1
|
Contreras-Díaz G, Chirosa-Ríos LJ, Chirosa-Ríos I, Riego-Ruiz A, Intelangelo L, Tuesta-Roa M, Morales-Zúñiga J, Jerez-Mayorga D. Dynamometric Strength Profile of Hip Muscles in Youth Soccer Players. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1291. [PMID: 36674053 PMCID: PMC9859035 DOI: 10.3390/ijerph20021291] [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: 11/30/2022] [Revised: 01/05/2023] [Accepted: 01/06/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Soccer is the most widely practiced sport in the world, demanding high-speed activities such as jumps, sprints and changes of direction. Therefore, having optimal levels of muscle strength improves performance and reduces the injury rate. OBJECTIVES The objectives of our study were (i) to determine the dynamometric profile of hip muscle strength in young soccer players by position, evaluated at different isokinetic speeds, (ii) to describe the conventional and functional unilateral muscle strength ratios, (iii) to analyze the bilateral balance. METHODS Thirty-seven male soccer players (age 17.02 ± 0.92 years) participated in the study. Strength assessment was performed with a functional electromechanical dynamometer, and concentric and eccentric strength of abductors, adductors, extensors and hip flexors were measured bilaterally at 0.5 m/s and 1 m/s. RESULTS For eccentric right hip abduction at 0.5 m/s, defenders are significantly stronger than midfielders (p = 0.013) and stronger than forwards (p = 0.140). For eccentric right hip adduction at 0.5 m/s, defenders are significantly stronger than midfielders (p = 0.005) and stronger than forwards (p = 0.253), as for eccentric right hip adduction at 1 m/s, defenders are significantly stronger than midfielders (p = 0.014) and stronger than forwards (p = 0.084). There is a significant effect for the conventional strength ratio of left abduction/adduction at 1 m/s. The conventional strength ratio of forwards is significantly higher than that of defenders (p = 0.045) and higher than that of midfielders (p = 0.152). CONCLUSIONS Concentric and eccentric hip strength values differ according to playing position.
Collapse
Affiliation(s)
- Guido Contreras-Díaz
- Department Physical Education and Sports, Faculty of Sport Science, University of Granada, 18011 Granada, Spain
- Department of Health, University of Los Lagos, Puerto Montt 5500000, Chile
| | - Luis Javier Chirosa-Ríos
- Department Physical Education and Sports, Faculty of Sport Science, University of Granada, 18011 Granada, Spain
| | - Ignacio Chirosa-Ríos
- Department Physical Education and Sports, Faculty of Sport Science, University of Granada, 18011 Granada, Spain
| | - Antonio Riego-Ruiz
- Department Physical Education and Sports, Faculty of Sport Science, University of Granada, 18011 Granada, Spain
| | - Leonardo Intelangelo
- Musculoskeletal Research Group, University Center for Assistance, Teaching and Research, University of Gran Rosario, Rosario S2000, Argentina
| | - Marcelo Tuesta-Roa
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Science, University Andres Bello, Santiago 7591538, Chile
| | - Jorge Morales-Zúñiga
- Laboratory of Sport Sciences, Center of Medicine Sports MD, Viña del Mar 2521156, Chile
| | - Daniel Jerez-Mayorga
- Department Physical Education and Sports, Faculty of Sport Science, University of Granada, 18011 Granada, Spain
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Science, University Andres Bello, Santiago 7591538, Chile
| |
Collapse
|
2
|
Knee and hip agonist-antagonist relationship in male under-19 soccer players. PLoS One 2022; 17:e0266881. [PMID: 35427407 PMCID: PMC9012372 DOI: 10.1371/journal.pone.0266881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 03/29/2022] [Indexed: 11/25/2022] Open
Abstract
The purpose of this study was to evaluate the strength of the knee flexors and extensors and hip abductor and adductor muscles in young soccer players. Twenty-three male under-19 soccer players participated in this study (age: 17.7 ± 0.2 years; height: 173.0 ± 1.1 cm; body mass: 66.1 ± 1.3 kg). Body composition was measured using a bioelectrical impedance (InBody770), and the dynamometry was performed by an isokinetic dynamometer (Biodex System 3) for knee flexion and extension, and by an isometric dynamometer (Smart Groin Trainer), for hip adduction and abduction. Comparisons were made between dominant members (D) vs. non-dominant members (ND) and adductors vs. abductors (ADD:ABD) using the Wilcoxon test. There were statistically significant differences in the peak torques between the dominant and non-dominant members in the flexion function (Z = −4.198, p < 0.01) and in the extension function (Z = −4.197, p < 0.01) of the knee in concentric muscular action, and the flexion (Z = −4.198, p < 0.01) and in the extension (Z = −4.198, p < 0.01) of the knee in eccentric muscular action. No statistically significant differences were obtained in the conventional ratio (Z = −0.456, p = 0.648) nor the functional ratio (Z = −0.335, p = 0.738) between D and ND members. There were no statistically significant differences between adductors and abductors at the moment of strength for absolute values (N). The reference absolute and normalized to the weight values and the ADD:ABD can be used as a guideline for classifying players in screening and comparison in return tests to sports practice after an injury.
