Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players

Melick, Nicky van; Rijn, LJ van; Sanden, M.W.G. Nijhuis-van der; Hoogeboom, Thomas J.; Cingel, R. E. H. van

doi:10.1007/s00167-018-5149-2

Cited by 31 publications

(26 citation statements)

References 36 publications

(62 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Injury and return to play data were documented including date of injury, days/games missed, date of return to play, and subsequent injuries as has been performed in previous investigations on professional soccer athletes. 4 , 7 , 13 , 37 , 39 Finally, performance metrics including games played, minutes played per game/season, goals scored, assists, shutouts, and conceded goals were collected.…”

Section: Methodsmentioning

confidence: 99%

“…ACL reconstruction (ACLR) in the professional soccer athlete has been the subject of many recent investigations aimed at elucidating the time to return to play (RTP), rates of return to competitive play, factors associated with injury, and optimal surgical and rehabilitation protocols. 3 , 5 , 7 , 34 , 37 , 39 , 40 Several recent studies have emphasized time to RTP as well as RTP rates and have found time to RTP to be between 186 and 310 days, with excellent RTP rates in the range of 77% to 95%. 4 , 13 , 37 , 39 Furthermore, in a matched-cohort analysis of American soccer players, Erickson et al 13 found no difference in performance and survival in Major League Soccer (MLS) athletes after ACLR compared with controls.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Forsythe

Lavoie-Gagne

Forlenza

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Anterior cruciate ligament (ACL) rupture is one of the most common injuries afflicting soccer players and requires a lengthy recovery processes after reconstructive surgery. The impact of ACL reconstruction (ACLR) on return to play (RTP) time and player performance in professional soccer players remains poorly studied. Purpose/Hypothesis: To determine player performance and RTP rate and time after ACLR in elite professional soccer players with a retrospective matched-cohort analysis. We expected that the RTP time and rate will be similar to those of other professional-level athletes. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 51 players from 1 of the 5 elite Union of European Football Associations (UEFA) soccer leagues who suffered a complete ACL rupture between 1999 and 2019. These athletes were matched by position, age, season of injury, seasons played, and height and compared to uninjured control players. Change in performance metrics for the 4 years after the season of injury were compared with metrics 1 season before injury. Univariate 2-group comparisons were performed using independent 2-group t tests; Wilcoxon rank-sum tests were used when normality of distributions was violated. Results: Overall, 41 players (80%) returned to play after ACL rupture, with 6 (12%) experiencing a subsequent ipsilateral or contralateral ACL tear. The mean (±SD) RTP time for soccer players after ACLR was 216 ± 109 days (26 ± 18 games). Injured athletes played significantly fewer games and minutes per season and recorded inferior performances for 2 seasons after their injury ( P < .001). However, the game performance of injured players equaled or exceeded that of their matched controls by season 3 after injury, with the exception of attackers, who demonstrated a continued decline in performance ( P < .001). Conclusion: Results indicated that the mean RTP time for soccer players after ACLR is short in comparison with other major sports leagues (216 days). However, RTP rates were high, and rerupture rates were comparable with those of other sports. With the exception of attackers, player performance largely equaled or exceeded that of matched controls by the third postinjury season.

show abstract

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Forsythe

Lavoie-Gagne

Forlenza

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…movement quantity tests should be combined with movement quality tests, like a drop jump or single-leg landings, because movement quality often is impaired for years after ACLR when compared with healthy controls. [7][8][9][10] Furthermore, tests focusing on movement quality may also predict second ACL injuries. 6,8 Adding these tests could result in a more complete picture of an athlete's ability to RTS.…”

mentioning

confidence: 99%

Meeting movement quantity or quality return to sport criteria is associated with reduced second ACL injury rate

