Novel Supine Isometric Hamstring Test: A Reliability Study

Barry T. Gorman, Stacey Kung, Neil Welch, Antonio Squillante

Abstract


Background: Hamstring strain injuries are highly prevalent, particularly when the hamstrings are in a lengthened position; however, monitoring strength deficits and fatigue throughout a season is currently difficult due to a lack of practical, reliable tests that do not cause undue fatigue. Objective: The aim of the current study was to investigate the intersession reliability of a novel 90°hip: 40°knee isometric hamstring test (IHT) in the supine position. Methodology: This was a prospective, observational cohort study conducted on nine male participants (24 ± 3 years, 81.9 ± 6.4kg, 181.8 ± 5.3cm). Each participant completed two testing sessions of the 90°hip: 40°knee IHT using force platforms. Relative and absolute reliability of isometric peak force (IPF) were assessed using intraclass correlation coefficient (ICC) and coefficient of variation (CV%), respectively. Results: Relative reliability of the 90°hip: 40°knee IHT was considered “good” in the dominant limb (ICC = 0.92, Lower bound 95% Confidence Interval (CI) = 0.72) and “poor” in the non-dominant limb (ICC = 0.76, Lower bound 95% CI = 0.28). Absolute reliability was “acceptable” in both legs with 5.81% in the dominant limb and 9.65% in the non-dominant limb. Conclusion: The 90°hip: 40°knee IHT demonstrated moderate reliability overall, further research is required to discover the optimum IHT configuration which can be reliably executed at longer hamstring muscle lengths. This study provides foundational information for practitioners on a novel method of reliably testing hamstring isometric strength at longer muscle lengths.

Keywords


Athletic Injuries, Reinjuries, Muscle Strength, Primary Prevention, Running, Hamstring Muscles

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References


Bahr, R. (2016). Why screening tests to predict injury do not work-and probably never will...: a critical review. British Journal of Sports Medicine, 50(13), 776-780. https://doi.org/10.1136/bjsports-2016-096256

Bahr, R., & Holme, I. (2003). Risk factors for sports injuries—A methodological approach. British Journal of Sports Medicine, 37, 384-392. https://doi.org/10.1136/bjsm.37.5.384

Bennell, K., Wajswelner, H., Lew, P., Schall-Riaucour, A., Leslie, S. P., D., & Cirone, J. (1998). Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. British Journal of Sports Medicine, 32(4), 309-314. https://doi.org/10.1136/bjsm.32.4.309

Bittencourt, N. F. N., Meeuwisse, W. H., Mendonca, L. D., Nettel-Aguirre, A., Ocarino, J. M., & Fonseca, S. T. (2016). Complex systems approach for sports injuries: moving from risk factor identification to injury pattern recognition-narrative review and new concept. British Journal of Sports Medicine, 50(21), 1309-1314. https://doi.org/10.1136/bjsports-2015-095850

Bourne, M. N., Opar, D. A., Williams, M. D., & Shield, A. J. (2015). Eccentric Knee Flexor Strength and Risk of Hamstring Injuries in Rugby Union: A Prospective Study. American Journal of Sports Medicine, 43(11), 2663-2670. https://doi.org/10.1177/0363546515599633

Bujang, M. A., & Baharum, N. (2017). A simplified guide to determination of sample size requirements for estimating the value of intraclass correlation coefficient: A review. Archives of Orofacial Sciences, 12, 1–11. https://www.researchgate.net/publication/318788161_A_simplified_guide_to_determination_of_sample_size_requirements_for_estimating_the_value_of_intraclass_correlation_coefficient_A_review

Carr, C., McMahon, J. J., & Comfort, P. (2017). Changes in strength, power, and speed across a season in English county cricketers. International Journal of Sports Physiology and Performance, 12(1), 50-55. https://doi.org/10.1123/ijspp.2015-0524

Charlton, P., Raysmith, B., Rice, S., Wollin, M., Purdam, C., Clark, R., & Drew, M. (2018). Strength, not flexibility is responsive to match-play in Australian Football athletes. Journal of Science and Medicine in Sport, 21. https://doi.org/10.1016/j.jsams.2018.09.144