Collapse
|
3
|
Memarzadeh A, Morrison AP, Merzbach V, Ferrandino M, Arora A, Claydon-Mueller LS, Khanduja V. Validating the Cambridge Protocol: Reliability of Hip Muscle Strength Measurements Using a Motorized Dynamometer and Electromyography. Sports Health 2022; 14:740-746. [PMID: 35104417 PMCID: PMC9460091 DOI: 10.1177/19417381211056869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Muscle weakness is common after injury in athletes and in the presence of hip pathology. It will cause abnormal hip biomechanics and can predict future injury. However, objective measurement of hip muscle strength is difficult to perform accurately and reliably. Therefore, it is challenging to determine when an athlete has returned to preinjury levels of strength. In addition, there is currently no standardized method of obtaining measurements, which prevents the data being compared or shared between research centers. PURPOSE The purpose of this study is to comprehensively assess the inter- and intraobserver reliability of our standardized muscle strength measurement protocol. STUDY DESIGN Descriptive laboratory study. LEVEL OF EVIDENCE Level 3, inception cohort study. METHODS A total of 16 healthy male volunteers (age = 28.3 ± 7.9 years) were recruited. Those with a previous history of hip injuries or disorders were excluded. These volunteers underwent strength testing according to the Cambridge Protocol on 4 separate occasions, performed by 2 independent assessors. Maximal voluntary contractions, fatigue torque fluctuations, and electromyography measurements were recorded. Intra- and interobserver reliability was assessed using intraclass correlation coefficient (ICC). RESULTS Good-to-excellent correlation was seen for both intra- and interobserver reliability across almost all hip movements for maximal contractions: ICC ranged 0.78 to 0.93 and 0.78 to 0.96, respectively. The standard error of the mean for all hip movements was also extremely low at 2% to 3%. CONCLUSION The Cambridge Protocol is a highly reliable method for objective measurement of hip muscle strength. We recommend future studies use this protocol, or the principles underpinning it, to enable data sharing and comparison across different studies. CLINICAL RELEVANCE This is a description and analysis of hip muscle strength measurement. If widely used, it will allow for accurate and objective strength assessment and closer monitoring of hip injuries and pathology.
Collapse
Affiliation(s)
- Arman Memarzadeh
- Trauma and Orthopaedics, Nuffield
Orthopaedic Centre, Oxford, United Kingdom,Addenbrooke’s Hospital, Cambridge,
United Kingdom,Arman Memarzadeh, MBBS,
PGCME, Department of Orthopaedics, Addenbrooke’s Hospital, Cambridge, CB2 0QQ,
UK () (Twitter: @TheKneeDoc_)
| | - Andrew Paul Morrison
- Cambridge Centre for Sport and Exercise
Sciences, Anglia Ruskin University, Cambridge, United Kingdom
| | - Viviane Merzbach
- Cambridge Centre for Sport and Exercise
Sciences, Anglia Ruskin University, Cambridge, United Kingdom
| | - Michael Ferrandino
- Cambridge Centre for Sport and Exercise
Sciences, Anglia Ruskin University, Cambridge, United Kingdom
| | - Arvind Arora
- Department of Trauma and Orthopaedics,
Addenbrooke’s Hospital, Cambridge, United Kingdom
| | - Leica S. Claydon-Mueller
- Faculty of Health, Education, Medicine,
and Social Care, Anglia Ruskin University, Camridge, United Kingdom
| | - Vikas Khanduja
- Cambridge University Hospital &
Mobius Health, Cambridge Nuffield Hospital, Cambridge, United Kingdom
| |
Collapse
|
4
|
McCarney L, Andrews A, Henry P, Fazalbhoy A, Selva Raj I, Lythgo N, Kendall JC. Determining Trendelenburg test validity and reliability using 3-dimensional motion analysis and muscle dynamometry. Chiropr Man Therap 2020; 28:53. [PMID: 33076947 PMCID: PMC7570029 DOI: 10.1186/s12998-020-00344-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 10/07/2020] [Indexed: 11/17/2022] Open
Abstract
Background The hip abductor muscle group stabilises the pelvis during gait to prevent excessive pelvic drop. Hip abductor weakness has been linked to musculoskeletal conditions such as chronic low-back pain. As such, it is important that practitioners can correctly diagnose hip abductor weakness in a clinical setting. Although the Trendelenburg test is commonly used by practitioners, the validity of this test to assess hip abductor weakness in the absence of musculoskeletal injury remains questionable. The aim of this study was to determine the validity of the Trendelenburg test, as observed by a practitioner, to assess frontal plane pelvic motion and hip abductor strength in a population without intra-articular