Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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The Effect of Pain on Muscle Performance of Knee Extension and Flexion in Elite Athletes

  • Tak Yong Yoon (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Yongwoo Lee (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Doochul Shin (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2024.06.02
  • Accepted : 2024.06.27
  • Published : 2024.06.30
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Abstract

Objective: In this study, we compared the key indices of isokinetic tests for knee joint extension and flexion according to the presence or absence of pain in elite athletes with past knee and thigh injuries. Design: Crossed-sectional study Methods: This study was conducted on 33 elite athletes. The elite athletes who participated in this study were divided into a group with pain and a group without pain due to past knee and thigh injuries. The subjects in each group performed an isokinetic muscle strength test for knee joint extension and flexion. After the isokinetic muscle strength test, the main indices of the isokinetic test were compared between the pain group and the non-pain group. Results: In the comparison of the pain group and the non-pain group for 60°/s knee flexion and extension in elite athletes, there was a significant difference only in the torque max average/kg for knee extension. However, there was no statistically significant difference in all other variables. The comparison of the pain group and the non-pain group for 240°/s also showed a significant difference in the torque max average/kg for knee extension, and there was no statistically significant difference in all other variables. Conclusions: In subjects who have experienced previous knee or thigh injuries and have mild pain during strong isokinetic strength tests, torque average/kg is affected, but other strength variables are not affected. Therefore, it would be good to consider this aspect and use it as a basis for testing and training elite athletes.

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References

  1. Eloranta V, Komi PV. Postural effects on the function of the quadriceps femoris muscle under concentric contraction. Electromyogr Clin Neurophysiol. 1981;21(6):555-67.
  2. Ono T, Higashihara A, Fukubayashi T. Hamstring functions during hip-extension exercise assessed with electromyography and magnetic resonance imaging. Res Sports Med. 2011;19(1):42-52. https://doi.org/10.1080/15438627.2011.535769
  3. Zhang Q, Hautier CA. Influence of jump-landing direction on dynamic postural stability and hamstring-to-quadriceps co-activation ratio. Res Sports Med. 2023;31(4):331-41. https://doi.org/10.1080/15438627.2021.1975117
  4. Jeong J, Choi DH, Shin CS. Influence of individual quadriceps and hamstrings muscle architecture and quality on knee adduction and flexion moment in gait. Sci Rep. 2023;13(1):20683.
  5. Wang H, Ji Z, Jiang G, Liu W, Jiao X. Correlation among proprioception, muscle strength, and balance. J Phys Ther Sci. 2016;28(12):3468-72. https://doi.org/10.1589/jpts.28.3468
  6. Willigenburg NW, McNally MP, Hewett TE. Quadriceps and Hamstrings Strength in Athletes. In: Kaeding CC, Borchers JR, editors. Hamstring and Quadriceps Injuries in Athletes: A Clinical Guide. Boston, MA: Springer US; 2014. p. 15-28.
  7. Lee JWY, Mok KM, Chan HCK, Yung PSH, Chan KM. Eccentric hamstring strength deficit and poor hamstring-to-quadriceps ratio are risk factors for hamstring strain injury in football: A prospective study of 146 professional players. J Sci Med Sport. 2018;21(8):789-93. https://doi.org/10.1016/j.jsams.2017.11.017
  8. Pinto MD, Blazevich AJ, Andersen LL, Mil-Homens P, Pinto RS. Hamstring-to-quadriceps fatigue ratio offers new and different muscle function information than the conventional non-fatigued ratio. Scand J Med Sci Sports. 2018;28(1):282-93. https://doi.org/10.1111/sms.12891
  9. Kellis E, Sahinis C, Baltzopoulos V. Is hamstrings-to-quadriceps torque ratio useful for predicting anterior cruciate ligament and hamstring injuries? A systematic and critical review. J Sport Health Sci. 2023;12(3):343-58. https://doi.org/10.1016/j.jshs.2022.01.002
  10. Babu AN, West A, Joyce A, Borg-Stein J. Hamstring injuries: review of current literature and return to play considerations. Curr Phys Med Rehabil Rep. 2016;4(2):145-53. https://doi.org/10.1007/s40141-016-0120-y
  11. Urhausen AP, Berg B, Oiestad BE, Whittaker JL, Culvenor AG, Crossley KM, et al. Measurement properties for muscle strength tests following anterior cruciate ligament and/or meniscus injury: What tests to use and where do we need to go? A systematic review with meta-analyses for the OPTIKNEE consensus. Br J Sports Med. 2022;56(24):1422-31. https://doi.org/10.1136/bjsports-2022-105498
  12. David J. Magee RCM. knee joint. Orthopedic Physical Assessment 7e: Elsevier Saunders; 2020.
  13. Green B, Bourne MN, Pizzari T. Isokinetic strength assessment offers limited predictive validity for detecting risk of future hamstring strain in sport: a systematic review and meta-analysis. Br J Sports Med. 2018;52(5):329-36. https://doi.org/10.1136/bjsports-2017-098101
  14. Riemann BL, Watson MD, Davies GJ. Reliability and validity of a novel Isokinetic Knee Dynamometer System. Acta Bioeng Biomech. 2021;23(4):107-16. https://doi.org/10.37190/ABB-01936-2021-03
  15. Kannus P. Isokinetic evaluation of muscular performance: implications for muscle testing and rehabilitation. Int J Sports Med. 1994;15 Suppl 1:S11-8. https://doi.org/10.1055/s-2007-1021104
  16. Zabka FF, Valente HG, Pacheco AM. Isokinetic evaluation of knee extensor and flexor muscles in professional soccer players. Revista Brasileira de Medicina do Esporte. 2011;17:189-92. https://doi.org/10.1590/S1517-86922011000300008
  17. Cozette M, Lepretre P-M, Doyle C, Weissland T. Isokinetic strength ratios: Conventional methods, current limits and perspectives. Front Physiol. 2019;10:358328.
  18. Thompson BJ, Xu J. Isokinetic Dynamometer Leg Extensor Peak Torque Measurement: A Time-Delayed Reliability and Score Selection Analysis Study. J Funct Morphol Kinesiol. 2023;8(2):62.
  19. Rice DA, McNair PJ, Lewis GN, Dalbeth N. Quadriceps arthrogenic muscle inhibition: the effects of experimental knee joint effusion on motor cortex excitability. Arthritis Res Ther. 2014;16:1-7. https://doi.org/10.1186/s13075-014-0502-4
  20. Berman AT, Bosacco SJ, Israelite C. Evaluation of total knee arthroplasty using isokinetic testing. Clin Orthop Relat Res (1976-2007). 1991;271:106-13. https://doi.org/10.1097/00003086-199110000-00015