Groin injuries in professional rugby league players: a prospective study

Altogether, 100 uninjured professional rugby league players were evaluated over a 2-year period. Their height, body mass, sum of skinfolds, girths and bone diameters were recorded. A Cybex 340 isokinetic dynamometer was used to determine peak torque, work, power, endurance ratios and peak torque ratios of the hip abductors and adductors (5 repetitions at 0.52 and 2.08 rad?·?s^??1; 20 repetitions at 3.66 rad?·?s^??1) and knee flexors and extensors (4 repetitions at 1.04 and 3.14 rad?·?s^??1; 30 repetitions at 5.22 rad?·?s^??1). Hip abduction and adduction were also assessed with the hip in external rotation. Discriminant function analysis was conducted on all predictor variables to develop a multivariate predictive model capable of classifying players with a high degree of accuracy into groups with and without a groin injury. The model consisted of eight variables and correctly classified 91.7% of the non-injured players and 90.5% of the injured players. The correct classification for the model as a whole was 91.4%. The aetiological factors identified as being related to injury of the groin musculotendinous unit included abduction and adduction-with-rotation peak torque, angle of adduction and abduction-with-rotation peak torque, strength ratio of hip muscle groups, bilateral difference in extension peak torque, femur diameter and body mass.     

Hip adductor activations during run-to-cut manoeuvres in compression shorts: implications for return to sport after groin injury

Abstract

Athletes at high risk of groin strains in sports such as hockey and soccer often choose to wear shorts with directional compression to aid in prevention of or recovery from hip adductor strains. Large, eccentric contractions are known to result in or exacerbate strain injuries, but it is unknown if these shorts have a beneficial effect on hip adductor muscle activity. In this study, surface electromyography (EMG) of the adductor longus and ground reaction force (GRF) data were obtained simultaneously on 29 healthy individuals without previous history of serious injury while performing unanticipated 45° run-to-cut manoeuvres in a laboratory setting wearing shorts with non-directional compression (control, HeatGear, Under Armour, USA) or shorts with directional compression (directional, CoreShort PRO, Under Armour, USA), in random order. Average adductor activity in the stance leg was significantly lower in the directional condition than in the control condition during all parts of stance phase (all P < 0.042). From this preliminary analysis, wearing directional compression shorts appears to be associated with reduced stance limb hip adductor activity. Athletes seeking to reduce demand on the hip adductors as they approach full return to activities may benefit from the use of directional compression shorts.     

魏强斜井围岩变形监测与分析

为保证斜井施工的安全、可靠、经济,对魏强斜井施工过程中的拱顶下沉和周边收敛进行监控量测,应用回归分析法对所量测的数据进行处理,结果表明运用指数函数进行回归拟合是合理的,较好地反映了围岩位移和时间之间的线形关系,从而简单直观地反映出了围岩的变形稳定状态。     

涌潮冲击丁坝时涌潮压力初步研究

钱塘江涌潮压力的作用性状及大小一直是困扰工程界的一个难题。本文采用VOF方法．对涌潮冲击丁坝过程中的涌潮压力进行了计算,并与原位测试结果进行对比。从而揭示了涌潮压力的部分规律：(1)涌潮对丁坝的破坏力最大的时刻是在涌潮冲击丁坝的瞬间;(2)涌潮压力随时间的变化规律;(3)涌潮压力在垂线方向上的分布。为排桩式丁坝的设计提出了新型的受力模式。     

Isokinetic imbalance of adductor–abductor hip muscles in professional soccer players with chronic adductor-related groin pain

This study aims to compare the isokinetic profile of hip abductor and adductor muscle groups between soccer players suffering from chronic adductor-related groin pain (ARGP), soccer players without ARGP and healthy volunteers from general population. Study included 36 male professional soccer players, who were randomly selected and followed-up over two years. Of the 21 soccer players eligible to participate in the study, 9 players went on to develop chronic ARGP and 12 players did not. Ten healthy male volunteers were randomly selected from the general population as a control group. Comparison between the abductor and adductor muscle peak torques for players with and without chronic ARGP found a statistically significant difference on the dominant and non-dominant sides (p?p?p?=?.008). The adductor muscle strength was also significantly decreased on the affected side. This imbalance appears to be a risk factor for adductor-related groin injury. Therefore, restoring the correct relationship between these two agonist and antagonist hip muscles may be an important preventative measure that should be a primary concern of training and rehabilitation programmes.     