Charlton, P. C., Raysmith, B., Wollin, M., Rice, S., Purdam, C., Clark, R. A., & Drew, M. K. (2018). Knee flexion strength is significantly reduced following competition in semi-professional Australian Rules football athletes: Implications for injury prevention programs. Physical Therapy in Sport, 31, 9-14. https://doi.org/10.1016/j.ptsp.2018.01.001

Chumanov, E. S., Schache, A. G., Heiderscheit, B. C., & Thelen, D. G. (2012). Hamstrings are most susceptible to injury during the late swing phase of sprinting. British Journal of Sports Medicine, 46(2), 90. https://doi.org/10.1136/bjsports-2011-090176

Cohen, D. D., Zhao, B., Okwera, B., Matthews, M. J., & Delextrat, A. (2015). Angle-specific eccentric hamstring fatigue after simulated soccer. International Journal of Sports Physiology and Performance, 10(3), 325-331. https://doi.org/10.1123/ijspp.2014-0088

Cormack, S. J., Newton, R. U., McGuigan, M. R., & Doyle, T. L. (2008). Reliability of measures obtained during single and repeated countermovement jumps. International Journal of Sports Physiology and Performance, 3(2), 131-144. https://doi.org/10.1123/ijspp.3.2.131

Croisier, J. L., Ganteaume, S., Binet, J., Genty, M., & Ferret, J. M. (2008). Strength Imbalances and Prevention of Hamstring Injury in Professional Soccer Players: A Prospective Study. American Journal of Sports Medicine, 36(8), 1469-1475. https://doi.org/10.1016/s0162-0908(09)79438-3

Cuthbert, M., Comfort, P., Ripley, N., McMahon, J. J., Evans, M., & Bishop, C. (2021). Unilateral vs. bilateral hamstring strength assessments: comparing reliability and inter-limb asymmetries in female soccer players. Journal of Sports Sciences, 39(13), 1481-1488. https://doi.org/10.1080/02640414.2021.1880180

De Visser, H. M., Reijman, M., Heijboer, M. P., & Bos, P. K. (2012). Risk factors of recurrent hamstring injuries: a systematic review. British Journal of Sports Medicine, 46(2), 124-130. https://doi.org/10.1136/bjsports-2011-090317

Ekstrand, J., Bengtsson, H., Walden, M., Davison, M., Khan, K. M., & Hägglund, M. (2022). Hamstring injury rates have increased during recent seasons and now constitute 24% of all injuries in men's professional football: the UEFA Elite Club Injury Study from 2001/02 to 2021/22. British Journal of Sports Medicine, 57(5), 292-298. https://doi.org/10.1136/bjsports-2021-105407

Ekstrand, J., Hägglund M., & Walden, M. (2011). Epidemiology of muscle injuries in professional football (soccer). American Journal of Sports Medicine, 39(6), 1226-1232. https://doi.org/10.1177/0363546510395879

Foster, C. (1998). Monitoring training in athletes with reference to overtraining syndrome. Medicine & Science in Sports & Exercise, 30(7), 1164-1168. https://doi.org/10.1097/00005768-199807000-00023

Freckleton, G., & Pizzari, T. (2013). Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. British Journal of Sports Medicine, 47(6), 351-358. https://doi.org/10.1136/bjsports-2011-090664

Gasparin, G. B., Ribeiro-Alvares, J. B. A., & Baroni, B. M. (2022). Single Leg Bridge Test is Not a Valid Clinical Tool to Assess Maximum Hamstring Strength. International Journal of Sports Physical Therapy, 17(4), 613-621. https://doi.org/10.26603/001c.34417

Green, B., Bourne, M. N., & Pizzari, T. (2018). Isokinetic strength assessment offers limited predictive validity for detecting risk of future hamstring strain in sport: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(5), 329-336. https://doi.org/10.1136/bjsports-2017-098101

Green, B., Bourne, M. N., van Dyk, N., & Pizzari, T. (2020). Recalibrating the risk of hamstring strain injury (HSI): A 2020 systematic review and meta-analysis of risk factors for index and recurrent hamstring strain injury in sport. British Journal of Sports Medicine, 54(18), 1081-1088. https://doi.org/10.1136/bjsports-2019-100983

