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hamstring/quadricep ratio

Arnhild Bakken, Stephen Targett, Tone Bere, Cristiano Eirale, Abdulaziz Farooq, Andrea B Mosler, Johannes L Tol, Rod Whiteley, Karim M Khan, Roald Bahr
BACKGROUND: Lower extremity muscle strength tests are commonly used to screen for injury risk in professional soccer. However, there is limited evidence on the ability of such tests in predicting future injuries. PURPOSE: To examine the association between hip and thigh muscle strength and the risk of lower extremity injuries in professional male soccer players. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Professional male soccer players from 14 teams in Qatar underwent a comprehensive strength assessment at the beginning of the 2013/2014 and 2014/2015 seasons...
March 1, 2018: American Journal of Sports Medicine
Kerry Peek, Don Gatherer, Kyle J M Bennett, Job Fransen, Mark Watsford
The objective of this study was to investigate knee muscle strength characteristics in players from a high-level youth football Academy. In total, 110 players (aged 8-15 years) underwent muscle strength assessments carried out by a research physiotherapist using a computer-linked hand-held dynamometer. Results indicated that isometric hamstrings and quadriceps strength increased with age, whereas the isometric hamstring to quadriceps (H/Q) ratio decreased with age. A number of youth football players (n = 20; 18%; 95% CI: 11-27%) demonstrated isometric H/Q ratios of less than 0...
March 5, 2018: Research in Sports Medicine
Mark De Ste Croix, Abigail Priestley, Rhodri Lloyd, Jon Oliver
PURPOSE: Fatigue negatively alters dynamic knee control, and the functional hamstring/quadriceps ratio (H/QFUNC ) plays an important role in stabilizing the joint. The aim of this study was to investigate the influence of soccer-specific exercise on H/QFUNC in under (U) 13-, U15-, and U17-year-old female soccer players. METHODS: A total of 36 female players performed concentric and eccentric actions of the hamstrings at 60°, 120°, and 180°/s before and after an age group-specific field-based soccer protocol...
February 27, 2018: Pediatric Exercise Science
Renan F H Nunes, Rodolfo A Dellagrana, Fábio Y Nakamura, Cosme F Buzzachera, Flavia A M Almeida, Lucinar J F Flores, Luiz G A Guglielmo, Sérgio G da Silva
Purpose/Background: Strength asymmetries are related to knee injuries in intermittent sports players. The purpose of this study was to examine whether elite futsal players demonstrate strength asymmetries during knee isokinetic testing applying the Croisier et al.21 criteria. Methods: Forty male elite (27.9 ± 6.5 years) Brazilian futsal players participated in the study. The testing protocol required players to perform concentric contractions of both quadriceps and hamstring muscles at angular velocities of 60 °·s-1 and 240 °·s-1 and eccentric contractions of hamstring at 30 °·s-1 and 120 °·s-1 ...
February 2018: International Journal of Sports Physical Therapy
Samantha N Madoni, Pablo B Costa, Jared W Coburn, Andrew J Galpin
PURPOSE: To examine the effects of foam rolling (FR), on range of motion, (ROM), peak torque (PT), hamstrings-to-quadriceps (H:Q) ratios, and muscle activation . METHODS: Twenty-two recreationally active women (mean age ± SD = 21.55 ± 1.82 years, 161.91 ± 6.58 cm, 61.47 ± 10.54 kg) volunteered for this study. Participants performed pre- and post-tests analyzing PT and surface electromyography (EMG) of their dominant limb completing maximal knee extension and flexion at three different velocities...
February 1, 2018: Journal of Strength and Conditioning Research
Bo Bregenhof, Uffe Jørgensen, Per Aagaard, Nis Nissen, Mark W Creaby, Jonas Bloch Thorlund, Carsten Jensen, Trine Torfing, Anders Holsgaard-Larsen
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction, using hamstring auto-graft is a common surgical procedure, which often leads to persistent hamstring muscle-strength deficiency and reduced function. The purpose of this randomized controlled trial (RCT) is to investigate the effect of a combined, progressive, strength and neuromuscular exercise intervention on knee muscle strength, functional capacity and hamstring muscle-tendon morphology in ACL-reconstructed patients with persistent hamstring muscle-strength deficiency compared with controls...
