Relationship between vertical stiffness and soft-tissue injuries in professional Australian football

ABSTRACT

Soft-tissue injuries are common in Australian football. Recently, literature has identified non-modifiable and modifiable risk factors, including vertical stiffness (K_vert). However, limitations regarding measurement frequency and duration exist; thus, further information is required about the role of K_vert as a modifiable risk factor for injury. This study examined the seasonal variation in K_vert and its relationship to soft-tissue injuries in professional Australian football. The mean K_vert and bilateral asymmetry were assessed and compared between injured and non-injured players. For the seasonal analysis, 56 players were tested across two seasons with no variation in bilateral asymmetry evident (p= 0.33). While there were generally no changes in K_vert, the value from the end of the second pre-season revealed 5% lower values than the mean of two seasons (p= 0.02). Considering the injury analysis, 21 lower-body soft-tissue injuries were recorded from 18 participants. No differences were recorded for mean K_vert between the injured and non-injured groups (p= 0.16–0.76). When assessing K_vert asymmetry, the injured group displayed a 4.5% higher value than the non-injured group at the end of the pre-season test (p= 0.03) but not at other time-points (p= 0.16–0.99). Higher K_vert bilateral asymmetry measures after the pre-season appear to be related to lower-body soft-tissue injury in professional Australian footballers. Medical and conditioning staff should consider this measure when trying to mitigate the onset of injury or identify at-risk players.     

Physiological characteristics of elite and sub-elite badminton players

Abstract

The aims of this study were to establish the physical and physiological attributes of elite and sub-elite Malaysian male badminton players and to determine whether these attributes discriminate elite players from sub-elite players. Measurements and tests of basic anthropometry, explosive power, anaerobic recovery capacity, badminton-specific movement agility, maximum strength, and aerobic capacity were conducted on two occasions, separated by at least one day. The elite (n = 12) and sub-elite (n = 12) players' characteristics were, respectively: mean age 24.6 years (s = 3.7) and 20.5 years (s = 0.7); mass 73.2 kg (s = 7.6) and 62.7 kg (s = 4.2); stature 1.76 m (s = 0.07) and 1.71 m (s = 0.05); body fat 12.5% (s = 4.8) and 9.5% (s = 3.4); estimated VO_2max 56.9 ml · kg^?1 · min^?1 (s = 3.7) and 59.5 ml · kg^?1 · min^?1 (s = 5.2). The elite players had greater maximum absolute strength in one-repetition maximum bench press (P = 0.015) compared with the sub-elite players. There were significant differences in instantaneous lower body power estimated from vertical jump height between the elite and sub-elite groups (P < 0.01). However, there was no significant difference between groups in shuttle run tests and on-court badminton-specific movement agility tests. Our results show that elite Malaysian male badminton players are taller, heavier, and stronger than their sub-elite counterparts. The test battery, however, did not allow us to discriminate between the elite and sub-elite players, suggesting that at the elite level tactical knowledge, technical skills, and psychological readiness could be of greater importance.     

Relationship between leg stiffness and lower body injuries in professional Australian football

Abstract

Leg stiffness is a modifiable mechanical property that may be related to soft tissue injury risk. The purpose of this study was to examine mean leg stiffness and bilateral differences in leg stiffness across an entire professional Australian Football League (AFL) season, and determine whether this parameter was related to the incidence of lower body soft tissue injury. The stiffness of the left and right legs of 39 professional AFL players (age 24.4 ± 4.4 years, body mass 87.4 ± 8.1 kg, stature 1.87 ± 0.07 m) was measured using a unilateral hopping test at least once per month throughout the season. Injury data were obtained directly from the head medical officer at the football club. Mean leg stiffness and bilateral differences in leg stiffness were compared between the injured and non-injured players. There was no difference between the season mean leg stiffness values for the injured (219.3 ± 16.1 N · m^?1 · kg^?1) and non-injured (217.4 ± 14.9 N · m^?1 · kg^?1; P = 0.721) groups. The injured group (7.5 ± 3.0%) recorded a significantly higher season mean bilateral difference in leg stiffness than the non-injured group (5.5 ± 1.3%; P = 0.05). A relatively high bilateral difference in leg stiffness appears to be related to the incidence of soft tissue injury in Australian football players. This information is of particular importance to medical and conditioning staff across a variety of sports.     

