Comparison of Isokinetic Strength and Flexibility Measures Between Hamstring Injured and Non-injured Athletes PDF Download

Author: Teddy Wilchere Worrell
Publisher:
ISBN:
Category : Muscle strength
Languages : en
Pages : 216

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Author: Stephen William Diakow
Publisher:
ISBN:
Category :
Languages : en
Pages : 318

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Author: Kristian Thorborg
Publisher: Springer Nature
ISBN: 3030316386
Category : Medical
Languages : en
Pages : 353

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This innovative book presents the latest insights into hamstring strain injuries (HSI), one of the most common problems in elite and recreational sport, with a unique focus on prevention and rehabilitation. The research within this area has evolved rapidly over the past 10 years and this text offers a comprehensive overview of the recent and most relevant advances. It fills a gap in the literature, since other books focus on muscle injuries in general and their surgical treatment.Structured around the current evidence in the field, it includes sections on functional anatomy and biomechanics; basic muscle physiology in relation to injury and repair; assessment of risk factors; and factors associated with hamstring strains. It also discusses considerations in relation to acute and chronic injuries and hamstring injury prevention, including pre-season and in-season interventions, as well as management strategies and rehabilitation protocols. The final chapter is devoted to additional interventions when conservative rehabilitation and injury prevention fail. Written by renowned experts in the field, this book will be of great interest to sports physiotherapists, sports physicians, physical trainers and coaches.

Author: Mahmut Nedim Doral
Publisher: Springer Nature
ISBN: 3642365698
Category : Medical
Languages : en
Pages : 3295

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Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.

Author: Richard Allen Bingham
Publisher:
ISBN:
Category :
Languages : en
Pages : 166

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Author: Lee E. Brown
Publisher: Human Kinetics
ISBN: 9780736000055
Category : Health & Fitness
Languages : en
Pages : 480

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Table of Contents Contributors vii Preface ix Acknowledgments xi Credits xii Part I Foundations 1 Chapter 1 Test Interpretation 3 Chapter 2 Specificity of Training Modes 25 Chapter 3 Correlations With Athletic Performance 42 Part II Limitations 75 Chapter 4 Assessing Human Performance 77 Chapter 5 Load Range 97 Chapter 6 Three-Dimensional Mapping 122 Part III Functional Applications 147 Chapter 7 Testing and Training the Upper Extremity 149 Chapter 8 Testing and Training the Lower Extremity 171 Chapter 9 Multiple-Joint Performance Over a Velocity Spectrum 196 Chapter 10 Control of Voluntary Contraction Force 209 Chapter 11 Isokinetic Eccentric Muscle Actions 229 Chapter 12 Functional Lift Capacity 240 Chapter 13 Testing the Spine 258 Chapter 14 The Cardiovascular Effects of Isokinetic Resistance Exercise 277 Part IV Unique Populations 297 Chapter 15 Youth and Isokinetic Testing 299 Chapter 16 Aging and Isokinetic Strength 324 Chapter 17 Gender Differences in Isokinetic Strength 339 Chapter 18 Isokinetic Testing and Training in Tennis 358 Chapter 19 Assessment and Training in Baseball 378 Chapter 20 Assessment for Football: Soccer, Australian Rules, and American 407 Chapter 21 Simulated Space Flight 429 Epilogue 446 Index 447 About the Editor 457.

Author: Mark Dutton
Publisher: Jones & Bartlett Learning
ISBN: 1284167283
Category : Medical
Languages : en
Pages : 820

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With a new full-color design and art program Orthopaedics for the Physical Therapist Assistant, Second Edition presents a broad overview of the field of orthopaedics. Written for students studying to become a physical therapist assistant, this text is unique in that it combines kinesiology, orthopedic management, and therapeutic exercise, relating anatomy and kinesiology to the examination and pathology of each of the joints. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Author: Hollie Samantha Forbes
Publisher:
ISBN:
Category :
Languages : en
Pages :

