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Chaari F, Rahmani A, Rebai H, Fendri T, Sahli S, Boyas S. Core stability is associated with dynamic postural balance in soccer players experiencing groin pain without time-loss. J Orthop 2024; 53:1-6. [PMID: 38450062 PMCID: PMC10911967 DOI: 10.1016/j.jor.2024.02.038] [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: 02/11/2024] [Accepted: 02/24/2024] [Indexed: 03/08/2024] Open
Abstract
Objectives The study sought to evaluate possible relationships between dynamic postural balance and pain, core stability, and hip range of motion in soccer players who were experiencing groin pain (GP). Furthermore, the study aimed to compare these measurements in symptomatic and asymptomatic players. Methods The study included 42 male soccer players experiencing GP and an equal number of asymptomatic players. Dynamic postural balance, pain, hip range of motion and trunk endurance were measured. Results The GP group revealed reduced dynamic balance performance (p < 0.01-0.001) in injured and non-injured limbs compared to control group. Further, players experiencing GP demonstrated lower hip range of motion in internal (p < 0.05) and total rotations (p < 0.01) in the injured limb, and lower trunk endurance (p < 0.001) compared to their asymptomatic peers. In general, core stability was associated (r = 0.13-0.61, p < 0.05-0.001) with the poor dynamic balance performance in the GP group while standing on injured and non-injured limbs. No significant correlations between dynamic postural balance, pain and hip range of motion were observed. Conclusion Poor core endurance was found to be associated with dynamic balance disorders in soccer players experiencing GP. This information can aid in the development of targeted strategies to enhance dynamic postural balance in these players.
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Affiliation(s)
- Fatma Chaari
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Tunisia
- Research Laboratory, Movement - Interactions, Performance, MIP, UR4334, Faculty of Sciences and Technologies, Le Mans, France
| | - Abderrahmane Rahmani
- Research Laboratory, Movement - Interactions, Performance, MIP, UR4334, Faculty of Sciences and Technologies, Le Mans, France
| | - Haithem Rebai
- Tunisian Research Laboratory ‘Sports Performance Optimization (LR09SEP01), National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - Thouraya Fendri
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Tunisia
- Research Laboratory, Movement - Interactions, Performance, MIP, UR4334, Faculty of Sciences and Technologies, Le Mans, France
| | - Sonia Sahli
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Tunisia
| | - Sébastien Boyas
- Research Laboratory, Movement - Interactions, Performance, MIP, UR4334, Faculty of Sciences and Technologies, Le Mans, France
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Maly T, Hank M, Verbruggen FF, Clarup C, Phillips K, Zahalka F, Mala L, Ford KR. Relationships of lower extremity and trunk asymmetries in elite soccer players. Front Physiol 2024; 15:1343090. [PMID: 38370013 PMCID: PMC10869622 DOI: 10.3389/fphys.2024.1343090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 01/16/2024] [Indexed: 02/20/2024] Open
Abstract
In light of previous research highlighting the prevalence of asymmetries in soccer players and possible links to injury risks, there is a crucial gap in the biomechanical understanding of complex relationships between lower extremity and trunk asymmetries in elite soccer players. The purpose of this study was to investigate the level, relationships, and differences among twelve different parameters of strength, morphological, and neuromuscular asymmetries in elite soccer players. Methods: Elite male soccer players (n = 25, age 21.7 ± 3.9 years) were tested in the following tests: bilateral fluid distribution, hip flexor range of motion, postural stability, isokinetic strength of knee extensors and flexors, isometric lateral trunk rotation strength, eccentric strength of knee flexors, isometric bilateral strength of hip adductors, and vertical ground reaction force in counter-movement jump-free arms, counter-movement jump, squat jump, and drop jump tests. One-way ANOVA, Pearson's coefficient (r), and partial eta squared (η p 2) were used for data analysis. Results: Significant differences in asymmetries were found in elite soccer players (F11,299 = 11.01, p < .01). The magnitude of asymmetry over 10% was in postural stability and drop jump parameters. The lowest magnitudes of asymmetries were in the fluid distribution of the lower limbs and the vertical ground reaction force during the take-off phase in squat jumps. The highest asymmetries between the dominant and non-dominant sides were found in postural stability and drop jump. A total of eleven significant correlations (p < 0.05, r = 0.41-0.63, R2 = 0.17-0.40) were detected between the analyzed asymmetries in elite soccer players. The lateral trunk rotation asymmetries were significantly correlated to vertical ground reaction force asymmetries and knee extensors. Conclusion: Long-term exposure in elite soccer leads to unilateral biomechanical loading that induces abnormal strength and morphological adaptations in favor of the dominant side while linking lower limb and trunk strength asymmetries. By unraveling these complex relationships, we strive to contribute novel methods that could inform targeted training regimens and injury prevention strategies in the elite soccer community. The data should encourage future researchers and coaches to monitor and develop trunk strength linked to lower body kinematics.
