Concurrent changes in eccentric hamstring strength and knee joint kinematics induced by soccer-specific fatigue

Peak instantaneous PlayerLoad metrics highlight movement strategy deficits in professional male soccer players

To investigate the influence of task, limb dominance and previous injury on single leg hop task performance and loading response, 25 professional male soccer players completed anterior, medial and lateral hop tests with an accelerometer at mid-calf. Performance outcome was defined as hop distance with loading response defined as the magnitude of, and time to peak instantaneous planar PlayerLoad. The performance was sensitive to task and previous injury (P < 0.001) but not limb dominance, with no evidence of bilateral asymmetry (P = 0.668). Despite impaired performance, previously injured players did not exhibit lower peak instantaneous PlayerLoad after impact in any plane (P ≥ 0.110). There was however a significantly (P = 0.001) longer time to peak medio-lateral loading after impact in previously injured players' affected limb. This observation was exacerbated when the injury was to the non-dominant limb (P = 0.041). Lower-limb accelerometry enhances understanding of movement strategy beyond task outcome, with practical implications in player screening and objective rehabilitation.

Injury Profile in Women's Football: A Systematic Review and Meta-Analysis

BACKGROUND

Football is the most popular sport among women; however, little is known about the injury profile in this population. This information would help design tailored injury risk mitigation strategies that may make football safer for women.

OBJECTIVE

The aim of this study was to perform a systematic review and meta-analysis of epidemiological data of injuries in women´s football.

METHODS

A systematic review following PRISMA guidelines was performed up to January 2020 in PubMed, Web of Science, Sportdiscus and the Cochrane Library databases. Twenty-two studies reporting the incidence of injuries in women football were analysed. Two reviewers independently extracted data (intraclass correlation coefficient [ICC] for inter-reviewer reliability = 0.87) and assessed study quality using the STROBE statement, GRADE approach, Newcastle Ottawa Scale and Downs and Black assessment tools. Studies were combined in pooled analyses (injury incidence and injury proportion) using a Poisson random effects regression model.

RESULTS

The overall incidence of injuries in female football players was 6.1 injuries/1000 h of exposure. Match injury incidence (19.2 injuries/1000 h of exposure) was almost six times higher than training injury incidence rate (3.5 injuries/1000 h of exposure). Lower extremity injuries had the highest incidence rates (4.8 injuries/1000 h of exposure). The most common types of injuries were muscle/tendon (1.8 injuries/1000 h of exposure) and joint (non-bone) and ligament (1.5 injuries/1000 h of exposure), which were frequently associated with traumatic incidents. Slight/minimal injuries (1-3 days of time loss) were the most common. The incidence rate of injuries during matches in the top five world ranking leagues was higher than the rest of the leagues (19.3 vs 10.7 injuries/1000 h of exposure, respectively). The weighted injury proportion was 1.1 (95% confidence interval = 0.6-1.7) whereby on average players sustained more than one injury per season.

CONCLUSIONS

Female football players are exposed to a substantial risk of sustaining injuries, especially during matches that require the highest level of performance. To markedly reduce overall injury burden, efforts should focus on introducing and evaluating preventative measures that target match specific dynamics to make football players more capable of responding to the challenges that they have to deal with during match play.

REGISTRATION

This systematic review was registered in the PROSPERO international prospective register of systematic reviews (ID = CRD42019118152).

Genu varum and football participation: Does football participation affect lower extremity alignment in adolescents?

BACKGROUND

Genu varum is one of the most common anatomical variations of knee alignment which is considered a risk factor for anterior knee pain and anterior cruciate ligament injury among football players. Considering that millions of children participate in high-level football training, the purpose of this study was to determine the genu varum development in adolescent football players and non-athlete peers. The hypothesis of this study was that genu varum incidence was higher in adolescent football players compared with non-athletic peers.

METHODS

The design was a cross-sectional study. Two-hundred and thirty-seven male football players (FG) and aged-matched and anthropometrically similar non-athletes (CG) were recruited into the study. The quadriceps angle and intercondylar-intermalleolar distance were measured to evaluate the leg alignment. The distance between the medial edges of the condyles and malleoli was measured in millimeters using a digital caliper while angle measurements were performed using a photographic technique in a standing position. To analyze the variables, comparison, correlation and regression statistical tests were performed.

