본문 바로가기
KERD
논문KCI 등재

엉덩관절-우세 넙다리뒤근 운동과 무릎관절-우세 넙다리뒤근 운동이 넙다리뒤근 근력과 관절가동범위, 기능적 수행 수준에 미치는 영향 비교: 무작위 중재 시험

Comparison of Effect of Hip-dominant vs Knee-dominant Hamstring Strengthening Exercises on the Muscle Strength, Range of Movement, and Functional Performance Level: A Randomized Intervention Trial

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Background: The most common form of injury in soccer is a hamstring strain. Eccentric bias exercises are crucial for reducing injury risk and improving sprinting performance. The purpose of this study was to compare a 4-week hip-dominant hamstring strengthening exercise program (HDE) with a knee-dominant hamstring strengthening exercise program (KDE) in youth soccer players. Method: The sample (n=31) was randomly divided into two groups: HDE (n=17) and KDE (n=14), with soccer players in HDE performing hip joint-dominant hamstring strengthening exercises and those in KDE performing knee joint-dominant hamstring strengthening exercises. Each intervention was conducted three times per week for four weeks. The outcome measures included the hamstring strength test (isometric strength test, eccentric strength test), knee joint range of motion (90/90 active knee extension; AKE) test, lower limb function test Y-balance test and Agility T-test. Results: Following the intervention, both groups showed significant improvement in isometric and eccentric hamstring strength on both dominant and non-dominant sides (p<.05). The AKE test showed significant improvement in the dominant leg (p<.05) and non-dominant leg only in KDE. The agility test significantly improved in HDE (p<.05). There was a slight improvement in the Y-balance test score; however, the difference was not statistically significant. There were no differences between the two groups in the values before, and after the intervention for all items. Conclusion: The hip-dominant and knee-dominant hamstring strengthening exercise should be coordinated and used based on the environment during hamstring injury prevention training.

Abstract

Background: The most common form of injury in soccer is a hamstring strain. Eccentric bias exercises are crucial for reducing injury risk and improving sprinting performance. The purpose of this study was to compare a 4-week hip-dominant hamstring strengthening exercise program (HDE) with a knee-dominant hamstring strengthening exercise program (KDE) in youth soccer players. Method: The sample (n=31) was randomly divided into two groups: HDE (n=17) and KDE (n=14), with soccer players in HDE performing hip joint-dominant hamstring strengthening exercises and those in KDE performing knee joint-dominant hamstring strengthening exercises. Each intervention was conducted three times per week for four weeks. The outcome measures included the hamstring strength test (isometric strength test, eccentric strength test), knee joint range of motion (90/90 active knee extension; AKE) test, lower limb function test Y-balance test and Agility T-test. Results: Following the intervention, both groups showed significant improvement in isometric and eccentric hamstring strength on both dominant and non-dominant sides (p<.05). The AKE test showed significant improvement in the dominant leg (p<.05) and non-dominant leg only in KDE. The agility test significantly improved in HDE (p<.05). There was a slight improvement in the Y-balance test score; however, the difference was not statistically significant. There were no differences between the two groups in the values before, and after the intervention for all items. Conclusion: The hip-dominant and knee-dominant hamstring strengthening exercise should be coordinated and used based on the environment during hamstring injury prevention training.

참고문헌 (46)