hip disorders. Methods This study was performed between June 14th and October 16th 2019. Eighteen participants were recruited for this study. Peak normalised isometric and isokinetic hip abductor torque were measured bilaterally (n = 36) using the Biodex System 4 isokinetic dynamometer. Each participant performed the Trendelenburg test bilaterally (n = 36) while a graduate year chiropractic practitioner assessed for a “positive” or “negative” sign. The test was simultaneously recorded using Vicon 3-Dimensional motion capture to measure frontal plane pelvic motion and elevation. Correlation analyses were performed between the measures of peak hip abductor torque and pelvic motion to determine if any relationship existed. Agreement between the practitioner and 3-Dimensional analysis was calculated using the kappa (κ) statistic. Results Weak, non-significant correlations were found between hip abductor strength and pelvic motion before outlier removal. Significant (p < 0.05) yet weak correlations were found after outlier removal, except for isometric hip abductor strength. Weak agreement was found between the chiropractic practitioner and 3-Dimesnional analysis for the Trendelenburg test assessment (κ = 0.22–0.25). Conclusions This study found no significant relationship between normalised peak isometric and isokinetic hip abductor torque and frontal plane pelvic motion during the Trendelenburg test in a healthy young adult population. There was also poor agreement between the practitioner and pelvic motion assessments. Caution should be used when using this test, in the absence of intra-articular hip pathology, to assesses hip abductor weakness. Before any definitive conclusion can be made, studies with a larger sample size should be performed.
Collapse
Affiliation(s)
- Luke McCarney
- Osteopathy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Alexander Andrews
- Chiropractic, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Phoebe Henry
- Chiropractic, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Azharuddin Fazalbhoy
- Osteopathy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Isaac Selva Raj
- Exercise and Sports Sciences, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Noel Lythgo
- Exercise and Sports Sciences, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Julie C Kendall
- Chiropractic, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia.
| |
Collapse
|
5
|
ElDeeb AM, Osman DM, Atta HK, Hamada HA. Effect of reproductive hormones variation during menstrual cycle on hip abductor and adductor muscles performance in college students. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2019. [DOI: 10.4103/bfpt.bfpt_28_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
6
|
The relationship between hip muscle strength and dynamic knee valgus in asymptomatic females: A systematic review. Phys Ther Sport 2019; 37:197-209. [DOI: 10.1016/j.ptsp.2018.05.015] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Revised: 04/01/2018] [Accepted: 05/18/2018] [Indexed: 12/21/2022]
|
7
|
Karatrantou K, Gerodimos V, Katsareli E, Manouras N, Ioakimidis P, Famisis K. Strength Profile of Hip Abductor and Adductor Muscles in Youth Elite Soccer Players. J Hum Kinet 2019; 66:31-41. [PMID: 30988838 PMCID: PMC6458577 DOI: 10.2478/hukin-2018-0069] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The main objective of this study was to provide an extensive isokinetic profile of the hip joint in youth soccer players, where the literature is limited. Additionally, this study investigated the effect of age on isokinetic peak torque values of hip abductor and adductor muscles and on reciprocal muscle group torque ratios in youth soccer players at different angular velocities (30 vs. 90o/s) and muscle actions (concentric vs. eccentric). Sixty young elite male soccer players were assigned into three equal groups (n = 20): children, young adolescents and older adolescents, and performed five maximal concentric and eccentric hip-abductions and adductions at 30o/s and 90o/s. The results showed a significant increase (p < 0.05) in peak torque values from childhood to adolescence, with the exception of young adolescents vs. older adolescents where no differences were observed. The reciprocal ratios were not affected by age, but improved with an increase in angular velocity with the exception of the CON/ECC ratio that was higher at 30o/s. The data presented in this study provide an extensive isokinetic profile of hip abductor and adductor muscle strength in youth soccer players to assist both coaches and sports medicine professionals in strength monitoring and training.
