Landing Kinematics, Sports Performance, and Isokinetic Strength in Adolescent Male Volleyball Athletes: Influence of Core Training

in Journal of Sport Rehabilitation
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Context: Core control and strength are important for reducing the risk of lower-extremity injury. Current evidence on the effect of core training in male adolescent athletes is limited, and other investigations into the effects of core training often emphasized core strength only. Objective: To examine whether core training emphasizing both control and strength of the trunk and hip would improve joint kinematics during landing, sports performance, and lower-extremity muscle strength in adolescent male volleyball athletes. Design: Single group pretest and posttest design. Setting: University laboratory. Participants: Sixteen male participants (age: 13.4 [1] y, height: 167.8 [8.6] cm, mass: 58.6 [13.9] kg, and volleyball experience: 3.8 [1.5] y) from a Division I volleyball team at a junior high school. Main Outcome Measurements: Kinematics of the trunk and lower-extremity during box landing and spike jump landing tasks, volleyball-related sports performance, and isokinetic strength of hip and knee muscles were assessed before and after a 6-week core training program. Results: After training, the participants demonstrated decreased trunk flexion angle (P = .01, Cohen’s d = 0.78) during the box landing task and reduced the maximum knee internal rotation angle (P = .04, Cohen’s d = 0.56) during the spike jump landing task. The average isokinetic strength of hip flexors and external rotators, and knee flexors and extensors also significantly increased (P = .001, Cohen’s d = 0.98; P = .04, Cohen’s d = 0.57; P = .02, Cohen’s d = 0.66; P = .003, Cohen’s d = 0.87, respectively); however, sports performance did not show significant changes. Conclusions: A more erect landing posture following training suggests that the core training program may be beneficial for improving core stability. The long-term effect of core training for knee injury prevention needs further investigation.

Tsai, Lee, and Kuo are with the Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Chia is with the Department of Rehabilitation, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan. Lin is with the Institute of Physical Education, Health & Leisure Studies, College of Management, National Cheng Kung University, Tainan, Taiwan.

Kuo (yiliangkuo@mail.ncku.edu.tw) is corresponding author.
  • 1.

    Eerkes K. Volleyball injuries. Curr Sports Med Rep. 2012;11(5):251–256. PubMed ID: 22965348 doi:10.1249/JSR.0b013e3182699037

  • 2.

    Bere T, Kruczynski J, Veintimilla N, Hamu Y, Bahr R. Injury risk is low among world-class volleyball players: 4-year data from the FIVB Injury Surveillance System. Br J Sports Med. 2015;49(17):1132–1137. PubMed ID: 26194501 doi:10.1136/bjsports-2015-094959

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

    Barber Foss KD, Myer GD, Hewett TE. Epidemiology of basketball, soccer, and volleyball injuries in middle-school female athletes. Phys Sportsmed. 2014;42(2):146–153. PubMed ID: 24875981 doi:10.3810/psm.2014.05.2066

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

    Nicolini AP, de Carvalho RT, Matsuda MM, Sayum JF, Cohen M. Common injuries in athletes’ knee: experience of a specialized center. Acta Ortop Bras. 2014;22(3):127–131. PubMed ID: 25061417 doi:10.1590/1413-78522014220300475

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189–198. PubMed ID: 16526831 doi:10.2165/00007256-200636030-00001

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

    Richardson C, Jull G, Hodges P, Hides J. Therapeutic Exercise for Spinal Segmental Stabilisation in Low Back Pain: Scientific Basis and Clinical Approach. London, UK: Churchill Livingstone; 1999.

    • Search Google Scholar
    • Export Citation
  • 7.