  1. Bourne MN, "Impact of exercise selection on hamstring muscle activation", Br J Sports Med, 51(13), pp.1021~1228 (2017)[DOI]
  2. Brian TF, "Epidemiology of national football league training camp injuries from 1998 to 2007", Am J Sports Med, 38(8), pp.1597~1603 (2008)[DOI]
  3. Brink MS, "Monitoring stress and recovery : New insights for the prevention of injuries and illnesses in elite youth soccer players", Br J Sports Med, 44(11), pp.809~815 (2010)[DOI]
  4. Carmichael DS, "Effect of an isometric or eccentric hip extension exercise intervention on hamstring strength, architecture, and morphology", Med Sci Sports Exerc, 54(12), pp.2196~2207 (2022)[DOI]
  5. Chumanov ES, "Hamstring musculotendon dynamics during stance and swing phases of high speed running", Med Sci Sport Exerc, 43(3), pp.525~532 (2011)[DOI]
  6. Crawford SK, "The effects of hip-vs. knee-dominant hamstring exercise on biceps femoris morphology, strength, and sprint performance : A randomized intervention trial protocol", BMC Sports Sci Med Rehabil, 15(1), pp.72~ (2023)[DOI]
  7. De Visser HM, "Risk factors of recurrent hamstring injuries : A systematic review", Br J Sports Med, 46(2), pp.124~130 (2012)[DOI]
  8. Ditroilo M, "Kinematic and electromyographic analysis of the Nordic hamstring exercise", J Electromyogr Kinesiol, 23(5), pp.1111~1118 (2013)[DOI]
  9. Dompier TP, "Time-loss and non-time-loss injuries in youth football players", J Athl Train, 42(3), pp.395~402 (2007)
  10. Ekstrand J, "Injury incidence and injury patterns in professional football : The UEFA injury study", Br J Sports Med, 45(7), pp.553~558 (2011)[DOI]
  11. Ekstrand J, "Risk factors for hamstring muscle injury in male elite football : Medical expert experience and conclusions from 15 European Champions League clubs", BMJ Open Sport Exerc Med, 9(1), pp.1~9 (2023)[DOI]
  12. Ekstrand J, "Hamstring injuries have increased by 4% annually in men's professional football, since 2001 : A 13-year longitudinal analysis of the UEFA elite club injury study", Br J Sports Med, 50(12), pp.731~737 (2016)[DOI]
  13. Goossens L, "Lower eccentric hamstring strength and single leg hop for distance predict hamstring injury in PETE students", Eur J Sport Sci, 15(5), pp.436~442 (2015)[DOI]
  14. Keerasomboon T, "Influence of altered knee angle and muscular contraction type on electromyographic activity of hamstring muscles during 45° hip extension exercise", J Sport Sci Med, 19(4), pp.630~636 (2020)
  15. "Kerr ZY, Dompier TP, Dalton SL, et al. Methods and descriptive epidemiology of services provided by athletic trainers in high schools : The national athletic treatment, injury and outcomes network study. J Athl Train. 2015;50(12) : 1310-1318"[URL]
  16. Kristiansen J, "Reliability and validity of the end range hamstring strength test with handheld dynamometry", Int J Sports Phys Ther, 19(3), pp.268~274 (2024)[DOI]
  17. Lee S, "An electromyographic and kinetic comparison of conventional and Romanian deadlifts", J Exerc Sci Fit, 16(3), pp.87~93 (2018)[DOI]
  18. Mack CD, "Implementation and evolution of mitigation measures, testing, and contact tracing in the national football league, august 9-november 21, 2020", MMWR Morb Mortal Wkly Rep, 70(4), pp.130~135 (2021)[DOI]
  19. Miralles-Iborra A, "Agreement between isokinetic eccentric hamstring strength, Nordic hamstring strength and Nordic break-point angle in a sample of trained and healthy individuals", Eur J Sport Sci, 23(2), pp.155~164 (2023)[DOI]
  20. Morin JB, "Sprint acceleration mechanics : The major role of hamstrings in horizontal force production", Front Physiol, 6, pp.404~ (2015)[DOI]
  21. Neto T, "Reliability of the active-knee-extension and straight-leg-raise tests in subjects with flexibility deficits", J Sport Rehabil, 24(4), pp.2014~2020 (2015)[DOI]
  22. Nouni-Garcia R, "Clinical benefit of the FIFA 11 programme for the prevention of hamstring and lateral ankle ligament injuries among amateur soccer players", Inj Prev, 24(2), pp.149~154 (2018)[DOI]
