Enter your details:
Name:
E-mail:
 
Thank you for subscribing.
Subscribe to our newsletter!


Jana Izovska1, Mladen Mikic2, Michal Dragijsky1, Frantisek Zahalka1, David Bujnovsky1, Mikulas Hank1

1Charles University in Prague, Faculty of Sport and Physical Education, Department of Human Movement Laboratory, Prague, Czech Republic
2University of Novi Sad, Faculty of Sport and Physical Education, Novi Sad, Serbia

Pre-Season Bilateral Strength Asymmetries of Professional Soccer Players and Relationship with Non-Contact Injury of Lower Limb in the Season

Sport Mont 2019, 17(2), 107-110 | DOI: 10.26773/smj.190619

Abstract

The aim of this study was to determine the relationship between bilateral pre-season strength asymmetries and the injury of the lower limb in the season. Examined group consisted of 227 soccer players playing in the highest league competition in the Czech Republic (age 25.44±8.7, body height=182.1±6.6 cm, body weight=77.5±6.9 kg). We measured the isokinetic strength of the flexors and extensors of the knee by using the Cybex dynamometer Humac Norm at 60 m.s-1 angular speed and then we compared the bilateral asymmetries between the dominant and non-dominant lower limb in knee flexors and extensors. We retrospectively compare the injury to pre-seasonal bilateral strength imbalances between flexors and extensors of the knee. The results show that 65.9% of players who suffered non-contact leg injuries in the season had imbalances in knee extensors between preferred and non-preferred lover limb ≥10% difference before the season and the percentage of injured players with bilateral asymmetry of knee flexors was 67.9%. These results predict that abnormal muscle asymmetry between the lower extremities may be one of the causes of injury in the area of lower extremities.

Keywords

imbalance, muscle strength, non-contact injury, professional athletes, soccer



View full article
(PDF – 316KB)

References

Boden, B.P., Sheehan, F.T., Torg, J.S., & Hewett, T.E. (2010). Non-contact ACL injuries: mechanisms and risk factors. The Journal of the American Academy of Orthopaedic Surgeons, 18(9), 520.

Bonetti, L.V., Floriano, L.L., dos Santos, T.A., Segalla, F.M., Biondo, S., & Tadiello, G.S. (2017). Isokinetic performance of knee extensors and flexors in adolescent male soccer athletes. Sport Sciences for Health, 13(2), 315-321.

Brito, J., Figueiredo, P., Fernandes, L., Seabra, A., Soares, J.M., Krustrup, P., & Rebelo, A. (2010). Isokinetic strength effects of FIFA’s” The 11+” injury prevention training programme. Isokinetics and Exercise Science, 18(4), 211-215.

Cameron, M., Adams, R., & Maher, C. (2003). Motor control and strength as predictors of hamstring injury in elite players of Australian football. Physical Therapy in Sport, 4(4), 159-166.

Croisier, J.L., Ganteaume, S., Binet, J., Genty, M., & Ferret, J.M. (2008). Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. The American journal of sports medicine, 36(8), 1469-1475.

Daneshjoo, A., Rahnama, N., Mokhtar, A.H., & Yusof, A. (2013). Bilateral and unilateral asymmetries of isokinetic strength and flexibility in male young professional soccer players. Journal of Human Kinetics, 36(1), 45-53.

Dick, R., Putukian, M., Agel, J., Evans, T.A., & Marshall, S.W. (2007). Descriptive epidemiology of collegiate women’s soccer injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2002–2003. Journal of athletic training, 42(2), 278.

Dörge, H.C., Andersen, T.B., Sørensen, H., & Simonsen, E.B. (2002). Biomechanical differences in soccer kicking with the preferred and the non-preferred leg. Journal of Sports Sciences, 20(4), 293-299.

Ekstrand, J., Hägglund, M., & Waldén, M. (2011). Epidemiology of muscle injuries in professional football (soccer). The American journal of sports medicine, 39(6), 1226-1232.

Engebretsen, A.H., Myklebust, G., Holme, I., Engebretsen, L., & Bahr, R. (2010). Intrinsic risk factors for hamstring injuries among male soccer players: a prospective cohort study. The American journal of sports medicine, 38(6), 1147-1153.

Eniseler, N., Şahan, Ç., Vurgun, H., & Mavi, H. (2012). Isokinetic strength responses to season-long training and competition in Turkish elite soccer players. Journal of human kinetics, 31, 159-168.

Fonseca, S.T.D., Ocarino, J.M., da Silva, P.L., Bricio, R.S., Costa, C.A., & Wanner, L.L. (2007). Characterization of professional soccer players’ muscle performance. Revista Brasileira de Medicina do Esporte, 13(3), 143-147.