Recovery profiles following single and multiple matches per week in professional football

Abstract

Objectives: To investigate player responses 48?h post single (SM) and multi-match (MM) weeks on two subjective and three objective outcome measures to infer recovery status. Methods: From 42 professional players over 2 seasons, outcome measures relevant to recovery status were collected 48?h following matches, as well as during pre-season training weeks as a comparative baseline. These included (1) 5-item subjective wellness questionnaire, (2) total quality recovery (TQR) scale, (3) hip adduction squeeze test, ankle knee to wall (KTW) test, and active knee extension (AKE) flexibility test. These outcome measures 48?h post-match were compared for SM (n?=?79) and MM (n?=?86) weeks where players completed >75?min of match time in only one (SM) or if both matches were played and had <96?h recovery (MM). Internal match load was collected from each match based on session rating of perceived exertion (sRPE) multiplied by match duration. Results: Subjective wellness (specifically fatigue, sleep and soreness), TQR and hip adduction squeeze test were all significantly reduced following match 1 at 48?h post for both SM and MM (p?<?0.05), and further reduced following match 2 in MM (p?<?0.05). No other outcome measures to infer recovery showed significant differences (p?>?0.05) within or between-conditions. Conclusions: Subjective wellness, TQR and hip adduction strength showed reduction 48?h post match for players competing in multiple matches with <96?h recovery. Therefore, these outcome measures may be of use to practitioners to assess readiness to compete during congested competition schedules.     

Electromyographic analysis of hip adductor muscles in soccer instep and side-foot kicking

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.     

Acute and sub-acute effects of repetitive kicking on hip adduction torque in injury-free elite youth soccer players

Abstract

Hip adduction strength is important for kicking and acceleration in soccer players. Changes in hip adduction strength may therefore have an effect on soccer players’ athletic performance. The purpose of this study was to investigate the acute and sub-acute effects of a kicking drill session on hip strength, concerning isometric hip adduction, abduction and flexion torque of the kicking leg and the supporting leg. Ten injury-free male elite soccer players, mean ± s age of 15.8 ± 0.4 years participated. All players underwent a specific 20 min kicking drill session, comprising 45 kicks. The players were tested the day before, 15 min after and 24 h after the kicking drill session by a blinded tester using a reliable test procedure. The isometric hip-action and leg-order were randomized. For the kicking leg, hip adduction torque increased from 2.45 (2.19–2.65) Nm ? kg^?1, median (25th–75th percentiles), at pre-kicking to 2.65 (2.55–2.81) Nm ? kg^?1 (P = 0.024) 24 h post-kicking. This may have implications for the soccer player’s ability to maximally activate the hip adductors during kicking and acceleration, and thereby improve performance the day after a kicking drill session.     

Adductor longus mechanics during the maximal effort soccer kick

Groin pain is a common cause of athletic disability and often involves the adductor longus. A common complaint of patients with groin problems is pain while preparing to kick the ball. The purpose of this study was to examine muscle length and activation of the adductor longus while kicking a soccer ball. Three-dimensional joint positions and muscle activation were obtained from 15 National Collegiate Athletic Association (NCAA) Division 1 male soccer players during maximal effort kicks. Musculoskeletal modeling techniques incorporating joint position and muscle attachments were used to estimate adductor longus length from the beginning of the kicking leg's swing phase until ball strike. The maximum rate of stretch of the adductor longus (22.3 ± 5.3 cm/s) and maximum hip extension (23.3 ± 8.8°) occurred near 40% of swing phase. Activation of the adductor longus occurred between 10% and 50% of the swing phase. Adductor longus maximum length occurred at 65% of the swing phase. Maximum hip abduction (25.3 ± 5.4°) occurred at 80% of swing phase. The adductor longus appears to be at risk of strain injury during its transition from hip extension to hip flexion. This knowledge could be applied to muscle injury prevention and rehabilitation programs to aid with treatment of adductor longus related groin pain.     

The effects of football match congestion in an international tournament on hip adductor squeeze strength and pain in elite youth players

The purpose of this study was to investigate the effect of a congested international tournament match schedule on adductor strength and pain in elite youth football players. Twenty-two male players (age: 15.53 ± 0.48 years, height: 174.87 ± 7.59 cm, weight: 67.45 ± 7.40 kg) were included. The 5-second adductor squeeze strength was captured daily using a hand-held dynamometer during a 7-game international tournament. Pain during the squeeze test was recorded using numerical pain ratings (0–10) to quantify groin pain. Sessional rate of perceived exertion (sRPE) was collected during the tournament. Adductor strength changed significantly during the tournament in relation to time (F(14,294.94) = 1.89, p = 0.027) and cumulative sRPE (F(1,314) = 5.59, p = 0.019). Cumulative sRPE displayed a negative relationship with strength (B = ?0.008, SE = 0.0032, 95%CI = ?0.014,-0.002). The results indicate that for every 100 match sRPE arbitrary units the squeeze peak force reduced by 0.8N. Sixteen (72.7%) players demonstrated clinically meaningful strength reductions (>15%) during the tournament. Match congestion impacts on hip adductor squeeze strength in male youth football players. A negative relationship between match sRPE and adductor strength exists. Player monitoring involving the 5-second adductor squeeze test can be captured effectively and is suitable to include as part of secondary injury prevention during or immediately after a congested tournament.