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1.
Abstract

This prospective cohort study described return-to-play (RTP) data for different types of muscle injuries in male elite-level football players in Europe. Eighty-nine European professional teams were followed between 2001 and 2013. Team medical staff recorded individual player exposure and time-loss injuries. A total of 17,371 injuries occurred, including 5603 (32%) muscle injuries. From 2007, we received results from 386 magnetic resonance imaging (MRI) examinations, and radiological grading was performed. A negative MRI was associated with shorter recovery time (6 ± 7 days). Lay-off days were correlated with MRI grading of thigh muscle injuries (P < 0.001). Among hamstring injuries, 83% occurred to the biceps femoris, 12% affected the semimembranosus and 5% the semitendinosus. Recurrence rate was higher among biceps femoris injuries (18%) compared with semitendinosus and semimembranosus injuries (2% together). Groin muscle injuries caused shorter median absence (9 days) than hamstring (13 days; P < 0.001), quadriceps (12 days; P < 0.001) and calf muscle (13 days; P < 0.001) injuries. Overall, we found that MRI was valuable for prognosticating RTP, with radiological grading associated with lay-off times after injury. Re-injuries were common in biceps femoris injuries but rare in semitendinosus and semimembranosus injuries.  相似文献   

2.
Tensiomyography has been suggested as an indirect marker of muscle stiffness, which is associated with strength/power performance. Therefore, it is reasonable to suggest that tensiomyography parameters could be associated with power-related motor tasks. The purpose of this study was to investigate the association between tensiomyography parameters (from rectus and biceps femoris) and jumping and sprinting abilities in elite soccer players. In addition, we used tensiomyography parameters to compare the lateral symmetry between dominant and non-dominant legs. Twenty elite soccer players (age: 23.3 ± 4.8 years; height: 183.5 ± 6.6 cm; weight: 77.8 ± 7.5 kg) volunteered to participate in the study. Significant moderate negative correlations between biceps femoris displacement and contact time (r = –0.5, p = 0.03), rectus femoris displacement and contact time (r = –0.51, p = 0.02), and a significant moderate correlation between biceps femoris displacement and reactive strength index (r = 0.5, p = 0.03) were found. There were no correlations between tensiomyography parameters and power-related motor tasks. In addition, no differences in tensiomyography parameters between dominant and non-dominant legs were found. Our data suggest that tensiomyography parameters are not associated with power-related motor tasks performance in elite soccer players.  相似文献   

3.
Abstract

In this study, we examined hamstring muscle activation at different running speeds to help better understand the functional characteristics of each hamstring muscle. Eight healthy male track and field athletes (20.1 ± 1.1 years) performed treadmill running at 50%, 75%, 85%, and 95% of their maximum velocity. Lower extremity kinematics of the hip and knee joint were calculated. The surface electromyographic activities of the biceps femoris and semitendinosus muscles were also recorded. Increasing the running speed from 85% to 95% significantly increased the activation of the hamstring muscles during the late swing phase, while lower extremity kinematics did not change significantly. During the middle swing phase, the activity of the semitendinosus muscle was significantly greater than that of the biceps femoris muscle at 75%, 85%, and 95% of running speed. Statistically significant differences in peak activation time were observed between the biceps femoris and semitendinosus during 95%max running (P < 0.05 for stance phase, P < 0.01 for late swing phase). Significant differences in the activation patterns between the biceps femoris and semitendinosus muscles were observed as running speed was increased, indicating that complex neuromuscular coordination patterns occurred during the running cycle at near maximum sprinting speeds.  相似文献   