    Hibbs AE, Thompson KG, French D, Wrigley A, Spears I. Optimizing performance by improving core stability and core strength. Sports Med. 2008;38(12):995–1008. PubMed ID: 19026017 doi:10.2165/00007256-200838120-00004

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

    Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13(5):316–325. PubMed ID: 16148357 doi:10.5435/00124635-200509000-00005

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

    Huxel Bliven KC, Anderson BE. Core stability training for injury prevention. Sports Health. 2013;5(6):514–522. PubMed ID: 24427426 doi:10.1177/1941738113481200

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77(2):132–142; discussion 142–144. PubMed ID: 9037214 doi:10.1093/ptj/77.2.132

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

    Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. J Strength Cond Res. 2011;25(1):252–261. PubMed ID: 20179652 doi:10.1519/JSC.0b013e3181b22b3e

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

    Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. Deficits in neuromuscular control of the trunk predict knee injury risk: a prospective biomechanical-epidemiologic study. Am J Sports Med. 2007;35(7):1123–1130. PubMed ID: 17468378 doi:10.1177/0363546507301585

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

    Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther. 2003;33(11):671–676. PubMed ID: 14669962 doi:10.2519/jospt.2003.33.11.671

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

    Dierks TA, Manal KT, Hamill J, Davis IS. Proximal and distal influences on hip and knee kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys Ther. 2008;38(8):448–456. PubMed ID: 18678957 doi:10.2519/jospt.2008.2490

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

    Sugimoto D, Myer GD, Foss KD, Hewett TE. Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females: meta-analysis and subgroup analysis. Br J Sports Med. 2015;49(5):282–289. PubMed ID: 25452612 doi:10.1136/bjsports-2014-093461

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

    Brown TN, Palmieri-Smith RM, McLean SG. Comparative adaptations of lower limb biomechanics during unilateral and bilateral landings after different neuromuscular-based ACL injury prevention protocols. J Strength Cond Res. 2014;28(10):2859–2871. PubMed ID: 24714537 doi:10.1519/JSC.0000000000000472

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

    Pfile KR, Hart JM, Herman DC, Hertel J, Kerrigan DC, Ingersoll CD. Different exercise training interventions and drop-landing biomechanics in high school female athletes. J Athl Train. 2013;48(4):450–462. PubMed ID: 23768121 doi:10.4085/1062-6050-48.4.06

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

    Reed CA, Ford KR, Myer GD, Hewett TE. The effects of isolated and integrated “core stability” training on athletic performance measures: a systematic review. Sports Med. 2012;42(8):697–706. PubMed ID: 22784233 doi:10.1007/BF03262289

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

    Sugimoto D, Mattacola CG, Mullineaux DR, Palmer TG, Hewett TE. Comparison of isokinetic hip abduction and adduction peak torques and ratio between sexes. Clin J Sport Med. 2014;24(5):422–428. PubMed ID: 24905541 doi:10.1097/JSM.0000000000000059

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

    Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. J Athl Train. 2007;42(1):76–83. PubMed ID: 17597947

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

    Brown KA, Patel DR, Darmawan D. Participation in sports in relation to adolescent growth and development. Transl Pediatr. 2017;6(3):150–159. PubMed ID: 28795005 doi:10.21037/tp.2017.04.03

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Micheli LJ, Klein JD. Sports injuries in children and adolescents. Br J Sports Med. 1991;25(1):6–9. PubMed ID: 1913035 doi:10.1136/bjsm.25.1.6

  • 23.

    Caine D, Maffulli N, Caine C. Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clin Sports Med. 2008;27(1):19–50, vii. PubMed ID: 18206567 doi:10.1016/j.csm.2007.10.008

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

    Bisseling RW, Hof AL, Bredeweg SW, Zwerver J, Mulder T. Are the take-off and landing phase dynamics of the volleyball spike jump related to patellar tendinopathy? Br J Sports Med. 2008;42(6):483–489. PubMed ID: 18385187 doi:10.1136/bjsm.2007.044057

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

    Noyes FR, Barber-Westin SD, Smith ST, Campbell T. A training program to improve neuromuscular indices in female high school volleyball players. J Strength Cond Res. 2011;25(8):2151–2160. PubMed ID: 21659890 doi:10.1519/JSC.0b013e3181f906ef

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

    Ramirez-Velez R, Rodrigues-Bezerra D, Correa-Bautista JE, Izquierdo M, Lobelo F. Reliability of health-related physical fitness tests among Colombian children and adolescents: The FUPRECOL Study. PLoS ONE. 2015;10(10):e0140875. PubMed ID: 26474474 doi:10.1371/journal.pone.0140875

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

    Gabbett T, Georgieff B, Anderson S, Cotton B, Savovic D, Nicholson L. Changes in skill and physical fitness following training in talent-identified volleyball players. J Strength Cond Res. 2006;20(1):29–35. PubMed ID: 16503688

