Influence of hamstring extensibility on sagittal spinal curvatures and pelvic tilt in highly trained young kayakers

Abstract

Objective: To evaluate the influence of hamstring extensibility on spinal and pelvic postures adopted by young paddlers in their kayaks.

Methods: Sixty-eight young elite kayakers were recruited for the study (mean value 15.23, s=0.68 years). Thoracic and lumbar curvatures and pelvic position were evaluated with a Spinal Mouse system in standing position and in the boat (seated in the kayak with the paddle resting on their thighs, right entry position and left entry position). Hamstring muscle extensibility was determined in both legs by passive straight leg raise test (PSLR). The sample was divided into two groups with regard to straight leg raise angle (Group A, PSLR < 80°, n=32, and group B, PSLR ≥ 80°, n=32).

Results: Paddlers with lower extensibility presented higher thoracic and lumbar flexion and a more posterior pelvic tilt in the kayak in all three positions. However, no significant differences were found between the groups when standing.

Conclusion: The results suggest that lower hamstring extensibility is related to increased spinal flexion and posterior pelvic tilt, which can overload the spine during paddling training. A systematic and intensive stretching programme to improve hamstring muscle extensibility should be incorporated into the training activities of paddlers.     

The Measurement of Postures

Abstract

Thirty-three college men doing the toe-touch test were used as subjects to ascertain the relative contribution of the back and hamstring muscles to hip joint flexibility. The subjects, performing six tests over a 5-week period, were photographed during each of their tests. Anthropometric measurements were taken prior to testing to determine if there was any relationship to flexibility. Making use of concentric circles and marking reference points on the subject prior to testing, it was possible to ascertain the curvature of the back, the angle of straight back flexibility, and the angle of bent back flexibility.

Results indicate that the extensibility of the hamstring muscles appeared to be one of the main contributing factors to hip joint flexion, and since the warm-up did not affect the flexibility of the back, one might conclude that the back made no increased contribution to hip joint flexion, as measured in this study. There was no significant relationship to the angle of bent back flexibility.     

The Relationship of the Sit and Reach Test to Criterion Measures of Hamstring and Back Flexibility in Young Females

Abstract

The purpose of the present investigation was to determine the relationships of the sit and reach test, a component of the American Alliance for Health, Physical Education, Recreation and Dance Health Related Fitness Test, 1980, with criterion measures of back and hamstring flexibility. Young females (N = 100) with a mean age of 14.08 years ± .825 were administered two trials of three tests. The measurements included the sit and reach test, passive hamstring flexibility using a Leighton Flexometer, and a test of back flexibility using a protocol suggested by Macrae and Wright in 1969. Test-retest reliability estimates exceeded .90 for all measurements. Results indicated that the sit and reach test had a moderate relationship (r = .64) with passive hamstring flexibility. The correlations between the sit and reach test and total back flexibility (r = .07), upper back flexibility (r = ?.16), and lower back flexibility (r = .28) were low. These findings indicate the sit and reach test has moderate criterion-related validity when used as an assessment of hamstring flexibility, but appears not to provide a valid assessment of back and, in particular, low back flexibility which is one of the reasons it was included in the Health Related Fitness Test.     

Do oarsmen have asymmetries in the strength of their back and leg muscles?

The aim of this study was to establish whether asymmetry of the strength of the leg and trunk musculature is more prominent in rowers than in controls. Nineteen oarsmen and 20 male controls matched for age, height and body mass performed a series of isokinetic and isometric strength tests on an isokinetic dynamometer. These strength tests focused on the trunk and leg muscles. Comparisons of strength were made between and within groups for right and left symmetry patterns, hamstring: quadriceps ratios, and trunk flexor and extensor ratios. The results revealed no left and right asymmetries in either the knee extensor or flexor strength parameters (including both isometric and isokinetic measures). Knee extensor strength was significantly greater in the rowing population, but knee flexor strength was similar between the two groups. No difference was seen between the groups for the hamstring: quadriceps strength ratio. In the rowing population, stroke side had no influence on leg strength. No differences were observed in the isometric strength of the trunk flexors and extensors between groups, although EMG activity was significantly higher in the rowing population. Patterns of asymmetry of muscle activity were observed between the left and right erector spinae muscles during extension, which was significantly related to rowing side (P < 0.01). These observations could be related to the high incidence of low back pain in oarsmen.     