Forbes, H., BuIiers, A., LoveIi, A., McNaughto, R., Polman, R.C., & Siegler, J.C. (2009). Relative Torque Profiles of Elite Male Youth Footballers: Effects of Age and Pubertal Development. International Journal of Sports Medicine, 30(8), 592-597.

Fousekis, K., Tsepis, E., & Vagenas, G. (2010). Lower Limb Strength in Professional Soccer Players: Profile, Asymmetry, and Training Age. Journal of Sports Science & Medicine, 9(3), 364-373.

Freckleton, G., & Pizzari, T. (2013). Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. British Journal of Sports Medicine, 47(6), 351-358.

Georgoulis, A., Ristanis, S., Moraiti, C., Paschos, N., Zampeli, F., Xergia, S., Mitsionis, G. (2010). ACL injury and reconstruction: Clinical related in vivo biomechanics. Revue de chirurgie orthopédique et traumatologique, 96(8), S339-S348.

Hewett, T.E., Ford, K.R., Hoogenboom, B.J., & Myer, G.D. (2010). Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations-update 2010. North American journal of sports physical therapy: NAJSPT, 5(4), 234.

Iga, J., George, K., Lees, A., & Reilly, T. (2009). Cross‐sectional investigation of indices of isokinetic leg strength in youth soccer players and untrained individuals. Scandinavian Journal of Medicine and Science in Sports, 19(5), 714-719.

Lehnert, M., Urban, J., Procházka, J.H., & Psotta, R. (2011). Isokinetic strength of knee flexors and extensors of adolescent soccer players and its changes based on movement speed and age. Acta Gymnica, 41(2), 45-53.

Myer, G.D., Ford, K.R., Foss, K.D.B., Liu, C., Nick, T.G., & Hewett, T.E. (2009). The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clinical Journal of Sport Medicine, 19(1), 3-8.

Rahnama, N., Lees, A., & Bambaecichi, E. (2005). A comparison of muscle strength and flexibility between the preferred and non-preferred leg in English soccer players. Ergonomics, 48(11-14), 1568-1575. https://doi.org/10.1080/00140130500101585

Schiltz, M., Lehance, C., Maquet, D., Bury, T., Crielaard, J.M., & Croisier, J.L. (2009). Explosive strength imbalances in professional basketball players. Journal of Athletic Training, 44(1), 39-47.

Silva, J.R., Nassis, G.P., & Rebelo, A. (2015). Strength training in soccer with a specific focus on highly trained players. Sports medicine-open, 1(1), 17.

Soderman, K., Alfredson, H., Pietila, T., & Werner, S. (2001). Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Knee Surgery, Sports Traumatology, Arthroscopy, 9(5), 313-321.

Teixeira, J., Carvalho, P., Moreira, C., Carneiro, A., & Santos, R. (2015). Muscle strength assessment of knee flexors and extensors. Comparative study between basketball, football, handball and volleyball athletes. International Journal of Sports Science, 5(5), 192-200.

Tourny-Chollet, C., Leroy, D., & Beuret-Blanquart, F. (2000). Isokinetic knee muscle strength of soccer players according to their position. Isokinetics and exercise science, 8(4), 187-193.

Weber, F.S., Silva, B.G.C.d., Radaelli, R., Paiva, C., & Pinto, R.S. (2010). Isokinetic assessment in professional soccer players and performance comparison according to their different positions in the field. Revista Brasileira de Medicina do Esporte, 16(4), 264-268.

Withrow, T.J., Huston, L.J., Wojtys, E.M., & Ashton-Miller, J.A. (2008). Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. The Journal of Bone and Joint Surgery. American volume, 90(4), 815.

Wong, P., & Hong, Y. (2005). Soccer injury in the lower extremities. [Comparative Study Review]. British Journal of Sports Medicine, 39(8), 473-482.

Zabka, F.F., Valente, H.G., & Pacheco, A.M. (2011). Isokinetic evaluation of knee extensor and flexor muscles in professional soccer players. Revista Brasileira de Medicina do Esporte, 17(3), 189-192.

Zakas, A. (2006). Bilateral isokinetic peak torque of quadriceps and hamstring muscles in professional soccer players with dominance on one or both two sides. Journal of Sports Medicine and Physical Fitness, 46(1), 28.

Zvijac, J.E., Toriscelli, T.A., Merrick, S., & Kiebzak, G.M. (2013). Isokinetic concentric quadriceps and hamstring strength variables from the NFL Scouting Combine are not predictive of hamstring injury in first-year professional football players. The American journal of sports medicine, 41(7), 1511-1518.