Display options
Share it on

Int J Sports Phys Ther. 2018 Feb;13(1):66-76.

MAXIMAL HIP AND KNEE MUSCLE STRENGTH ARE NOT RELATED TO NEUROMUSCULAR PRE-ACTIVITY DURING SIDECUTTING MANEUVER: A CROSS-SECTIONAL STUDY.

International journal of sports physical therapy

Rasmus S Husted, Jesper Bencke, Per Hölmich, Lars L Andersen, Kristian Thorborg, Thomas Bandholm, Bjørn Gliese, Hanne B Lauridsen, Grethe Myklebust, Per Aagaard, Mette K Zebis

Affiliations

  1. Human Movement Analysis Laboratory, Department of Orthopaedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
  2. Sports Orthopedic Research Center - Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
  3. Optimed, Clinical Research Centre, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
  4. Clinical Orthopaedic Research Hvidovre (CORH), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
  5. Oslo Sport Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway.
  6. Department of Sports Sciences and Clinical Biomechanics, SDU Muscle Research Cluster (SMRC), University of Southern Denmark, Odense M, Denmark.
  7. Department of Physiotherapy and Occupational Therapy, Faculty of Health and Technology, Metropolitan University College, Copenhagen, Denmark.

PMID: 29484243 PMCID: PMC5808015

Abstract

BACKGROUND: Reduced lower extremity muscle strength as well as reduced lower extremity muscle pre-activity (defined as muscular activity just prior to initial ground contact) during high-risk movements are factors related to increased risk of non-contact ACL injury in adolescent female athletes. A strong relationship exists between muscle strength and muscle activity obtained during an isometric contraction, however, whether these two measures are related when muscle activity is obtained during a movement associated with a high risk of non-contact ACL injury is not known. Absence or presence of such a relationship may have implications for which training modalities to choose in the prevention of ACL injuries.

PURPOSE: The purpose of this study was to examine the relationship between maximal muscle strength of the hip extensors, hip abductors and knee flexors and the pre-activity of these muscle groups recorded during a sidecutting maneuver (high-risk movement) in adolescent female soccer and handball athletes.

STUDY DESIGN: Cross-sectional study.

METHODS: Eighty-five adolescent (age 16.9 ± 1.2 years) female elite handball and soccer athletes were assessed for maximal hip extensor, hip abductor and knee flexor muscle strength; and muscle pre-activity (electromyography recordings over a 10 ms time interval prior to foot ground contact) of the gluteus maximus (Gmax), gluteus medius (Gmed), biceps femoris (BF) and semitendinosus (ST) during a standardized sidecutting maneuver.

RESULTS: The results of the correlation analyses demonstrated poor and statistically non-significant correlations. Maximal hip extensor force (N/kg bw) and Gmax pre-activity [r

CONCLUSION: In the present exploratory study, the results imply that no relationship exists between maximal lower extremity isometric muscle strength and lower extremity muscle pre-activity during sidecutting. This means that athletes with low muscle strength may not necessarily demonstrate high (or low) muscle pre-activity during sidecutting - a well-known risk movement for sustaining non-contact ACL injury.

LEVELS OF EVIDENCE: Level 3.

Keywords: Anterior cruciate ligament; electromyography; muscle strength; neuromuscular activity

References

  1. Exerc Sport Sci Rev. 2003 Apr;31(2):61-7 - PubMed
  2. Scand J Med Sci Sports. 1997 Oct;7(5):289-92 - PubMed
  3. N Am J Sports Phys Ther. 2010 Dec;5(4):234-51 - PubMed
  4. Am J Sports Med. 1997 May-Jun;25(3):341-5 - PubMed
  5. J Strength Cond Res. 2010 Apr;24(4):1131-7 - PubMed
  6. Am J Sports Med. 2016 Feb;44(2):355-61 - PubMed
  7. J Physiol. 2001 Jul 15;534(Pt. 2):613-23 - PubMed
  8. J Athl Train. 2009 Jan-Feb;44(1):14-25 - PubMed
  9. Knee Surg Sports Traumatol Arthrosc. 2011 Jan;19(1):3-10 - PubMed
  10. Am J Sports Med. 2009 Oct;37(10 ):1967-73 - PubMed
  11. Int J Surg. 2014 Dec;12(12):1500-24 - PubMed
  12. J Bone Joint Surg Am. 2012 May 2;94(9):769-76 - PubMed
  13. Br J Sports Med. 2012 Jun;46(7):531-7 - PubMed
  14. J Appl Physiol (1985). 2002 Oct;93(4):1318-26 - PubMed
  15. Clin J Sport Med. 2008 Jul;18(4):329-37 - PubMed
  16. Br J Sports Med. 2016 May;50(9):552-7 - PubMed
  17. J Strength Cond Res. 2011 Jul;25(7):1989-93 - PubMed
  18. Am J Sports Med. 2010 Nov;38(11):2218-25 - PubMed
  19. Scand J Med Sci Sports. 2010 Jun;20(3):493-501 - PubMed
  20. Am J Sports Med. 2007 Mar;35(3):359-67 - PubMed
  21. J Appl Physiol (1985). 2000 Dec;89(6):2191-5 - PubMed
  22. Clin J Sport Med. 2009 Jan;19(1):3-8 - PubMed
  23. Am J Sports Med. 2012 Jul;40(7):1551-7 - PubMed
  24. Knee. 2016 Jun;23 (3):362-6 - PubMed
  25. J Sports Med Phys Fitness. 2016 Jul-Aug;56(7-8):874-83 - PubMed
  26. Am J Sports Med. 2013 Aug;41(8):1952-62 - PubMed
  27. J Sci Med Sport. 2012 Nov;15(6):532-40 - PubMed
  28. Scand J Med Sci Sports. 2000 Apr;10(2):58-67 - PubMed
  29. Am J Sports Med. 1996 Nov-Dec;24(6):765-73 - PubMed
  30. Clin Orthop Relat Res. 2012 Oct;470(10 ):2930-40 - PubMed
  31. J Strength Cond Res. 2011 Jan;25(1):271-85 - PubMed
  32. Knee. 2012 Oct;19(5):633-9 - PubMed
  33. Knee Surg Sports Traumatol Arthrosc. 2013 Aug;21(8):1876-81 - PubMed
  34. Sports Med. 2015 Jun;45(6):809-22 - PubMed
  35. Br J Sports Med. 2006 Jan;40(1):40-4 - PubMed
  36. Am J Sports Med. 2013 Jan;41(1):203-15 - PubMed
  37. Sports Med. 2006;36(2):133-49 - PubMed
  38. Clin Biomech (Bristol, Avon). 2008 Aug;23 (7):926-36 - PubMed
  39. Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):550-5 - PubMed
  40. Clin J Sport Med. 2004 Mar;14 (2):88-94 - PubMed
  41. Br J Sports Med. 2008 Jun;42(6):394-412 - PubMed
  42. Clin Biomech (Bristol, Avon). 2005 Oct;20(8):863-70 - PubMed
  43. Br J Sports Med. 2016 Oct;50(20):1259-1266 - PubMed
  44. Am J Sports Med. 2004 Jun;32(4):1002-12 - PubMed
  45. Sportverletz Sportschaden. 1997 Sep;11(3):79-86 - PubMed

Publication Types