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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 036-041
DOI: 10.1055/s-0042-1745801
Artigo Original
Artroscopia

Are Previous Joint Injuries Associated with Muscle Performance in Volleyball Athletes?[*]

Article in several languages: português | English
Natália F. N. Bittencourt
1   Laboratório de Prevenção e Reabilitação de Lesões Esportivas (LAPREV), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
,
Giovanna M. Amaral
1   Laboratório de Prevenção e Reabilitação de Lesões Esportivas (LAPREV), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
2   Pontifícia Universidade Católica de Minas Gerais – PUC Minas, Belo Horizonte, MG, Brasil
,
Alysson L. Zuin
3   SADA Cruzeiro, Belo Horizonte, MG, Brasil
,
Rodrigo de O. Mascarenhas
4   Departamento de Fisioterapia, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brasil
,
Anderson A. Silva
5   Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brasil
,
Hytalo de J. Silva
6   Programa de Pós-Graduação em Reabilitação e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brasil
,
Luciana D. Mendonça 
4   Departamento de Fisioterapia, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brasil
6   Programa de Pós-Graduação em Reabilitação e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brasil
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Abstract

Objective The aim of the present study is to determine whether previous shoulder and knee injuries were associated with isokinetic fatigue index and agonist/antagonist ratio of shoulder internal/external rotators and knee flexors/extensors in male volleyball athletes.

Methods The current study is a cross-sectional investigation of 49 male elite volleyball players competing at a high level in Brazil. Isokinetic fatigue index and agonist/antagonist profiles were assessed during the preseason. Additionally, in order to record previous injuries, the athletes answered a standardized questionnaire. We conducted a receiver operating characteristic (ROC) curve analysis to determine the association strength and the clinically relevant cut-off point for variables presenting statistical significance for the area under the curve (AUC) (α = 0.05). An independent t-test was used to compare isokinetic variables between athletes with and without previous injury (α = 0.05).

Results The results of the ROC curve analysis indicated that hamstring fatigue index values at 300o/s were associated with the presence of previous knee injury (area under the curve [AUC] = 73%, p = 0.004), and shoulder external rotators fatigue index values at 360°/s were not associated with the presence of previous shoulder injury (AUC = 68%, p = 0.053).

Conclusions Elite volleyball athletes who reported previous knee injuries were prone to a higher fatigue index than those reporting no injuries. Knee flexor resistance training might be useful for those athletes who reported knee injuries in the previous season.

Keywords

knee injuries - muscle strength - shoulder injuries - volleyball

Financial Support

There was no financial support from public, commercial, or non-profit sources.


* Work developed at Laboratório de Prevenção e Reabilitação de Lesões Esportivas (LAPREV), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.




Publication History

Received: 28 July 2021

Accepted: 07 February 2022

Article published online:
24 March 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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