Hopkins, J. T., Ingersoll, C. D., Cordova, M. L., & Edwards, J. E. (2000). Intrasession and intersession reliability of the soleus H-reflex in supine and standing positions. Electromyography and Clinical Neurophysiology, 40(2), 89-94. https://europepmc.org/article/med/10746184

Koo, T. K., & Li, M. Y. (2016). A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. Journal of Chiropractic Medicine, 15(2), 155-163. https://doi.org/10.1016/j.jcm.2016.02.012

Lieber, R. L., Woodburn, T. M., & Friden, J. (1991). Muscle damage induced by eccentric contractions of 25% strain. Journal of Applied Physiology, 70(6), 2498-2507. https://doi.org/10.1152/jappl.1991.70.6.2498

Matinlauri, A., Alcaraz, P. E., Freitas, T. T., Mendiguchia, J., Abedin-Maghanaki, A., Castillo, A., Martínez-Ruiz, E., Carlos-Vivas, J., & Cohen, D. D. (2019). A comparison of the isometric force fatigue-recovery profile in two posterior chain lower limb tests following simulated soccer competition. PLoS One, 14(5). https://doi.org/10.1371/journal.pone.0206561

McCall, A., Nedelec, M., Carling, C., Le Gall, F., Berthoin, S., & Dupont, G. (2015). Reliability and sensitivity of a simple isometric posterior lower limb muscle test in professional football players. Journal of Sports Sciences, 33(12), 1298-1304. https://doi.org/10.1080/02640414.2015.1022579

Meeuwisse, W. H., Tyreman, H., Hagel, B., & Emery, C. (2007). A dynamic model of etiology in sport injury: the recursive nature of risk and causation. Clinical Journal of Sport Medicine, 17(3), 215-219. https://doi.org/10.1097/JSM.0b013e3180592a48

Mendiguchia, J., Alentorn-Geli, E., & Brughelli, M. (2012). Hamstring strain injuries: are we heading in the right direction? British Journal of Sports Medicine, 46(2), 81-85. https://doi.org/10.1136/bjsm.2010.081695

Mendiguchia, J., Samozino, P., Martinez-Ruiz, E., Brughelli, M., Schmikli, S., Morin, J. B., & Mendez-Villanueva, A. (2014). Progression of mechanical properties during on-field sprint running after returning to sports from a hamstring muscle injury in soccer players. International Journal of Sports Medicine, 35(8), 690-695. https://doi.org/10.1055/s-0033-1363192

Nielsen, A. B., & Yde, J. (1989). Epidemiology and traumatology of injuries in soccer. American Journal of Sports Medicine, 17(6), 803-807. https://doi.org/10.1177/036354658901700614

Nosaka, K., Newton, M., & Sacco, P. (2002). Responses of human elbow fexor muscles to electrically stimulated forced lengthening exercise. Acta Physiologica Scandinavica, 174(2), 137-145. https://doi.org/10.1046/j.1365-201X.2002.00936.x

Opar, D. A., Piatkowski, T., Williams, M. D., Shield, A. J., & Vancouver. (2013). A novel device using the Nordic hamstring exercise to assess eccentric knee flexor strength: a : and retrospective injury study. Journal of Orthopaedic & Sports Physical Therapy, 43(9), 636-640. https://www.jospt.org/doi/10.2519/jospt.2013.4837

Orchard, J., Marsden, J., Lord, S., & Garlick, D. (1997). Preseason hamstring muscle weakness associated with hamstring muscle injury in Australian footballers. American Journal of Sports Medicine, 25(1), 81-85. https://doi.org/10.1177/036354659702500116

Page, R. M., Field, A., Langley, B., Harper, L. D., & Julian, R. (2023). The Effects of Fixture Congestion on Injury in Professional Male Soccer: A Systematic Review. Sports Medicine, 53(3), 667-685. https://doi.org/10.1007/s40279-022-01799-5

Pizzari, T., Green, B., & van Dyk, N. (2020). Extrinsic and Intrinsic Risk Factors Associated with Hamstring Injury. In K. Thorborg, D. Opar, & A. Shield (Eds.), Prevention And Rehabilitation Of Hamstring Injuries (pp. 83-105). Springer.

