Poor neuromuscular control has been proposed as a risk factor for non-contact injuries, thus this study aimed to explore the effects of soccer-specific fatigue on leg muscle activation, reactive strength, leg stiffness, and functional hamstring/quadriceps ratio (H/Q ) in elite male youth soccer players. Outcome measures were determined in 18 youth players (age 14.4 ± 0.5 years; stature 169.4 ± 9.9 cm; mass 59.3 ± 8.9 kg; maturity offset 0.86 ± 0.88 years) pre and post simulated soccer match play (SAFT ). There was no fatigue-related change in the H/Q ; however, reactive strength and leg stiffness were both compromised (P < 0.001) after soccer-specific fatigue. Muscle activation was also locally compromised (P < 0.001) in the medial hamstring and quadriceps but not in the lateral muscles. Where statistically significant changes were observed, the effect sizes ranged from small to large (0.33-0.97). Compromised stiffness when fatigue is present suggests an increased yielding action, greater ground contact times, greater center of mass displacement, and less efficient movement when the limb comes into contact with the ground. This combined with a reduction in medial quadriceps muscle activation may reflect poor kinetic chain control at the hip and an increase in knee injury risk.

The aim of this study was to examine the acute effects of soccer specific fatigue on muscular and neuromuscular function in male youth soccer players. Elite soccer players (n = 20; age 15.7 ± 0.5 y; body height 177.75 ± 6.61 cm; body mass 67.28 ± 8.29 kg) were measured before and after soccer specific exercise (SAFT90). The reactive strength index (RSI) was determined by a drop jump test, leg stiffness (LS) by a 20 sub-maximal two-legged hopping test, and a functional hamstring to quadriceps strength ratio from isokinetic concentric and eccentric strength of the dominant and non-dominant leg (measured at angular velocities of 1.05 rad · s−1 and 3.14 rad · s−1). Metabolic response to the SAFT90 was determined by blood lactate and perceived exertion was assessed by the Borg scale. After simulated match play, a significant decrease in absolute LS (t = 4.411; p < 0.001; ω2 = 0.48) and relative LS (t = 4.326; p < 0.001; ω2 = 0.49) was observed and the RSI increased significantly (t = 3.806; p = 0.001; ω2 = 0.40). A reduction in LS found after the SAFT90 indicates possible reduction in dynamic knee stabilization. However, if we consider the changes in other observed variables, the present study did not clearly confirm that fatigue induced by a soccer specific protocol increased the risk of ACL and hamstring injury. This may be attributed to the simulated rather than actual match play used in the present study.

The purpose of the study was to evaluate marked postural asymmetry and gross joint mobility in elite female volleyball athletes.Sixty-two Czech and Slovak elite female volleyball athletes (age 20.7±2.03 years, body mass 71.1±6.18 kg, body height 1.804±.0618 m, BMI 21.8±1.78) were examined by an experienced rehabilitation physician. The set of tests included the frontal posture gross examination, the forward bending test from the standing position and the deep squat test. The spiking hand and the presence of any lower extremity injury were estimated by interview. The proportion test, Mann-Whitney test and t-test were used to evaluate statistical significance (p<0.05).Fifty subjects (80.6%) exhibited “typical” frontal plane posture in which the acromion, scapula and the iliac crest were in a higher position on the left side than on the right, significantly more frequently than all the other patterns (proportion test, p<0.0001). Ninety-eight percent of the subjects with the “LLL pattern” preferred the right arm for spiking (proportion test, p<0.0001). Forty-one subjects (66%) exhibited hypermobility in the forward bending test, significantly more frequently than twenty-one subjects (34%) with normal results (proportion test, p=0.0003). Thirty-four subjects (55%) did not succeed in the deep squat test and hypermobility in the forward bending test paradoxically prevailed in them significantly (proportion test, p=0.004). Restriction in the deep squat test was not linked to obesity, age (t-test, p=0.081) nor knee (proportion test, p=0.85) and ankle injury (Mann-Whitney test, p=0.36) in the past. Significant prevalence of hypermobility in the forward bending test was not surprising because of general body composition and the performance of regular stretching exercises in elite female volleyball athletes. On the other hand, surprisingly, more than half of the subjects did not succeed in the deep squat test. The cause of poor results in the deep squat test could be due to the tightness of the soleus muscle suffering from chronic overloading and/or an inappropriate stretching methods. An inappropriate and/or insufficient compensatory exercise and stretching method or system could be the cause of their marked postural asymmetry as well.A detailed examination of posture and muscle imbalance performed by an experienced physician or physiotherapist as well as individually tailored compensatory exercises and a stretching system can be strongly recommended to all elite athletes, not only to volleyball players.

Poor neuromuscular control and fatigue have been proposed as a risk factor for noncontact injuries especially around peak height velocity (PHV). This study explored the effects of competitive soccer match-play on neuromuscular performance and muscle damage in male youth soccer players. Methods: 24 youth players aged 13-16y were split into a PHV group (-0.5 to 0.5y) and post PHV group (1.0-2.5y) based on maturity offset. Leg stiffness, reactive strength index (RSI), muscle activation, creatine kinase (CK), and muscle soreness were determined pre and post a competitive soccer match. Paired t-tests were used to explore differences pre and post competitive match play and independent sample t-tests for between groups differences for all outcome measures. Results: There were no significant fatigue related change in absolute and relative leg stiffness or muscle activation in both groups, except for the gastrocnemius in the post PHV group. RSI, CK and perceived muscle soreness were significantly different after soccer match-play in both groups with small to large effects observed (ES:0.41-2.82). There were no significant differences between the groups pre match-play except for absolute and relative leg stiffness (P < 0.001; ES = 1.16 and 0.63 respectively). No significant differences were observed in the fatigue related responses to competitive match play between groups except for perceived muscle soreness. Conclusions: The influence of competitive match-play on neuromuscular function and muscle damage is similar in male youth around the time of PHV and those post-PHV indicating that other factors must contribute to the heightened injury risk around PHV.

The purpose of the study was to analyse the changes in muscle strength, power, and somatic parameters in elite volleyball players after a specific pre-season training programme aimed at improving jumping and strength performance and injury prevention. Twelve junior female volleyball players participated in an 8-week training programme. Anthropometric characteristics, isokinetic peak torque (PT) single-joint knee flexion (H) and extension (Q) at 60º/s and 180º/s, counter movement jump (CMJ), squat jump (SJ), and reactive strength index (RSI) were measured before and after intervention. Significant moderate effects were found in flexor concentric PT at 60º/s and at 180 º/s in the dominant leg (DL) (18.3±15.1%, likely; 17.8±11.2%, very likely) and in extensor concentric PT at 180º/s (7.4%±7.8%, very likely) in the DL. In the non-dominant leg (NL) significant moderate effects were found in flexor concentric PT at 60º/s and at 180º/s (13.7±11.3%, likely; 13.4±8.0%, very likely) and in extensor concentric PT at 180º/s (10.7±11.5%, very likely). Small to moderate changes were observed for H/QCONV in the DL at 60º/s and 180º/s (15.9±14.1%; 9.6±10.4%, both likely) and in the NL at 60º/s (moderate change, 9.6±11.8%, likely), and small to moderate decreases were detected for H/QFUNC at 180º/s, in both the DL and NL (-7.0±8.3%, likely; -9.5±10.0%, likely). Training-induced changes in jumping performance were trivial (for RSI) to small (for CMJ and SJ). The applied pre-season training programme induced a number of positive changes in physical performance and risk of injury, despite a lack of changes in body mass and composition.