Yo-Yo IR2 testing of elite and sub-elite soccer players: Performance,heart rate response and correlations to other interval tests

Abstract

We examined performance, heart rate response and construct validity of the Yo-Yo IR2 test by testing 111 elite and 92 sub-elite soccer players from Norway and Denmark. VO₂max, Yo-Yo IR1 and repeated sprint tests (RSA) (n = 51) and match-analyses (n = 39) were also performed. Yo-Yo IR2 and Yo-Yo IR1 performance was 41 and 25% better (P < 0.01) for elite than sub-elite players, respectively, and heart rate after 2 and 4 min of the Yo-Yo IR2 test was 20 and 15 bpm (9 and 6% HRmax), respectively, lower (P < 0.01) for elite players. RSA performance and VO₂max was not different between competitive levels (P > 0.05). For top-teams, Yo-Yo IR2 performance (28%) and sprinting distance (25%) during match were greater (P < 0.05) than for bottom-teams. For elite and sub-elite players, Yo-Yo IR2 performance was correlated (P < 0.05) with Yo-Yo IR1 performance (r = 0.74 and 0.76) and mean RSA time (r = ?0.74 and ?0.34). We conclude that the Yo-Yo IR2 test has a high discriminant and concurrent validity, as it discriminates between players of different within- and between-league competitive levels and is correlated to other frequently used intermittent elite soccer tests.     

Physical profiles of elite,sub-elite,regional and age-group netballers

Physical profile data from elite, sub-elite, regional, under 21s (U21), under 19s (U19) and under 17s (U17) (n = 845) players from a state netball association in Australia were analysed. Within season changes were examined for the elite and sub-elite players. Longitudinal changes were examined for the elite across four consecutive netball seasons.

Elite were significantly older (24.3 ± 3.4years), taller (182.4 ± 7.2cm) and heavier (73.42 ± 6.95kg) than other playing levels (p < 0.001, ES 0.49–3.26) and had higher vertical jump (VJ) data compared to all groups (p < 0.001, ES 0.47–0.93). U17’s were significantly faster than elite, sub-elite and U19 players over 5m (p < 0.05, ES 0.36–0.58) while elite were faster over 20m compared to all groups (p < 0.01, ES 0.45–0.72). Elite achieved a greater distance (1350.8m; p < 0.05, ES 0.32–0.50) in the Yo-YoIRT1 compared to the sub-elite, regional, U19 and U17. VJ height significantly increased from the 2014 (51.6 ± 4.8cm) to the 2017 season (59.6 ± 6.3cm) for the elite players (p < 0.01, ES 1.18). Yo-YoIRT1 test scores increased significantly between the pre-season and in-season phases (p < 0.05, ES 0.17).     

Anthropometry and body composition of female handball players according to competitive level or the playing position

Abstract

Anthropometry and body composition were investigated in 43 female handball players from the Italian championships, grouped according to their competitive level (elite vs. sub-elite) or their playing position [goalkeeper (n = 7), back (n = 14), wing (n = 18), or pivot (n = 4)]. The anthropometry consisted of several circumferences, lengths, widths, and skinfold measurement at six sites; the regional and total body compositions were assessed by means of dual-energy X-ray absorptiometry (DXA). One-way ANOVA was used for statistical analysis, with a Bonferroni post-hoc test where needed. The results showed that elite players have significantly lower percentages of fat and higher bone mineral content than sub-elite as well as a clear tendency to accrue more lean mass, especially in upper limbs. Overall, the physical characteristics and body composition of handball players in Italy compared unfavourably with those in other countries, suggesting a need for improved selection and training. When playing position was included in the analysis of the whole group of handball players (n = 43) significant differences were found between the stature, mass, body mass index (BMI), several skinfolds, circumferences and lengths, and total body mineral mass, lean mass and fat mass of players in different positions. Post-hoc analysis suggests that players on the wing and in goalkeeper positions differed most from one another. These findings confirm and expand on previous data about the presence of anthropometric differences within playing positions in handball.     