Raya-González, J., de Ste Croix, M., Read, P., & Castillo, D. (2020). A Longitudinal Investigation of Muscle Injuries in an Elite Spanish Male Academy Soccer Club: A Hamstring Injuries Approach. Applied Sciences, 10(5). https://doi.org/10.3390/app10051610

Royer, N., Nosaka, K., Doguet, V., & Jubeau, M. (2022). Neuromuscular responses to isometric, concentric and eccentric contractions of the knee extensors at the same torque-time integral. European Journal of Applied Physiology, 122(1), 127-139. https://doi.org/10.1007/s00421-021-04817-y

Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: uses in assessing rater reliability. Psychological bulletin, 86(2), 420. https://psycnet.apa.org/doi/10.1037/0033-2909.86.2.420

Sutton, G. (1984). Hamstrung by hamstring strains: a review of the literature. Journal of Orthopaedic & Sports Physical Therapy, 5(4), 184-195. https://www.jospt.org/doi/10.2519/jospt.1984.5.4.184

Teo, W., McGuigan, M. R., & Newton, M. J. (2011). The effects of circadian rhythmicity of salivary cortisol and testosterone on maximal isometric force, maximal dynamic force, and power output. Journal of Strength & Conditioning Research, 25(6), 1538-1545. https://doi.org/10.1519/JSC.0b013e3181da77b0

Thelen, D. G., Chumanov, E. S., Hoerth, D. M., Best, T. M., Swanson, S. C., Li, L., Young, M., & Heiderscheit, B. C. (2005). Hamstring muscle kinematics during treadmill sprinting. Medicine & Science in Sports & Exercise, 37(1), 108-114. https://doi.org/10.1249/01.mss.0000150078.79120.c8

Verdera, F., Champavier, L., Schmidt, C., Bermon, S., & Marconnet, P. (1999). Reliablilty and validity of a new device to measure isometric strength in polyarticular exercises. Journal of Sports Medicine and Physical Fitness, 39(2), 113.

Virgile, A., & Bishop, C. (2021). A narrative review of limb dominance: Task specificity and the importance of fitness testing. Journal of Strength & Conditioning Research, 35(3), 846-858. https://doi.org/10.1519/JSC.0000000000003851

Walden, M., Hagglund, M., & Ekstrand, J. (2005). UEFA Champions League study: a prospective study of injuries in professional football during the 2001-2002 season. British Journal of Sports Medicine, 39(8), 542-546. https://doi.org/10.1136/bjsm.2004.014571

Wollin, M., Thorborg, K., & Pizzari, T. (2017). The acute effect of match play on hamstring strength and lower limb flexibility in elite youth football players. Scandinavian Journal of Medicine & Science in Sports, 27(3), 282-288. https://doi.org/10.1111/sms.12655

Wollin, M., Thorborg, K., & Pizzari, T. (2018). Monitoring the effect of football match congestion on hamstring strength and lower limb flexibility: Potential for secondary injury prevention? Physical Therapy in Sport, 29, 14-18. https://doi.org/10.1016/j.ptsp.2017.09.001

Worrell, T. W., Perrin, D. H., Gansneder, B. M., & Gieck, J. H. (1991). Comparison of lsokinetic strength and flexibility measures between hamstring injured and noninjured athletes. Journal of Orthopaedic & Sports Physical Therapy, 13(3), 118-125. https://www.jospt.org/doi/10.2519/jospt.1991.13.3.118

Yeung, S. S., Suen, A. M., & Yeung, E. W. (2009). A prospective cohort study of hamstring injuries in competitive sprinters: preseason muscle imbalance as a possible risk factor. British Journal of Sports Medicine, 43(8), 589-594. https://doi.org/10.1136/bjsm.2008.056283




DOI: https://doi.org/10.7575/aiac.ijkss.v.12n.4p.1

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