4.
The aims of this study were to investigate the effects of a 4-week intervention of static stretching (SS) on muscle hardness of the semitendinosus (ST), semimembranosus (SM) and biceps femoris (BF) muscles. Shear elastic modulus was measured by using ultrasound shear wave elastography as the index of muscle hardness. Thirty healthy men (age 22.7 ± 2.2 years) volunteered for this study and were randomly assigned to the SS intervention group (n = 15) or the control group (n = 15). Participants in the SS intervention group received a 4-week stretch intervention for the hamstrings of their dominant leg. Shear elastic moduli of the hamstrings were measured at initial evaluation and after 4 weeks in both groups at a determined angle. In all muscles, the shear elastic modulus decreased significantly after SS intervention. The percentage change in the shear elastic modulus from the value at initial evaluation to after 4 weeks intervention was greatest in the SM. These results suggest that SS intervention has chronic effects on reducing hardness of the hamstring muscle components, especially the SM muscle.  相似文献   

5.
We aimed to investigate neuromuscular activation of thigh muscles during track cycling at various speeds. Eight male competitive cyclists volunteered to participate in this study. Surface electromyography of the vastus lateralis, biceps femoris and adductor magnus muscles of the bilateral legs was recorded during track cycling on velodromes with a 250-m track. The participants were instructed to maintain three different lap times: 20, 18 and 16 s. The average rectified value (ARV) was calculated from the sampled surface electromyography. Significantly higher ARVs were observed in the right compared to left leg for the biceps femoris muscle during both straight and curved sections at 18- and 16-s lap times (P < 0.05). In the biceps femoris muscle, significant changes in ARVs during the recovery phase with an increase in speed were seen in the right leg only (P < 0.05). There were no significant differences in ARVs between the straight and curved sections for all three muscles (P > 0.05). From our findings, it was suggested that during track cycling on a velodrome the laterality of the biceps femoris muscle activity is a key strategy to regulate the speed, and fixed neuromuscular strategies are adopted between straight and curved sections for thigh muscles.  相似文献   

6.
Activation of the hamstrings has been discussed as a measure for reducing strain on the ACL during jump landings in alpine skiing. The current study tested the hypothesis that hamstring and quadriceps activation can be voluntarily increased by the athlete. Specifically, two different instructions – to increase hamstring activation or to increase upper-leg co-contraction – were compared to normal landings. Eight members of the German national and junior national squad in freestyle skiing (age 19.6 ± 3.8 years; weight 66.1 ± 13.2 kg; height 172.2 ± 7.7 cm) performed 12 jump landings on a prepared run, 4 with no specific instruction, 4 with the instruction to generally activate the thigh muscles, and 4 with the instruction to specifically activate the hamstrings. Electromyographic (EMG) signals were recorded on the biceps femoris (BF), semitendinosus (ST), vastus lateralis (VL), rectus femoris (RF) and vastus medialis (VM). EMG activation levels were integrated over three landing phases and analysed with a repeated measures ANOVA. The instruction produced a significant main effect in ST (p = .026), VM (p = .032) and RF (p = .001). Contrary to previous research, the current study suggests that hamstring muscle activation levels can be voluntarily increased during jump landing, particularly in co-activation with its antagonists.  相似文献   

7.
Abstract

The objective of this study was to determine whether sprint performance is related to the mechanical (elongation – force relationship of the tendon and aponeurosis, muscle strength) and morphological (fascicle length, pennation angle, muscle thickness) properties of the quadriceps femoris and triceps surae muscle – tendon units. Two groups of sprinters (slow, n = 11; fast, n = 17) performed maximal isometric knee extension and plantar flexion contractions on a dynamometer at 11 different muscle – tendon unit lengths. Elongation of the tendon and aponeurosis of the gastrocnemius medialis and the vastus lateralis was measured using ultrasonography. We observed no significant differences in maximal joint moments at the ankle and knee joints or morphological properties of the gastrocnemius medialis and vastus lateralis between groups (P > 0.05). The fast group exhibited greater elongation of the vastus lateralis tendon and aponeurosis at a given tendon force, and greater maximal elongation of the vastus lateralis tendon and aponeurosis during maximum voluntary contraction (P < 0.05). Furthermore, maximal elongation of the vastus lateralis tendon and aponeurosis showed a significant correlation with 100-m sprint times (r = ?0.567, P = 0.003). For the elongation – force relationship at the gastrocnemius medialis tendon and aponeurosis, the two groups recorded similar values. It is suggested that the greater elongation of the vastus lateralis tendon and aponeurosis of the fast group benefits energy storage and return as well as the shortening velocity of the muscle – tendon unit.  相似文献   

