Proximal Neuromuscular Control Protects Against Hamstring Injuries in Male Soccer Players: A Prospective Study With Electromyography Time-Series Analysis During Maximal Sprinting

2017 ◽  
Vol 45 (6) ◽  
pp. 1315-1325 ◽  
Author(s):  
Joke Schuermans ◽  
Lieven Danneels ◽  
Damien Van Tiggelen ◽  
Tanneke Palmans ◽  
Erik Witvrouw
Keyword(s):  
Muscle Activity ◽  
Neuromuscular Control ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Soccer Players ◽  
Hamstring Injury ◽  
The Core ◽  
Hamstring Injuries ◽  
Injury Occurrence

Background: With their unremittingly high incidence rate and detrimental functional repercussions, hamstring injuries remain a substantial problem in male soccer. Proximal neuromuscular control (“core stability”) is considered to be of key importance in primary and secondary hamstring injury prevention, although scientific evidence and insights on the exact nature of the core-hamstring association are nonexistent at present. Hypothesis: The muscle activation pattern throughout the running cycle would not differ between participants based on injury occurrence during follow-up. Study Design: Case-control study; Level of evidence, 3. Methods: Sixty amateur soccer players participated in a multimuscle surface electromyography (sEMG) assessment during maximal acceleration to full-speed sprinting. Subsequently, hamstring injury occurrence was registered during a 1.5-season follow-up period. Hamstring, gluteal, and trunk muscle activity time series during the airborne and stance phases of acceleration were evaluated and statistically explored for a possible causal association with injury occurrence and absence from sport during follow-up. Results: Players who did not experience a hamstring injury during follow-up had significantly higher amounts of gluteal muscle activity during the front swing phase ( P = .027) and higher amounts of trunk muscle activity during the backswing phase of sprinting ( P = .042). In particular, the risk of sustaining a hamstring injury during follow-up lowered by 20% and 6%, with a 10% increment in normalized muscle activity of the gluteus maximus during the front swing and the trunk muscles during the backswing, respectively ( P < .024). Conclusion: Muscle activity of the core unit during explosive running appeared to be associated with hamstring injury occurrence in male soccer players. Higher amounts of gluteal and trunk muscle activity during the airborne phases of sprinting were associated with a lower risk of hamstring injuries during follow-up. Hence, the present results provide a basis for improved, evidence-based rehabilitation and prevention, particularly focusing on increasing neuromuscular control of the gluteal and trunk muscles during sport-specific activities (eg, sprint drills, agility drills).

No Relationship Between Hamstring Flexibility and Hamstring Injuries in Male Amateur Soccer Players: A Prospective Study

2016 ◽  
Vol 45 (1) ◽  
pp. 121-126 ◽  
Author(s):  
Mitchell C.M. van Doormaal ◽  
Nick van der Horst ◽  
Frank J.G. Backx ◽  
Dirk-Wouter Smits ◽  
Bionka M.A. Huisstede
Keyword(s):  
Multivariate Logistic Regression Analysis ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Level Of Evidence ◽  
Hamstring Injuries ◽  
Hamstring Flexibility ◽  
A Prospective Study ◽  
The Relationship ◽  
Control Study

Background: In soccer, although hamstring flexibility is thought to play a major role in preventing hamstring injuries, the relationship between hamstring flexibility and hamstring injuries remains unclear. Purpose: To investigate the relationship between hamstring flexibility and hamstring injuries in male amateur soccer players. Study Design: Case-control study; Level of evidence, 3. Methods: This study included 450 male first-class amateur soccer players (mean age, 24.5 years). Hamstring flexibility was measured by performing the sit-and-reach test (SRT). The relationship between hamstring flexibility and the occurrence of hamstring injuries in the following year, while adjusting for the possible confounding effects of age and previous hamstring injuries, was determined with a multivariate logistic regression analysis. Results: Of the 450 soccer players, 21.8% reported a hamstring injury in the previous year. The mean (±SD) baseline score for the SRT was 21.2 ± 9.2 cm. During the 1-year follow-up period, 23 participants (5.1%) suffered a hamstring injury. In the multivariate analysis, while adjusting for age and previous injuries, no significant relationship was found between hamstring flexibility and hamstring injuries ( P = .493). Conclusion: In this group of soccer players, hamstring flexibility (measured with the SRT) was not related to hamstring injuries. Age and previous hamstring injuries as possible confounders did not appear to influence this relationship. Other etiological factors need to be examined to further elucidate the mechanism of hamstring injuries.

