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      Isokinetic Extension Strength Is Associated With Single-Leg Vertical Jump Height

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          Abstract

          Background:

          Isokinetic strength testing is an important tool in the evaluation of the physical capacities of athletes as well as for decision making regarding return to sports after anterior cruciate ligament (ACL) reconstruction in both athletes and the lay population. However, isokinetic testing is time consuming and requires special testing equipment.

          Hypothesis:

          A single-jump test, regardless of leg dominance, may provide information regarding knee extension strength through the use of correlation analysis of jump height and peak torque of isokinetic muscle strength.

          Study Design:

          Cross-sectional study; Level of evidence, 3.

          Methods:

          A total of 169 patients who underwent ACL reconstruction were included in this study. Isokinetic testing was performed on the injured and noninjured legs. Additionally, a single-leg countermovement jump was performed to assess jump height using a jump accelerometer sensor. Extension strength values were used to assess the association between isokinetic muscle strength and jump height.

          Results:

          The sample consisted of 60 female (mean age, 20.8 ± 8.3 years; mean weight, 61.7 ± 6.5 kg; mean height, 167.7 ± 5.3 cm) and 109 male (mean age, 23.2 ± 7.7 years; mean weight, 74.6 ± 10.2 kg; mean height, 179.9 ± 6.9 cm) patients. Bivariate correlation analysis showed an association ( r = 0.56, P < .001) between jump height and isokinetic extension strength on the noninvolved side as well as an association ( r = 0.52, P < .001) for the involved side. Regression analysis showed that in addition to jump height (beta = 0.49, P < .001), sex (beta = –0.17, P = .008) and body mass index (beta = 0.37, P < .001) affected isokinetic strength. The final model explained 51.1% of the variance in isokinetic muscle strength, with jump height having the strongest impact (beta = 0.49, P < .001) and explaining 31.5% of the variance.

          Conclusion:

          Initial analysis showed a strong association between isokinetic strength and jump height. The study population encompassed various backgrounds, skill levels, and activity profiles, which might have affected the outcome. Even after controlling for age and sex, isokinetic strength was still moderately associated with jump height. Therefore, the jump technique and type of sport should be considered in future research.

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          Most cited references38

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          Chi-Square Tests for Goodness of Fit and Contingency Tables

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            Strong correlation of maximal squat strength with sprint performance and vertical jump height in elite soccer players.

            U Wisloff (2004)
            A high level of strength is inherent in elite soccer play, but the relation between maximal strength and sprint and jumping performance has not been studied thoroughly. To determine whether maximal strength correlates with sprint and vertical jump height in elite male soccer players. Seventeen international male soccer players (mean (SD) age 25.8 (2.9) years, height 177.3 (4.1) cm, weight 76.5 (7.6) kg, and maximal oxygen uptake 65.7 (4.3) ml/kg/min) were tested for maximal strength in half squats and sprinting ability (0-30 m and 10 m shuttle run sprint) and vertical jumping height. There was a strong correlation between maximal strength in half squats and sprint performance and jumping height. Maximal strength in half squats determines sprint performance and jumping height in high level soccer players. High squat strength did not imply reduced maximal oxygen consumption. Elite soccer players should focus on maximal strength training, with emphasis on maximal mobilisation of concentric movements, which may improve their sprinting and jumping performance.
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              The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes.

              To determine the association of quadriceps and hamstrings strength to anterior cruciate ligament (ACL) injury risk in female athletes. The primary hypothesis was that there would be decreased knee flexor and increased knee extensor strength in female athletes who went on to ACL injured status (FACL) compared to uninjured female (FC) and male (MC) control subjects. Matched case control. Institutional Biomechanics Laboratory. Prospectively measured FACL (n = 22) female athletes who subsequently suffered confirmed noncontact ACL ruptures (16 during soccer and 6 during basketball play) were matched (1:4 ratio) to female controls (FC; n = 88) using limb (dominant or nondominant), pubertal status, sport, and nearest height and mass. In addition, male controls (MC) were matched (1:1 ratio) to FACL to serve as a secondary comparative control. Isokinetic (concentric) knee extension/flexion strength (300 degrees/s). FACL subjects had decreased hamstrings strength compared to MC (15%; 95% CI, 1 to 27%; P = 0.04). FC were not different from MC in hamstrings strength. Conversely, FACL subjects did not differ compared to the MC in quadriceps strength, and the FC demonstrated decreased quadriceps strength relative to MC (10%; 95% CI, 3 to 18%; P = 0.01). The results of this investigation indicate that female athletes who suffered ACL injury subsequent to strength testing had a combination of decreased hamstrings strength but not quadriceps strength compared to males. In direct contrast, female athletes who did not go on to ACL injury had decreased quadriceps strength and similar hamstrings strength compared to matched male athletes.
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                Author and article information

                Journal
                Orthop J Sports Med
                Orthop J Sports Med
                OJS
                spojs
                Orthopaedic Journal of Sports Medicine
                SAGE Publications (Sage CA: Los Angeles, CA )
                2325-9671
                03 November 2017
                November 2017
                : 5
                : 11
                : 2325967117736766
                Affiliations
                [* ]Research Unit of Orthopaedic Sports Medicine and Injury Prevention/Institute for Sports Medicine, Alpine Medicine and Health Tourism/Private University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.
                []Institute for Sports Medicine, Alpine Medicine and Health Tourism/Private University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.
                []Gelenkpunkt–Sports and Joint Surgery, Innsbruck, Austria.
                [§ ]Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
                [5-2325967117736766] Investigation performed at Gelenkpunkt–Sports and Joint Surgery, Innsbruck, Austria
                Author notes
                [*] []Christian Fink, MD, Gelenkpunkt–Sports and Joint Surgery, Olympiastraße 39, 6020 Innsbruck, Austria (email: c.fink@ 123456gelenkpunkt.com ).
                Article
                10.1177_2325967117736766
                10.1177/2325967117736766
                5672995
                29147670
                be262ef7-e090-4f37-b7d8-747bc21fb2ac
                © The Author(s) 2017

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License ( http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                acl reconstruction,isokinetic testing,muscle strength,test battery,return to play

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