Melick

Pronk

Sanden

et al. 2021

Journal Orthopaedic Research

Self Cite

View full text Add to dashboard Cite

The purposes of this prospective cohort study were (1) to assess if second anterior cruciate ligament (ACL) injury rate 2 years after ACL reconstruction (ACLR) in those who returned to pivoting sport was associated with meeting (a) quantitative return to sport (RTS) criteria, (b) qualitative RTS criteria, and (c) combined quantitative and qualitative RTS criteria, and (2) to determine why athletes did not return to their preinjury (level of) sport. Athletes after ACLR performed RTS tests immediately before RTS: seven movement quantity (strength and hop test battery) and two movement quality (countermovement jump with LESS score and hop-and-hold test) tests. A 2-year postoperative questionnaire asked for RTS, reasons for not returning to the same (level of) sport and second ACL injuries. One hundred and forty-four athletes (82%) completed the questionnaire and 97 of them returned to a pivoting sport. Seven of these athletes had a second ACL injury. Meeting the hop test battery RTS criterion (absolute risk reduction 11%; p = .047) and hop-and-hold test RTS criterion (absolute risk reduction 15%; p = .031) were both significantly associated with a reduced second ACL injury rate. Meeting combined RTS criteria were not significantly associated with second ACL injury rate. Therefore, RTS tests after ACLR should at least comprise a hop test battery or the hop-and-hold test to reduce second ACL injury risk after return to pivoting sport. Also, one-third of all athletes mentioned fear of reinjury as the main reason for not returning to their preinjury (level of) sport. This psychological component should be taken seriously and discussed during rehabilitation.

show abstract

“…However, this performance profile has shown to result in temporary neuromuscular fatigue specifically, which might increase the risk of HSIs at the end of each half of soccer matches [15,69]. In fact, it has been previously shown that fatigue can affect neuromuscular control and multi-muscle coordination patterns resulting in altered lower limb biomechanics as well as running and movement kinematics [70][71][72][73], factors which could be related to hamstring injuries.…”

Section: Discussionmentioning

confidence: 99%

Potential prognostic factors for hamstring muscle injury in elite male soccer players: A prospective study

et al. 2020

View full text Add to dashboard Cite

Hamstring injuries remain the most common injury type across many professional sports. Despite a variety of intervention strategies, its incidence in soccer players playing in the UEFA Champions League has increased by 4% per year over the last decade. Test batteries trying to identify potential risk factors have produced inconclusive results. The purpose of the current study was to prospectively record hamstring injuries, to investigate the incidence and characteristics of the injuries, and to identify possible risk factors in elite male soccer players, playing in the Kosovo national premier league. A total of 143 soccer players from 11 teams in Kosovo were recruited. To identify possible prevalent musculoskeletal or medical conditions a widespread health and fitness assessment was performed including isokinetic strength testing, Nordic hamstring strength test, functional tests, and a comprehensive anamnesis surveying previous hamstring injuries. On average 27.9% of the players sustained at least one hamstring injury with three players suffering bilateral strains with the re-injury rate being 23%. Injured players were significantly older and heavier and had a higher body mass index compared to non-injured ones (p < 0.05). There was a lower passing rate in the Nordic hamstring strength test and a higher injury incidence among the previously injured players compared to non-injured ones (p < 0.05). Except for hamstring/quadriceps ratio and relative torque at 60°/sec (p < 0.05) for dominant and non-dominant leg, there were no other significant differences in isokinetic strength regardless of the angular velocity. No differences were observed for functional tests between cohorts. Regression analysis revealed that age, Nordic hamstring strength test, previous injury history, and isokinetic concentric torque at 240°/sec could determine hamstring injuries by 25.9%, with no other significant predicting risk factors. The battery of laboratory and field-based tests performed during preseason to determine performance related skills showed limited diagnostic conclusiveness, making it difficult to detect players at risk for future hamstring injuries.

show abstract

Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players

Cited by 31 publications

References 36 publications

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Meeting movement quantity or quality return to sport criteria is associated with reduced second ACL injury rate

Potential prognostic factors for hamstring muscle injury in elite male soccer players: A prospective study

Contact Info

Product

Resources

About