THE EFFECT OF DIFFERENT HAMSTRING ECCENTRIC EXERCISE PROGRAMS ON ISOKINETIC STRENGTH PARAMETERS

Öz

The purpose of this study is to investigate the effect of 8-week different eccentric H exercises [Nordic hamstring exercise (NHE) and Single leg deadlift exercise (SLDE)] on H muscle strength, H/Q and LSI. Football players were divided into 2 groups: those who perform NHEs (n = 12, age = 20.50 ± 1.56) and those who perform SLDEs (n = 13, age = 19.69 ± 1.37). Isokinetic strength of the muscles around the knee of the football players was measured using a Cybex isokinetic dynamometer at the beginning of the study and after 8 weeks of NHE and SLDE. Wilcoxon test was used to determine the difference between the isokinetic muscle strength of the football players. At the end of the study, it was determined that Hcon and Hecc muscle strength increased statistically in the NHE group. It was determined that the non-dominant leg Hcon/Qcon ratio and Hecc/Qcon ratio in the NHE group and the dominant leg Hcon/Qcon ratio in the SLDE group were statistically higher in the post-test. Based on these results, it can be concluded that NHE is more effective than SLDE in increasing H muscle strength and H/Q ratio.

Anahtar Kelimeler

• Nordic hamstring
• single leg deadlift
• ; isokinetic strength
• H/Q ratio
• limb symmetry index

FARKLI HAMSTRİNG EKSENTRİK EGZERSİZ PROGRAMLARININ İZOKİNETİK KUVVET PARAMETRELERİNE ETKİSİ

Öz

Bu çalışmanın amacı; 8 haftalık farklı eksentrik H egzersizlerinin [Nordic hamstring egzersizi (NHE) ve Single leg deadlift egzersizi (SLDE)] H kas kuvveti, H/Q oranı ve ESİ’ne etkisinin incelenmesidir. Futbolcular NHE yapanlar (n=12, yaş= 20.50±1.56) ve SLDE yapanlar (n=13, yaş= 19.69±1.37) olmak üzere 2 gruba ayrıldı. Futbolcuların diz çevresi kaslarının izokinetik kuvvetleri çalışmanın başlangıcında ve 8 haftalık NHE ve SLDE sonrasında Cybex izokinetik dinamometre ile ölçüldü. Quadriceps femoris (Q) ve H kaslarının konsentrik ve eksentrik kuvvet değerlendirmesi 60⁰/sn hızda yapıldı. Futbolcuların izokinetik kas kuvvetleri arasındaki farkın belirlenmesinde Wilcoxon testi kullanıldı. Araştırmanın sonunda NHE grubunda Hcon ve Hecc kas kuvvetinin istatiksel olarak arttığı belirlenmiştir (p<0,05). NHE grubunun nondominant bacak Hcon/Qcon oranının ve Hecc/Qcon oranının, SLDE grubunun dominant bacak Hcon/Qcon oranın son-testte istatistiksel olarak arttığı tespit edilmiştir (p<0,05). Bu sonuçlara göre NHE’nin H kas kuvvetini ve H/Q oranını artırmada SLDE’ne göre daha etkili olduğu söylenebilir.

Anahtar Kelimeler

• Nordic hamstring
• single leg deadlift
• izokinetik kuvvet
• H/Q oranı
• ekstremite simetri indeksi

Kaynakça

1. Aktuğ, Z. B. (2020). Do the exercises performed with a theraband have an effect on knee muscle strength balances? Journal of Back and Musculoskeletal Rehabilitation, 33(1), 65–71. https://doi.org/10.3233/BMR-181217
2. Aktuğ, Z. B., Yilmaz, A. K., Ibis, S., Aka, H., Akarçeşme, C., & Sökmen, T. (2018). The effect of 8-week nordic hamstring exercise on hamstring quadriceps ratio and hamstring muscle strength. World Journal of Education, 8(3), 162–169.
3. Alexander, M. J. L. (1990). Peak torque values for antagonist muscle groups and concentric and eccentric contraction types for elite sprinters. Archives of Physical Medicine and Rehabilitation, 71(5), 334–339.
4. Alt, T., Nodler, Y. T., Severin, J., Knicker, A. J., & Struder, H. K. (2018). Velocity-specific and time-dependent adaptations following a standardized Nordic hamstring exercise training. Scandinavian Journal of Medicine & Science in Sports, 28(1), 65–76. https://doi.org/10.1111/sms.12868
5. Arnason, A., Andersen, T. E., Holme, I., Engebretsen, L., & Bahr, R. (2008). Prevention of hamstring strains in elite soccer: An intervention study. Scandinavian Journal of Medicine & Science in Sports, 18(1), 40–48. https://doi.org/10.1111/j.1600-0838.2006.00634.x
6. Askling, C., Karlsson, J., & Thorstensson, A. (2003). Hamstring injury occurrence in elite soccer players after preseason strength training with eccentric overload. Scandinavian Journal of Medicine & Science in Sports, 13(4), 244–250. https://doi.org/10.1034/j.1600-0838.2003.00312.x
7. Askling, C., Lund, H., Saartok, T., & Thorstensson, A. (2002). Self-reported hamstring injuries in student-dancers. Scandinavian Journal of Medicine & Science in Sports, 12(4), 230–235. https://doi.org/10.1034/j.1600-0838.2002.00155.x
8. Bennell, K., Wajswelner, H., Lew, P., Schall-Riaucour, A., Leslie, S., Plant, D., & Sirone, 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

