Association between lower extremity muscle strength and acute ankle injury in youth team-sports athletes
| Autor: | Mari Leppänen, Mattila Vm, Jari Parkkari, Jussi Hietamo, Pekka Kannus, Kathrin Steffen, Kati Pasanen, Ari Heinonen |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty junioriurheilu Basketball Adolescent Hamstring Muscles Physical Therapy Sports Therapy and Rehabilitation Isometric exercise Quadriceps Muscle Cohort Studies sport injury 03 medical and health sciences 0302 clinical medicine nuoret Risk Factors Humans Medicine Orthopedics and Sports Medicine Ankle Injuries Muscle Strength Risk factor youth sport Leg press urheiluvammat 030222 orthopedics Hip biology business.industry Proportional hazards model Athletes injury risk Youth Sports Hazard ratio Team Sports 030229 sport sciences General Medicine biology.organism_classification Lower Extremity Physical therapy Female business lihasvoima Cohort study |
| Zdroj: | Physical Therapy in Sport. 48:188-195 |
| ISSN: | 1466-853X |
| DOI: | 10.1016/j.ptsp.2021.01.007 |
| Popis: | Objectives To investigate lower extremity muscle strength as risk factor for an acute ankle injury in youth athletes. Design Cohort study. Setting Basketball and floorball clubs. Participants 188 youth (≤21) male and 174 female athletes. Main outcome measures 1RM leg press, maximal concentric isokinetic quadriceps and hamstrings as well as maximal isometric hip abductor strength were measured and athletes were followed for an acute ankle injury up to three years. Cox regression models were used in statistical analyses. Results In males, greater 1RM leg press and maximal quadriceps strength increased the risk of any type of acute ankle injury (Hazard ratio [HR] for 1 SD increase, 1.63 [95% CI, 1.12–2.39] and 1.43 [95% CI, 1.01–2.01], respectively). In females, greater 1RM leg press and difference between legs in hip abduction strength increased the risk of acute non-contact ankle injury (HR for 1 SD increase, 1.44 [95% CI, 1.03–2.02] and 1.44 [95% CI, 1.03–2.00], respectively). However, ROC curve analyses showed AUC:s of 0.57–0.64 indicating “fail” to “poor” combined sensitivity and specifity of these tests. Conclusion Greater strength in both sexes along with asymmetry in hip abductor strength in females increased the risk of acute ankle injury. |
| Databáze: | OpenAIRE |
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