Академический Документы
Профессиональный Документы
Культура Документы
Department of Sports Physiology, University of Liege, Liege, Belgium, 2Department of Physical Medicine and Rehabilitation,
University Hospital Centre, Liege, Belgium
Corresponding author: Cedric Lehance, Department of Sports Physiology, Faculty of Medicine, ISEPK, B21, Allee des Sports
4, B-4000, University of Liege , Liege, Belgium. Tel: 0032-(0)43663886, Fax: 0032-(0)43662901, E-mail: clehance@
ulg.ac.be
Accepted for publication 10 January 2008
Muscle strength and anaerobic power of the lower extremities are neuromuscular variables that inuence performance in many sports activities, including soccer. Despite
frequent contradictions in the literature, it may be assumed
that muscle strength and balance play a key role in targeted
acute muscle injuries. The purpose of the present study was
to provide and compare pre-season muscular strength and
power proles in professional and junior elite soccer players
throughout the developmental years of 1521. One original
aspect of our study was that isokinetic data were considered
alongside the past history of injury in these players. Fiftyseven elite and junior elite male soccer players were assigned
to three groups: PRO, n 5 19; U-21, n 5 20 and U-17,
n 5 18. Players beneted from knee exor and extensor
isokinetic testing consisting of concentric and eccentric
exercises. A context of lingering muscle disorder was dened
using statistically selected cut-os. Functional performance
By increasing the available force of muscular contraction in appropriate muscles or muscle groups,
acceleration and speed may improve in skills critical
to soccer such as turning, sprinting and changing
pace (Bangsbo et al., 1991). Therefore, the acceleration phase and predominantly the initial acceleration
phase (010 m) are of major importance to athletes
(Cometti et al., 2001). The contribution of strength
qualities to sprinting performance is not clear. Several studies have reported correlations between
strength measurement and anaerobic power performance (Mero et al., 1981; Mero, 1985; Young et al.,
1995), while others have reported low and nonsignicant relationships (Farrar & Thorland, 1987;
Cometti et al., 2001). Such a discrepancy may result
from variations in the sample studies with respect to
age, gender and performance level. In addition, the
specicity of strength measurements to sprinting may
have inuenced the results.
Muscular strength evaluation of the lower extremities in athletes has been frequently performed
243
Lehance et al.
using free weights (Wislo et al., 1998), or isoinertial
(Murphy & Wilson, 1996) or isokinetic dynamometry (Oberg et al., 1986; Bosco et al., 1995; Zakas
et al., 1995; Murphy & Wilson, 1996; Dowson et al.,
1998; Cometti et al., 2001; Croisier et al., 2002, 2003;
Askling et al., 2003). Although widely used in
strength assessment, some authors believe that isokinetic dynamometry does not reect the functional
aspects of limb movements involved in soccer practice. Consequently, they recommend the preferential
use of functional tests through performance assessment (Cometti et al., 2001; Wislo et al., 2004).
While debate exists on the eciency of isokinetic vs
functional testing in relation to performance assessment (Ostenberg et al., 1998; Cometti et al., 2001),
the usefulness of isokinetic dynamometry in assessing
decits and imbalances in muscle strength are not
disputed (Croisier, 2004a, b) Despite frequent contradiction in the literature, it may be assumed that
muscle strength and balance play a key role in
targeted acute muscle injuries (Croisier et al., 2005).
Some prospective studies have also highlighted that a
pre-season assessment of isokinetic muscle function
is able to identify strength variables as predictors of
hamstring muscle strain, especially in sports where
there is a high risk of muscle injury (Croisier et al.,
2005). The purpose of the present study was to
provide and compare pre-season muscular strength
and power proles in professional and junior elite
soccer players throughout the developmental years of
1521. One original aspect of our study was that
isokinetic data were considered alongside the past
history of injury in these players. Through concentric
and eccentric isokinetic assessment of knee exor and
extensor muscles, a vertical jump and 10-meter
(10 m) sprint performance, we also analyzed possible
relationships between variables.