9. Brooks, J. H., Fuller, C. W., Kemp, S. P., & Reddin, D. B. (2006). Incidence, risk, and prevention of hamstring muscle injuries in professional rugby union. American Journal of Sports Medicine, 34(8), 1297–1306. https://doi.org/10.1177/0363546505286022
10. Clanton, T. O., & Coupe, K. J. (1998). Hamstring strains in athletes: Diagnosis and treatment. Journal of the American Academy of Orthopaedic Surgeons, 6(4), 237–248. https://doi.org/10.5435/00124635-199807000-00006
11. Cloke, D., Moore, O., Shah, T., Rushton, S., Shirley, M. D., & Deehan, D. J. (2012). Thigh muscle injuries in youth soccer: Predictors of recovery. American Journal of Sports Medicine, 40(2), 433–439. https://doi.org/10.1177/0363546511428981
12. Colby, S., Francisco, A., Yu, B., Kirkendall, D., Finch, M., & Garrett, W. (2000). Electromyographic and kinematic analysis of cutting maneuvers. American Journal of Sports Medicine, 28(2), 234–240. https://doi.org/10.1177/03635465000280021501
13. Coombs, R., & Garbutt, G. (2002). Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. Journal of Sports Science & Medicine, 1(3), 56–62.
14. Ekstrand, J., & Gillquist, J. (1983). Soccer injuries and their mechanisms: A prospective study. Medicine & Science in Sports & Exercise, 15(3), 267–270. https://doi.org/10.1249/00005768-198315030-00014
15. Ekstrand, J., Hägglund, M., & Waldén, M. (2011). Injury incidence and injury patterns in professional football: The UEFA injury study. British Journal of Sports Medicine, 45(7), 553–558. https://doi.org/10.1136/bjsm.2009.060582
16. Engebretsen, A. H., Myklebust, G., Holme, I., Engebretsen, L., & Bahr, R. (2010). Intrinsic risk factors for hamstring injuries among male soccer players: A prospective cohort study. American Journal of Sports Medicine, 38(6), 1147–1153. https://doi.org/10.1177/0363546509358381
17. 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
18. Freeman, B. W., Young, W. B., Talpey, S. W., Smyth, A. M., Pane, C. L., & Carlon, T. A. J. (2019). The effects of sprint training and the Nordic hamstring exercise on eccentric hamstring strength and sprint performance in adolescent athletes. Journal of Sports Medicine and Physical Fitness, 59(7), 1119–1125. https://doi.org/10.23736/S0022-4707.18.08go6-6
19. Giza, E., Mithofer, K., Farrell, L., Zarins, B., & Gill, T. (2005). Injuries in women's professional soccer. British Journal of Sports Medicine, 39(4), 212–216. https://doi.org/10.1136/bjsm.2004.011973
20. Guex, K., & Millet, G. P. (2013). Conceptual framework for strengthening exercises to prevent hamstring strains. Sports Medicine, 43(12), 1207–1215. https://doi.org/10.1007/s40279-013-0097-0
21. Hegyi, A., Péter, A., Finni, T., & Cronin, N. J. (2018). Region-dependent hamstrings activity in Nordic hamstring exercise and stiff-leg deadlift defined with high-density electromyography. Scandinavian Journal of Medicine & Science in Sports, 28(3), 992–1000. https://doi.org/10.1111/sms.12992
22. Ibis, S., Aktug, Z. B., & Iri, R. (2018). Does individual-specific strength training have an effect upon knee muscle strength balances? Journal of Musculoskeletal & Neuronal Interactions, 18(2), 183–190.
23. Iga, J., Fruer, C. S., Deighan, M., Croix, M. D., & James, D. V. (2012). Nordic hamstrings exercise engagement characteristics and training responses. International Journal of Sports Medicine, 33(12), 1000–1004. https://doi.org/10.1055/s-0032-1311588
24. Kannus, P., & Järvinen, M. (1990). Knee flexor/extensor ratio in follow-up of acute knee distortion injuries. Archives of Physical Medicine and Rehabilitation, 71(1), 38–41.
25. Leister, I., Mattiassich, G., Kindermann, H., Ortmaier, R., Barthofer, J., Vasvary, I., Katzensteiner, K., Stelzhammer, C., & Kulnik, S. T. (2018). Reference values for fatigued versus non-fatigued limb symmetry index measured by a newly designed single-leg hop test battery in healthy subjects: A pilot study. Sport Sciences for Health, 14(1), 105–113. https://doi.org/10.1007/s11332-017-0401-8
