal variables were observed that remained under the between-session minimal detectable change. Conclusion With appropriate coaching, heavy resisted sprint training could be one pragmatic option to assist improvements in sprint performance without adverse changes in sprinting kinematics in professional soccer players. Assessing each player’s initial individual sprint FV-profile may assist in predicting adaptation potential. More studies are needed that compare heavy resisted sprinting in randomized conditions.
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Affiliation(s)
- Johan Lahti
- LAMHESS, Université de Nice-Sophia Antipolis, Nice, France
| | - Toni Huuhka
- Neuromuscular Research Center, Biology of Physical Activity, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Valentin Romero
- Centre for Sport Studies, Universidad Rey Juan Carlos, Madrid, Spain
| | - Ian Bezodis
- Cardiff School of Sport and Health Sciences, Cardiff Metropolian University, Cardiff, United Kingdom
| | - Jean-Benoit Morin
- LAMHESS, Université de Nice-Sophia Antipolis, Nice, France.,UJM-Saint-Etienne Interuniversity Laboratory of Human Movement Biology, Université de Lyon, Saint-Étienne, France.,Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
| | - Keijo Häkkinen
- Neuromuscular Research Center, Biology of Physical Activity, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Recommendations for Hamstring Function Recovery After ACL Reconstruction. Sports Med 2020; 51:607-624. [PMID: 33332017 DOI: 10.1007/s40279-020-01400-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/28/2020] [Indexed: 01/09/2023]
Abstract
It is important to optimise the functional recovery process to enhance patient outcomes after major injury such as anterior cruciate ligament reconstruction (ACLR). This requires in part more high-quality original research, but also an approach to translate existing research into practice to overcome the research to implementation barriers. This includes research on ACLR athletes, but also research on other pathologies, which with some modification can be valuable to the ACLR patient. One important consideration after ACLR is the recovery of hamstring muscle function, particularly when using ipsilateral hamstring autograft. Deficits in knee flexor function after ACLR are associated with increased risk of knee osteoarthritis, altered gait and sport-type movement quality, and elevated risk of re-injury upon return to sport. After ACLR and the early post-operative period, there are often considerable deficits in hamstring function which need to be overcome as part of the functional recovery process. To achieve this requires consideration of many factors including the types of strength to recover (e.g., maximal and explosive, multiplanar not just uniplanar), specific programming principles (e.g., periodised resistance programme) and exercise selection. There is a need to know how to train the hamstrings, but also apply this to the ACLR athlete. In this paper, the authors discuss the deficits in hamstring function after ACLR, the considerations on how to restore these deficits and align this information to the ACLR functional recovery process, providing recommendation on how to recover hamstring function after ACLR.
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Pieters D, Witvrouw E, Wezenbeek E, Schuermans J. Value of isokinetic strength testing for hamstring injury risk assessment: Should the 'strongest' mates stay ashore? Eur J Sport Sci 2020; 22:257-268. [PMID: 33191856 DOI: 10.1080/17461391.2020.1851774] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Although isokinetic strength testing is commonly used in hamstring strain injury (HSI) rehabilitation and prevention, research findings concerning its predictive value remain inconclusive. Existing research focuses on peak torque (PT) and angle of PT, not analysing the torque behaviour throughout the testing range of motion (ROM). This study intended to assess the value of isokinetic curve evaluation in association with HSI. A sample of 116 male football players with and without a recent HSI history was submitted to bilateral isokinetic assessment of the knee and hip muscles. Raw isokinetic data were filtered and normalized prior to curve analysis submission in MATLAB. Torque development of each muscle group throughout the entire testing ROM was assessed using HSI history as an independent variable. Curve analysis revealed significant differences in torque behaviour in function of injury history. Players with an HSI history demonstrated significantly stronger concentric knee flexion and extension, eccentric knee extension and concentric hip extension patterns compared to the controls and their uninjured limb. HSI history was also associated with lower concentric hip flexion torques and lower mixed H:Q ratios compared to the control group and their contralateral limb. HSI history was associated with altered knee and hip muscle strength profiles, potentially due to isolated focus on local strength training in rehabilitation or mechanisms of neuromuscular inhibition. Because the differences in torque amplitude were range-dependent and did not systematically concur with the point of PT achievement, isokinetic strength evaluation should most probably be conducted using curve analysis.
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Affiliation(s)
- Dries Pieters
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
| | - Erik Witvrouw
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
| | - Evi Wezenbeek
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
| | - Joke Schuermans
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
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Mendiguchia J, Gonzalez De la Flor A, Mendez-Villanueva A, Morin JB, Edouard P, Garrues MA. Training-induced changes in anterior pelvic tilt: potential implications for hamstring strain injuries management. J Sports Sci 2020; 39:760-767. [PMID: 33172346 DOI: 10.1080/02640414.2020.1845439] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
An association has been reported between dynamic anterior pelvic tilt (APT) and hamstring injuries; however, no research has examined if a training-based preventive intervention could alter APT. Therefore, the aim of the present study was to examine if a specific 6-week multimodal intervention, based on the theoretical influence of neighbouring joints and biomechanical interactions between muscles that are inserted to the pelvis, induced changes in APT, during walking gait, hamstring flexibility and trunk endurance. Thirty-five active healthy males volunteered for this single-blind controlled trial and were split into two groups based on baseline data: a control group (CG, n = 20, continued their normal physical activities), and an intervention group (IG, n = 15, performed the intervention programme for 18 sessions over 6 weeks). A significant (p = 0.001) decrease in the APT kinematics during gait, significant increase in the Active Knee Extension Test (p = 0.001), and a significant increase in trunk endurance performance for flexion (p = 0.001), extension (p = 0.001) and side bridge (p = 0.001) were observed, in IG after the 6-week programme, compared to CG.
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Affiliation(s)
- Jurdan Mendiguchia
- Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
| | - Angel Gonzalez De la Flor
- Department of Physical Therapy and Sport Medicine, Hospital Universitario Quironsalud Madrid, Madrid, Spain.,Faculty of Sport Sciences, Universidad Europea De Madrid, Madrid, Spain
| | | | | | - Pascal Edouard
- Inter-university Laboratory of Human Movement Science (LIBM EA 7424), University of Lyon, University Jean Monnet, Saint Etienne, France.,Department of Clinical and Exercise Physiology, Sports Medicine Unit, Faculty of Medicine, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Mirian Aranzazu Garrues
- Faculty of Medicine and Nursing, Physiology Department, University of the Basque Country, Biscay, Spain
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