8.
The aim of this study was to compare the musculature activity and kinematics of knee and hip joints during front and back squat with maximal loading. Two-dimensional kinematical data were collected and electromyographic activities of vastus lateralis, vastus medialis, rectus femoris, semitendinosus, biceps femoris, gluteus maximus and erector spinae were measured while participants (n = 12, 21.2 ± 1.9 years old) were completing front and back squat exercises with maximum loading. Paired sample t-test was used for comparisons between two techniques. Results showed that the electromyographic activity of vastus medialis was found to be greater in the front squat compared to the back squat during the ascending phase (P < 0.05, d = 0.62; 95% CI, ?15.0/?4.17) and the whole manoeuvre (P < 0.05, d = 0.41; 95% CI, ?12.8/?0.43), while semitendinosus (P < 0.05, d = ?0.79; 95% CI, 0.62/20.59) electromyographic activity was greater in the back squat during the ascending phase. Compared to the front squat version, back squat exhibited significantly greater trunk lean, with no differences occurring in the knee joint kinematics throughout the movement. Results may suggest that the front squat may be preferred to the back squat for knee extensor development and for preventing possible lumbar injuries during maximum loading.  相似文献   

9.
ABSTRACT

A possible link between soccer-specific injuries, such as groin pain and the action of hip adductor muscles has been suggested. This study aimed to investigate neuromuscular activation of the adductor magnus (AM) and longus (AL) muscles during instep and side-foot soccer kicks. Eight university soccer players performed the two types of kick at 50%, 75% and 100% of the maximal ball speed. Surface electromyography (EMG) was recorded from the AM, AL, vastus lateralis (VL) and biceps femoris (BF) muscles of both kicking and supporting legs and the kicking motions were three-dimensionally captured. In the kicking leg, an increase in surface EMG with an increase in ball speed during instep kicking was noted in the AM muscle (p < 0.016), but not in AL, VL or BF muscles (p > 0.016). In the supporting leg, surface EMG of both AM and AL muscles was significantly increased with an increase in the ball speed before ball impact during both instep and side-foot kicks (p < 0.016). These results suggest that hip adductor muscles markedly contribute to either the kicking or supporting leg to emphasise the action of soccer kicks.  相似文献   

10.
The aim was to compare fear of re-injury, patient reported function, static and dynamic tibial translation and muscle strength assessed before and 5 weeks after an anterior cruciate ligament (ACL) reconstruction between individuals who sustained a subsequent ACL graft rupture or a contralateral ACL injury within 5 years after the reconstruction, and individuals with no subsequent injury. Nineteen patients were investigated before, and 5 weeks after an ACL reconstruction with a quadruple hamstring tendon graft. At 5 years follow up, 3 patients had sustained an ACL graft rupture and 2 patients had sustained a contralateral ACL rupture. Fear of re-injury, confidence with the knee, patient reported function, activity level, static and dynamic tibial translation and muscle strength were assessed. The re-injured group reported greater fear of re-injury and had greater static tibial translation in both knees before the ACL reconstruction compared to those who did not sustain another ACL injury. There were no other differences between groups. In conclusion, fear of re-injury and static tibial translation before the index ACL reconstruction were greater in patients who later on suffered an ACL graft rupture or a contralateral ACL rupture. These factors may predict a subsequent ACL injury.  相似文献   

