Changes in Hamstring Eccentric Peak Torques and Angles of Peak Torque Following 90 Minutes of Soccer Specific Exertions

Muhammad Hamdan, Geik Yong Ang, Raihana Sharir, Wee Kian Yeo, Raja Mohammed Firhad Raja Azidin

Abstract


This study aimed to investigate the effects of a ball-oriented soccer match-play simulation on the hamstrings eccentric torque production. Seven male recreational athletes volunteered for this study. Participants completed 90-minutes of the ball-oriented soccer simulation interceded by a 15-minute half time interval with five successful trials of hamstrings eccentric contractions on an isokinetic dynamometer at selected time points throughout the simulation. A 2 (limb: dominant; non-dominant) × 4 (time: 0 min; 45 min; 60 min; 105 min) “split-plots” analysis of variance (SPANOVA) revealed significant reductions in hamstrings eccentric peak torques over time, while no significant change was apparent in hamstrings eccentric angles of peak torque. There was also no interaction effect of limb dominance over time for both peak torque and angles of peak torque parameters. The observed changes suggest that exertions from a ball-oriented soccer match-play simulation may have detrimental effects on the hamstrings eccentric strength parameters thus may increase risk of ACL injury. High variabilities in angles of peak torques were also observed in this study. Future exploration is warranted in order to address the extent of variabilities that may be present in larger sample sizes thus providing a better understanding of the influence of these variabilities on the muscular strength parameters of ACL injury risk. The findings suggest firstly, that fatigue from soccer-specific exertions during match-play may increase an athlete’s susceptibility to ACL injury, and secondly, that with accumulating fatigue, the nondominant limb may be equally at risk of injury as the dominant limb, contradicting previous findings from epidemiological studies.


Keywords


Hamstrings; Eccentric; ACL injury; Peak Torque; Soccer

References


Adlerton, A. K., Moritz, U., & Moe‐Nilssen, R. (2003). Forceplate and accelerometer measures for evaluating the effect of muscle fatigue on postural control during one‐legged stance. Physiotherapy Research International, 8(4), 187-199. https://onlinelibrary.wiley.com/doi/abs/10.1002/pri.289?sid=nlm%3Apubmed

Alentorn-Geli, E., Myer, G. D., Silvers, H. J., Samitier, G., Romero, D., Lázaro-Haro, C., & Cugat, R. (2009). Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Journal of Knee Surgery, Sports Traumatology, Arthroscopy, 17(7), 705-729. https://link.springer.com/article/10.1007%2Fs00167-009-0813-1

Bangsbo, J., Nørregaard, L., & Thorsoe, F. (1991). Activity profile of competition soccer. Canadian Journal of Sport Sciences, 16(2), 110-116.

Barreira, P., Robinson, M. A., Drust, B., Nedergaard, N., Raja Azidin, R. M. F., & Vanrenterghem, J. (2016). Mechanical Player Load™ using trunk-mounted accelerometry in football: Is it a reliable, task-and player-specific observation? The Journal of Sports Sciences, 1-8.

Bjordal, J. M., Arnøy, F., Hannestad, B., & Strand, T. (1997). Epidemiology of anterior cruciate ligament injuries in soccer. American Journal of Sports Medicine, 25(3), 341-345.

Blackburn, J. T., & Padua, D. A. (2008). Influence of trunk flexion on hip and knee joint kinematics during a controlled drop landing. Journal of Clinical Biomechanics, 23(3), 313-319.

Bossuyt, F. M., García-Pinillos, F., Raja Azidin, R., Vanrenterghem, J., & Robinson, M. A. (2015). The Utility of a High-intensity Exercise Protocol to Prospectively Assess ACL Injury Risk. International Journal of Sports Medicine, 95(02), 125-133.

Brockett, C. L., Morgan, D. L., & Proske, U. (2001). Human hamstring muscles adapt to eccentric exercise by changing optimum length. Medicine & Science in Sports & Exercise, 33(5), 783-790.