  23. Okoroha KR, "Defining minimal clinically important difference and patient acceptable symptom state after isolated endoscopic gluteus medius repair", Am J Sports Med, 47(13), pp.3141~3147 (2019)[DOI]
  24. Onmez GULTI, "Influence of resistance training frequency on muscular adaptations in well-trained men", J Strength Cond Res, 29(7), pp.1821~1829 (2015)[DOI]
  25. Opar DA, "Hamstring strain injuries : Factors that lead to injury and re-injury", Sport Med, 42(3), pp.209~226 (2012)[DOI]
  26. Overmoyer GV, "Relationships between lower-extremity flexibility, asymmetries, and the Y balance test", J Strength Cond Res, 29(5), pp.1240~1247 (2015)[DOI]
  27. Pandy MG, "How muscles maximize performance in accelerated sprinting", Scand J Med Sci Sport, 31(10), pp.1882~1896 (2021)[DOI]
  28. Price RJ, "The football association medical research programme : An audit of injuries in academy youth football", Br J Sports Med, 38(4), pp.466~471 (2004)[DOI]
  29. Prince C, "Sprint specificity of isolated hamstring-strengthening exercises in terms of muscle activity and force production", Front Sport Act Living, 2, pp.609636~ (2021)[DOI]
  30. Rajic S, "The effects of a 9-week hip focused weight training program on hip and knee kinematics and kinetics in experienced female dancers", J Hum Kinet, 75, pp.29~39 (2020)[DOI]
  31. Reurink G, "Strength measurements in acute hamstring injuries : Intertester reliability and prognostic value of handheld dynamometry", J Orthop Sports Phys Ther, 46(8), pp.689~696 (2016)[DOI]
  32. Sadeghi M, "Acute effects of Nordic hamstring exercise on hip and knee joints proprioception", J Bodyw Mov Ther, 39, pp.382~389 (2024)[DOI]
  33. Sarabon N, "Kinematic and electromyographic analysis of variations in Nordic hamstring exercise", PLoS One, 14(10), pp.e0223437~ (2019)[DOI]
  34. Sasaki R, "Assessment of balance using the star excursion balance test for 50-to 60-years-olds", Rigakuryoho Kagaku, 24(6), pp.827~831 (2009)[DOI]
  35. Sconce E, "Development of a novel Nordic hamstring exercise device to measure and modify the knee flexors' torque-length relationship", Front Sport Act Living, 3, pp.629606~ (2021)[DOI]
  36. Sekulic D, "Evaluation of basketball-specific agility : Applicability of preplanned and nonplanned agility performances for differentiating playing positions and playing levels", J Strength Cond Res, 31(8), pp.2278~2288 (2017)[DOI]
  37. Suarez-Arrones L, "Relationships between change of direction, sprint, jump, and squat power performance", Sports, 8(3), pp.38~ (2020)[DOI]
  38. Taberner M, "The sliding leg curl", Strength Cond J, 38(3), pp.117~121 (2016)[DOI]
  39. Thelen DG, "Hamstring muscle kinematics during treadmill sprinting", Med Sci Sports Exerc, 37(1), pp.108~114 (2005)[DOI]
  40. Thorborg K, "Clinical examination, diagnostic imaging, and testing of athletes with groin pain : An evidence-based approach to effective management", J Orthop Sport Phys Ther, 48(4), pp.239~249 (2018)[DOI]
  41. Van Der Made AD, "Intramuscular tendon involvement on MRI has limited value for predicting time to return to play following acute hamstring injury", Br J Sports Med, 52(2), pp.83~88 (2018)[DOI]
  42. Van Der Sluis A, "Sport injuries aligned to peak height velocity in talented pubertal soccer players", Int J Sports Med, 35(4), pp.351~335 (2014)[DOI]
  43. Vatovec R, "Effects of Nordic hamstring exercise combined with glider exercise on hip flexion flexibility and hamstring passive stiffness", J Sports Sci, 39(20), pp.2370~2377 (2021)[DOI]
  44. Villanueva MG, "Short rest interval lengths between sets optimally enhance body composition and performance with 8 weeks of strength resistance training in older men", Eur J Appl Physiol, 115(2), pp.295~308 (2015)[DOI]
  45. Whyte EF, "The effect of hip extension and Nordic hamstring exercise protocols on hamstring strength : A randomized controlled trial", J Strength Cond Res, 35(10), pp.2682~2689 (2021)[DOI]
  46. Wilson BR, "The relationship between hip strength and the Y balance test", J Sport Rehabil, 27(5), pp.445~450 (2018)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (7건)