Multidimensional performance characteristics and standard of performance in talented youth field hockey players: A longitudinal study

Abstract

To identify performance characteristics that could help predict future elite field hockey players, we measured the anthropometric, physiological, technical, tactical, and psychological characteristics of 30 elite and 35 sub-elite youth players at the end of three consecutive seasons. The mean age of the players at the end of the first season was 14.2 years (s = 1.1). Repeated-measures analyses of covariance, with standard of performance and measurement occasion as factors and age as a covariate, showed that the elite players fared better than the sub-elite players on technical and tactical variables. Female elite youth players also scored better on interval endurance capacity, motivation, and confidence. Future elite players appear to have excellent tactical skills by the age of 14. They also have good specific technical skills and develop these together with interval endurance capacity better than sub-elite youth players in the subsequent 2 years. To verify our conclusions, we will be tracking these players into adulthood.     

Vertical stiffness and muscle strain in professional Australian football

Abstract

The purpose of this study was to establish if vertical stiffness was greater in professional Australian rules footballers who sustained a lower limb skeletal muscle strain compared to those who did not, and to establish if a relationship between age, or training history, and vertical stiffness existed. Thirty-one participants underwent weekly rebound jump testing on a force platform over two seasons. Vertical stiffness was calculated for injured players and the uninjured cohort 1 and 3 weeks prior to sustaining an injury and at the end of preseason. Eighteen athletes were in the “uninjured” cohort and 13 in the “injured” cohort. No significant difference in vertical stiffness was observed between groups (P = 0.18 for absolute stiffness; P = 0.08 for stiffness relative to body mass), within groups (P = 0.83 and P = 0.88, respectively) or for a time*cohort interaction (P = 0.77 and P = 0.80, respectively). No relationship between age and vertical stiffness existed (r = ?0.06 for absolute and relative stiffness), or training history and vertical stiffness (r = ?0.01 and 0.00 for absolute and relative stiffness, respectively) existed. These results and others lend to suggest that vertical stiffness is not related to lower limb muscle strain injury.     

Single Functional Movement Screen items as main predictors of injury risk in amateur male soccer players

The Functional Movement Screen (FMS) has been applied to identify predisposed players, mainly in professional sports, and their injury risk. Empirical evidence on the FMS in amateur soccer is scant. Furthermore, the composite FMS score contains upper, lower, and core-related body items, which might be related differently in soccer-specific injury incidences. The aim of this study was twofold: to investigate the relationship between the composite FMS score and the injury incidence of amateur soccer players and to analyze the contribution of single FMS test items to the injury state. In all, 83 amateur male soccer players (23?±?4 years old) were evaluated using the FMS prior to the preparation period of the 2016/2017 season. Injuries (lower extremities, non-contact, time loss) were continuously documented throughout the first competition period. The composite FMS score differed significantly (p?=?0.017) between injured (15.1?±?2.5) and non-injured (16.5?±?2) players. A twofold increase in the risk of injury was found for a composite FMS score of 14 or less. Significant correlations between single test items with a score?≤?2 and injured players were found for the trunk stability push-up exercise (χ²?=?17.4, df?=?1, p?<?0.001, φ?=?0.5) and the rotary stability exercise (χ²?=?6.7, df?=?1, p?=?0.009, φ?=?0.3). The composite FMS score seems to be an indicator of injury risk in amateur soccer with injured players having lower core stability and lower core strength.     