scholarly journals Validity of an On-Field Readaptation Program Following a Hamstring Injury in Professional Soccer

2019 ◽  
Vol 28 (6) ◽  
Author(s):  
Sergio Jiménez-Rubio ◽  
Archit Navandar ◽  
Jesús Rivilla-García ◽  
Victor Paredes-Hernández
Keyword(s):  
Neuromuscular Control ◽  
Rehabilitation Program ◽  
Lower Limbs ◽  
Return To Play ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Strength And Conditioning ◽  
Hamstring Strain ◽  
Professional Soccer ◽  
Hamstring Injuries

Context: Despite the presence of various injury prevention programs, the rate of hamstring injuries and reinjuries is increasing in soccer, warranting the need for a soccer-specific rehabilitation program. Objective: To develop and validate a new, functional on-field program for the rehabilitation and readaptation of soccer players after a hamstring strain injury through a panel of experts; and determine the usefulness of the program through its application in professional soccer players. Design: A 13-item program was developed, which was validated by a panel of experts and later applied to professional soccer players. Setting: Soccer training ground. Participants: Fifteen strength and conditioning and rehabilitation fitness coaches with a professional experience of 15.40 (1.57) years in elite clubs and national teams in Europe validated the program. The program was later applied to 19 professional soccer players of the Spanish First Division (La Liga). Interventions: Once a player sustained a clinically diagnosed injury, the player would first be subject to mobilization and strengthening exercises in the gym after undergoing treatment by percutaneous needle electrolysis. The player would then complete an on-field readaptation program consisting of 13 drills arranged in a progressive manner in terms of complexity. The drills integrated various aspects of repeated sprint abilities, retraining and reeducation of biomechanical patterns, and neuromuscular control of the core and lower limbs. Main Outcome Measures: Aiken’s V for each item of the program and number of days taken by the players to return to play. Results: The experts evaluated all items of the program very highly, as seen from Aiken’s V values between 0.78 and 0.98 (0.63–0.99) for all drills, while the return to play was in 22.42 (2.32) days. Conclusion: This program has the potential to help a player suffering from a hamstring strain injury to adapt to real-match conditions in the readaptation phase through the application of sports-specific drills that were very similar to the different injury mechanisms.

scholarly journals Analysis of trunk muscle EMG during rotational motion

2021 ◽  
Author(s):  
Nika Zolfaghari
Keyword(s):  
Rotational Motion ◽  
Muscle Activity ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Wheelchair Users ◽  
Area Of Interest ◽  
Shoulder Muscles ◽  
Seated Balance ◽  
The Subject ◽  
Rotational Direction

The study of seated balance, specifically for the application of wheelchair users, has been an area of interest for quite some time. Unfortunately, most of the available studies to date have focused on upper limb and shoulder muscles, and little has been done analyzing the activity of trunk muscles (abdominal and back). For the purpose of this study, motorized rotational motion in the forward and backward directions at ±45 degrees was simulated, and the corresponding trunk muscle activity of nine healthy subjects was recorded by surface electromyography (EMG) for eight muscles, including an analysis on the effect of holding on to a harness for support, coupled with the presence of a visual input. The collected raw data was filtered, and the produced results illustrated that the muscle activity was greatest in the forward rotational direction, when the subject was holding on to a harness for support, with visuals present.

The Effects of Lifting Posture on Trunk Muscle Activity

1992 ◽  
Vol 36 (10) ◽  
pp. 742-746
Author(s):  
Christopher A. Hamrick ◽  
Sean Gallagher
Keyword(s):  
Muscle Activity ◽  
Latissimus Dorsi ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Oblique Muscle ◽  
Left And Right ◽  
External Oblique ◽  
Four Levels ◽  
The Right ◽  
Guidelines And Recommendations

Trunk muscle activity of twelve healthy males with coal mining experience was examined while each subject lifted a box under various conditions. The independent variables were four levels of posture (kneeling, stooped under a 1.2 m roof, stooped under a 1.6 m roof, and standing), height to which the box was lifted (35 cm or 70 cm), and weight of the lifting box (15 kg, 20 kg, or 25 kg). The dependent variables were the peak EMG values recorded during a lift for each of eight trunk muscles (left and right erectores spinae, left and right latissimus dorsi, left and right external oblique, and left and right rectus abdominis). Posture and weight of lift significantly affected peak activity of the left and right erectores spinae, the left and right latissimus dorsi muscles, and the right external oblique muscle. The latissimus dorsi muscle activity was highest in the low stooping posture, and was lowest in the kneeling posture, while erectores spinae activity was highest in the kneeling posture and decreased as the trunk became more flexed. Thus, the muscle activity during lifting tasks is affected by restricting a worker's posture. Consequently, many lifting guidelines and recommendations currently in use may not be directly applicable to work being performed in restricted postures.

