Context: Epidemiologic findings of higher incidences of hamstrings muscle strains during the latter stages of soccer match play have been attributed to fatigue.Objective: To investigate the influence of soccer-specific fatigue on the peak eccentric torque of the knee flexor muscles.Design: Descriptive laboratory study. Results: Peak eccentric knee flexor torque at the end of the game (T 300eccH105 5 127 6 25 Nm) and at the end of the passive halftime interval (T 300eccH60 5 133 6 32 Nm) was reduced relative to T 300eccH00 (167 6 35 Nm, P , .01) and T 300eccH15 (161 6 35 Nm, P 5 .02).Conclusions: Eccentric hamstrings strength decreased as a function of time and after the halftime interval. This finding indicates a greater risk of injuries at these specific times, especially for explosive movements, in accordance with epidemiologic observations. Incorporating eccentric knee flexor exercises into resistance training sessions that follow soccerspecific conditioning is warranted to try to reduce the incidence or recurrence of hamstrings strains.Key Words: athletic injuries, isokinetic activity
Key PointsN Eccentric peak hamstrings torque decreased during the match and after halftime. N The fatigued player may be more susceptible to both muscle strain and joint injuries. N Developing fatigue-resistant eccentric hamstrings strength and rewarming properly may help to reduce the risk of injury.H amstrings muscle strains are frequent injuries in professional soccer players. [1][2][3][4] In an epidemiologic study of English professional soccer athletes, the thigh was the most prevalent site for injury, with 81% of thigh injuries classified as muscular strains. 2 In US Major League Soccer, hamstrings strains incurred during matches and training sessions accounted for 42% of all strain injuries. 4 An etiologic risk factor commonly attributed to the high incidence of thigh strain injuries is poor eccentric muscular strength. 5,6 The temporal pattern of injury during match play also indicates that fatigue might be a factor. 2 In English professional soccer players, 47% of match-play hamstrings strains were incurred during the final 15 minutes of each half. 3 The fatigue associated with soccer match play is specific to the characteristic activity profile. Soccer has an irregular and intermittent activity profile 7-10 and, thus, when considering soccer-specific fatigue, we should account for both physiologic and mechanical load. A soccer-specific fatigue protocol, based on the activity profile of match play, 7,11 has been previously evaluated 12 based on the duration of exercise bouts and, therefore, the frequency of changes in speed. This effort contrasted with previous attempts to replicate the demands of soccer using treadmill or free-running protocols, which have only been evaluated against the physiologic response. 13,14 Our aim was to quantify the temporal influence of soccer-specific fatigue on changes in peak eccentric isokinetic torque of the knee flexors. If eccentric hamstrings strength is impaired as a result of fati...