Biomechanical analysis of dragon boat paddling: A comparison of elite and sub-elite paddlers

Abstract

In this study, video and force analysis techniques were used to distinguish between dragon boat paddlers of different ability. Six elite paddlers (three males, three females) and six sub-elite paddlers (two males, four females) were compared during high-intensity paddling (80–90 strokes · min^?1). Video filming was conducted for two-dimensional kinematic analysis and an instrumented paddle was used to collect force data. Paddling efficiency, paddle force characteristics, and paddler kinematic variables were measured. Elite paddlers achieved higher paddling efficiency than sub-elite paddlers (elite: 76 ± 4%; sub-elite: 67 ± 10%; P = 0.080). Elite paddlers also showed higher peak force (elite: 16.3 ± 4.8 N · kg^?2/3; sub-elite: 11.4 ± 2.6 N · kg^?2/3; P = 0.052), average force (elite: 7.9 ± 2.8 N · kg^?2/3; sub-elite: 5.5 ± 1.4 N · kg^?2/3; P = 0.084), and impulse (elite: 3.0 ± 0.9 (N · s) · kg^?2/3; sub-elite: 1.9 ± 0.4 (N · s) · kg^?2/3; P = 0.026) than sub-elite paddlers, but these three results should be viewed with caution due to the small sample size and the unequal number of males and females in the two groups. Superior technique and greater strength enable the elite paddlers to achieve higher paddling efficiency. Paddlers use different joint movement patterns to develop propulsion, which are reflected in variations in the force–time curve.     

Injury prediction in veteran football players using the Functional Movement Screen™

ABSTRACT

The Functional Movement Screen? (FMS?) is aimed at assessing fundamental movements and is often used to identify players’ injury risk. The purpose of this study was to determine whether the FMS? can be used to predict injuries in veteran footballers (aged > 32 years). Eighteen veteran football teams (n = 238) were recruited and prospectively followed for 9 months. The players (44 ± 7 years; 178 ± 7 cm, 84 ± 11 kg) performed the FMS? at the start of the study period. Players’ exposure hours and injuries were recorded. The difference of FMS? overall score between injured and uninjured players was not significant (11.7 ± 2.9 vs 12.2 ± 2.8 points; Mann-Whitney U-test P = 0.17). Players scoring <10 (score < 1 standard deviation [SD]) below the mean) had a significantly higher injury incidence (z-statistics P < 0.05) compared to an intermediate reference group (mean ± 1 SD; scores of 10–14). No lower injury incidence for players with scores of >14 (score > 1 SD above the mean) was found. Further analyses of potential risk factors suggest higher age, lower body mass and a longer football career to be risk factors for injuries. The findings of this study suggest that the suitability of the FMS? for injury prediction in veteran footballers is limited.     

A comparison of methods to determine bilateral asymmetries in vertical leg stiffness

Whilst the measurement and quantification of vertical leg stiffness (K_vert) asymmetry is of important practical relevance to athletic performance, literature investigating bilateral asymmetry in K_vert is limited. Moreover, how the type of task used to assess K_vert may affect the expression of asymmetry has not been properly determined. Twelve healthy males performed three types of performance tasks on a dual force plate system to determine K_vert asymmetries; the tasks were (a) bilateral hopping, (b) bilateral drop jumping and (c) unilateral drop jumping. Across all the three methods, K_vert was significantly different between compliant and stiff limbs (P < 0.001) with a significant interaction effect between limb and method (P = 0.005). Differences in K_vert between compliant and stiff limbs were ?5.3% (P < 0.001), ?21.8% (P = 0.007) and ?15.1% (P < 0.001) for the bilateral hopping, bilateral drop jumping and unilateral drop jumping methods, respectively. All the three methods were able to detect significant differences between compliant and stiff limbs, and could be used as a diagnostic tool to assess K_vert asymmetry. Drop jumping tasks detected larger K_vert asymmetries than hopping, suggesting that asymmetries may be expressed to a greater extent in acyclic, maximal performance tasks.     