Do oarsmen have asymmetries in the strength of their back and leg muscles?

The aim of this study was to establish whether asymmetry of the strength of the leg and trunk musculature is more prominent in rowers than in controls. Nineteen oarsmen and 20 male controls matched for age, height and body mass performed a series of isokinetic and isometric strength tests on an isokinetic dynamometer. These strength tests focused on the trunk and leg muscles. Comparisons of strength were made between and within groups for right and left symmetry patterns, hamstring :quadriceps ratios, and trunk flexor and extensor ratios. The results revealed no left and right asymmetries in either the knee extensor or flexor strength parameters (including both isometric and isokinetic measures). Knee extensor strength was significantly greater in the rowing population, but knee flexor strength was similar between the two groups. No difference was seen between the groups for the hamstring:quadriceps strength ratio. In the rowing population, stroke side had no influence on leg strength. No differences were observed in the isometric strength of the trunk flexors and extensors between groups, although EMG activity was significantly higher in the rowing population. Patterns of asymmetry of muscle activity were observed between the left and right erector spinae muscles during extension, which was significantly related to rowing side ( P < 0.01). These observations could be related to the high incidence of low back pain in oarsmen.     

Sex-related differences in joint-angle-specific hamstring-to-quadriceps function following fatigue

Abstract

The purpose of this study was to examine the effect of fatiguing exercise on sex-related differences in the function of hamstring and quadriceps muscles at several angular velocities and joint angles. Physically active participants (50 male: 28.7?±?4.5y, 1.82?±?0.07 m, 82.3?±?6.87?kg; 50 female: 27.0?±?5.8y, 1.61?±?0.08 m, 68.75?±?9.24?kg) carried out an isokinetic assessment to determine concentric and eccentric torques during knee extension and flexion actions at three different angular velocities (60/180/300°/s). The H/Q_FUNCT was calculated using peak torque (PT) values at 3 different joint-angle-specific (15°, 30° and 45° of knee flexion). A repeated measures analysis of variance (ANOVA) was used to compare within group results. Between group comparisons of sex-related differences were assessed by independent T-tests. Fatiguing exercise in males resulted in a decrease in H/Q_FUNCT ratios for each angle of knee flexion at both 60°/s and 300°/s angular velocities (p?<?0.05). In females, significant decreases in H/Q_FUNCT ratios were observed following fatiguing exercise for each angle of knee flexion and angular velocity (p?<?0.01). Significant differences in H/Q_FUNCT ratios following fatiguing exercise were evident between males and females at each joint angle and angular velocity (p?<?0.01). These findings indicate sex related differences in H/Q_FUNCT ratios following fatiguing exercise. Females have greater reductions in torque and H/Q_FUNCT ratios following fatigue than their male counterparts. This potentially exposes females to higher risks of injury, particularly when fatigued. Practitioners should attend to the imbalance in fatigue resistance of hamstring and quadriceps function, particularly in female athletes.     

Association between knee-to-hip flexion ratio during single-leg vertical landings,and strength and range of motion in professional soccer players

Abstract

The aim of this study was to test the correlation between knee-to-hip flexion ratio during a single leg landing task and hip and knee strength, and ankle range of motion. Twenty-four male participants from a professional soccer team performed a continuous single leg jump-landing test during 10s, while lower limb kinematics data were collected using a motion analysis system. After biomechanical testing, maximal isometric hip (abduction, extension, external rotation), knee extension and flexion strength were measured. Maximum ankle dorsiflexion range of motion was assessed statically using the weight bearing lunge test. Pearson correlation coefficients were calculated to determine the associations between the predictor variables (knee and hip strength, and ankle ROM) and the main outcome measure (knee-to-hip flexion ratio). Correlation between knee-to-hip flexion ratio and hip abductors strength was significant (r = ?0.47; p = 0.019). No other significant correlations were observed among the variables (p > 0.05). These results demonstrated that a lower hip abductors strength in male soccer players was correlated with a high knee-to-hip flexion ratio during landing from a single leg jump, potentially increasing knee overload by decreasing energy absorption at the hip. The results provide a novel proposal for the functioning of hip muscles to control knee overload.     