Methods
Subjects
Fifty-seven elite and junior elite male soccer players from a
Belgian First Division team took part in the study, and
performed all the tests described below. The subjects were
assigned to three groups: professional group (PRO, n 5 19,
age: 26.1 3.5 years, weight: 77.9 6.2 kg, height: 178.4
6.1 cm), under-21 years group (U-21, n 5 20, age: 19.5 1.6
years, weight: 73.2 6.7 kg, height: 179.2 5.4 cm) and under17 years group (U-17, n 5 18, age: 15.7 0.8 years, weight:
65.6 5.5 kg, height: 176.2 7.8 cm). An injury report form
was used to determine each players past history of major
injury to the knee joint structures (bone, ligament, muscle,
tendon). According to the teams medical sta, all the players
included in this investigation were injury free at the time
of testing. The subjects dominant leg was determined based
on kicking preference. Informed consent was provided by all
athletes before testing and experiments were carried out under
the approval of the local Ethical Committee according to the
code of Ethics of the World Medical Association (Declaration
of Helsinki, 1975).
244
Testing
All measurements were performed during the pre-season
(6 weeks), 1 month before the beginning of the championship.
All tests were completed over two dierent sessions, 3 days
apart in the following order: (1) muscle strength evaluation;
(2) anaerobic power tests.
Bilateral isokinetic testing assessed maximal hamstring
and quadriceps muscle performance using an isokinetic
dynamometer (Cybex Norm). All measurements were preceded by a standardized warm-up on an ergometric bicycle
(75100 W) and dynamic stretching exercises of subsequently
involved muscles. The subject was seated on the dynamometer
(1051 of coxo-femoral exion) with the body stabilized
by several straps around the thigh, waist and chest in order
to avoid compensations. The range of knee motion was
xed at 1001 of exion from the active maximum extension.
The gravitational factor of the dynamometers lever arm and
lower segment ensemble was calculated by the dynamometer
and was automatically compensated during measurements.
The subject did not receive visual feedback during the test;
however, verbal encouragement was given. An adequate
familiarization with the dynamometer was provided in the
form of further warm-up isokinetic repetitions at various
angular speeds. Before assessment, preliminary repetitions
routinely preceded each test speed. The protocol included
concentric exertions (angular speeds of 60 and 2401/s) of
both exor and extensor muscles. Afterwards, exor muscles
were subjected to eccentric angular speeds of 30 and 1201/s.
The results analysis included the absolute peak torques (PT)
in Newton-meters, and the bilateral comparison enabled
the determination of asymmetries expressed in percentage
terms. A conventional exor/quadriceps PT (FL/Q) ratio
was established for the same mode and speed of concentric
contraction. An original mixed ratio associated the eccentric
performance of the exor muscles (at 301/s) with the concentric action of the quadriceps muscles (at 2401/s) (Croisier,
2004b). The nature of the deciency was determined using
statistically selected cut-os: bilateral dierences of 15% or
more, a concentric ratio of o0.47 and a mixed ratio of o0.80
(Croisier et al., 2002).
During the second testing session, the players undertook
vertical jump and 10 m sprint tests after a thorough 30-min
warm-up. These tests were performed indoors and the players
wore adapted shoes. The jumping ability of the subjects was
evaluated with the Optojump system (Microgate, Bolzano,
Italy), which measures the time of contact on the oor and
the time ight using photoelectric cells. Flight time was used
to calculate height of the rise using the bodys center of
gravity. Each subject performed three squat jumps (SJ) interspersed with a 1-min rest between each jump. SJ were started
from a static semi-squatting position with a exed knee
angle of 901, followed by a subsequent action, during which
the leg and hip extensor muscles contracted concentrically.
