Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players

Clinicians frequently assess asymmetry in strength, flexibility, and performance characteristics as a method of screening for potential musculoskeletal injury. The identification of asymmetry in countermovement jumps may be an ideal method to reveal asymmetry in other lower extremity characteristics...

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Main Authors: Hailey L. Wrona, Ryan Zerega, Victoria G. King, Charles R. Reiter, Susan Odum, Devon Manifold, Karyn Latorre, Timothy C. Sell
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/11/4/77
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author Hailey L. Wrona
Ryan Zerega
Victoria G. King
Charles R. Reiter
Susan Odum
Devon Manifold
Karyn Latorre
Timothy C. Sell
author_facet Hailey L. Wrona
Ryan Zerega
Victoria G. King
Charles R. Reiter
Susan Odum
Devon Manifold
Karyn Latorre
Timothy C. Sell
author_sort Hailey L. Wrona
collection DOAJ
description Clinicians frequently assess asymmetry in strength, flexibility, and performance characteristics as a method of screening for potential musculoskeletal injury. The identification of asymmetry in countermovement jumps may be an ideal method to reveal asymmetry in other lower extremity characteristics such as strength that otherwise may require additional testing, potentially reducing the time and burden on both the athlete and clinicians. The present study aims to examine the ability of asymmetry in both the single-leg and two-leg countermovement jump tests to accurately detect hip abduction, hip adduction, and eccentric hamstring strength asymmetry. Fifty-eight young male elite soccer players from the same professional academy performed a full battery of functional performance tests which included an assessment of hip adductor and abductor strength profiles, eccentric hamstring strength profiles, and neuromuscular performance and asymmetries during countermovement jumps. Bilateral variables attained from both the single-leg and two-leg countermovement jump tests included concentric impulse (Ns), eccentric mean force (N), and concentric mean force (N) computed by the VALD ForceDecks software. Average maximal force (N) was calculated bilaterally for the strength assessments. Asymmetry was calculated for each variable using 100 × |(right leg − left leg)/(right leg)| and grouped into three categories: 0 to <10%, 10% to <20%, and 20% or greater. Analyses were performed for the two higher asymmetry groups. The accuracy to detect strength asymmetry was assessed as the sensitivity, specificity, and predictive values for positive and negative tests. The outcomes from the accuracy assessments suggest that the single-leg countermovement jump concentric impulse variable at the 20% threshold is indicative of a youth male soccer player having hip adduction strength asymmetry while also demonstrating more accuracy and applicability than the two-leg countermovement jump concentric impulse variable.
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spelling doaj.art-896d425a54a544cdaf316caa609c45662023-11-17T21:22:33ZengMDPI AGSports2075-46632023-03-011147710.3390/sports11040077Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer PlayersHailey L. Wrona0Ryan Zerega1Victoria G. King2Charles R. Reiter3Susan Odum4Devon Manifold5Karyn Latorre6Timothy C. Sell7Department of Biomedical Engineering, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USAAtrium Health Musculoskeletal Institute, Charlotte, NC 28207, USAPhysical Therapy Division, Duke University School of Medicine, Durham, NC 27710, USAAtrium Health Musculoskeletal Institute, Charlotte, NC 28207, USAAtrium Health Musculoskeletal Institute, Charlotte, NC 28207, USACharlotte Football Club, Charlotte, NC 28202, USACharlotte Football Club, Charlotte, NC 28202, USAAtrium Health Musculoskeletal Institute, Charlotte, NC 28207, USAClinicians frequently assess asymmetry in strength, flexibility, and performance characteristics as a method of screening for potential musculoskeletal injury. The identification of asymmetry in countermovement jumps may be an ideal method to reveal asymmetry in other lower extremity characteristics such as strength that otherwise may require additional testing, potentially reducing the time and burden on both the athlete and clinicians. The present study aims to examine the ability of asymmetry in both the single-leg and two-leg countermovement jump tests to accurately detect hip abduction, hip adduction, and eccentric hamstring strength asymmetry. Fifty-eight young male elite soccer players from the same professional academy performed a full battery of functional performance tests which included an assessment of hip adductor and abductor strength profiles, eccentric hamstring strength profiles, and neuromuscular performance and asymmetries during countermovement jumps. Bilateral variables attained from both the single-leg and two-leg countermovement jump tests included concentric impulse (Ns), eccentric mean force (N), and concentric mean force (N) computed by the VALD ForceDecks software. Average maximal force (N) was calculated bilaterally for the strength assessments. Asymmetry was calculated for each variable using 100 × |(right leg − left leg)/(right leg)| and grouped into three categories: 0 to <10%, 10% to <20%, and 20% or greater. Analyses were performed for the two higher asymmetry groups. The accuracy to detect strength asymmetry was assessed as the sensitivity, specificity, and predictive values for positive and negative tests. The outcomes from the accuracy assessments suggest that the single-leg countermovement jump concentric impulse variable at the 20% threshold is indicative of a youth male soccer player having hip adduction strength asymmetry while also demonstrating more accuracy and applicability than the two-leg countermovement jump concentric impulse variable.https://www.mdpi.com/2075-4663/11/4/77footballinjury preventionbiomechanicsrisk factorteam sport
spellingShingle Hailey L. Wrona
Ryan Zerega
Victoria G. King
Charles R. Reiter
Susan Odum
Devon Manifold
Karyn Latorre
Timothy C. Sell
Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players
Sports
football
injury prevention
biomechanics
risk factor
team sport
title Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players
title_full Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players
title_fullStr Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players
title_full_unstemmed Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players
title_short Ability of Countermovement Jumps to Detect Bilateral Asymmetry in Hip and Knee Strength in Elite Youth Soccer Players
title_sort ability of countermovement jumps to detect bilateral asymmetry in hip and knee strength in elite youth soccer players
topic football
injury prevention
biomechanics
risk factor
team sport
url https://www.mdpi.com/2075-4663/11/4/77
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