Brophy, R., Silvers, H. J., Gonzales, T., & Mandelbaum, B. R. (2010). Gender influences: the role of leg dominance in ACL injury among soccer players. The British Journal of Sports Medicine, 44(10), 694.

Brughelli, M., & Cronin, J. (2007). Altering the length-tension relationship with eccentric exercise. Sports Medicine, 37(9), 807-826. https://link.springer.com/article/10.2165%2F00007256-200737090-00004

Cohen, D. D., Zhao, B., Okwera, B., Matthews, M. J., & Delextrat, A. (2015). Angle-specific eccentric hamstring fatigue after simulated soccer. The International Journal of Sports Physiology and Performance, 10(3), 325-331. https://journals.humankinetics.com/view/journals/ijspp/10/3/article-p325.xml

Dai, B., Herman, D., Liu, H., Garrett, W. E., & Yu, B. (2012). Prevention of ACL injury, part I: injury characteristics, risk factors, and loading mechanism. Research in Sports Medicine, 20(3-4), 180-197.

Delextrat, A., Baker, J., Cohen, D. D., & Clarke, N. D. (2013). Effect of a simulated soccer match on the functional hamstrings-to-quadriceps ratio in amateur female players [Article]. Scandinavian Journal of Medicine and Science in Sports, 23(4), 478-486. https://doi.org/10.1111/j.1600-0838.2011.01415.x

Delextrat, A., Gregory, J., & Cohen, D. (2010). The Use of the Functional H:Q Ratio to Assess Fatigue in Soccer. International Journal of Sports Medicine, 31(3), 192. https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0029-1243642

Di Salvo, V., Baron, R., Tschan, H., Montero, F. C., Bachl, N., & Pigozzi, F. (2007). Performance characteristics according to playing position in elite soccer. International Journal of Sports Medicine, 28(03), 222-227.

Draganich, L., & Vahey, J. (1990). An in vitro study of anterior cruciate ligament strain induced by quadriceps and hamstrings forces. Journal of orthopaedic research, 8(1), 57-63.

Ekstrand, J., Hägglund, M., & Waldén, M. (2011). Epidemiology of muscle injuries in professional football (soccer). American Journal of Sports Medicine, 39(6), 1226-1232.

Garrett, J. W. (1990). Muscle strain injuries: clinical and basic aspects. Medicine and science in sports and exercise, 22(4), 436-443.

Girden, E. R. (1992). ANOVA: Repeated measures. SAGE.

Goldfuss, A. J., Morehouse, C. A., & LeVEAU, B. F. (1973). Effect of muscular tension on knee stability. Journal of Medicine and Science in Sports, 5(4), 267-271.

Grace, T., Sweetser, E., Nelson, M., Ydens, L., & Skipper, B. (1984). Isokinetic muscle imbalance and knee-joint injuries. A prospective blind study. The Journal of bone and joint surgery. American volume, 66(5), 734-740.

Greig, M. (2008). The influence of soccer-specific fatigue on peak isokinetic torque production of the knee flexors and extensors. American Journal of Sports Medicine, 36(7), 1403-1409.

Greig, M. (2009). The influence of soccer-specific activity on the kinematics of an agility sprint. The European Journal of Sport Science, 9(1), 23-33.

Greig, M. (2019, May). Concurrent changes in eccentric hamstring strength and knee joint kinematics induced by soccer-specific fatigue. Phys Ther Sport, 37, 21-26. https://doi.org/10.1016/j.ptsp.2019.02.003

Greig, M., & Siegler, J. C. (2009). Soccer-specific fatigue and eccentric hamstrings muscle strength. Journal of Athletic Training, 44(2), 180-184.

Hageman, P. A., Gillaspie, D. M., & Hill, L. D. (1988). Effects of Speed and Limb Dominance on Eccentric and Concentric lsokinetic Testing of the Knee. Journal of Orthopaedic & Sports Physical Therapy, 10(2), 59-65.

Hamdan, M., Ismail, S. I., Hassan, H., Ismail, H., & Raja Azidin, R. M. F. (2018). The Effects of A 90-minute Simulated Soccer Match-play on Knee and Hip Kinematics. Movement, Health & Exercise (MoHE), 7(1).