Subjects performed several trials for familiarization before the
testing session. In order to standardize the test modalities,
horizontal and lateral displacements were minimized, and the
hands were kept on the hips. No countermovement of the
trunk or knee was allowed before the SJ. Only the best jump
for each player was used in the data analysis. The subjects
also repeated three 10 m sprints, separated by a 5-min recovery
period. Times were recorded by photocells (Microgate, SRL,
Italy): at knee height (60 cm) for the departure and at the
shoulder height (150 cm) for the arrival. In order to eliminate
reaction time, the subjects started without any starting signal
from a static position with parallel feet behind the start line.
Only the best time taken to cover the 10 m distance was used
in the data analysis.
Statistical analysis
Means and standard deviations were used to describe all the
variables. In order to allow the comparison of unrelated
observations, the KruskalWallis test was used, which
includes appropriate procedures for multiple comparisons
between groups. Pearsons w2 test enabled us to compare the
prevalence of muscular imbalance between the various groups.
Pearsons productmoment correlation was also calculated to
determine the relationship between selected variables. A level
of Po0.05 was selected to indicate statistical signicance.
Results
Isokinetic results related to absolute and body mass
normalized absolute PT for the PRO, U-21 and U-17
players are presented in Tables 1 and 2.
The PRO and the U-21 groups showed higher
exor and extensor absolute PT than the U-17 group
Table 1. Quadriceps and hamstring peak torques (means SD, in N m) for all modes of contraction and angular velocities in professional (PRO, n 5 19),
U-21 (n 5 20) and U-17 (n 5 18) soccer players
Quadriceps
PRO
U-21
U-17
Hamstring
C 601/s (N m)
C 2401/s (N m)
C 601/s (N m)
C 2401/s (N m)
E 301/s (N m)
E 1201/s (N m)
224.2 (38.8)*
231.7 (30.4)w
194.7 (23.6)
136.9 (18.7)*
133.3 (17.6)
120.3 (15.8)
136.8 (34.1)
147.1 (23.4)
128.1 (18.8)
100.8 (12.3)
102.2 (10.8)
92.4 (15.3)
200.1 (52.4)
194.2 (44.5)
174.6 (36.7)
197.6 (44.2)
196.8 (39.8)
171.2 (41.6)
*Values represent significant differences (Po0.05) between isokinetic performances for PRO and U-17 groups.
w
Values represent significant differences (Po0.05) between isokinetic performances for U-21 and U-17 groups.
Q, quadriceps; Fl, hamstring; C, concentric; E, eccentric.
Table 2. Quadriceps and hamstring body mass normalized peak torques (means SD, in N m/kg) for all modes of contraction and angular velocities for
dominant (D) and non-dominant (ND) leg in professional (PRO, n 5 19), U-21 (n 5 20) and U-17 (n 5 18) soccer players
PRO
U-21
D
Q C 601/s
Q C 2401/s
H C 601/s
H C 2401/s
H E 301/s
H E 1201/s
ND
2.98
1.76
1.89
1.28
2.50
2.42
(0.35)
(0.19)
(0.30)
(0.17)
(0.52)
(0.49)
2.94
1.80
1.76
1.31
2.51
2.47
U-17
D
(0.44)
(0.23)
(0.26)
(0.15)
(0.50)
(0.51)
ND
3.06
1.87
1.86
1.35
2.72
2.65
(0.44)
(0.19)
(0.39)
(0.22)
(0.59)
(0.47)
3.22
1.85
1.91
1.39
2.77
2.68
D
(0.49)
(0.26)
(0.35)
(0.25)
(0.63)
(0.36)
2.97
1.83
1.95
1.37
2.66
2.71
ND
(0.24)
(0.17)
(0.23)
(0.21)
(0.53)
(0.57)
3.09
1.88
1.92
1.34
2.90
2.82
(0.22)
(0.19)
(0.26)
(0.19)
(0.65)
(0.62)
PRO
Ratio C60/C60
Ratio C240/C240
Ratio E30/C240
U-21
U-17
ND
ND
ND
0.62 (0.07)
0.71 (0.16)
1.43 (0.26)
0.59 (0.07)
0.70 (0.15)
1.41 (0.23)
0.60 (0.07)
0.73 (0.12)
1.50 (0.29)
0.61 (0.08)
0.75 (0.17)
1.48 (0.26)
0.63 (0.07)
0.74 (0.15)
1.45 (0.26)
0.61 (0.08)
0.73 (0.13)
1.49 (0.31)
245
Lehance et al.
