Neuromuscular characteristics of agonists and antagonists during maximal eccentric knee flexion in soccer players with a history of hamstring muscle injuries.

BACKGROUND: Muscle strain injuries (MSIs) in the hamstrings are among the most prevalent injuries in elite soccer. We aimed to examine the relation between biomechanical maladaptation in eccentric strength and neuromuscular factors separated by their time and frequency domains. METHODS: 20 elite soccer players with a previous history of unilateral MSI in the M. biceps femoris (BF) long head and 20 without MSI participated. Knee flexion torques, rate of torque development (RTD) and electromyographic signals (EMG) of the BF, the M. semitendinosus (SMT) and knee extensors were obtained during unilateral maximal eccentric knee flexions performed at slow (30°/s) and fast (120°/s) angular speeds. Root mean squares and mean power frequency (MF) was calculated. RESULTS: In the group with a history of MSI, reduced maximal eccentric flexion torque (slow eccentrics -8±11, p<0.05; fast eccentrics -18±13 N*m, p<0.05) and RTD (-33±28 N*m/s, p<0.05; -95±47 N*m/s, p<0.05) concomitantly occurred with diminished agonistic myoelectrical activities (-4±5% of MVC, p<0.05; -10±7% of MVC, p<0.05) and MFs (-24±13 Hz, p<0.05; -24±18 Hz, p<0.05) in the BF. Simultaneously, antagonistic myoelectric activity was elevated (+4±3% of MVC, p<0.05; +3±3% of MVC, p<0.05) in MSI affected legs as compared to unaffected legs for both eccentric contractions. Deficits in myoelectrical activity (r2 = 0.715, p<0.05; r2 = 0.601, p<0.05) and MF (r2 = 0.484, p<0.05; r2 = 0.622, p<0.05) correlated with deficits in maximal torque in the affected leg in the MSI group. Analysis of SMT demonstrated no significant differences. CONCLUSION: Positive relationships between neuromuscular deficits and the reduced eccentric strength profile underpin neuronal inhibition after MSI. This persistent involvement of dysfunctional synergist and antagonist neural hamstring function in strength weakness is of clinical relevance in sports medicine for prevention and rehabilitation.

Player Monitoring in Professional Soccer: Spikes in Acute:Chronic Workload Are Dissociated From Injury Occurrence.

This study aimed to determine whether spikes in acute:chronic workload ratio (ACWR) are associated with injury incidence, and to examine the differences in external load due to greater or lesser exposure to matches and the long-term effects of the load during a chronic seasonal period. Fifteen professional soccer players belonging to the squad of a European Champions League club were enrolled in this study. External training and match load were assessed from all athletes using a global positioning system (GPS). We calculated the uncoupled ACWR for 10 consecutive competitive microcycles. Injuries were identified and determined by the days of absence. The differences in external load were determined using a linear mixed-model approach. In addition to the null hypothesis testing, the effect size was calculated. Thirteen athletes who did not suffer an injury exceeded several times the critical threshold of an ACWR > 1.5. This is equivalent to 1 player exceeding the critical threshold for ACWR in total distance (TD), 2 players for ACWR at distance covered above moderate speed (MSD), 2 players for ACWR at distance covered above high speed (HSD), 2 players for ACWR at distance covered above very high speed (VHSD), and 2 players for ACWR in DC at sprint per week. One athlete experienced a non-contact muscle strain injury and another a contact -injury manifested as a concussion; both athletes document an ACWR <1.5 within the 4 weeks prior to the injury event. Players with lesser participation in official games covered lower TD (-19.6%, very-large ES), MSD (-24.8%, very-large ES), HSD (-25.1%, moderate ES), VHSD (-25.5%, moderate ES), and DC at sprint (-30.6%, moderate ES) over the course of the 10-weeks period in comparison with the players with greater participation in official games. The present study demonstrated that spikes in the ACWR were not related to a subsequent injury occurrence in professional soccer players. Differences in participation in official games caused significant imbalances in the chronic external loads between players in a squad, which should be minimized in training sessions in order to prevent substantial changes in workload for those who usually do not play.

Modifications of the Dmax method in comparison to the maximal lactate steady state in young male athletes.

OBJECTIVE: To investigate the influence of different approaches for first-rise determination on the accuracy of Dmax as an estimate of the maximal lactate steady state (MLSS). METHODS: Seventeen male cyclists and 18 male runners with different levels of endurance performance completed graded exercise tests either on a cycle ergometer or treadmill to determine Dmax, calculated by the final data point and five modifications of the first rise in blood lactate concentration. Two or more constant load tests over 30 min were performed to determine MLSS. Differences between the modifications of the first rise in blood lactate concentration as well as the corresponding Dmax variants and MLSS were tested, using one-way repeated measure ANOVA with Bonferroni post-hoc tests, and illustrated, using the Bland-Altman method. The absolute agreement was observed, using intra-class correlation coefficients, based on a single measure, absolute agreement, 2-way mixed effects model. RESULTS: The peak power output/running velocity of the groups averaged 275 ± 43 W and 4.3 ± 0.4 m · s-1, respectively. The mean power output/running velocity at MLSS was 229 ± 38 W and 3.77 ± 0.38 m · s-1. For both running and cycling the original Dmax described by Cheng et al. was significantly lower than MLSS (p < 0.01). All modifications showed good agreement with MLSS (ICC ≥0.75). According to the Bland-Altman method the mean differences of the modifications compared to MLSS in cycling ranged from -7 (43) to 2 (41) W. In running the mean differences ranged from -0.12 (0.34) to -0.08 (0.35) m· s-1. CONCLUSION: We suggest using the first rise in blood lactate concentration for calculating Dmax instead of the first data point of a lactate curve as originally described. The approach of first rise determination has no substantial influence on the accuracy of Dmax compared to MLSS in cycling and running.

Accuracy of a Modified Lactate Minimum Test and Reverse Lactate Threshold Test to Determine Maximal Lactate Steady State.

Wahl, P, Manunzio, C, Vogt, F, Strütt, S, Volmary, P, Bloch, W, and Mester, J. Accuracy of a modified lactate minimum test and reverse lactate threshold test to determine maximal lactate steady state. J Strength Cond Res 31(12): 3489-3496, 2017-This study evaluated the accuracy of a modified lactate minimum test (mLMT), a modified reverse lactate threshold test (mRLT), compared with 2 established threshold concepts (onset of blood lactate accumulation [OBLA] and modified maximal deviation method [mDmax]) to determine power output at maximal lactate steady state (MLSS) in cycling. Nineteen subjects performed an mLMT, mRLT, graded exercise test (100 W start, +20 W every 3 minutes) and 3 or more constant-load tests of 30 minutes to determine power output at MLSS. The mLMT and mRLT both consisted of an initial lactate priming segment, followed by a short recovery phase. Afterward, the initial load of the subsequent incremental or reverse segment was calculated individually and was increased or decreased by 10 W every 90 seconds, respectively. The mean difference to MLSS was +2 ± 7 W (mLMT), +5 ± 10 W (mRLT), +9 ± 21 W (OBLA), and +6 ± 14 W (mDmax). The correlation between power output at MLSS and mLMT was highest (r = 0.99), followed by mRLT (r = 0.98), mDmax (r = 0.95), and OBLA (r = 0.90). Because of the higher accuracy of the mLMT and the mRLT to determine MLSS compared with OBLA and mDmax, we suggest both tests as valid and meaningful concepts to estimate power output at MLSS in one single test in moderately trained to well-trained athletes. Additionally, our modified tests provide anaerobic data and do not require detailed knowledge of the subjects' training status compared with previous LMT or RLT protocols.