Selected Measures of Angular Displacement,Strength, and Flexibility in Subjects With and Without Shin Splints

Abstract

The purpose of this study was to determine if angular displacement between the calcaneus and the midline of the lower leg while running is related to shin splints. A secondary purpose was to compare the strength and flexibility of ankle-joint plantar flexion, dorsal flexion, inversion, and eversion of shin-splint-injured and non-shin-splint-injured subjects. Two groups of conditioned female athletes were randomly selected to participate in this study. One group had a previous history of chronic shin splints, and the other group had no history of shin-splint injury. Angular displacement between the calcaneus and the midline of the lower leg was measured from motion picture film (100 frames/second) taken while the subjects were running at two speeds, 3m/second and 5m/second. A cable tensiometer was used to measure plantar flexion, dorsal flexion, and inversion and eversion strength at the ankle joint; and a goniometer was used to measure the flexibility of the plantar flexors, dorsiflexors, invertors, and evertors at the ankle joint. The results indicated that a shin-splint-injured leg had greater angular displacement between the calcaneus and the midline of the lower leg than a healthy leg, and that shoes and speed of running had an influence upon the amount of angular displacement. In addition, the muscular strength of the plantar flexor muscle was greater in the shin-splint subjects than in the non-shin-splint subjects.     

Relationships between functional movement screen scores,maturation and physical performance in young soccer players

The purpose of this study was to examine relationships between functional movement screen scores, maturation and physical performance in young soccer players. Thirty males (11–16 years) were assessed for maturation, functional movement screen scores and a range of physical performance tests (squat jump, reactive strength index protocol and reactive agility cut). Older players significantly outperformed younger participants in all tests (P < 0.05; effect sizes = 1.25–3.40). Deep overhead squat, in-line lunge, active straight leg raise and rotary stability test were significantly correlated to all performance tests. In-line lunge performance explained the greatest variance in reactive strength index (adjusted R² = 47%) and reactive agility cut (adjusted R² = 38%) performance, whilst maturation was the strongest predictor of squat jump performance (adjusted R² = 46%). This study demonstrated that variation of physical performance in youth soccer players could be explained by a combination of both functional movement screen scores and maturation.     

Ideokinetic Imagery as a Postural Development Technique

Abstract

In two experiments we examined the effectiveness of ideokinetic imagery and flexibility combined with abdominal strength training as methods for improving the spinal angles of lordosis and, kyphosis and reducing low back pain. Ideokinetic imagery is a postural development technique that involves using movement images to gain subcortical control over the spinal musculature. Experiment 1 investigated the effectiveness of these treatments for males with a previous history of low back pain. Findings indicated that only ideokinetic imagery had a positive effect on the spinal column and low back pain. Experiment 2 extended these findings by investigating males and females using a noninvasive video analysis technique to record changes in spinal angles. The study further supports the effectiveness of ideokinetic imagery as a postural development technique in males with acute spinal angles. In these subjects spinal angles improved significantly, and the subjects reported compute cessation of low back pain. The research supports the use of ideokinetic imagery as an inexpensive and. noninvasive technique to improve poor posture and reduce low back pain.     

Sagittal plane motion of the lumbar spine during ergometer and single scull rowing

Lumbar spine injury in rowers is common and ergometer rowing has been cited as a risk factor for this injury. The purpose of this study is to compare lumbar kinematics between ergometer and single scull rowing and to examine the effect of fatigue on kinematics. The sagittal lumbar spine motion of 19 elite male rowers (lumbar spine injury free in the previous six months) was measured with an electrogoniometer during a ‘step test’ on an ergometer and in a single sculling boat. Maximum range of lumbar flexion was recorded in standing for reference. Power output and heart rate were recorded during the ergometer tests. Heart rate was used as a surrogate for power output in the sculling test. Maximum lumbar flexion increased during the step test and was significantly greater on the ergometer (4.4° ± 0.9°change), compared with the boat (+1.3° ± 1.1°change), (3.1°difference, p = 0.035). Compared to the voluntary range of motion, there is an increase of 11.3% (ergometer) and 4.1% (boat). Lumbar spine flexion increases significantly during the course of an ergometer trial while changes in a sculling boat were minimal. Such differences may contribute to the recent findings linking ergometer use to lower-back injury.     