26. Lisee, C., Slater, L., Hertel, J., & Hart, J. M. (2019). Effect of sex and level of activity on lower-extremity strength, functional performance, and limb symmetry. Journal of Sport Rehabilitation, 28(5), 413–420. https://doi.org/10.1123/jsr.2017-0243
27. Lucas, S. S., Maurício, D. P., Felipe, X. L., César, L. M., Thales, M. M., Evangelos, P., & Baroni, B. M. (2021). Progressive workload periodization maximizes effects of Nordic hamstring exercise on muscle injury risk factors. Journal of Strength and Conditioning Research, 35(4), 1006–1013. https://doi.org/10.1519/JSC.0000000000002241
28. McCall, A., Carling, C., Davison, M., Nedelec, M., Le Gall, F., Berthoin, S., & Dupont, G. (2015). Injury risk factors, screening tests and preventative strategies: A systematic review of the evidence that underpins the perceptions and practices of 44 football (soccer) teams from various premier leagues. British Journal of Sports Medicine, 49(9), 583–589. https://doi.org/10.1136/bjsports-2014-094104
29. Mendiguchia, J., Martínez-Ruiz, E., Morin, J., Samozino, P., Edouard, P., Alcaraz, P., Esparza-Ros, F., & Méndez-Villanueva, A. (2015). Effects of hamstring-emphasized neuromuscular training on strength and sprinting mechanics in football players. Scandinavian Journal of Medicine & Science in Sports, 25(6), 621–629. https://doi.org/10.1111/sms.12388
30. Mjølsnes, R., Arnason, A., Østhagen, T., Raastad, T., & Bahr, R. (2004). A 10-week randomized trial comparing eccentric vs. concentric hamstring strength training in well-trained soccer players. Scandinavian Journal of Medicine & Science in Sports, 14(5), 311–317. https://doi.org/10.1046/j.1600-0838.2003.00367.x
31. Myer, G. D., Schmitt, L. C., Brent, J. L., Ford, K. R., Barber Foss, K. D., Scherer, B. J., Heidt, R. S., Divine, J. G., & Hewett, T. E. (2011). Utilization of modified NFL combine testing to identify functional deficits in athletes following ACL reconstruction. Journal of Orthopaedic & Sports Physical Therapy, 41(6), 377–387. https://doi.org/10.2519/jospt.2011.3547
32. Oliveira, A. K., Borges, D. T., Lins, C. A. A., Cavalcanti, R. L., Macedo, L. B., & Brasileiro, J. S. (2016). Immediate effects of Kinesio Taping® on neuromuscular performance of quadriceps and balance in individuals submitted to anterior cruciate ligament reconstruction: A randomized clinical trial. Journal of Science and Medicine in Sport, 19(1), 2–6. https://doi.org/10.1016/j.jsams.2014.11.009
33. Ono, T., Tojima, M., & Hirose, N. (2017). Hamstrings training effect on hip and knee joint function, morphology of hamstring muscles, and injury prevention. British Journal of Sports Medicine, 51(4), 368. https://doi.org/10.1136/bjsports-2016-097372.344
34. Opar, D. A., Williams, M. D., & Shield, A. J. (2012). Hamstring strain injuries: Factors that lead to injury and reinjury. Sports Medicine, 42(3), 209–226. https://doi.org/10.2165/11594800-000000000-00000
35. 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
36. Petersen, J., Thorborg, K., Nielsen, M. B., Budtz-Jørgensen, E., & Hölmich, P. (2011). Preventive effect of eccentric training on acute hamstring injuries in men's soccer: A cluster-randomized controlled trial. American Journal of Sports Medicine, 39(11), 2296–2303. https://doi.org/10.1177/0363546511419277
37. Porter, A. C., & Raudenbush, S. W. (1987). Analysis of covariance: Its model and use in psychological research. Journal of Counseling Psychology, 34(4), 383–392. https://doi.org/10.1037/0022-0167.34.4.383
38. Ross, M. D., Irrgang, J. J., Denegar, C. R., McCloy, C. M., Unangst, E. T. (2002). The relationship between participation restrictions and selected clinical measures following anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 10(1), 10–19. https://doi.org/10.1007/s001670100255