11.
Abstract

We aimed to demonstrate the changes over time in the lengths and forces of the muscles crossing the hip joint during overground sprinting and investigate the relationships between muscle lengths and muscle–tendon unit forces – particularly peak biceps femoris force. We obtained three-dimensional kinematics during 1 running cycle from 8 healthy sprinters sprinting at maximum speed. Muscle lengths and muscle–tendon unit forces were calculated for the iliacus, rectus femoris, gluteus maximus, and biceps femoris muscles of the target leg as well as the contralateral iliacus and rectus femoris. Our results showed that during sprinting, the muscles crossing the hip joint demonstrate a stretch-shortening cycle and 1 or 2 peak forces. The timing of peak biceps femoris force, expressed as a percentage of the running cycle (mean [SD], 80.5 [2.9]%), was synchronous with those of the maximum biceps femoris length (82.8 [1.9]%) and peak forces of the gluteus maximus (83.8 [9.1]%), iliacus (81.1 [5.2]%), and contralateral iliacus (78.5 [5.8]%) and also that of the peak pelvic anterior tilt. The force of the biceps femoris appeared to be influenced by the actions of the muscles crossing the hip joint as well as by the pelvic anterior tilt.  相似文献   

12.
This study investigated the acute fatigue pattern in neuromuscular activity after a simulated Boccia game and the effect of fatigue pattern on sport performance. Nine elite Boccia athletes were tested before, during, and after a simulated game. Maximum ball speed was captured with video, and the target hitting rate and rating of perceived exertion (RPE) score were collected and analyzed. Electromyography signals from the upper trapezius, anterior deltoid, posterior deltoid, biceps brachii, triceps brachii, and wrist extensor muscles were collected by surface electrode and were evaluated with mean power frequency (MPF). Only the upper trapezius muscle showed fatigue as demonstrated by a reduction of MPF of 8% (p = 0.027) when comparing the first and last throws in a simulated game. Subjective RPE score increased during the game (118%, p = 0.004), and sports performance in terms of maximum ball speed (-12%, p = 0.004) and target hitting rate (-25%, p = 0.004) also deteriorated. In conclusion, fatigue on the upper trapezius muscle was demonstrated in elite Boccia athletes following a prolonged Boccia game and may have affected Boccia performance. Preventative measures against upper trapezius muscle fatigue and endurance training for synergists of the upper trapezius muscle may be considered in future studies.  相似文献   

13.
Abstract

We compared starters and non-starters for various isokinetic strength variables in elite women’s soccer players. A convenience sample of 10 starters (mean ± s; age = 20 ± 2 years; height = 170 ± 4 cm; body mass = 65 ± 5 kg) and 7 non-starters (age = 20 ± 1 years; height = 164 ± 3 cm; body mass = 63 ± 4 kg) performed maximal voluntary muscle actions of the leg extensors (concentric) and flexors (eccentric) on an isokinetic dynamometer in order to measure concentric peak torque for the leg extensors, eccentric peak torque for the leg flexors, and the functional hamstrings:quadriceps (H:Q) ratio at 1.047 rad · s-1 and 4.189 rad · s-1 concentric peak torque for the leg extensors was not different between starters and non-starters. However, it was greater at 1.047 rad · s-1 than at 4.189 rad · s-1 in both groups. Eccentric peak torque for the leg flexors was greater for the starters versus non-starters at 4.189 rad · s-1. Eccentric strength of the leg flexors at fast movement velocities may be used as an effective physiological profile and may discriminate between playing status in elite women’s soccer players.  相似文献   

