Isokinetic strength of the quadriceps and hamstrings in professional handball players
Abstract
The aim of this study was to evaluate the strength of the left and right hamstring and the quadriceps muscle group in professional handball players. It also aimed to assess the statistical significance of the relationship between these two muscle groups. The study included eight professional handball players from the "Borac" team, Banja Luka. Standard anthropometric measurements were taken. The following variables were assessed: maximum quadriceps torque (MQT), maximum hamstring torque (MHT), and hamstring–quadriceps ratio (HQR), to determine the presence of muscle imbalances bilaterally and unilaterally. Isokinetic testing of knee strength was performed on both knees at the Institute for Sports, Faculty of Physical Education and Sports, University of Banja Luka, using the CON-TREX CYK device, which allows comprehensive assessment of muscle and joint function. Based on the findings, there was no significant muscle imbalance in handball players, i.e., no significant difference in quadriceps or hamstring strength between the left and right legs, either bilaterally or unilaterally (p > 0.05). The strength of the left and right quadriceps and hamstrings showed minimal variation, with no evidence of muscle imbalance. In professional and elite sports, information from isokinetic diagnostics is essential for designing training programs and preventing injuries. This study provides normative data for the handball player population.
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1. Åman, M,, Forssblad, M., & Larsén, K. (2018). Incidence and body location of reported acute sport injuries in seven sports using a national insurance database. Scandinavian Journal of Medicine & Science in Sports, 28(3), 1147-1158. https://doi.org/10.1111/sms.12956.
2. Åman, M., Forssblad, M., & Larsén, K. (2019). National injury prevention measures in team sports should focus on knee, head, and severe upper limb injuries. Knee Surgery, Sports Traumatology, Arthroscopy, 27(3), 1000-1008. https://doi.otg/10.1007/s00167-018-5225-7
3. Andrade, M. S., Lira, D., Koffes, C. A., Mascarin, F. C., Benedito-Silva, N. C., & Silva, D. (2012). Isokinetic hamstrings-to-quadriceps peak torque ratio: The influence of sport modality, gender, and angular velocity. Journal of Sports Sciences, 30, 547–553.
4. Asai, K., Nakase, J., Shimozaki, K., Toyooka, K., Kitaoka, K., & Tsuchiya, H. (2020). Incidence of injury in young handball players during national competition: A 6-year survey. Journal of Orthopaedic Science, 25(4), 677-681. https://doi.org/10.1016/j.jos.2019.06.011.
5. 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
6. Bere, T., Alonso, J., Wangensteen, A., Bakken, A., Eirale, C., Dijkstra, H. P., Ahmed, H., Bahr, R., & Popović, N.(2015). Injury and illness surveillance during the 24th Men's Handball World Championship 2015 in Qatar. British Journal of Sports Medicine, 49, 1151-1156. http://dx.doi.org/10.1136/bjsports-2015-094972.
7. Chaouachi, A., Brughelli, M., Levin, G., Boudhina, N. B., Cronin, J., & Chamari, K. (2009). Anthropometric, physiological and performance characteristics of elite team-handball players. Journal of Sports Sciences, 27(2), 151–157. https://doi.org/10.1080/02640410802448731
8. Chen, C. H., Chiu, C. H., Tseng, W. C., Wu, C. Y., Su, H. H., Chang, C. K., & Ye, X. (2023). Acute Effects of Combining Dynamic Stretching and Vibration Foam Rolling Warm-up on Lower-Limb Muscle Performance and Functions in Female Handball Players. Journal of Strength and Conditioning Research, 37(6), 1277–1283. https://doi.org/10.1519/JSC.0000000000003998
9. Clarsen, B., Bahr, R., Heymans, M. W., Engedahl, M., Midtsundstad, G., Rosenlund, L., Thorsen, G., & Myklebust, G. (2015). The prevalence and impact of overuse injuries in five Norwegian sports: Application of a new surveillance method. Scandinavian Journal of Medicine & Science in Sports, 25(3), 323–330. https://doi.org/10.1111/sms.12223
10. Dauty, M., Menu, P., & Fouasson-Chailloux, A. (2018). Cutoffs of isokinetic strength ratio and hamstring strain prediction in professional soccer players. Scandinavian Journal of Medicine & Science in Sports, 28(1), 276–281. https://doi.org/10.1111/sms.12890
11. Florit, D., Pedret, C., Casals, M., Malliaras, P., Sugimoto, D., & Rodas, G. (2019). Incidence of Tendinopathy in Team Sports in a Multidisciplinary Sports Club Over 8 Seasons. Journal of Sports Science & Medicine, 18(4), 780–788.