Differences in body composition and risk of lifestyle-related diseases between young and older male rowers and sedentary controls

Abstract

The aim of this cross-sectional study was to compare body composition and risk factors of lifestyle-related diseases between young and older male rowers and sedentary controls. Healthy males aged 19–73 years participated in the study, and were divided into four groups: 26 young rowers, 24 senior rowers, 23 young sedentary controls, and 22 senior sedentary controls. Total and regional lean soft tissue, fat mass, and bone mineral density were measured using dual-energy X-ray absorptiometry. The HDL-cholesterol of senior rowers (67.4 ± 13.4 mg · dl^?1) was significantly (P < 0.05) higher than that of senior sedentary controls (59.2 ± 11.9 mg · dl^?1), while HDL-cholesterol was similar in senior rowers and young rowers (66.1 ± 10.8 mg · dl^?1). Arm, leg, and trunk lean soft tissue mass were significantly higher in senior rowers (5.6 ± 0.6 kg, 18.2 ± 1.8 kg, and 27.3 ± 3.2 kg respectively) than in senior sedentary controls (5.1 ± 0.4 kg, 16.3 ± 1.4 kg, and 24.6 ± 1.7 kg respectively; P < 0.05). Bone mineral density was also significantly higher in senior rowers than in senior sedentary controls (ribs, lumbar spine, and pelvic segments; P < 0.05). We conclude that age-related increases in the risk of lifestyle-related diseases, such as osteoporosis and sarcopenia, are attenuated in male rowers. These results suggest that regular rowing exercise may have a positive influence in the prevention of lifestyle-related diseases in older Japanese people.     

The effect of two different 18-week walking programmes on aerobic fitness,selected blood lipids and factor XIIa

Abstract

The purpose of this project was to evaluate the utility of low- and high-repetition maximum (RM) strength tests used to assess rowers. Twenty elite heavyweight males (age 23.7 ± 4.0 years) performed four tests (5 RM, 30 RM, 60 RM and 120 RM) using leg press and seated arm pulling exercise on a dynamometer. Each test was repeated on two further occasions; 3 and 7 days from the initial trial. Per cent typical error (within-participant variation) and intraclass correlation coefficients (ICCs) were calculated using log-transformed repeated-measures data. High-repetition tests (30 RM, 60 RM and 120 RM), involving seated arm pulling exercise are not recommended to be included in an assessment battery, as they had unsatisfactory measurement precision (per cent typical error > 5% or ICC < 0.9). Conversely, low-repetition tests (5 RM) involving leg press and seated arm pulling exercises could be used to assess elite rowers (per cent typical error ≤ 5% and ICC ≥ 0.9); however, only 5 RM leg pressing met criteria (per cent typical error = 2.7%, ICC = 0.98) for research involving small samples (n = 20). In summary, low-repetition 5 RM strength testing offers greater utility as assessments of rowers, as they can be used to measure upper- and lower-body strength; however, only the leg press exercise is recommended for research involving small squads of elite rowers.     