70
60
% of players
50
40
30
20
10
0
PRO (n=20)
U-21 (n=19)
U-17 (n=18)
246
Parameters
SJ
10 m
Q C 601/s
Q C 2401/s
Fl C 601/s
Fl C 2401/s
Fl E 301/s
Fl E 1201/s
Ratio C 60/C 60
Ratio C 240/C 240
Ratio E 30/C 240
SJ
10 m
0.45***
0.23
0.48***
0.42**
0.14
0.22
0.21
0.27
0.17
x
0.51***
0.28*
0.48***
0.46***
0.14
0.25
0.18
0.11
0.19
0.72***
x
*Po0.05.
**Po0.01.
***Po0.001.
Correlation coecients between functional performance and isokinetic data are displayed in Table 4.
The PT of knee exor and extensor muscles, evaluated at slow speed and in concentric mode, showed
correlations with SJ (respectively r 5 0.48; Po0.001
and r 5 0.45; Po0.01) and 10 m sprint time (respectively r 5 0.48; Po0.001 and r 5 0.51; Po0.001).
At 2401/s, isokinetic parameters presented signicant
relationships with SJ (r 5 0.42; Po0.001) and 10 m
(r 5 0.46; Po0.001). We also observed a strong
relationship between vertical jump and sprint performance (r 5 0.72; Po0.001).
Discussion
Muscular strength is one of the most important
components of physical performance in sport, in
terms of both high-level performance and injury
occurrence. As a factor contributing to success in
soccer, the quadriceps muscle plays a role in sprint-
247
Lehance et al.
in France, Belgium and Brazil beneted from preseason isokinetic testing. Thereafter, players were
followed for 9 months throughout the subsequent
competitive season and hamstring muscle injuries
were recorded. Of the 435 players who beneted
from a complete follow-up, 37 sustained a hamstring
injury causing them to miss more than 4 weeks of
playing time. The risk factor of hamstring injury for
one season signicantly diered according to the preseason isokinetic prole and the presence or absence
of strength disorder management. This index was set
at 4.1% in the context of a normal isokinetic prole,
16.5% in the presence of strength imbalance without
any compensative treatment and 6.3% in the presence of strength imbalance that had been successfully treated (Croisier et al., 2005). Isokinetic
intervention, as a pre-season screening tool in professional soccer players, contributes to a preventive
strategy for the hamstring muscle group and the
correction of pre-season muscle imbalance allows
for a signicant reduction in the risk of subsequent
muscle strain (Croisier et al., 2005, 2006). The injury
risk in professional soccer is high and regularly
entails absence from competitive participation by
the injured player. The decision as to when a player
is considered fully rehabilitated after injury remains
classically subjective, especially after muscular strain
injury (Croisier et al., 2005, 2006). In our study,
36/57 (63%) players were identied as having sustained a previous major lower limb injury. Of these
36 players, 23 subjects (64%) still showed signicant
Fl/Q imbalances and/or bilateral asymmetries
through the isokinetic assessment. Our results are
similar to those presented in a recent work by
Croisier et al. (2006). These authors revealed, in a
study screening 617 professional soccer players, that
after an injury, 65% of players returned to play
despite serious muscle strength disorder. There is
something lacking in standard return to play criteria
as well as questionable options in professional soccer
player treatment and rehabilitation injury (Croisier
et al., 2006). As with other authors (Croisier et al.,
2002), we emphasize the role of an isokinetic intervention for muscle performance assessment before
return to play after a major lower limb injury.
