Rapid Spike in Hip Adduction Strength in Early Adolescent Footballers: A Study of 125 Elite Male Players From Youth to Senior

in International Journal of Sports Physiology and Performance
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  • 1 Department of Sport and Exercise Sciences, University of Chichester, Chichester, United Kingdom
  • | 2 Sports Orthopedic Research Center–Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark
  • | 3 Physical Medicine & Rehabilitation Research–Copenhagen, Department of Orthopedic Surgery and Physical Therapy, Copenhagen University Hospital, Amager-Hvidovre, Denmark
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Purpose: To investigate the differences in hip adductor and abductor muscle strength in elite male footballers from youth to senior level. Methods: We tested 125 players from the under-13-years (U’13) to senior squads of a Danish male professional football club in this cross-sectional design study. Hip adductor and abductor force (in newtons), torque (in newton meters), normalized torque (in newton meters per body mass), and adduction-to-abduction ratio were measured using handheld dynamometry. Results: Between U’13 and senior level, adductor force increased by 104%, torque by 127%, and normalized torque by 21%. Abductor force increased by 78%, torque by 126%, and normalized torque by 17%. For incremental differences between age groups, significant increases were observed between the ages of U’13 to U’14 (18%–39%) and U’14 to U’15 (19%–33%) for all strength measures (P ≤ .021). No incremental difference was observed for adductor-to-abductor ratio. Conclusions: The large increases in hip adductor and abductor strength occurring between the ages of U’13 and U’15 offer insight into the strength capabilities and stress demands in these players, which may relate to injury vulnerability, and facilitate clinicians in selecting best-suited exercise interventions.

Light (n.light@chi.ac.uk) is corresponding author.

  • 1.

    Werner J, Hägglund M, Waldén M, Ekstrand J. UEFA injury study: a prospective study of hip and groin injuries in professional football over seven consecutive seasons. Br J Sports Med. 2009;43(13):10361040. PubMed ID: 19945984 doi:10.1136/bjsm.2009.066944

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Light N, Johnson A, Williams S, Smith N, Hale B, Thorborg K. Injuries in youth football and the relationship to player maturation: an analysis of time-loss injuries during four seasons in an English elite male football academy. Scand J Med Sci Sport. 2021;31(6):13241334. doi:10.1111/sms.13933

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Harøy J, Clarsen B, Thorborg K, Hölmich P, Bahr R, Andersen TE. Groin problems in male soccer players are more common than previously reported. Am J Sports Med. 2017;45(6):13041308. PubMed ID: 28298059 doi:10.1177/0363546516687539

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Backous DD, Friedl KE, Smith NJ, Parr TJ, Carpine WD. Soccer injuries and their relation to physical maturity. Am J Dis Child. 1988;142:839842. PubMed ID: 3394676

    • Search Google Scholar
    • Export Citation
  • 5.

    Tears C, Chesterton P, Wijnbergen M. The elite player performance plan: the impact of a new national youth development strategy on injury characteristics in a premier league football academy. J Sports Sci. 2018;36(19):21812188. PubMed ID: 29478360 doi:10.1080/02640414.2018.1443746

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    van der Sluis A, Elferink-Gemser MT, Coelho-e-Silva MJ, Nijboer JA, Brink MS, Visscher C. Sport injuries aligned to peak height velocity in talented pubertal soccer players. Int J Sports Med. 2014;35(4):351355. PubMed ID: 24022568

    • Search Google Scholar
    • Export Citation
  • 7.

    Johnson DM, Williams S, Bradley B, Sayer S, Murray Fisher J, Cumming S. Growing pains: maturity associated variation in injury risk in academy football. Eur J Sports Sci. 2020;20(4):544552. doi:10.1080/17461391.2019.1633416

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Dupré T, Potthast W. Groin injury risk of pubertal soccer players increases during peak height velocity due to changes in movement techniques. J Sports Sci. 2020;38(23):26612669. PubMed ID: 32691676 doi:10.1080/02640414.2020.1794769

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Rogol AD, Roemmich JN, Clark PA. Growth at puberty. J Adoles Health. 2002;31(6):192200. doi:10.1016/S1054-139X(02)00485-8

  • 10.