January 26, 2018: Trials
Jaroslaw Kabacinski, Michal Murawa, Krzysztof Mackala, Lechoslaw Bogdan Dworak
Knee strength ratios are related to the movement patterns, sport-specific training and knee injuries in athletes. The purpose of this study was to determine the ratios in the concentric isokinetic strength of the hamstrings and quadriceps and the isometric strength of the knee extensors. In female basketball players (n = 14) and female volleyball players (n = 12) were evaluated: the hamstrings to quadriceps peak torque ratio (H/Q) and side-to-side peak torque ratio (TR) for hamstrings and quadriceps; the ratio of the maximal bilateral strength to the summed maximal unilateral strength (B/U) and side-to-side maximal strength ratio (SR) for knee extensors...
2018: PloS One
Jennifer Kurowicki, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Linsen T Samuel, Morad Chughtai, Martin Roche, Peter M Bonutti, Michael A Mont
Background: The ability to reach full functional capacity following total knee arthroplasty (TKA) is reliant on the strength of the quadriceps and hamstring muscles. Weakness of these muscles can persist anywhere from 1 to 3 years post-operatively. There remains considerable controversy as to what factors influence restoration of muscle strength after TKA. Implant designs have been implicated in the ability of patients to recover. Currently there is a paucity of literature available describing the influence of patient characteristics, surgical factors, and clinical outcomes on quadriceps and hamstring muscle strength following TKA with a cruciate-retaining, single radius (SR) implant...
December 2017: Annals of Translational Medicine
Felipe Machado, Pedro Debieux, Camila Cohen Kaleka, Diego Astur, Maria Stella Peccin, Moisés Cohen
OBJECTIVE: To compare knee isokinetic performance six months after reconstruction of the anterior cruciate ligament using grafts from either the patellar tendon or the hamstrings among patients who underwent the same rehabilitation protocol. METHODS: Thirty-four patients were evaluated (17 with grafts from the patellar tendon and 17 with grafts from the hamstrings). Operated and non-operated knees were compared with regards to the variables of peak torque, work and the hamstring/quadriceps relationship at velocities of 60º/s and 180º/s and power of 180º/s after six months of surgery...
December 19, 2017: Physician and Sportsmedicine
Claudio A B de Lira, Naryana C Mascarin, Valentine Z Vargas, Rodrigo L Vancini, Marília S Andrade
Background: Anterior cruciate ligament injury is higher in soccer athletes as compared to athletes of other sports. Risk factors for anterior cruciate ligament injury include low knee hamstring/quadriceps strength ratio and bilateral strength deficits. Purpose: To investigate isokinetic thigh muscles strength, hamstring/quadriceps strength ratio, and bilateral strength comparisons in athletes who participate in professional soccer, futsal, and beach soccer. Study Design: Cross-sectional study...
December 2017: International Journal of Sports Physical Therapy
Justin W Y Lee, Kam-Ming Mok, Hardaway C K Chan, Patrick S H Yung, Kai-Ming Chan
OBJECTIVES: The purpose of this study was to investigate whether preseason isokinetic strength measures were predictive of future HSI among professional football players. DESIGN: Prospective cohort study, Level of evidence 2. METHODS: A total of 169 professional players participated in a preseason isokinetic strength screening, followed by a 10-month competitive season. Testing protocol included the concentric performance of both knee flexion and extension at 60degs-1 and 240degs-1 and the eccentric performance of the knee flexor at 30degs-1 ...
December 5, 2017: Journal of Science and Medicine in Sport
Monika Grygorowicz, Martyna Michałowska, Tomasz Walczak, Adam Owen, Jakub Krzysztof Grabski, Andrzej Pyda, Tomasz Piontek, Tomasz Kotwicki
OBJECTIVE: To measure the sensitivity and specificity of differences cut-off values for isokinetic Hcon/Qcon ratio in order to improve the capacity to evaluate (retrospectively) the injury of hamstring muscles in professional soccer screened with knee isokinetic tests. DESIGN: Retrospective study. METHODS: Medical and biomechanical data of professional football players playing for the same team for at least one season between 2010 and 2016 were analysed...
2017: PloS One
Brennan J Thompson, Curtis S Cazier, Eadric Bressel, Dennis G Dolny
This study aimed to provide a comprehensive strength-based physiological profile of women's NCAA Division I basketball and gymnastic athletes; and to make sport-specific comparisons for various strength characteristics of the knee flexor and extensor muscles. A focus on antagonist muscle balance (hamstrings-to-quadriceps ratios, H:Q) was used to elucidate vulnerabilities in these at-risk female athletes. Fourteen NCAA Division I women's basketball and 13 gymnastics athletes performed strength testing of the knee extensors and flexors...