Hamdan, M., Mohd Noh, S. N., Hasan, H., Ismail, H., & Raja Azidin, R. M. F. (2018). Knee and hip extension responses to prolonged simulated soccer match-play: A 2D study. International Journal of Engineering and Technology (UAE), 7(4), 6-14.

Hashemi, J., Breighner, R., Chandrashekar, N., Hardy, D. M., Chaudhari, A. M., Shultz, S. J., Slauterbeck, J. R., & Beynnon, B. D. (2011). Hip extension, knee flexion paradox: a new mechanism for non-contact ACL injury. The Journal of Biomechanics, 44(4), 577-585.

Hawkins, R. D., Hulse, M. A., Wilkinson, C., Hodson, A., & Gibson, M. (2001). The associated football medical research programme: an audit of injuries in professional football. The British Journal of Sports Medicine, 35, 43-47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1724279/pdf/v035p00043.pdf

Herrero, H., Salinero, J. J., & Del Coso, J. (2014, Jan). Injuries among Spanish male amateur soccer players: a retrospective population study. American Journal of Sports Medicine, 42(1), 78-85. https://doi.org/10.1177/0363546513507767

Link, D., & Hoernig, M. (2017). Individual ball possession in soccer. PloS one, 12(7), e0179953.

Markolf, K. L., Graff-Radford, A., & Amstutz, H. (1978). In vivo knee stability. A quantitative assessment using an instrumented clinical testing apparatus. Journal of Bone and Joint Surgery. American Volume, 60(5), 664-674.

Mohr, M., Krustrup, P., & Bangsbo, J. (2003). Match performance of high-standard soccer players with special reference to development of fatigue. The Journal of Sports Sciences, 21(7), 519-528. https://www.tandfonline.com/doi/abs/10.1080/0264041031000071182

Pataky, T. C. (2012). One-dimensional statistical parametric mapping in Python. Computer Methods in Biomechanics and Biomedical Engineering, 15(3), 295-301.

Pataky, T. C., Robinson, M. A., & Vanrenterghem, J. (2013). Vector field statistical analysis of kinematic and force trajectories. The Journal of Biomechanics, 46(14), 2394-2401.

Proske, U., Morgan, D. L., Brockett, C. L., & Percival, P. (2004). Identifying athletes at risk of hamstring strains and how to protect them. Clinical and Experimental Pharmacology and Physiology, 31(8), 546-550.

Quatman, C. E., Quatman-Yates, C. C., & Hewett, T. E. (2010). A ‘Plane’Explanation of Anterior Cruciate Ligament Injury Mechanisms. Sports Medicine, 40(9), 729-746. https://link.springer.com/article/10.2165%2F11534950-000000000-00000

Rahnama, N., Reilly, T., Lees, A., & Graham-Smith, P. (2003). Muscle fatigue induced by exercise simulating the work rate of competitive soccer. The Journal of Sports Sciences, 21(11), 933-942. https://www.tandfonline.com/doi/full/10.1080/0264041031000140428

Raja Azidin, R. M. F. (2015). Effect of soccer match-play on markers of anterior cruciate ligament injury risk Liverpool John Moores University].

Raja Azidin, R. M. F., Pykett, J., Scanlon, E., Bradburn, H., Robinson, M. A., & Vanrenterghem, J. (2014, 5th July 2014). The Effects Of Soccer Match Simulation On Functional Hamstring To Quadriceps Ratio And Peak Knee Abduction Moments In Side Cutting 19th Annual Congress of the European College of Sport Science, Amsterdam, Netherland.

Raja Azidin, R. M. F., Sankey, S. P., Drust, B., Robinson, M. A., & Vanrenterghem, J. (2015, 2015/08/09). Effects of treadmill versus overground soccer match simulations on biomechanical markers of anterior cruciate ligament injury risk in side cutting. The Journal of Sports Sciences, 33(13), 1332-1341. https://doi.org/10.1080/02640414.2014.990491

Raja Azidin, R. M. F., Sankey, S. P., Robinson, M. A., & Vanrenterghem, J. (2013). Treadmill Versus Overground Soccer-Specific Fatigue: The Effect On Hamstring And Quadriceps Strength And Frontal Plane Peak Knee Joint Moments In Side-Cutting.