39. Schmikli, S. L., de Vries, W. R., Inklaar, H., & Backx, F. J. (2011). Injury prevention target groups in soccer: Injury characteristics and incidence rates in male junior and senior players. Journal of Science and Medicine in Sport, 14(3), 199–203. https://doi.org/10.1016/j.jsams.2010.08.003
40. Simonsen, E. B., Magnusson, S. P., Bencke, J., Naesborg, H., Havkrog, M., Ebstrup, J. F., & Sørensen, H. (2000). Can the hamstring muscles protect the anterior cruciate ligament during a side-cutting maneuver? Scandinavian Journal of Medicine & Science in Sports, 10(2), 78–84. https://doi.org/10.1034/j.1600-0838.2000.010002078.x
41. Śliwowski, R., Jadczak, Ł., Hejna, R., & Wieczorek, A. (2015). The effects of individualized resistance strength programs on knee muscular imbalances in junior elite soccer players. PLOS ONE, 10(12), e0144021. https://doi.org/10.1371/journal.pone.0144021
42. Steidl-Müller, L., Hildebrandt, C., Müller, E., Fink, C., & Raschner, C. (2018). Limb symmetry index in competitive alpine ski racers: Reference values and injury risk identification according to age-related performance levels. Journal of Sport and Health Science, 7(4), 405–415. https://doi.org/10.1016/j.jshs.2016.10.014
43. Thelen, D. G., Chumanov, E. S., Hoerth, D. M., Best, T. M., Swanson, S. C., Young, L. L., & 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
44. van Beijsterveldt, A. M. C., Stubbe, J. H., Schmikli, S. L., van de Port, I. G. L., & Backx, F. J. G. (2015). Differences in injury risk and characteristics between Dutch amateur and professional soccer players. Journal of Science and Medicine in Sport, 18(2), 145–149. https://doi.org/10.1016/j.jsams.2014.02.004
45. van Beijsterveldt, A. M. C., van der Horst, N., van de Port, I. G. L., & Backx, F. J. G. (2013). How effective are exercise-based injury prevention programmes for soccer players? A systematic review. Sports Medicine, 43(4), 257–265. https://doi.org/10.1007/s40279-013-0026-0
46. Venturelli, M., Schena, F., Zanolla, L., & Bishop, D. (2011). Injury risk factors in young soccer players detected by a multivariate survival model. Journal of Science and Medicine in Sport, 14(4), 293–298. https://doi.org/10.1016/j.jsams.2010.12.004
47. Verrall, G. M., Slavotinek, J. P., Barnes, P. G., Fon, G. T., & Spriggins, A. J. (2001). Clinical risk factors for hamstring muscle strain injury: A prospective study with correlation of injury by magnetic resonance imaging. British Journal of Sports Medicine, 35(6), 435–439. https://doi.org/10.1136/bjsm.35.6.435 Verrall, G. M., Slavotinek, J. P., & Barnes, P. G. (2003). Diagnostic and prognostic value of clinical findings in 83 athletes with posterior thigh injury: Comparison of clinical findings with magnetic resonance imaging documentation of hamstring muscle strain. American Journal of Sports Medicine, 31(6), 969–973. https://doi.org/10.1177/03635465030310062701
48. Woods, C., Hawkins, R. D., Maltby, S., Hulse, M., Thomas, A., & Hodson, A. (2004). The Football Association Medical Research Programme: An audit of injuries in professional football—analysis of hamstring injuries. British Journal of Sports Medicine, 38(1), 36–41. https://doi.org/10.1136/bjsm.2002.002352
49. Yamamoto, T. (1993). Relationship between hamstring strains and leg muscle strength: A follow-up study of collegiate track and field athletes. Journal of Sports Medicine and Physical Fitness, 33(2), 194–199.
50. Yu, B., Queen, R. M., Abbey, A. N., Liu, Y., Moorman, C. T., & Garrett, W. E. (2008). Hamstring muscle kinematics and activation during overground sprinting. Journal of Biomechanics, 41(15), 3121–3126. https://doi.org/10.1016/j.jbiomech.2008.09.005
51. Zwolski, C., Schmitt, L. C., Quatman-Yates, C., Thomas, S., Hewett, T. E., & Paterno, M. V. (2015). The influence of quadriceps strength asymmetry on patient-reported function at time of return to sport after anterior cruciate ligament reconstruction. American Journal of Sports Medicine, 43(9), 2242–2249. https://doi.org/10.1177/0363546515590432