Bone mineral density and body composition in elite female golf and netball players

Abstract

The aim of this study was to compare bone density and body composition measurements in women participating in elite-level netball and golf, two sports with contrasting loading characteristics. Bone mineral density (BMD) and body composition were measured using dual-energy X-ray absorptiometry (DXA) in 14 state-level netball players (20.8±3.4 years), 11 single-digit handicap golf players (22.4±2.1 years) and a control group (n=18) not training for sport (22.6±3.6 years). Trunk extensor endurance and grip strength were also measured using the Sorensen test and hand-grip dynamometry respectively. Netball players had significantly higher total body, lumbar spine and hip BMD than the golf players (P<0.001) and control subjects (P<0.001). The golf players had higher BMD than the control subjects only in the lumbar spine (P<0.05). The netball players were significantly taller than the golf players and control group (P<0.01) and had a higher body mass than the control group (P<0.001). After adjustment for body height and mass, the BMD values in the netball players remained significantly higher than the control subjects at all sites (P<0.01), while the golf players had significantly higher lumbar spine BMD than the controls (P<0.05). Elite-level netball participation is associated with increased total body, hip and lumbar spine BMD, while this response was only evident in the lumbar spine in elite golf players. The contrasting loading characteristics of these sports may be reflected in the site-specific differences in BMD when compared to non-athletic control subjects.     

Relationship between leg stiffness and lower body injuries in professional Australian football

Leg stiffness is a modifiable mechanical property that may be related to soft tissue injury risk. The purpose of this study was to examine mean leg stiffness and bilateral differences in leg stiffness across an entire professional Australian Football League (AFL) season, and determine whether this parameter was related to the incidence of lower body soft tissue injury. The stiffness of the left and right legs of 39 professional AFL players (age 24.4 ± 4.4 years, body mass 87.4 ± 8.1 kg, stature 1.87 ± 0.07 m) was measured using a unilateral hopping test at least once per month throughout the season. Injury data were obtained directly from the head medical officer at the football club. Mean leg stiffness and bilateral differences in leg stiffness were compared between the injured and non-injured players. There was no difference between the season mean leg stiffness values for the injured (219.3 ± 16.1 N x m(-1) x kg(-1)) and non-injured (217.4 ± 14.9 N x m(-1) x kg(-1); P = 0.721) groups. The injured group (7.5 ± 3.0%) recorded a significantly higher season mean bilateral difference in leg stiffness than the non-injured group (5.5 ± 1.3%; P = 0.05). A relatively high bilateral difference in leg stiffness appears to be related to the incidence of soft tissue injury in Australian football players. This information is of particular importance to medical and conditioning staff across a variety of sports.     

Anthropometric and physical performance characteristics of top-elite,elite and non-elite youth female team handball players

In order to maximise the potential for success, developing nations need to produce superior systems to identify and develop talent, which requires comprehensive and up-to-date values on elite players. This study examined the anthropometric and physical characteristics of youth female team handball players (16.07 ± 1.30 years) in non-elite (n = 47), elite (n = 37) and top-elite players (n = 29). Anthropometric profiling included sum of eight skinfolds, body mass, stature, girths, breadths and somatotype. Performance tests included 20 m sprint, counter-movement jump, throwing velocity, repeated shuttle sprint and jump ability test, and Yo-Yo Intermittent Recovery Test Level 1. Youth top-elite players had greater body mass, lean mass, stature, limb girths and breadths than elite and non-elite players, while only stature and flexed arm were higher in elite compared to non-elite players (all P < 0.05). Sum of skinfolds and waist-to-hip ratio were similar between groups (P > 0.05). Top-elite performed better in most performance tests compared to both elite and non-elite players (P < 0.05), although maximal and repeated 10 m sprints were similar between playing standards (P > 0.05). Elite outperformed non-elite players only in throwing velocity. The findings reveal that non-elite players compare unfavourably to top-elite international European players in many anthropometric and performance characteristics, and differ in a few characteristics compared to elite European club team players. This study is useful for emerging team handball nations in improving talent identification processes.     

Fatigue increases ankle sprain risk in badminton players: A biomechanical study

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.     