Ruiz, H., Power, P., Wei, X., & Lucey, P. (2017). The Leicester City Fairytale?: Utilizing New Soccer Analytics Tools to Compare Performance in the 15/16 & 16/17 EPL Seasons. Proceedings of the 23rd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining,

Sanna, G., & O’Connor, K. M. (2008). Fatigue-related changes in stance leg mechanics during sidestep cutting maneuvers. Journal of Clinical Biomechanics, 23(7), 946-954.

Schmitt, B., Tim, T., & McHugh, M. (2012). Hamstring injury rehabilitation and prevention of reinjury using lengthened state eccentric training: a new concept. International journal of sports physical therapy, 7(3), 333.

Shultz, S. J., & Schmitz, R. J. (2009, Sep). Effects of transverse and frontal plane knee laxity on hip and knee neuromechanics during drop landings. Am J Sports Med, 37(9), 1821-1830. https://doi.org/10.1177/0363546509334225

Shultz, S. J., Schmitz, R. J., Benjaminse, A., Chaudhari, A. M., Collins, M., & Padua, D. A. (2012). ACL Research Retreat VI: An update on ACL injury risk and prevention [Article]. Journal of Athletic Training, 47(5), 591-603. https://doi.org/10.4085/1062-6050-47.5.13

Shultz, S. J., Schmitz, R. J., Cone, J. R., Copple, T. J., Montgomery, M. M., Pye, M. L., & Tritsch, A. J. (2013). Multiplanar knee laxity increases during a 90-min intermittent exercise protocol. Journal of Medicine and Science in Sports and Exercise, 45(8), 1553-1561.

Small, K., McNaughton, L., Greig, M., & Lovell, R. (2009). Effect of timing of eccentric hamstring strengthening exercises during soccer training: implications for muscle fatigability. The Journal of Strength & Conditioning Research, 23(4), 1077-1083.

Small, K., McNaughton, L., Greig, M., & Lovell, R. (2010). The effects of multidirectional soccer-specific fatigue on markers of hamstring injury risk. Journal of Science and Medicine in Sport, 13(1), 120-125.

Söderman, K., Alfredson, H., Pietilä, T., & Werner, S. (2001). Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Journal of Knee Surgery, Sports Traumatology, Arthroscopy, 9(5), 313-321. https://link.springer.com/article/10.1007%2Fs001670100228

Sole, G., Hamrén, J., Milosavljevic, S., Nicholson, H., & Sullivan, S. J. (2007). Test-retest reliability of isokinetic knee extension and flexion. Archives of Physical Medicine and Rehabilitation, 88(5), 626-631.

Thatcher, R., & Batterham, A. M. (2004). Development and validation of a sport-specific exercise protocol for elite youth soccer players. Journal of Sports Medicine and Physical Fitness, 44(1), 15.

Tsepis, E., Vagenas, G., Giakas, G., & Georgoulis, A. (2004). Hamstring weakness as an indicator of poor knee function in ACL-deficient patients. Knee surgery, sports traumatology, arthroscopy, 12(1), 22-29.

Van Gool, D., Van Gervan, D., Boutmans, J., Reilly, T., Lees, A., Davids, K., & Murphy, W. (1998). Science and Football.

Wojtys, E. M., Ashton-Miller, J. A., & Huston, L. J. (2002). A gender-related difference in the contribution of the knee musculature to sagittal-plane shear stiffness in subjects with similar knee laxity. The Journal of Bone and Joint Surgery. American Volume., 84(1), 10-16.

Wyatt, M. P., & Edwards, A. M. (1981). Comparison of quadriceps and hamstring torque values during isokinetic exercise. Journal of Orthopaedic & Sports Physical Therapy, 3(2), 48-56.




DOI: https://doi.org/10.15282/mohe.v9i2.466