Collapse
Affiliation(s)
- Konstantina Karatrantou
- Department of Physical Education and Sport Sciences, University of Thessaly, Karies 42100Trikala, Greece
| | - Vassilis Gerodimos
- Department of Physical Education and Sport Sciences, University of Thessaly, Karies 42100Trikala, Greece
| | - Eleftheria Katsareli
- Department of Physical Education and Sport Sciences, Aristotle University of Thessaloniki, Thermi57001, Greece
| | - Nikolaos Manouras
- Department of Physical Education and Sport Sciences, University of Thessaly, Karies 42100Trikala, Greece
| | - Panagiotis Ioakimidis
- Department of Physical Education and Sport Sciences, University of Thessaly, Karies 42100Trikala, Greece
| | - Konstantinos Famisis
- Department of Physical Education and Sport Sciences, University of Thessaly, Karies 42100Trikala, Greece
| |
Collapse
|
8
|
Gafner S, Bastiaenen CHG, Terrier P, Punt I, Ferrari S, Gold G, de Bie R, Allet L. Evaluation of hip abductor and adductor strength in the elderly: a reliability study. Eur Rev Aging Phys Act 2017; 14:5. [PMID: 28450961 PMCID: PMC5404282 DOI: 10.1186/s11556-017-0174-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 04/08/2017] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND In elderly individuals an increased muscle strength contributes to the diminution of the falls risk and associated adverse events. An increasing interest in lateral control exists due to the fatal consequences of postero-lateral falls. Therefore a proper assessment of frontal plane hip muscle strength in elderly is important but remains challenging. Therefore we aimed to investigate the feasibility and repeatability of a hip abductor and adductor maximum voluntary isometric strength (MVIS) and rate of force generation (RFG) test in elderly. This represents an initial step in the development process of a new and clinically relevant test that could lead to more specific treatment protocols for this population. METHODS In this measurement focused study hip abduction (ABD) and adduction (ADD) MVIS and RFG were tested twice within one to three hours with a dynamometer fixed to a custom made frame in a geriatric population including fallers and non-fallers. Intraclass correlation coefficient (ICCagreement), standard error of measurement (SEM), and smallest detectable difference (SDD) were determined. RESULTS All recruited persons (N = 76; mean age (SD) 80.46 (7.05) years old) completed the tests. The average time needed to complete the strength tests was 10.58 min. (1.56) per muscle group. The reliability of the hip ABD and ADD was high with ICC'sagreement ranging from 0.83 to 0.97. The SDD varied between 18.1 and 81.8% depending on the muscle group and type of strength that was evaluated. CONCLUSION Hip abductor and adductor strength measures in older person are feasible and reliable. However, the significance of moderate changes in these measurements may be limited by the large SDD and SEM. Therefore, physical therapist should be careful when using this measure for assessing the progress of an individual person in a daily clinical use.
Collapse
Affiliation(s)
- Simone Gafner
- Department of Physiotherapy, HES-SO//University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland
- Department of Epidemiology, Research program Functioning and Rehabilitation CAPHRI, Maastricht University, Maastricht, The Netherlands
| | - Caroline H. G. Bastiaenen
- Department of Epidemiology, Research program Functioning and Rehabilitation CAPHRI, Maastricht University, Maastricht, The Netherlands
| | - Philippe Terrier
- Clinique romande de réadaptation SUVACare, Sion, Switzerland
- Institute for Research in Rehabilitation, Sion, Switzerland
| | - Ilona Punt
- Department of Physiotherapy, HES-SO//University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland
- Department of Epidemiology, Maastricht University, Maastricht, The Netherlands
| | - Serge Ferrari
- Department of Internal Medicine Specialties, University Hospitals and University of Geneva, Geneva, Switzerland
| | - Gabriel Gold
- Department of Rehabilitation and Geriatric University Hospitals and University of Geneva, Geneva, Switzerland
| | - Rob de Bie
- Department of Epidemiology, Maastricht University, Maastricht, The Netherlands
| | - Lara Allet
- Department of Physiotherapy, HES-SO//University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland
- Department of Community Medicine, University Hospitals and University of Geneva, Geneva, Switzerland
| |
Collapse
|