12. Gerdijan, N., Perić, D., & Kazazović, E. (2017). The acute effect of stretching on force and power. Homo Sporticus, 19, 5-11.
13. Gerdijan, N., Perić, D., Ljubojević, A., & Vukić, Ž. (2021) Effects of Static and Dynamic Stretching Exercises on Unilateral Hamstring to Quadriceps Strength Ratio. Advances in Physical Education, 11, 89-102.
14. Gerdijan, N., Zeljković, M., Lukić, A., & Vukić, Ž. (2011). Unilateral and bilateral relationship of upper leg muscles in tennis players. In S. Simović (Ed.), II International Congress: Anthropological aspects of sport, physical education and recreation (pp. 200–206). Banja Luka.
15. González-Ravé, J. M., Juárez, D., Rubio-Arias, J. A., Clemente-Suarez, V. J., Martinez-Valencia, M. A., & Abian-Vicen, J. (2014). Isokinetic leg strength and power in elite handball players. Journal of Human Kinetics, 41, 227–233. https://doi.org/10.2478/hukin-2014-0050
16. 19. Kukrić, A., Joksimović, M., Petrović, B., Latino, F., Pavlović, R., & Kuvalja, R. (2021). Ratio of maximum hamstring torque to maximum quadriceps torque in professional basketball and soccer players. Health, Sport, Rehabilitation, 7(4), 8–18. https://doi.org/10.34142/HSR.2021.07.04.01
17. Haugen, T. A., Tønnessen, E., & Seiler, S. (2016). Physical and physiological characteristics of male handball players: influence of playing position and competitive level. The Journal of Sports Medicine and Physical Fitness, 56(1-2), 19–26.
18. Hermassi, S., Chelly, M. S., Wagner, H., Fieseler, G., Schulze, S., Delank, K. S., Shephard, R. J., & Schwesig, R. (2019). Relationships between maximal strength of lower limb, anthropometric characteristics and fundamental explosive performance in handball players. Zusammenhänge zwischen der Maximalkraft der unteren Extremitäten, anthropometrischen Eigenschaften und der grundlegenden Explosivkraft bei Handballspielern. Sportverletzung Sportschaden: Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin, 33(2), 96–103. https://doi.org/10.1055/s-0043-124496
19. Luig, P., & Henke, T. (2011). [Title of chapter if available]. In F. Taborsky (Ed.), Science and analytical expertise in handball: Scientific and practical approaches (pp. 78–83). European Handball Federation.
20. Luig, P., Krutsch, W., Henke, T., Klein, C., Bloch, H., Platen, P., & Achenbach, L. (2020). Contact - but not foul play - dominates injury mechanisms in men's professional handball: a video match analysis of 580 injuries. British Journal of Sports Medicine, 54(16), 984–990. https://doi.org/10.1136/bjsports-2018-100250
21. Lund-Hanssen, H., Gannon, J., Engebretsen, L., Holen, K., & Hammer, S. (1996). Isokinetic muscle performance in healthy female handball players and players with a unilateral anterior cruciate ligament reconstruction. Scandinavian Journal of Medicine & Science in Sports, 6(3), 172–175. https://doi.org/10.1111/j.1600-0838.1996.tb00085.x
22. Mashimo, S., Yoshida, N., Moriwaki, T., Takegami, A., Suzuki, K., Fong, D. T. P., Myklebust, G., & Onishi, S. (2021). Injuries in Japanese university handball: a study among 1017 players. Research in Sports Medicine (Print), 29(5), 475–485. https://doi.org/10.1080/15438627.2021.1937164
23. Maurelli, O., Bernard, P. L., Dubois, R., Ahmaidi, S., & Prioux, J. (2019). Effects of the Competitive Season on the Isokinetic Muscle Parameters Changes in World-Class Handball Players. Journal of Strength and Conditioning Research, 33(10), 2778–2787. https://doi.org/10.1519/JSC.0000000000002590
24. Orchard, J., Marsden, J., Lord, S., & Garlick, D. (1997). Preseason hamstring muscle weakness associated with hamstring muscle injury in Australian footballers. The American Journal of Sports Medicine, 25(1), 81–85. https://doi.org/10.1177/036354659702500116