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The primary aim of the current project was to investigate the isokinetic muscular strength and performance of elite male youth footballers, and the relationships with age, seasonal variation and injury. A secondary aim was to use the information gathered to target muscle strain injury prevention strategies to particular age groups and times, and evaluate the effect. The primary aim was achieved by establishing normative patterns for muscular strength and performance of elite male youth footballers (grouped according to chronological and biological age) across a competitive season of youth football in Chapters Four and Five. Isokinetic muscular strength (characterised by peak torque (PT) and peak torque relative to body weight (PTBW)) of the hamstrings (H) and quadriceps (Q) using both concentric (CQ, CH) and eccentric muscle actions (EH) was evaluated. Muscular performance of the same muscle groups (characterised by H:Q ratios (conventional (CHQ) functional (FHQ)), asymmetry (dominant (dom):non dominant (ndom) leg ratios (e.g. CQ:CQ)), and angle of peak torque (AoPT)) was also investigated which necessitated an isokinetic speed of 60 °/s. Isokinetic evaluation was completed three times over the course of a regular playing season (start of season (SS) mid season (MS) and end of season (ES)). Participants were grouped according to chronological age (n=152, under 12 (U12) - under 18 (U18)) and biological maturation (according to Pubertal Development Scale (PDS 1 - 5) n=134). Forty seven participants completed SS, MS and ES isokinetic evaluation. Bilateral isokinetic evaluation consisted of five maximal repetitions of CQ and CH, followed by five repetitions of EH, leg dominance was counter-balanced. Repetitions two-four were used to calculate PT, PTBW, dom:ndom and AoPT for CQ, CH and EH, CHQ and FHQ; these measures were compared across chronological and biological age groups using a mixed model ANOVA. Dom:ndom CQ, CH and EH were compared across chronological and biological age groups using a one way ANOVA, while the relationship between AoPT and PT/PTBW was considered using a Pearson's correlation. Additionally, the relationship between chronological and biological age, and PT/PTBW was investigated using a mixed model ANOVA within PDS group three. For analysis of seasonal variation a mixed model ANOVA was applied for all isokinetic measurements which considered time (SS, MS, ES), leg dominance (dom, ndom) and age group (U12 -U15) with a further mixed model ANOVA performed on CQ:CQ, CH:CH and EH:EH. Where appropriate SIDAK corrections were applied and the level of significance was accepted at p≤0.05. The main findings were that youth footballers did not increase their PT and PTBW EH in-line with CQ and CH as chronological and biological ageing progressed, this lead to a significant FHQ imbalance at U18. Dom:ndom CH comparisons identified that the chronologically younger and biologically less developed groups displayed a significantly stronger dom leg which may be explained through the concepts of skill acquisition and trainability. Biological age was not found to exert any additional effect over and above that of chronological ageing as significant differences in muscle strength still existed according to chronological age group within PDS group three. Additionally, AoPT EH and PT EH were found to be significantly negatively correlated on both legs which supported a potential mechanism for non contact hamstring muscle strain injury during running. Analysis of seasonal variation revealed that all PTBW measures showed a MS decrease. This may be related to breaks in normal training activity and links appropriately to times of peak injury incidence highlighted in youth football. In order to achieve the secondary aim of the current project Chapters Four, Five and Six investigated the relationship between isokinetic muscular strength and performance, muscle strain injury of the thigh, and injury risk attenuation. A retrospective and prospective injury audit was undertaken for the elite male youth football participants. For the retrospective approach participants were grouped according to chronological age (n=147) or biological age (n=128) and indicated using a self-report injury form their history (ever, (Hx)) or recent history (12 months, (Hx12)) of hamstring, quadriceps and adductor injuries. Approximately each player had an Hx of muscle strain injury and 0.56-0.59 of players had an Hx12. The hamstrings were the most commonly injured muscle group and the prevalence of muscle strain injury Hx and Hx12 increased with chronological and biological age. The prospective audit (n=50) identified that 0.16 of players sustained a muscle strain injury during the season, 0.08 of these being to the hamstrings. Between group comparisons (one way ANOVA with SIDAK correction) were also performed to investigate the difference in isokinetic measures between those participants who had an Hx12 of muscle strain injury and those who did not. It was discovered that for Hx12 of an injury to the dom hamstrings the injured group had less PTBW CH and EH on the dom leg. The injured group also had more inner range AoPT CH. These findings linked appropriately to the reported mechanisms and risk factors for hamstring injury but the exact direction of cause and effect could not be established. To this end a logistic regression analysis was undertaken in an attempt to predict which group (injured vs. non injured the 50 participants would belong to, using evidenced based risk factors in the experimental model. No predictive relationship between risk factors (including altered isokinetic muscular strength and performance) could be established. The information regarding the relationship between injury and muscular strength and performance may highlight a role for isokinetic screening to ensure adequate rehabilitation from injury. Injury risk attenuation strategies were investigated through an exercise intervention using the U18 age group following a break from football activity. The participants were split based on their FHQ at initial isokinetic evaluation (via odd and even placing) to form control (n=8) and intervention groups (n=8). Isokinetic evaluation was conducted as previously outlined and the exercise intervention targeted the hamstrings. Only six of the control group and seven of the intervention group completed the study and were compared using a mixed model ANOVA. Results showed that the intervention group were not significantly different to the control group post intervention for any of the isokinetic muscular strength and performance measures, though both groups significantly improved over time for the ndom leg CHQ and PTBW EH, and FHQ improved for both legs. Contamination of the control group may explain the lack of significant difference between groups. However, the exercise intervention was not targeted to individuals who displayed prior alterations to isokinetic muscular strength and performance, and this approach was discussed using the results of one member of the intervention group. In summary, the current project achieved the stated aims by discovering normative patterns of isokinetic muscular strength and performance according to age and seasonal variation. Injury risk attenuation strategies were targeted appropriately to the U18 age group following a break from football activity. However, the applied evidence based exercise may have been more effective if targeted to 'risk' after isokinetic screening.