    Towlson C, Salter J, Ade JD, et al. Maturity-associated considerations for training load, injury risk, and physical performance in youth soccer: one size does not fit all. J Sport Health Sci. 2021;10(4):403412. PubMed ID: 32961300 doi:10.1016/j.jshs.2020.09.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Dupré T, Lysdal FG, Funken J, et al. Groin injuries in soccer: investigating the effect of age on adductor muscle forces. Med Sci Sports Exerc. 2020;52(6):1330. PubMed ID: 31895302 doi:10.1249/MSS.0000000000002243

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep. 2010;9(6):372378. PubMed ID: 21068572 doi:10.1249/JSR.0b013e3181fdba58

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Esteve E, Rathleff MS, Bagur-Calafat C, Urrútia G, Thorborg K. Prevention of groin injuries in sports: a systematic review with meta-analysis of randomised controlled trials. Br J Sports Med. 2015;49(12):785791. PubMed ID: 25730819 doi:10.1136/bjsports-2014-094162

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Ishøi L, Krommes K, Husted RS, Juhl CB, Thorborg K. Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport—grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF). Br J Sports Med. 2020;54(9):528537. PubMed ID: 31937579 doi:10.1136/bjsports-2019-101228

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Núñez JF, Fernandez I, Torres A, et al. Strength Conditioning program to prevent adductor muscle strains in football: does it really help professional football players? Int J Environ Res Public Health. 2020;17(17):6408. doi:10.3390/ijerph17176408

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    DeLang MD, Garrison JC, Hannon JP, McGovern RP, Christoforetti J, Thorborg K. Short and long lever adductor squeeze strength values in 100 elite youth soccer players: does age and previous groin pain matter? Phys Ther Sport. 2020;46:243248. PubMed ID: 33049480 doi:10.1016/j.ptsp.2020.10.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Light N, Thorborg K. The precision and torque production of common hip adductor squeeze tests used in elite football. J Sci Med Sport. 2016;19(11):888892. PubMed ID: 26750142 doi:10.1016/j.jsams.2015.12.009

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Ishøi L, Krommes K, Nielsen MF, et al. Hamstring and quadriceps muscle strength in youth to senior elite soccer: a cross-sectional study including 125 players. Int J Sports Physiol Perform. 2021;16(10):15381544. PubMed ID: 33887700 doi:10.1123/ijspp.2020-0713

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Jones S, Clair Z, Wrigley R, Mullen R, Andersen TE, Williams M. Strength development and non-contact lower limb injury in academy footballers across age groups. Scand J Med Sci Sports. 2021;31(3):679690. PubMed ID: 33247965 doi:10.1111/sms.13889

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Duarte JP, Valente-Dos-Santos J, Coelho-E-Silva MJ, et al. Developmental changes in isometric strength: longitudinal study in adolescent soccer players. Int J Sports Med. 2018;39(9):688695. PubMed ID: 29925105 doi:10.1055/s-0044-100389

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Armstrong N, McManus AM. Physiology of elite young male athletes. Med Sport Sci. 2011;56:122. PubMed ID: 21178364 doi:10.1159/000320618

  • 22.

    Dotan R, Mitchell C, Cohen R, Klentrou P, Gabriel D, Falk B. Child-adult differences in muscle activation—a review. Pediatr Exerc Sci. 2012;24(1):221. PubMed ID: 22433260 doi:10.1123/pes.24.1.2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Rommers N, Rössler R, Goossens L, et al. Risk of acute and overuse injuries in youth elite soccer players: body size and growth matter. J Sci Med Sport. 2020;23(3):246251. PubMed ID: 31694798 doi:10.1016/j.jsams.2019.10.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Kelly PM, Diméglio A. Lower-limb growth: how predictable are predictions? J Child Orthop. 2008;2(6):407415. PubMed ID: 19308536 doi:10.1007/s11832-008-0119-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25.

    Werner J, Hägglund M, Ekstrand J, Waldén M. Hip and groin time-loss injuries decreased slightly but injury burden remained constant in men’s professional football: the 15-year prospective UEFA elite club injury study. Br J Sports Med. 2019;53(9):539546. PubMed ID: 29691289 doi:10.1136/bjsports-2017-097796

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Esteve E, Clausen MB, Rathleff MS, et al. Prevalence and severity of groin problems in Spanish football: a prospective study beyond the time-loss approach. Scand J Med Sci Sports. 2020;30(5):914921. PubMed ID: 31849116 doi:10.1111/sms.13615

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Mosler AB, Agricola R, Weir A, et al. Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis. Br J Sports Med. 2015;49(12):810. PubMed ID: 26031646 doi:10.1136/bjsports-2015-094602

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Light N, Smith N, Delahunt E, Thorborg K. Hip and groin injury management in English youth football: a survey of 64 professional academies. Sci Med Footb. 2018;2(2):133140. doi:10.1080/24733938.2018.1441536

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29.

    Esteve E, Rathleff MS, Vicens-Bordas J, et al. Preseason adductor squeeze strength in 303 Spanish male soccer athletes: a cross-sectional study. Orthop J Sports Med. 2018;6(1):2325967117747275. PubMed ID: 29349093 doi:10.1177/2325967117747275

    • Crossref
    • Search Google Scholar
    • Export Citation
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