25. Orchard, J., Marsden, J., Lord, S., & Garlick, D. (1997). Preseason hamstring muscle weakness associated with hamstring muscle injury in Australian footballers. The American Journal of Sports Medicine, 25(1), 81–85. https://doi.org/10.1177/036354659702500116
26. Ortega-Becerra, M., Pareja-Blanco, F., Jiménez-Reyes, P., Cuadrado-Peñafiel, V., & González-Badillo, J. J. (2018). Determinant Factors of Physical Performance and Specific Throwing in Handball Players of Different Ages. Journal of Strength and Conditioning Research, 32(6), 1778–1786. https://doi.org/10.1519/JSC.0000000000002050
27. Palmer, D., Cooper, D. J., Emery, C., Batt, M. E., Engebretsen, L., Scammell, B. E., Schamasch, P., Shroff, M., Soligard, T., Steffen, K., Whittaker, J. L., & Budgett, R. (2021). Self-reported sports injuries and later-life health status in 3357 retired Olympians from 131 countries: a cross-sectional survey among those competing in the games between London 1948 and PyeongChang 2018. British Journal of Sports Medicine, 55(1), 46–53. https://doi.org/10.1136/bjsports-2019-101772
28. Perić, D. (2001). Statistics - application to sports and physical education. Belgrade: Faculty of Physical Education.
29. Rafnsson, E. T., Valdimarsson, Ö., Sveinsson, T., & Árnason, Á. (2019). Injury Pattern in Icelandic Elite Male Handball Players. Clinical Journal of Sport Medicine, 29(3), 232–237. https://doi.org/10.1097/JSM.0000000000000499
30. Ruas, C. V., Minozzo, F., Pinto, M. D., Brown, L. E., & Pinto, R. S. (2015). Lower-extremity strength ratios of professional soccer players according to field position. Journal of Strength and Conditioning Research, 29(5), 1220–1226. https://doi.org/10.1519/JSC.0000000000000766
31. Shelton, J. & Kumar, G. (2009) Comparison between static and dynamic warm-up exercise regimes on lower limb muscle power. Health, 1, 117-120.
32. Steffen, K., Nilstad, A., Krosshaug, T., Pasanen, K., Killingmo, A., & Bahr, R. (2017). No association between static and dynamic postural control and ACL injury risk among female elite handball and football players: a prospective study of 838 players. British Journal of Sports Medicine, 51(4), 253–259. https://doi.org/10.1136/bjsports-2016-097068
33. Tabben, M., Landreau, P., Chamari, K., Juin, G., Ahmed, H., Farooq, A., Bahr, R., & Popovic, N. (2019). Age, player position and 2 min suspensions were associated with match injuries during the 2017 Men's Handball World Championship (France). British Journal of Sports Medicine, 53(7), 436–441. https://doi.org/10.1136/bjsports-2018-099350
34. Teixeira, J., Carvalho, P., Moreira, C., & Santos, R. (2014). Isokinetic assessment of muscle imbalances and bilateral differences between knee extensores and flexores’ strength in basketball, footbal, handball and volleyball athletes. International Journal of Sports Science, 4, 1–6.
35. Vila, H., Barreiro, A., Ayán, C., Antúnez, A., & Ferragut, C. (2022). The Most Common Handball Injuries: A Systematic Review. International Journal of Environmental Research and Public Health, 19(17), 1-17. https://doi.org/10.3390/ijerph191710688
36. Xaverova, Z., Dirnberger, J., Lehnert, M., Belka, J., Wagner, H., & Orechovska, K. (2015). Isokinetic Strength Profile of Elite Female Handball Players. Journal of Human Kinetics, 49, 257–266. https://doi.org/10.1515/hukin-2015-0128
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The works and papers that are published in this Journal are subject to the following terms:
1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2013
2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.
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