Author: Herbert Hatze
Publisher:
ISBN:
Category : Biological control systems
Languages : en
Pages : 244

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Author: Sally Waterworth
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Ix Flexibility has traditionally been considered an important component of human physical fitness but this conjecture lacks supporting empirical evidence. While there is extensive published research examining the relative importance of flexibility and the impact of various methods of stretching on levels of flexibility, performance and injury risk, the quality of studies has varied considerably, reliability and validity of methodology has not always been proven, and rationale has at times been questionable. Additionally, much literature has focused on static flexibility which is not necessarily related to properties of the musculotendinous unit and thus dynamic flexibility. This thesis was designed to fill gaps in the existing literature by using accepted methods to establish relative and absolute reliability of hamstring flexibility tests, consider the comparability of static and dynamic components of the global concept of flexibility and explore how dynamic flexibility and performance are influenced by fatiguing exercise and subsequent static stretching. The first aim was realised by a repeated measures study designed to establish the intraday and interday, intrarater reliability and measurement error of static and dynamic measures of hamstring flexibility. Significant relative reliability for measures of static and dynamic hamstring flexibility was demonstrated via intraclass correlation coefficient (3,1) but limits of agreement analysis indicated there was a degree of absolute measurement error that must be interpreted in relation to analytical goals. The second aim required evaluation of relationships shared by static and dynamic measures of hamstring flexibility. Significant relationships between the different static flexibility tests were established but the extent of unexplained variance indicated that only measurements from the same tests should be directly compared to each other. Relationships between different measures of dynamic flexibility and static flexibility varied from non-significant to moderately strong, suggesting that measures of static and dynamic flexibility are not identical and results should not be interchanged between the two types of tests. Due to a lack of explanatory empirical evidence, the final chapter aimed via a prospective randomised repeated measures study to investigate the impact of fatigue and post-exercise static stretching on measures of dynamic flexibility and performance. Fatigue resulted in no significant changes to passive or active dynamic flexibility measures but a significant worsening of static flexibility levels and perceived stiffness. Post-exercise stretch resulted in significantly increased passive and active energy absorption immediately and 18 hours post-exercise and in significantly reduced joint position sense immediately post-exercise. Effect sizes were small so the clinical meaningfulness of performing post-exercise static stretching is questionable, particularly if performed in place of other, potentially more beneficial practices.