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

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 300^o/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

• Referências

• 1 Bahr R, Bahr IA. Incidence of acute volleyball injuries: a prospective cohort study of injury mechanisms and risk factors. Scand J Med Sci Sports 1997; 7 (03) 166-171
• 2 Verhagen EA, Van der Beek AJ, Bouter LM, Bahr RM, Van Mechelen W. A one season prospective cohort study of volleyball injuries. Br J Sports Med 2004; 38 (04) 477-481
• 3 Ellenbecker TS, Davies GJ. The application of isokinetics in testing and rehabilitation of the shoulder complex. J Athl Train 2000; 35 (03) 338-350
• 4 Hadzic V, Sattler T, Veselko M, Markovic G, Dervisevic E. Strength asymmetry of the shoulders in elite volleyball players. J Athl Train 2014; 49 (03) 338-344
• 5 Wang HK, Cochrane T. Mobility impairment, muscle imbalance, muscle weakness, scapular asymmetry and shoulder injury in elite volleyball athletes. J Sports Med Phys Fitness 2001; 41 (03) 403-410
• 6 Saccol MF, Almeida GP, de Souza VL. Anatomical glenohumeral internal rotation deficit and symmetric rotational strength in male and female young beach volleyball players. J Electromyogr Kinesiol 2016; 29: 121-125
• 7 Stickley CD, Hetzler RK, Freemyer BG, Kimura IF. Isokinetic peak torque ratios and shoulder injury history in adolescent female volleyball athletes. J Athl Train 2008; 43 (06) 571-577
• 8 Suzuki N, Endo S. A quantitative study of trunk muscle strength and fatigability in the low-back-pain syndrome. Spine 1983; 8 (01) 69-74
• 9 Souza RB, Powers CM. Predictors of hip internal rotation during running: an evaluation of hip strength and femoral structure in women with and without patellofemoral pain. Am J Sports Med 2009; 37 (03) 579-587
• 10 McLean SG, Fellin RE, Suedekum N, Calabrese G, Passerallo A, Joy S. Impact of fatigue on gender-based high-risk landing strategies. Med Sci Sports Exerc 2007; 39 (03) 502-514
• 11 Leppänen M, Pasanen K, Krosshaug T. et al. Sagittal Plane Hip, Knee, and Ankle Biomechanics and the Risk of Anterior Cruciate Ligament Injury: A Prospective Study. Orthop J Sports Med 2017; 5 (12) 2325967117745487
• 12 Carcia C, Eggen J, Shultz S. Hip-Abductor Fatigue, Frontal-Plane Landing Angle, and Excursion during a Drop Jump. J Sport Rehabil 2005; 14 (04) 321-331
• 13 Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. J Athl Train 2007; 42 (01) 76-83
• 14 Rouis M, Coudrat L, Jaafar H. et al. Assessment of isokinetic knee strength in elite young female basketball players: correlation with vertical jump. J Sports Med Phys Fitness 2015; 55 (12) 1502-1508
• 15 Xaverova Z, Dirnberger J, Lehnert M, Belka J, Wagner H, Orechovska K. Isokinetic Strength Profile of Elite Female Handball Players. J Hum Kinet 2015; 49: 257-266
• 16 Forthomme B, Wieczorek V, Frisch A, Crielaard JM, Croisier JL. Shoulder pain among high-level volleyball players and preseason features. Med Sci Sports Exerc 2013; 45 (10) 1852-1860
• 17 Tol JL, Hamilton B, Eirale C, Muxart P, Jacobsen P, Whiteley R. At return to play following hamstring injury the majority of professional football players have residual isokinetic deficits. Br J Sports Med 2014; 48 (18) 1364-1369
• 18 Bittencourt NFN, Amaral GM, Saldanha dos Anjos MT, D'Allessandro R, Silva AA, Fonseca ST. Avaliação muscular isocinética da articulação do joelho em atletas das seleções brasileiras infanto e juvenil de voleibol masculino. Rev Bras Med Esporte 2005; 11 (06) 331-336
• 19 Mendonça LDM, Bittencourt NFN, Anjos MTS, Silva AA, Fonseca ST. Isokinetic muscular assessment of the shoulder joint in athletes from the male under-19 and under-21 Brazilian volleyball teams. Rev Bras Med Esporte 2010; 16 (02) 107-111
• 20 Kim Y, Youm C, Son M, Kim J, Lee M. The effect of knee flexor and extensor fatigue on shock absorption during cutting movements after a jump landing. Knee 2017; 24 (06) 1342-1349
• 21 Orishimo KF, Kremenic IJ. Effect of fatigue on single-leg hop landing biomechanics. J Appl Biomech 2006; 22 (04) 245-254
• 22 Briem K, Jónsdóttir KV, Árnason Á, Sveinsson Þ. Effects of Sex and Fatigue on Biomechanical Measures During the Drop-Jump Task in Children. Orthop J Sports Med 2017; 5 (01) 2325967116679640
• 23 Shimokochi Y, Yong Lee S, Shultz SJ, Schmitz RJ. The relationships among sagittal-plane lower extremity moments: implications for landing strategy in anterior cruciate ligament injury prevention. J Athl Train 2009; 44 (01) 33-38
• 24 Leporace G, Praxedes J, Pereira GR, Chagas D, Pinto S, Batista LA. Ativação muscular do quadril e do joelho em duas aterrissagens realizadas por atletas do sexo masculino. Rev Bras Med Esporte 2011; 17 (05) 324-328
• 25 Hadzic V, Sattler T, Markovic G, Veselko M, Dervisevic E. The isokinetic strength profile of quadriceps and hamstrings in elite volleyball players. Isokinet Exerc Sci 2010; 18 (01) 31-37
• 26 Scattone Silva R, Nakagawa TH, Ferreira AL, Garcia LC, Santos JE, Serrão FV. Lower limb strength and flexibility in athletes with and without patellar tendinopathy. Phys Ther Sport 2016; 20: 19-25
• 27 Scattone Silva R, Ferreira AL, Nakagawa TH, Santos JE, Serrão FV. Rehabilitation of Patellar Tendinopathy Using Hip Extensor Strengthening and Landing-Strategy Modification: Case Report With 6-Month Follow-up. J Orthop Sports Phys Ther 2015; 45 (11) 899-909
• 28 Tonin K, Stražar K, Burger H, Vidmar G. Adaptive changes in the dominant shoulders of female professional overhead athletes: mutual association and relation to shoulder injury. Int J Rehabil Res 2013; 36 (03) 228-235
• 29 Rathi S, Taylor NF, Green RA. The effect of in vivo rotator cuff muscle contraction on glenohumeral joint translation: An ultrasonographic and electromyographic study. J Biomech 2016; 49 (16) 3840-3847
• 30 Lee SB, Kim KJ, O'Driscoll SW, Morrey BF, An KN. Dynamic glenohumeral stability provided by the rotator cuff muscles in the mid-range and end-range of motion. A study in cadavera. J Bone Joint Surg Am 2000; 82 (06) 849-857