A Multi-Method Multi-Analytic Approach to Establishing Internal Construct Validity Evidence: The Sport Multidimensional Perfectionism Scale 2

The purpose of the study was to examine the norm-referenced and criterion-referenced reliability and validity of the Back-Saver Sit-and-Reach Test (BSR; Single-Leg Sit-and-Reach; Cooper Institute for Aerobics Research [CIAR], 1999). One hundred seventy-nine elementary school children (87 boys and 92 girls), 6-12 years old participated, with 44 randomly selected participants retested on a second day. The BSR, Modified Schober (MSCH, Low Back Criterion Test), Passive Straight Leg Raise (PSLR, Hamstring Criterion Test), Active Knee Extension, True Lumbar Extension, True Lumbar Flexion, and Double-Leg Sit-And-Reach were administered in random order. Intraclass correlation coefficients (norm-referenced reliability) for the BSR were extremely high (.98-.99) for both boys and girls. Pa and Km (criterion-referenced test-retest reliability) for the right leg was .90 and .80, respectively, for boys; and .91 and .82 for girls, indicating the participants were classified consistently across days. Norm-referenced validity coefficients (Pearson product-moment correlations, r) of the BSR as a measure of hamstring flexibility were moderate for boys (.67 and .68, right and left legs, respectively) and moderately low for girls (.47 and .44, right and left legs). Correlation coefficients of the BSR as a measure of low back flexibility were extremely poor for boys and girls, with coefficients ranging from .003 to .06. Criterion-referenced validity of BSR for hamstring flexibility was low and unacceptable for right and left legs (Km: .48, .58, respectively), for both boys and girls (Km: .40, .22). The BSR appears to be similar to the Double-Leg Sit-and-Reach in that it is a test of hamstring flexibility but not low back. The criterion-referenced standards for both BSR and PSLR should be re-examined and adjusted to provide a better degree of classification agreement between the BSR and the criterion measure (PSLR).     

Lumbo-pelvic loading during fast bowling in adolescent cricketers: The influence of bowling speed and technique

Abstract

This study aimed to assess changes in bowling technique and lumbar load over the course of a bowling spell in adolescent fast bowlers, and to investigate the relationship between lumbar loads during fast bowling and kinematic factors which have previously been associated with low back injury. Three-dimensional motion analysis was carried out on forty participants who performed an 8-over bowling spell. There were no significant changes in bowling technique or lumbar loads over the course of the spell. Bowling with a more extended front knee, faster ball release speed and increased shoulder counter-rotation were related to increased lumbo-pelvic loading – in particular peak transverse plane rotation moments and anterior-posterior shear forces. These lumbar loads may be a factor in low back injury aetiology and future studies should investigate the relationship between lumbar loading, injury incidence and other risk factors.     

Effects of flexibility and strength training on peak hamstring musculotendinous strains during sprinting

BackgroundHamstring injury is one of the most common injuries in sports involving sprinting. Hamstring flexibility and strength are often considered to be modifiable risk factors in hamstring injury. Understanding the effects of hamstring flexibility or strength training on the biomechanics of the hamstring muscles during sprinting could assist in improving prevention strategies and rehabilitation related to these injuries. The purpose of this study was to determine the effects of altering hamstring flexibility or strength on peak hamstring musculotendinous strain during sprinting.MethodsA total of 20 male college students (aged 18–24 years) participated and were randomly assigned to either a flexibility intervention group or a strength intervention group. Each participant executed exercise training 3 times a week for 8 weeks. Flexibility, sprinting, and isokinetic strength testing were performed before and after the 2 interventions. Paired t tests were performed to determine hamstring flexibility or strength intervention effects on optimal hamstring musculotendinous lengths and peak hamstring musculotendinous strains during sprinting.ResultsParticipants in the flexibility intervention group significantly increased the optimal musculotendinous lengths of the semimembranosus and biceps long head (p ≤ 0.026) and decreased peak musculotendinous strains in all 3 bi-articulate hamstring muscles (p ≤ 0.004). Participants in the strength-intervention group significantly increased the optimal musculotendinous lengths of all 3 hamstring muscles (p ≤ 0.041) and significantly decreased their peak musculotendinous strain during sprinting (p ≤ 0.017).ConclusionIncreasing hamstring flexibility or strength through exercise training may assist in reducing the risk of hamstring injury during sprinting for recreational male athletes.     

