The Relationship between Isometric Strength of the Lower Extremity Muscles and Incidence of Injuries in Lower Extremity in Young Football Players

Document Type : Research Paper

Authors

1 MS Sport Injury and Corrective Exercises, Faculty of Sport Sciences, Shahid Beheshti University, Tehran, Iran

2 Associated Professor, Health and Rehabilitation Department, Faculty of Sport Sciences, Shahid Beheshti University, Tehran, Iran

3 Assistant Professor, Health and Sport Rehabilitation Department, Faculty of Physical Education and Sport Sciences, Shahid Beheshti University, Tehran, Iran

Abstract

The risk of injury in football is high. Many researchers have introduced muscle strength as one of the most important internal risk factors, but few studies have examined the relationship between the isometric strength of muscles and incidence of injuries. Therefore, the aim of this study was to examine the relationship between isometric strength of lower extremity muscles and the incidence of injuries in football players and the power to predict these injuries. The sample of this study included 73 football players under 21 years of age. Before the beginning of the season, the anthropometric dimensions and isometric strength of lower extremity in dominant leg of each player were measured by Isokinetic device (Biodex system 4), then each player was followed up for 8 months and their injuries were recorded. The results of Cox regression test showed no significant relationship between isometric strength of the measured muscles and the incidence of injuries in lower extremity. According to these results, it is suggested that medical and technical staff of football teams use isometric tests to identify high risk players. Other strength evaluation methods such as isokinetic and isotonic strengths may be more effective.

