Neuromuscular Training Improves Performance on the Star Excursion Balance Test in Young Female Athletes (original) (raw)
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OALib, 2022
Purpose: Mounting evidence supports the implementation of neuromuscular training (NMT) interventions to improve biomechanical profiles for prevention of musculoskeletal injury in dynamic pivoting athletes. Research has demonstrated there is a clear link between functional movement behavior and vulnerability to injury. However, there is limited research examining the capacity of NMT to positively influence pathomechanical movement behavior. This investigation assessed the strength, balance, and functional biomechanics of uninjured adolescent female athletes following an eight-week NMT intervention, which was conducted in order to expand upon research aimed at injury prevention in the lower quarter. Methods: 37 female soccer players ages 10-15 participated. Hip strength was measured with hand dynamometry, and single-leg stance modified balance (SLS M) was measured in multiple conditions. A 3-Dimensional Dynamic Movement Assessment (3D-DMA) system assessed lower quarter joint excursion during select functional loading tasks. Participants completed an 8-week, 16-session NMT intervention followed by repeated measurements. Results: Following the intervention, significant improvements were found in: hip abduction strength bilaterally (p = 0.000), hip extension strength bilaterally (p = 0.000), SLS M in eyes-closed condition bilaterally (p = 0.000), and DMA functional outcomes in the Full Squat Test (p = 0.019), Step-Up Test (p = 0.007), Single-Leg Squat Test (p = 0.000), and Single-Leg Hop Test (p = 0.000). Conclusions: These data indicate an 8-week NMT intervention is sufficient to elicit positive neuromuscular adaptations in the lower quarter associated with pathomechanical loading patterns. Such adaptations support improved function across a diversity of complex sport-related movements. More research
Neuromuscular Training Improves Single-Limb Stability in Young Female Athletes
Journal of Orthopaedic & Sports Physical Therapy, 2004
Study Design: Controlled single-group pretest/posttest design. Objective: The purpose of this study was to determine if a 6-week neuromuscular training program designed to decrease the incidence of anterior cruciate ligament (ACL) injuries would improve single-limb postural stability in young female athletes. We hypothesized neuromuscular training would result in an improvement in postural stability, with the greatest improvement taking place in the medial-lateral direction. Background: Balance training has become a common component of programs designed to prevent ACL injury. Rehabilitation programs can improve postural stability following ACL injury and reconstruction; however, there is limited information available which quantifies improvement of postural stability following neuromuscular training designed to prevent ACL injuries in a healthy population. Methods and Measures: Forty-one healthy female high school athletes (mean age, 15.3 years; age range, 13-17 years) participated in this study. Single-limb postural stability for both lower extremities was assessed with a Biodex Stability System. The neuromuscular training program consisted of three 90-minute training sessions per week for 6 weeks. Following the completion of the training program, each subject was re-evaluated to determine change in total, anteriorposterior, and medial-lateral single-limb stability. Two-way analysis of variance models were used to determine differences between pretraining and posttraining and between limbs. Results: The subjects showed a significant improvement in single-limb total stability (P = .004) and anterior-posterior stability (P = .001), but not medial-lateral stability (P = .650) for both the right and left lower extremity following training. In addition, the subjects demonstrated significantly better total postural stability on the right side as compared to the left (P = .026). Conclusions: A 6-week neuromuscular training program designed to decrease the incidence of ACL injuries improves objective measures of total and anterior-posterior single-limb postural stability in high school female athletes.
Negah Institute for Scientific Communication, 2021
Purpose: Compared with other sports, soccer is an activity with a relatively high incidence of injury. To decrease the number of injuries, prevent early retirement, and provide a healthy and safe environment for players, preventive programs are highly recommended. This study aimed to investigate the effect of Sportsmetrics Soccer Training (SMST) on Landing Error Scoring Systems (LESS) and dynamic balance in soccer players. Methods: This study was a randomized controlled trial with pretest-posttest design and training (TG) and control (CG) groups. The statistical population comprised young soccer players over 18 years old recruited from Zulfaqarnasab Soccer Academy in Sanandaj City, Iran. The study participants were 29 soccer players with three years of experience in soccer clubs. The subjects were randomly assigned into TG (n=14, mean±SD age=18.40±0.5 years, mean±SD height=180.40±6.86 cm, mean±SD weight=70.47±9.62 kg) and CG (n=15, mean±SD age=18.64±0.08 years, mean±SD height=179.57±6.72 cm, mean±SD weight=64.64±6.61 kg). The TG group performed SMST three times a week for six weeks (each session lasted 35 to 45 minutes). The CG did not receive any intervention. The LESS (intraclass correlation [ICC]=0.82-0.99) and the Y-balance (ICC=0.91-0.99) were used for assessing landing errors and dynamic balance. The obtained data were analyzed using the Analysis of Covariance (ANCOVA) (P≤0.05) in SPSS (version 24). Results: The TG showed a significant improvement in scores of LESS (F=48.23, P=0.0001), anterior reach (F=18.26, P=0.0001), posteromedial reach (F=21.15, P=0.0001), and posterolateral reach (F=17.94, P=0.0001) in posttest compared to their baseline results. Conclusion: The present study results showed that SMST could improve LESS score and Y-balance, so we recommend that soccer coaches use SMST to prevent injury.