14.
The potential to use the vertical jump (VJ) to assess both athletic performance and risk of anterior cruciate ligament (ACL) injury could have widespread clinical implications since VJ is broadly used in high school, university, and professional sport settings. Although drop jump (DJ) and VJ observationally exhibit similar lower extremity mechanics, the extent to which VJ can also be used as screening tool for ACL injury risk has not been assessed. This study evaluated whether individuals exhibit similar knee joint frontal plane kinematic and kinetic patterns when performing VJs compared with DJs. Twenty-eight female collegiate athletes performed DJs and VJs. Paired t-tests indicated that peak knee valgus angles did not differ significantly between tasks (p = 0.419); however, peak knee internal adductor moments were significantly larger during the DJ vs. VJ (p < 0.001). Pearson correlations between the DJ and VJ revealed strong correlations for knee valgus angles (r = 0.93, p < 0.001) and for internal knee adductor moments (r = 0.82, p < 0.001). Our results provide grounds for investigating whether frontal plane knee mechanics during VJ can predict ACL injuries and thus can be used as an effective tool for the assessment of risk of ACL injury in female athletes.  相似文献   

15.
运用表面肌电和高速摄影同步技术,结合功能解剖学,分析王北星途中滑跑单步周期腿部肌电特征,进行技术诊断。结果表明：（1）王北星左腿力量大于右腿符合速滑项目特征,但左腿支撑时重心高于右腿,说明左腿仍属弱势腿;（2）王北星胫骨前肌是踝关节运动主要用力肌肉,是单步周期主要用力肌肉之一,摆动期出现多余放电;（3）王北星蹬冰期股四头肌和股后肌群肌电振幅呈双峰现象,股内肌、股外肌、股二头肌和半腱肌是主要用力肌肉;（4）王北星左右腿蹬冰期蹬冰肌群肌肉用力方式不一致。教练组应根据王北星腿部肌电特征,有针对性的设计训练方法。  相似文献   

16.
Many sports associated with anterior cruciate ligament (ACL) injury require athletes attend to a ball during participation. We investigated effects of attending to a ball on lower extremity mechanics during a side-cut maneuver and if these effects are consistent for males and females. Sagittal and frontal plane hip and knee kinematics and joint moments were measured during side-cut maneuvers in 19 male and 19 female National Collegiate Athletic Association division III basketball players. Participants also experienced two side-cut conditions that required attention to a ball. Our results did not indicate that the effect of attention varies with gender. However, during side-cut conditions while attending to a ball, internal knee adductor moment was 20% greater (p = 0.03) and peak knee flexion angle was 4° larger (p < 0.01). Females demonstrated 5° less hip flexion (p = 0.046), 12° less knee flexion (p < 0.01), and 4° more knee abduction (p = 0.026) at initial contact during all side-cut conditions than males. Attention to a ball may affect lower extremity mechanics relevant to ACL injury. The validity of laboratory studies of lower extremity mechanics for sports that include attention to a ball may be increased if participants are required to attend to a ball during the task.  相似文献   

17.
ABSTRACT

Ankle sprains are the most common injury in regular badminton players and usually occur at the end of a match or training. The purpose of the present study was to examine the influence of fatigue produced by badminton practice on the lower limb biomechanics of badminton players. It was hypothesized that fatigue induces ankle kinematic and lower leg muscle activity changes which may increase the risk of ankle sprain. Ankle kinematics, ankle kinetics and muscles activities of 17 regular badminton players were recorded during lateral jumps before and after an intense badminton practice session. Post-fatigue, ankle inversion at foot strike and peak ankle inversion increased (+2.6°, p = 0.003 and +2.5°, p = 0.005, respectively). EMG pre-activation within 100 ms before foot landing significantly decreased after fatigue for soleus (?23.4%, p = 0.031), gastrocnemius lateralis (?12.2%, p = 0.035), gastrocnemius medialis (?23.3%, p = 0.047) and peroneus brevis (?17.4%, p = 0.036). These results demonstrate impaired biomechanics of badminton players when fatigue increases, which may cause a greater risk of experiencing an ankle sprain injury.  相似文献   

18.