Keywords

References

1.         De Ridder R WE, Dolphens M, Roosen P, Van Ginckel A. Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players: a 3-season prospective study. The American journal of sports medicine. 2017;45((2)):410.
2.         Bennell K, Wajswelner H, Lew P, Schall-Riaucour A, Leslie S, Plant D, et al. Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. British Journal of Sports Medicine. 1998;32(4):309-14.
3.         Zarei M, Rahnama N, Rezaei A, Reisi J. Comparison of Injury in Iran national junior and youth football players. British Journal of Sports Medicine. 2010;44(Suppl 1):i6-i.
4.         Van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. Sports medicine. 1992;14(2):82-99.
5.         Van Tiggelen D, Wickes S, Stevens V, Roosen P, Witvrouw E. Effective prevention of sports injuries: a model integrating efficacy, efficiency, compliance and risk-taking behaviour. British journal of sports medicine. 2008;42(8):648-52.
6.         Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scandinavian journal of medicine & science in sports. 2006;16(2):83-92.
7.         Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Journal of athletic training. 2007;42(2):311.
8.         Dvorak J, Junge A. Football injuries and physical symptoms. The American journal of sports medicine. 2000;28(5_suppl):3-9.
9.         Zarei M, Rahnama N, Rajabi R. The effect of soccer players’ positional role in Iran super league on sport injury rates. WJSS. 2009;2(1):60-4.
10.       Orchard J. Is there a relationship between ground and climatic conditions and injuries in football? Sports medicine. 2002;32(7):419-32.
11.       Ekstrand J, Gillquist J. The avoidability of soccer injuries. International journal of sports medicine. 1983;4(02):124-8.
12.       Dvorak J, Junge A, Chomiak J, Graf-Baumann T, Peterson L, Rosch D, et al. Risk factor analysis for injuries in football players. The American Journal of Sports Medicine. 2000;28(5_suppl):69-74.
13.       Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Risk factors for injuries in football. The American journal of sports medicine. 2004;32(1_suppl):5-16.
14.       Hägglund M, Waldén M, Ekstrand J. Previous injury as a risk factor for injury in elite football: a prospective study over two consecutive seasons. British journal of sports medicine. 2006;40(9):767-72.
15.       Bahr R, Holme I. Risk factors for sports injuries—a methodological approach. British journal of sports medicine. 2003;37(5):384-92.
16.       Bakken A, Targett S, Bere T, Eirale C, Farooq A, Mosler AB, et al. Muscle Strength Is a Poor Screening Test for Predicting Lower Extremity Injuries in Professional Male Soccer Players: A 2-Year Prospective Cohort Study. The American journal of sports medicine. 2018:0363546518756028.
17.       Hickey Lucas KC, Kline PW, Ireland ML, Noehren B. Hip and trunk muscle dysfunction: implications for anterior cruciate ligament injury prevention. Annals of Joint. 2017;2(5).
18.       De Ridder R, Witvrouw E, Dolphens M, Roosen P, Van Ginckel A. Hip Strength as an Intrinsic Risk Factor for Lateral Ankle Sprains in Youth Soccer Players A 3-Season Prospective Study. The American Journal of Sports Medicine. 2016:0363546516672650.
19.       Kim D, Hong J. Hamstring to quadriceps strength ratio and noncontact leg injuries: A prospective study during one season. Isokinetics and Exercise Science. 2011;19(1):1-6.
20.       Haugen T, Seile S. Physical and physiological testing of soccer players: why, what and how should we measure. Sport Sci. 2015;19:10-26.
21.       Koutures CG, Gregory AJ. Injuries in youth soccer. Pediatrics. 2010;125(2):410-4.
22.       Junge A, Dvorak J. Soccer injuries. Sports medicine. 2004;34(13):929-38.
23.       Johnson ME, Mille M-L, Martinez KM, Crombie G, Rogers MW. Age-related changes in hip abductor and adductor joint torques. Archives of physical medicine and rehabilitation. 2004;85(4):593-7.
24.       SHOJAEI M, DANESHJOO A, RAHNAMA N. EFFECTS OF HARMOKNEE INJURY PREVENTION TRAINING PROGRAM ON KNEE ISOMETRIC STRENGTH OF YOUNG PROFESSIONAL MALE SOCCER PLAYERS. 2011.
25.       Tankevicius G, Lankaite D, Krisciunas A. Test–retest reliability of biodex system 4 Pro for isometric ankle-eversion and-inversion measurement. Journal of sport rehabilitation. 2013;22(3):212-5.
26.       Webber SC, Porter MM. Reliability of ankle isometric, isotonic, and isokinetic strength and power testing in older women. Physical therapy. 2010;90(8):1165.
27.       Hubbard TJ, Kramer LC, Denegar CR, Hertel J. Contributing factors to chronic ankle instability. Foot & ankle international. 2007;28(3):343-54.
28.       Tyler TF, Mchugh MP, Mirabella MR, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school football players: the role of previous ankle sprains and body mass index. The American journal of sports medicine. 2006;34(3):471-5.
29.       Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 2004;36(6):926-34.
30.       فکر ار, باشی خخ, فر قی, موحدی ار. تأثیر تقویت عضلات دور کننده ران و چرخاننده خارج ران بر آسیب اسپرین خارجی غیر برخوردی مچ پا در فوتبالیست‌ها و فوتسالیست‌های مرد: تحقیق تجربی کنترل شده. مجله پژوهش در علوم توانبخشی.13(2):87-94.
31.       Straub RK, Khayambashi K, Ghoddosi N, Powers CM. Hip abductor strength predicts lateral non-contact ankle sprains in male soccer players: A prospective study. Medicine & Science in Sports & Exercise. 2016;48(5S):18-9.
32.       Lee S-P, Powers CM. Individuals with diminished hip abductor muscle strength exhibit altered ankle biomechanics and neuromuscular activation during unipedal balance tasks. Gait & posture. 2014;39(3):933-8.
33.       Bakken A, Targett S, Bere T, Eirale C, Farooq A, Mosler AB, et al. Muscle Strength Is a Poor Screening Test for Predicting Lower Extremity Injuries in Professional Male Soccer Players: A 2-Year Prospective Cohort Study. The American journal of sports medicine. 2018;46(6):1481-91.
34.       Nadler SF, Malanga GA, DePrince M, Stitik TP, Feinberg JH. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clinical Journal of Sport Medicine. 2000;10(2):89-97.
35.       Tyler TF, Nicholas SJ, Campbell RJ, McHugh MP. The association of hip strength and flexibility with the incidence of adductor muscle strains in professional ice hockey players. The American journal of sports medicine. 2001;29(2):124-8.
36.       Verrelst R, De DC, Willems TM, Roosen P, Witrouw E. Contralateral risk factors associated with exertional medial tibial pain in women. Medicine and science in sports and exercise. 2014;46(8):1546-53.
37.       Verrelst R, Willems TM, De Clercq D, Roosen P, Goossens L, Witvrouw E. The role of hip abductor and external rotator muscle strength in the development of exertional medial tibial pain: a prospective study. Br J Sports Med. 2014;48(21):1564-9.
38.       Evangelidis PE, Pain MTG, Folland J. Angle-specific hamstring-to-quadriceps ratio: a comparison of football players and recreationally active males. Journal of sports sciences. 2015;33(3):309-19.
39.       Steffen K, Myklebust G, Olsen OE, Holme I, Bahr R. Preventing injuries in female youth football–a cluster‐randomized controlled trial. Scandinavian journal of medicine & science in sports. 2008;18(5):605-14.
40.       Murphy D, Connolly D, Beynnon B. Risk factors for lower extremity injury: a review of the literature. British journal of sports medicine. 2003;37(1):13-29.
41.       Eustace S, Page R, Greig M. Angle Specific Isokinetic Metrics Highlight Strength Training Needs of Elite Youth Soccer Players. Journal of strength and conditioning research. 2018.
42.       Peek K, Gatherer D, Bennett KJ, Fransen J, Watsford M, Fransen AJ. Muscle strength characteristics of the hamstrings and quadriceps in players from a high-level youth football academy.
43.       حمیدرضا صپ, نادر ر, عبدالحمید د, عفت بچ. تاثیر برنامه پیشگیری کننده آسیب فیفا+ 11 بر قدرت ایزومتریک عضلات چهارسر و همسترینگ فوتبالیست های جوان حرفه ای ایران.
44.       Kaminski TW, Hartsell HD. Factors contributing to chronic ankle instability: a strength perspective. Journal of athletic training. 2002;37(4):394.
45.       Kaminski TW, Perrin DH, Gansneder BM. Eversion strength analysis of uninjured and functionally unstable ankles. Journal of athletic training. 1999;34(3):239.
46.       Mullaney MJ, McHugh MP, Tyler TF, Nicholas SJ, Lee SJ. Weakness in end-range plantar flexion after Achilles tendon repair. The American journal of sports medicine. 2006;34(7):1120-5.
47.       Arnheim DD, Prentice WE, Ingersoll CD. Principles of athletic training. Medicine & Science in Sports & Exercise. 1993;25(11):1301.
Sport Sciences and Health Research
Volume 10, Issue 2
March 2018
Pages 247-267

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