December 7, 2017: Journal of Sports Sciences
Brady Green, Matthew N Bourne, Tania Pizzari
OBJECTIVE: To examine the value of isokinetic strength assessment for predicting risk of hamstring strain injury, and to direct future research into hamstring strain injuries. DESIGN: Systematic review. DATA SOURCES: Database searches for Medline, CINAHL, Embase, AMED, AUSPORT, SPORTDiscus, PEDro and Cochrane Library from inception to April 2017. Manual reference checks, ahead-of-press and citation tracking. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Prospective studies evaluating isokinetic hamstrings, quadriceps and hip extensor strength testing as a risk factor for occurrence of hamstring muscle strain...
March 2018: British Journal of Sports Medicine
Yumeng Li, Jupil Ko, Marika A Walker, Cathleen N Brown, Julianne D Schmidt, Seock-Ho Kim, Kathy J Simpson
Much remains unclear about how chronic ankle instability (CAI) could affect knee muscle activations and interact with knee biomechanics. Therefore, the purpose of this study was to assess the influence of CAI on the lower extremity muscle activation at the ankle and knee joints during landings on a tilted surface. A surface electromyography system and two force plates were used to collect lower extremity muscle activation of 21 young female individuals with CAI and 21 pair-matched controls during a double-leg landing with test limb landing on the tilted surface...
February 2018: Journal of Electromyography and Kinesiology
Cameron Lord, Fadi Ma'ayah, Anthony J Blazevich
PURPOSE: Muscular fatigue and inter-limb strength asymmetry are factors known to influence hamstring injury risk, however limb-specific exacerbation of knee flexor (hamstrings) torque production after fatiguing exercise has previously been ignored. To investigate changes in muscular force production before and after sport-specific (repeated-sprint) and non-specific (knee extension-flexion) fatiguing exercise, and explore the sensitivity and specificity of isokinetic endurance (i.e. muscle-specific) and single-leg vertical jump (i...
November 8, 2017: Scandinavian Journal of Medicine & Science in Sports
John W O'Kane, Moni Neradilek, Nayak Polissar, Lori Sabado, Allan Tencer, Melissa A Schiff
Background: Youth soccer injuries are common and of increasing concern, with sport specialization occurring at younger ages. Limited research is available regarding overuse injuries and risk factors in young female athletes. Purpose: To identify the number and rate of overuse injuries in female soccer players (ages 12-15 years), describe the anatomic location and type of injury, and evaluate contributing risk factors. Study Design: Case-control study; Level of evidence, 3...
October 2017: Orthopaedic Journal of Sports Medicine
Olivier Maurelli, Pierre Louis Bernard, Romain Dubois, Said Ahmaidi, Jacques Prioux
The aim of this study was to describe the effects of eight weeks of pre-competitive period preparation (Pc2P) on the isokinetic muscular characteristics in world-class handball players. Nineteen male professional players (age: 26.6 ± 5.4 years) participated in the study. Two bilateral isokinetic tests of knee joint flexors (H; Hamstring) and extensors (Q; Quadriceps) were performed before and after Pc2P to determine the peak torque (PT), the mean power (MP) and the ratios (agonist/antagonist, dominant/non-dominant and combined)...
October 20, 2017: Journal of Strength and Conditioning Research
Oliver Faude, Roland Rössler, Erich J Petushek, Ralf Roth, Lukas Zahner, Lars Donath
Objective: Neuromuscular injury prevention programs (IPP) can reduce injury rate by about 40% in youth sport. Multimodal IPP include, for instance, balance, strength, power, and agility exercises. Our systematic review and meta-analysis aimed to evaluate the effects of multimodal IPP on neuromuscular performance in youth sports. Methods: We conducted a systematic literature search including selected search terms related to youth sports, injury prevention, and neuromuscular performance. Inclusion criteria were: (i) the study was a (cluster-)randomized controlled trial (RCT), and (ii) investigated healthy participants, up to 20 years of age and involved in organized sport, (iii) an intervention arm performing a multimodal IPP was compared to a control arm following a common training regime, and (iv) neuromuscular performance parameters (e...
2017: Frontiers in Physiology
Timothy Lowe, Xuanliang Neil Dong
Arthrogenic muscle inhibition, an inability to fully activate the quadriceps muscles, has been persistently observed after anterior cruciate ligament reconstruction (ACLr) surgery. Reductions in quadriceps activation may be partly due to the flexion reflex pathway, hamstrings activation, and reciprocal quadriceps inhibition. Since central fatigue has been shown to modify hamstring excitability and change the hamstring reflex response, hamstring fatigue might alleviate quadriceps muscle inhibition by counteracting the flexion reflex...
January 1, 2017: Perceptual and Motor Skills
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