Immediate changes in chest mobility and trunk muscle activity during pelvic tilt following different trunk muscle exercises

2021 ◽  
pp. 1-10
Author(s):  
Kazuma Uebayashi ◽  
Yu Okubo ◽  
Takuya Nishikawa ◽  
Taro Morikami ◽  
Jindo Hatanaka
Keyword(s):  
Muscle Activity ◽  
Repeated Measures ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Abdominal Muscles ◽  
Kinematic Data ◽  
Repeated Measures Analysis ◽  
Before And After ◽  
Posterior Tilt ◽  
Increased Activity

BACKGROUND: Given the characteristics of the superficial trunk muscles that cross the chest and pelvis, their excessive contraction might limit chest mobility. OBJECTIVE: To examine the immediate effects of two types of trunk muscle exercises on chest mobility and trunk muscle activities. METHODS: Fourteen healthy men (age: 21.1 ± 1.0 years, height: 172.7 ± 5.6 cm, weight: 61.0 ± 7.1 kg, body mass index: 20.4 ± 1.7 kg/m2; mean ± SD) randomly performed trunk side flexion and draw-in exercises using a cross-over design. The chest kinematic data and trunk muscle activities were measured before and after each intervention during the following tasks: maximum inspiration/expiration and maximum pelvic anterior/posterior tilt while standing. Two-way repeated measures analysis of variance was used for statistical analysis (P< 0.05). RESULTS: After the side flexion, upper and lower chest mobility significantly decreased, and superficial trunk muscle activity significantly increased during the maximum pelvic anterior tilt (P< 0.05). Additionally, after the draw-in, upper chest mobility significantly increased during the maximum pelvic anterior tilt (P< 0.05). CONCLUSIONS: Increased activity of the superficial abdominal muscles might limit chest mobility during maximum pelvic anterior tilt. Conversely, the facilitation of deep trunk muscles might increase upper chest mobility during the maximum pelvic anterior tilt.

Validation and comparison of trunk muscle activities in male participants during exercise using an innovative device and abdominal bracing maneuvers

2021 ◽  
pp. 1-8
Author(s):  
Yuki Kurokawa ◽  
Satoshi Kato ◽  
Satoru Demura ◽  
Kazuya Shinmura ◽  
Noriaki Yokogawa ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Voluntary Contraction ◽  
Trunk Muscle ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Activity Levels ◽  
Significant Difference ◽  
External Oblique ◽  
Internal Oblique

BACKGROUND: Abdominal bracing is effective in strengthening the trunk muscles; however, assessing performance can be challenging. We created a device for performing abdominal trunk muscle exercises. The effectiveness of this device has not yet been evaluated or compared OBJECTIVE: We aimed to quantify muscle activity levels during exercise using our innovative device and to compare them with muscle activation during abdominal bracing maneuvers. METHODS: This study included 10 men who performed abdominal bracing exercises and exercises using our device. We measured surface electromyogram (EMG) activities of the rectus abdominis (RA), external oblique, internal oblique (IO), and erector spinae (ES) muscles in each of the exercises. The EMG data were normalized to those recorded during maximal voluntary contraction (%EMGmax). RESULTS: During the bracing exercise, the %EMGmax of IO was significantly higher than that of RA and ES (p< 0.05), whereas during the exercises using the device, the %EMGmax of IO was significantly higher than that of ES (p< 0.05). No significant difference was observed in the %EMGmax of any muscle between bracing exercises and the exercises using the device (p= 0.13–0.95). CONCLUSIONS: The use of our innovative device results in comparable activation to that observed during abdominal bracing.

Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer

2011 ◽  
Vol 39 (11) ◽  
pp. 2296-2303 ◽  
Author(s):  
Jesper Petersen ◽  
Kristian Thorborg ◽  
Michael Bachmann Nielsen ◽  
Esben Budtz-Jørgensen ◽  
Per Hölmich
Keyword(s):  
Training Program ◽  
Intervention Group ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Control Group ◽  
Eccentric Training ◽  
Preventive Effect ◽  
Injury Rates ◽  
Hamstring Injuries ◽  
Recurrent Injury

Background: The incidence of acute hamstring injuries is high in several sports, including the different forms of football. Purpose: The authors investigated the preventive effect of eccentric strengthening of the hamstring muscles using the Nordic hamstring exercise compared with no additional hamstring exercise on the rate of acute hamstring injuries in male soccer players. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Fifty Danish male professional and amateur soccer teams (942 players) were allocated to an intervention group (461 players) or a control group (481 players). Players in the intervention group conducted a 10-week progressive eccentric training program followed by a weekly seasonal program, whereas players in the control group followed their usual training program. The main outcome measures were numbers of overall, new, and recurrent acute hamstring injuries during 1 full soccer season. Results: Fifty-two acute hamstring injuries in the control group compared with 15 injuries in the intervention group were registered. Comparing intervention versus the control group, overall acute hamstring injury rates per 100 player seasons were 3.8 versus 13.1 (adjusted rate ratio [RR], 0.293; 95% confidence interval [CI], 0.150-0.572; P < .001). New injury rates per 100 player seasons were 3.1 versus 8.1 (RR, 0.410; 95% CI, 0.180-0.933; P = .034), whereas recurrent injury rates per 100 player seasons were 7.1 versus 45.8 (RR, 0.137; 95% CI, 0.037-0.509; P = .003). Number needed to treat [NNT] to prevent 1 acute hamstring injury (new or recurrent) is 13 (95% CI, 9-23) players. The NNT to prevent 1 new injury is 25 (95% CI, 15-72) players, and NNT to prevent 1 recurrent injury is 3 (95% CI, 2-6) players. Conclusion: In male professional and amateur soccer players, additional eccentric hamstring exercise decreased the rate of overall, new, and recurrent acute hamstring injuries.

scholarly journals Analysis of trunk muscle EMG during rotational motion

2021 ◽  
Author(s):  
Nika Zolfaghari
Keyword(s):  
Rotational Motion ◽  
Muscle Activity ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Wheelchair Users ◽  
Area Of Interest ◽  
Shoulder Muscles ◽  
Seated Balance ◽  
The Subject ◽  
Rotational Direction

The study of seated balance, specifically for the application of wheelchair users, has been an area of interest for quite some time. Unfortunately, most of the available studies to date have focused on upper limb and shoulder muscles, and little has been done analyzing the activity of trunk muscles (abdominal and back). For the purpose of this study, motorized rotational motion in the forward and backward directions at ±45 degrees was simulated, and the corresponding trunk muscle activity of nine healthy subjects was recorded by surface electromyography (EMG) for eight muscles, including an analysis on the effect of holding on to a harness for support, coupled with the presence of a visual input. The collected raw data was filtered, and the produced results illustrated that the muscle activity was greatest in the forward rotational direction, when the subject was holding on to a harness for support, with visuals present.

Evidence for constancy in the modularity of trunk muscle activity preceding reaching: Implications for the role of preparatory postural activity.

2021 ◽  
Author(s):  
Alexander Stamenkovic ◽  
Lena H Ting ◽  
Paul J Stapley
Keyword(s):  
Muscle Activity ◽  
Center Of Mass ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Equilibrium Constraints ◽  
Postural Adjustments ◽  
Postural Activity ◽  
Postural Muscle ◽  
Mass Displacement ◽  
Base Of Support

Postural muscle activity precedes voluntary movements of the upper limbs. The traditional view of this activity is that it anticipates perturbations to balance caused by the movement of a limb. However, findings from reach-based paradigms have shown that postural adjustments can initiate center of mass displacement for mobility, rather than minimize its displacement for stability. Within this context, altering reaching distance beyond the base of support would place increasing constraints on equilibrium during stance. If the underlying composition of anticipatory postural activity is linked to stability, coordination between muscles (i.e., motor modules) may evolve differently as equilibrium constraints increase. We analyzed the composition of motor modules in functional trunk muscles as participants performed multi-directional reaching movements to targets within and beyond arm's length. Bilateral trunk and reaching arm muscle activity were recorded. Despite different trunk requirements necessary for successful movement, and the changing biomechanical (i.e. postural) constraints that accompany alterations in reach distance, Non-negative Matrix Factorization identified functional motor modules derived from preparatory trunk muscle activity that shared common features. Relative similarity in modular weightings (i.e., composition) and spatial activation profiles that reflect movement goals across tasks necessitating differing levels of trunk involvement provides evidence that preparatory postural adjustments are linked to the same task priorities (i.e. movement generation rather than stability).

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