RESULTS

The intercondylar-intermalleolar distance and quadriceps angle values were significantly higher in FG than CG in all ages. In FG, a very strong correlation was found between number of training years and the intercondylar-intermalleolar distance. The prevalence of genu varum was markedly higher in FG than CG (~37% vs. 2%, respectively) based on intercondylar-intermalleolar distance.

CONCLUSION

This study determined that the prevalence of genu varum and abnormal quadriceps angles in adolescent football players is significantly higher compared with their non-athletic peers.

The Effects of a Soccer-Specific Fitness Test on Eccentric Knee Flexor Strength

CONTEXT

Physiological fitness testing, such as the Yo-Yo Intermittent Recovery Test (YYIR) is a key requirement of the Elite Player Performance Plan, introduced by the English Premier League. Eccentric hamstring strength has been identified as a risk factor for hamstring injuries in soccer players, with fatigue highlighted to further exasperate this issue.

OBJECTIVE

The aim of the current study was to examine the effect of the YYIR level 1 (YYIR1) on eccentric knee flexor strength assessed using the NordBord in youth soccer players.

DESIGN

Experimental design.

SETTING

Soccer club academy.

PARTICIPANTS

A total of 67 male academy soccer players (age = 16.58 [0.57] y; height = 175.45 [5.85] cm; mass = 66.30 [8.21] kg) volunteered to participate in the current study during the English competitive soccer season.

MAIN OUTCOME MEASURES

Participants conducted eccentric hamstring strength assessments using the NordBord prior to and immediately postcompletion of the YYIR1, with outcome measures of peak force and peak force relative to body mass recorded.

RESULTS

Paired t tests highlighted increased absolute eccentric knee flexor strength values (P < .001) immediately post-YYIR1 for both the dominant and nondominant limbs, with the same trend (P < .001) observed for eccentric strength relative to body mass.

CONCLUSIONS

The results of this study indicate that the YYIR1 does not induce eccentric knee flexor fatigue and as such is not a valid assessment method to assess the effects of fatigue on hamstring function. However, results do suggest that the NordBord may be considered a viable and more accessible alternative to detect pre-post fitness test/fatigue protocol differences in eccentric knee flexor peak strength while working in the field.

Comparison of Regional Hamstrings Activation During Resistance Exercises in Females With Prior Athletic Experience

CONTEXT

Within each hamstring muscle, there are segments with separate nerve innervation. However, a better understanding of activation levels within these regions during resistance exercise could lead to region-specific training for improved performance and injury prevention.

OBJECTIVE

To compare muscle activation levels within regions of the hamstrings during various resistance exercises.

DESIGN

Within-subjects repeated measures.

SETTING

Biomechanics laboratory.

PARTICIPANTS

Eighteen young adult females with previous competitive sport participation and resistance training experience.

INTERVENTION

One set of 3 repetitions with an 8RM load on the bilateral squat, modified single-leg squat, stiff-legged dead lift, and leg curl (LC).

MAIN OUTCOME MEASURES

Normalized surface electromyography of 4 hamstring regions (proximal-medial, proximal-lateral, distal-medial, and distal-lateral).

RESULTS

For LC only, electromyography measures for the proximal-lateral location were significantly lower than for the distal-lateral, t18 = 5.6, P < .001, and proximal-medial, t18 = 2.4, P = .01 locations for concentric contractions. Similar results were observed for eccentric contractions. No other exercises revealed regional activation differences. When comparing the pooled proximal (medial and lateral) region across exercises, the LC demonstrated significantly greater activation than the modified single-leg squat, t18 = 5.20, P < .001, stiff-legged dead lift, t18 = 7.311, P < .001, and bilateral squat, F3,54 = 49.8, P < .001. Similar significantly greater levels were also found during the LC for the pooled distal, medial, and lateral regions. In addition, the modified single-leg squat electromyography was significantly greater at all regions in comparison with the stiff-legged dead lift and bilateral squat.

CONCLUSIONS

The data did not reveal consistent regional differences within the different exercises included in this study. However, the data indicate that the LC produces the highest hamstring activation in all regions across exercises. Inclusion of single-joint knee-flexion exercises would appear to be most beneficial for hamstrings development in a resistance-training program.