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Affiliation(s)
- Tomas Maly
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
- Department of Performance, AC Sparta Praha, Prague, Czechia
| | - Mikulas Hank
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
| | - Ferdia Fallon Verbruggen
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
- Department of Performance, AC Sparta Praha, Prague, Czechia
| | | | - Kirk Phillips
- Department of Performance, AC Sparta Praha, Prague, Czechia
| | - Frantisek Zahalka
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
| | - Lucia Mala
- Sport Research Center, Faculty of Physical Education and Sport, Charles University, Prague, Czechia
| | - Kevin R. Ford
- Department of Physical Therapy, High Point University, High Point, NC, United States
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Chaari F, Rahmani A, Rebai H, Fendri T, Boyas S, Sahli S. Is there a relationship between static postural control and core stability? A cross-sectional study in soccer players with groin pain. J Orthop 2024; 48:1-5. [PMID: 38054024 PMCID: PMC10694616 DOI: 10.1016/j.jor.2023.11.036] [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: 11/12/2023] [Accepted: 11/14/2023] [Indexed: 12/07/2023] Open
Abstract
Background Static postural control disorders have been documented in soccer players suffering from groin pain (GP). Understanding the mechanisms of these disorders is crucial in designing rehabilitation programs. Objectives To (i) assess static postural control and core stability in soccer players suffering from GP compared to their peers and (ii) explore the relationship between these two parameters. Methods This cross-sectional study involved 42 male soccer players suffering from GP (GP group: GPG) and 42 healthy players (control group: CG). Static postural control (stabilometric platform) and core stability (core endurance tests) were assessed. Results Center of pressure velocity in the GPG was significantly higher compared to the CG during bipedal stance on the firm surface with eyes closed (2.66 [95 % CI: 0.86-3.67]; p < 0.01) and on the foam one (p < 0.001) in both conditions; eyes opened (2.88 [95 % CI: 1.42-4.43]) and closed (5.88 [95 % CI: 2.66-9.10]), and on the IL in eyes closed (12.54 [95 % CI: 4.27-20.80]; p < 0.01). Besides, GPG revealed significant (p < 0.001) lower core stability measures compared to CG. No significant associations (p > 0.05) were observed between static postural control and core stability in GPG. Conclusion Soccer players suffering from GP showed static disorders of postural control compared with their peers. These impairments were not associated with measures of core stability. These findings provide insight into the direction of future research exploring the mechanisms underlying deficits in static postural control in soccer players suffering from GP.
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Affiliation(s)
- Fatma Chaari
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, STAPS Department, University of Sfax, Tunisia
- Le Mans University, Movement - Interactions, Performance, MIP, UR4334, France Faculty of Sciences and Technologies, STAPS Department, Avenue Olivier Messiaen, 72000, Le Mans, France
| | - Abderrahmane Rahmani
- Le Mans University, Movement - Interactions, Performance, MIP, UR4334, France Faculty of Sciences and Technologies, STAPS Department, Avenue Olivier Messiaen, 72000, Le Mans, France
| | - Haithem Rebai
- Tunisian Research Laboratory ‘Sports Performance Optimization (LR09SEP01), National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - Thouraya Fendri
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, STAPS Department, University of Sfax, Tunisia
- Le Mans University, Movement - Interactions, Performance, MIP, UR4334, France Faculty of Sciences and Technologies, STAPS Department, Avenue Olivier Messiaen, 72000, Le Mans, France
| | - Sébastien Boyas
- Le Mans University, Movement - Interactions, Performance, MIP, UR4334, France Faculty of Sciences and Technologies, STAPS Department, Avenue Olivier Messiaen, 72000, Le Mans, France
| | - Sonia Sahli
- Research Laboratory Education, Motricité, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education of Sfax, STAPS Department, University of Sfax, Tunisia
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