More worryingly, we counted signicantly more
players with muscular asymmetries within the U-21
and U-17 groups in comparison with the PRO group.
This is unacceptable and we might ask the following questions: Does not the specic practice of increasingly early soccer involvement put youth and
junior elite players at risk of strength disorders? Is the
follow-up of the junior elite soccer players adequate in
terms of physical training and injury prevention? What
are the criteria for resumption of play after an injury?
Specic training of the hamstring muscle group is
not usually undertaken by professional soccer
248
Perspectives
In this study, we highlighted a high rate of players as
having sustained a previous major lower limb injury,
especially among junior elite soccer players. Furthermore, 64% of the previously injured players still
showed muscular imbalance representing a risk factor to undergo another injury. The next step is to
investigate through a prospective epidemiological
study over one or two competitive seasons the rate
of muscular strains, especially among the players
from U-17 and U-21 groups who presented knee
muscular strength imbalance.
Key words: muscular strength, vertical jump, sprint,
muscular imbalance, injury prevention.
249
Lehance et al.
References
Askling C, Karlsson J, Thorstensson A.
Hamstring injury occurence in elite
soccer players after preseason strength
training with eccentric overload. Scand
J Med Sci Sports 2003: 13: 244250.
Baker JS, Bell W. Anaerobic performance
and sprinting ability in elite male and
female sprinters. J Hum Mov Stud
1994: 27: 235242.
Bangsbo J, Nooregard L, Thorsoe F.
Activity prole of competition
soccer. Can J Sport Sci 1991: 16:
110116.
Bennell K, Wajswelner H, Lew P, SchallRiaucour A, Leslie S, Plant D, Cirone
J. Isokinetic strength testing does not
predict hamstring muscle injury in
Australian Rules footballers. Br J
Sports Med 1998: 32: 309314.
Bosco C, Belli A, Astrua M, Tihanyi J,
Pozzo R, Kellis S, Tsarpela O, Foti C,
Manno R, Tranquilli C. A
dynamometer for evaluation of
dynamic muscle work. Eur J Appl
Physiol 1995: 70: 379386.
Bosco C, Ito A, Komi PV, Luthanen P,
Rahkila P, Rusko H, Viitasalo JT.
Neuromuscular function and
mechanical eciency of human leg
extensor muscles during jumping
exercises. Acta Physiol Scand 1982:
114: 543550.
Bosco C, Mognoni P, Luthanen P.
Relationship between isokinetic
performance and ballistic movement.
Eur J Appl Physiol Occup Physiol
1983: 51(3): 357364.
Chamari K, Moussa-Chamari I,
Boussa di L, Hachana Y, Kaouech F,
Wislo U. Appropriate interpretation
of aerobic capacity: allometric scaling
in adult and young soccer players. Br J
Sports Med 2005: 39(2): 97101.
Cometti G, Mauletti NA, Pousson M,
Chatard JC, Mauli N. Isokinetic
strength and anaerobic power of elite,
subelite and amateur French soccer
players. Int J Sports Med 2001: 22:
4551.
Croisier JL. Muscular imbalance and
acute lower extremity muscle injuries in
sport. Int Sport Med J 2004a: 5(3):
169176.
Croisier J-L. Factors associated with
recurrent hamstring injuries. Sports
Med 2004b: 34(10): 681695.
Croisier JL, Crielaard JM. Hamstring
muscle tear with recurrent complaints:
an isokinetic prole. Isokinetics Exerc
Sci 2000: 8: 175180.
Croisier J-L, Forthomme B, Namurois
MH, Vanderthommen M, Crielaard
JM. Hamstring muscle strain
recurrence and strength performance
disorders. Am J Sports Med 2002:
30(2): 199203.
250
251