The acute effects of vibration training on balance and stability amongst soccer players

Acute whole body vibration training (WBVT) is a tool used amongst coaches to improve performance prior to activity. Its effects on other fitness components, such as balance and stability, along with how different populations respond are less well understood. The aim of the current research is to determine the effect of acute WBVT on balance and stability amongst elite and amateur soccer players. Forty-four healthy male soccer players (22 elite and 22 amateur) were assigned to a treatment or control group. The intervention group then performed 3 × 60 seconds static squat on vibration platform at 40 Hz (±4 mm) with Y balance test (YBT) scores and dynamic postural stability index (DPSI) measured pre and post. DPSI was significantly lower in the elite players in the acute WBVT compared to amateur players (F_{1, 40}= 6.80; P = 0.013). YBT anterior reach distance showed a significant improvement in both amateur and elite players in the acute WBVT group (F_{1, 40}= 32.36; P < 0.001). The improvement in DPSI amongst the elite players indicates a difference in responses to acute high frequency vibration between elite and amateur players during a landing stability task. The results indicate that acute WBVT improves anterior YBT reach distances through a possible improvement in flexibility amongst both elite and amateur players. In conclusion, acute WBVT training appears to improve stability amongst elite soccer players in comparison to amateur players, the exact reasoning behind this difference requires further investigation.     

The impact of in-season national team soccer play on injury and player availability in a professional club

This study investigated the impact of in-season national team duty on injury rates and player availability in a professional soccer club. Time-loss injuries and exposure time during club and national team duties were recorded prospectively over 5 seasons (2009–2014). A time-loss injury was sustained by 37.7% of squad members participating in national duty, all injuries occurring in match-play. The incidence (per 1000 h exposure) for national team player match-play injuries did not differ (P = 0.608) to that for all players in club competitions: 48.0 (95% CI 20.9–75.5) vs. 41.9 (95% CI 36.5–47.4), incidence rate ratio = 1.2 (CI: 0.8–2.4). The majority (58%) of national team injuries resulted in a layoff ≤1 week. Of all working days lost to injury generally, 5.2% were lost through injury on national duty. Injury incidence in the week following national duty was comparable (P = 0.818) in players participating or not: 7.8 (95% CI 3.6–12.0) vs. 7.1 (95% CI: 4.6–9.6), incidence rate ratio = 1.1 (CI: 0.7–2.7). While approximately 40% of participating players incurred a time-loss injury on national duty, no training injuries were sustained and injuries made up a negligible part of overall club working days lost to injury. Following duty, players had a similar injury risk to peers without national obligations.     

The role of anthropometric,performance and psychological attributes in predicting selection into an elite development programme in older adolescent rugby league players

This study aimed to identify attributes that discriminate selected from non-selected players and predict selection into a rugby league development programme in older adolescent players. Anthropometric, performance and psychological attributes were measured in under-16 (N = 100) and under-18 (N = 60) rugby league players trialling for selection into a development programme with a professional Australian club. Sprint times (P < 0.001), predicted VO_2max (P = 0.002) and push-ups_1 min (P = 0.004) were superior in selected under-16 players, and sprint times (P ≤ 0.045), push-ups_1 min (P < 0.001) and chin-ups_1 min (P = 0.013) were superior in selected under-18 players. Further, 10-m sprint (β = ?7.706, standard error [SE] = 2.412), VO_2max (β = 0.168, SE = 0.052) and body mass (β = 0.071, SE = 0.023) significantly predicted selection (R² = 0.339) in under-16 players, while push-ups_1 min (β = 0.564, SE = 0.250), 10-m sprint (β = ?68.477, SE = 28.107), body mass (β = 0.360, SE = 0.155) and chronological age (β = ?3.577, SE = 1.720) significantly predicted selection (R² = 0.894) in under-18 players. These findings emphasise the importance of performance attributes in junior rugby league and indicate talent identification test batteries should be age-specific in older adolescent players.