The Effects Of Neuromuscular Training On Limits Of Stability In Female Individuals
2013
This study examined the effects of neuromuscular<br> training (NT) on limits of stability (LOS) in female individuals.<br> Twenty female basketball amateurs were assigned into NT<br> experimental group or control group by volunteer. All the players were<br> underwent regular basketball practice, 90 minutes, 3 times per week<br> for 6 weeks, but the NT experimental group underwent extra NT with<br> plyometric and core training, 50 minutes, 3 times per week for 6 weeks<br> during this period. Limits of stability (LOS) were evaluated by the<br> Biodex Balance System. One factor ANCOVA was used to examine<br> the differences between groups after training. The significant level for<br> statistic was set at p<.05. Results showed that the right direction LOS<br> scores at level 3 indicated a significant interaction between the<br> trained/untrained groups × pre/post repeated measures with<br> post-training sco...
https://propulsiontechjournal.com/index.php/journal/article/view/8505/5314, 2024
Lower extremity musculoskeletal injuries are commonly predicted, prevented, and rehabilitated using dynamic balance as a criterion. Dynamic balance is used as a functional performance assessment to determine injury risk. An increased risk of injury has been associated to a lack of dynamic stability and a balance deficit. The star excursion balance test is a functional test utilized by sports scientists and physical therapists to assess the neuromuscular control that determines the athletes' dynamic balance. The star excursion balance test is a valid and reliable tool for assessing or predicting the risk of musculoskeletal injuries, lower leg muscle strength, coordination, balance, flexibility, co-contraction, passive stiffness of the lower limbs, and lumbopelvic stability. This review aimed to enlighten the need for and importance of the star excursion balance test in predicting the risk of injuries in the lower leg and assess improvements in dynamic balance following training for rehabilitation purposes and return to play after injury. A comprehensive search has been made to complete this review. Several factors have been identified as having an impact on the performance of the star excursion balance test. The present review provides an insight into sportspersons, coaches, fitness trainers, sports scientists, and physical therapists with useful information regarding the importance of functional testing (star excursion balance test) as a screening tool prior to participating in any sporting activities at any level to avoid the risks of lower leg injuries and can assist in the return-to-play decision-making process.
Neuromuscular Training for Sports Injury Prevention
Medicine & Science in Sports & Exercise, 2010
Purpose: The aim of this systematic review was to assess the effectiveness of proprioceptive/neuromuscular training in preventing sports injuries by using the best available evidence from methodologically well-conducted randomized controlled trials and controlled clinical trials without randomization. Methods: Two independent researchers performed a literature search in various electronic databases and reference lists. The reviewers independently assessed trials for inclusion criteria and methodological quality and extracted the data. Focusing on studies of high methodological quality, relative risks (RR) and 95% confidence intervals (CI) were used to estimate treatment effects. Results: From a total of 32 relevant studies, 7 methodologically well-conducted studies were considered for this review. Pooled analysis revealed that multi-intervention training was effective in reducing the risk of lower limb injuries (RR = 0.61, 95% CI = 0.49-0.77, P G 0.01), acute knee injuries (RR = 0.46, 95% CI = 0.28-0.76, P G 0.01), and ankle sprain injuries (RR = 0.50, 95% CI = 0.31-0.79, P G 0.01). Balance training alone resulted in a significant risk reduction of ankle sprain injuries (RR = 0.64, 95% CI = 0.46-0.9, P G 0.01) and a nonsignificant risk reduction for injuries overall (RR = 0.49, 95% CI = 0.13-1.8, P = 0.28). Exercise interventions were more effective in athletes with a history of sports injury than in those without. Conclusion: On the basis of the results of seven high-quality studies, this review showed evidence for the effectiveness of proprioceptive/neuromuscular training in reducing the incidence of certain types of sports injuries among adolescent and young adult athletes during pivoting sports. Future research should focus on the conduct of comparative trials to identify the most appropriate and effective training components for preventing injuries in specific sports and populations.
British journal of sports medicine, 2015
To review the quality of literature and measurement properties of physical performance tests (PPTs) of the lower extremity in athletes. Using the PICOS method we established our research question as to whether individual PPTs of the lower extremity have any relationship to injury in competitive athletes ages 12 years to adult (no limit). A search strategy was constructed by combining the terms 'lower extremity' and synonyms for 'performance test' and names of performance tests with variants of the term 'athlete'. After examining the knee in part 1 of this 2 part series, the current report focuses on findings in the rest of the lower extremity. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed and the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist was used to critique the methodological quality of each paper. A second measure was used to analyse the quality...