Purpose: This study compared the relative peak torque and normalized electromyographic (EMG) mean frequency (MNF) responses during fatiguing isokinetic muscle actions for men versus women. Method: Twenty men (M age ± SD = 22 ± 2 years) and 20 women (M age ± SD = 22 ± 1 years) performed 50 maximal concentric isokinetic muscle actions of the leg extensors at a velocity of 180°/s while surface EMG signals were detected from the vastus lateralis, rectus femoris, and vastus medialis. The dependent variables were initial, final, and average peak torque; percent decline; the estimated percentage of fast-twitch fibers for the vastus lateralis; and the linear slope coefficients and y-intercepts for normalized EMG MNF versus repetition number. The data were analyzed with independent-samples t tests and 2-way mixed-factorial analyses of variance. Results: The mean initial, final, and average peak torque values for men were greater than those for women. There were no mean differences for percent decline and the estimated percentage of fast-twitch fibers for the vastus lateralis. There were also no sex differences for the linear slope coefficients, but there were differences among the muscles (vastus medialis>vastus lateralis>rectus femoris). The mean y-intercept for the vastus lateralis for men was greater than that for women. Conclusions: Men demonstrated greater peak torque values than those for women, but the declines in peak torque and normalized EMG MNF were similar between the sexes. The vastus medialis was more fatigue-resistant than both the vastus lateralis and rectus femoris.  相似文献   

19.
Abstract

The purpose of this study was to compare one-repetition maximum (1-RM) and muscle activity in three chest-press exercises with different stability requirements (Smith machine, barbell, and dumbbells). Twelve healthy, resistance-trained males (age 22.7 ± 1.7 years, body mass 78.6 ± 7.6 kg, stature 1.80 ± 0.06 m) were tested for 1-RM of the three chest-press exercises in counterbalanced order with 3–5 days of rest between the exercises. One-repetition maximum and electromyographic activity of the pectoralis major, deltoid anterior, biceps, and triceps brachii were recorded in the exercises. The dumbbell load was 14% less than that for the Smith machine (P ≤ 0.001, effect size [ES] = 1.05) and 17% less than that for the barbell (P ≤ 0.001, ES = 1.11). The barbell load was ～3% higher than that for the Smith machine (P = 0.016, ES = 0.18). Electrical activity in the pectoralis major and anterior deltoid did not differ during the lifts. Electrical activity in the biceps brachii increased with stability requirements (i.e. Smith machine <barbell <dumbbells; P ≤ 0.005; ES = 0.57, 1.46, and 2.00, respectively), while triceps brachii activity was reduced using dumbbells versus barbell (P = 0.007, ES = 0.73) and dumbbells versus Smith machine (P = 0.003, ES = 0.62). In conclusion, high stability requirements in the chest press (dumbbells) result in similar (pectoralis major and anterior deltoid), lower (triceps brachii) or higher (biceps brachii) muscle activity. These findings have implications for athletic training and rehabilitation.  相似文献   

20.
Recently, addition of a gymnastics glide kip to a standard pull-up (SPU) has resulted in the kipping pull-up (KPU). Changes in muscle activation and kinematics were evaluated with eleven athletes performing sets of 5 SPU and 5 KPU. Surface electromyography of upper body and lower body muscles was recorded along with movement kinematics obtained via markers and motion tracking software. Most kinematic variables were significantly higher in the KPU including (KPU minus SPU deg): Max hip angle (48.8° ± 6.8°, p < 0.001) and max knee angle (56.5° ± 11.3°, p < 0.001). The recruitment of core and lower body muscles was significantly higher in the KPU (% MVIC increase): rectus abdominis (28.7 ± 4.7%, p < 0.001), external oblique (21.8 ± 4.1%, p < 0.001), iliopsoas (26.1 ± 5.5%, p = 0.001) and tensor fasciae latae (13.5 ± 2.3%, p < 0.001). Correspondingly, the biceps brachii had lower activation in the KPU (% MVIC decrease): (26.7 ± 0.6%, p = 0.006). Depending on the athlete’s goal, they may elect to perform an SPU for higher upper body muscle activation; or the KPU for more full-body activation with the potential to perform more repetitions through reduced upper body fatigue.  相似文献   

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