Associations of physical activity,sedentary time,and physical fitness with mental health during pregnancy: The GESTAFIT project

PurposeThis study was aimed to analyze the associations of objectively measured physical activity (PA), sedentary time, and physical fitness with mental health in the early second trimester (16 ± 2 gestational weeks) of pregnancy.MethodsFrom 229 women initially contacted, 124 pregnant women participated in the present cross-sectional study. Data were collected between November 2015 and March 2017. The participants wore Actigraph GT3X+ Triaxial accelerometers for 9 consecutive days to objectively measure their PA levels and sedentary time. A performance-based test battery was used to measure physical fitness. Self-report questionnaires assessed psychological ill-being (i.e., negative affect, anxiety, and depression), and psychological well-being (i.e., emotional intelligence, resilience, and positive affect). Linear regression analyses were adjusted for age, educational level, accelerometer wear time, miscarriages, and low back pain.ResultsModerate-to-vigorous PA was negatively associated with depression (β = –0.222, adjusted R² = 0.050, p = 0.041). Higher levels of sedentary time were negatively associated with positive affect (β = –0.260, adjusted R² = 0.085, p = 0.017). Greater upper-body flexibility was positively associated with better emotional regulation (β = 0.195, adjusted R²= 0.030, p = 0.047). The remaining associations were not significant (all p > 0.05).ConclusionAn active lifestyle characterized by higher levels of moderate-to-vigorous PA and lower levels of sedentary time during pregnancy might modestly improve the mental health of pregnant women. Although previous research has focused on the benefits of cardiorespiratory exercise, the present study shows that only upper-body flexibility is related to emotional regulation in early pregnant women. If the present findings are corroborated in further experimental research, physical exercise programs should focus on enhancing flexibility to promote improvements in emotional regulation during early second-trimester of pregnancy.     

Muscle cross-sectional areas and performance power of limbs and trunk in the rowing motion

Although it is clear that rowers have a large muscle mass, their distribution of muscle mass and which of the main motions in rowing mediates muscle hypertrophy in each body part are unclear. We examine the relationships between partial motion power in rowing and muscle cross-sectional area of the thigh, lower back, and upper arms. Sixty young rowers (39 males and 21 females) participated in the study. Joint positions and forces were measured by video cameras and rowing ergometer software, respectively. One-dimensional motion analysis was performed to calculate the power of leg drive, trunk swing, and arm pull motions. Muscle cross-sectional areas were measured using magnetic resonance imaging. Multiple regression analyses were carried out to determine the association of different muscle cross-sectional areas with partial motion power. The anterior thigh best explained the power demonstrated by leg drive (r ² = 0.508), the posterior thigh and lower back combined best explained the power demonstrated by the trunk swing (r ² = 0.493), and the elbow extensors best explained the power demonstrated by the arm pull (r ² = 0.195). Other correlations, such as arm muscles with leg drive power (r ² = 0.424) and anterior thigh with trunk swing power (r ² = 0.335), were also significant. All muscle cross-sectional areas were associated with rowing performance either through the production of power or by transmitting work. The results imply that rowing motion requires a well-balanced distribution of muscle mass throughout the body.     

Lower limb reaction force asymmetry in rowers with and without a history of back injury

Back injury is common in rowers. Asymmetrical lower limb reaction force on the foot stretchers during rowing may compromise trunk biomechanics and lead to back injury. However, such a mechanism remains putative. Therefore, this study examined lower limb reaction force in experienced rowers with and without a history of back injury. Six rowers who suffered from back injury for more than one week in the past year and another 19 rowers who were never injured performed maximal exertion rowing on a fixed-head rowing machine for 30 strokes. Peak force, average and peak loading rate of the lower limb reaction force during the middle 10-stroke were recorded using strain-gauge transducers placed at the foot stretchers. Asymmetries and intra-limb variability were quantified as asymmetry indices and coefficients of variation, respectively. No significant asymmetry was observed in all selected kinetic parameters between the injured and healthy rowers (p = 0.448–0.722, Hedges' g = 0.162–0.310). Subgroup analyses also did not reveal any significant kinetic differences between injured and healthy scullers or sweepers (p = 0.194–0.855, Hedges' g = 0.203–0.518). Rowers with a history of back injury, regardless of the rowing types, did not demonstrate greater lower limb reaction force asymmetry when compared with healthy rowers.