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

    Miller MG, Herniman JJ, Ricard MD, Cheatham CC, Michael TJ. The effects of a 6-week plyometric training program on agility. J Sports Sci Med. 2006;5(3):459–465. PubMed ID: 24353464

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

    van Melick N, Meddeler BM, Hoogeboom TJ, Nijhuis-van der Sanden MWG, van Cingel REH. How to determine leg dominance: the agreement between self-reported and observed performance in healthy adults. PLoS ONE. 2017;12(12):e0189876. PubMed ID: 29287067 doi:10.1371/journal.pone.0189876

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Ozcakar L, Kunduracyoolu B, Cetin A, Ulkar B, Guner R, Hascelik Z. Comprehensive isokinetic knee measurements and quadriceps tendon evaluations in footballers for assessing functional performance. Br J Sports Med. 2003;37(6):507–510. PubMed ID: 14665589 doi:10.1136/bjsm.37.6.507

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Hewett TE, Stroupe AL, Nance TA, Noyes FR. Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med. 1996;24(6):765–773. PubMed ID: 8947398 doi:10.1177/036354659602400611

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am. 2003;34(2):245–254. PubMed ID: 12914264 doi:10.1016/S0030-5898(03)00003-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Orishimo KF, Liederbach M, Kremenic IJ, Hagins M, Pappas E. Comparison of landing biomechanics between male and female dancers and athletes, part 1: influence of sex on risk of anterior cruciate ligament injury. Am J Sports Med. 2014;42(5):1082–1088. PubMed ID: 24590005 doi:10.1177/0363546514523928

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Yilmaz Yelvar GD, Cirak Y, Dalkilinc M, et al. Impairments of postural stability, core endurance, fall index and functional mobility skills in patients with patello femoral pain syndrome. J Back Musculoskelet Rehabil. 2017;30(1):163–170. doi:10.3233/BMR-160729

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Leporace G, Praxedes J, Pereira GR, et al. Influence of a preventive training program on lower limb kinematics and vertical jump height of male volleyball athletes. Phys Ther Sport. 2013;14(1):35–43. PubMed ID: 23312730 doi:10.1016/j.ptsp.2012.02.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Parsons JL, Alexander MJ. Modifying spike jump landing biomechanics in female adolescent volleyball athletes using video and verbal feedback. J Strength Cond Res. 2012;26(4):1076–1084. PubMed ID: 22446676 doi:10.1519/JSC.0b013e31822e5876

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Hewett TE, Myer GD. The mechanistic connection between the trunk, hip, knee, and anterior cruciate ligament injury. Exerc Sport Sci Rev. 2011;39(4):161–166. PubMed ID: 21799427

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL. Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res. 1995;13(6):930–935. PubMed ID: 8544031 doi:10.1002/jor.1100130618

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    McNitt-Gray JL. Kinematics and impulse characteristics of drop landings from three heights. Int J Sport Biomech. 1991;7(2):201–224. doi:10.1123/ijsb.7.2.201

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 40.

    Hewett TE, Myer GD, Ford KR, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005;33(4):492–501. PubMed ID: 15722287 doi:10.1177/0363546504269591

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Paterno MV, Schmitt LC, Ford KR, et al. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med. 2010;38(10):1968–1978. PubMed ID: 20702858 doi:10.1177/0363546510376053

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Myer GD, Brent JL, Ford KR, Hewett TE. A pilot study to determine the effect of trunk and hip focused neuromuscular training on hip and knee isokinetic strength. Br J Sports Med. 2008;42(7):614–619. PubMed ID: 18308886 doi:10.1136/bjsm.2007.046086

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Baldon Rde M, Lobato DF, Carvalho LP, Wun PY, Santiago PR, Serrao FV. Effect of functional stabilization training on lower limb biomechanics in women. Med Sci Sports Eexerc. 2012;44(1):135–145. doi:10.1249/MSS.0b013e31822a51bb

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 44.

    Suzuki H, Omori G, Uematsu D, Nishino K, Endo N. The influence of hip strength on knee kinematics during a single-legged medial drop landing among competitive collegiate basketball players. Inter J Sports Phys Ther. 2015;10(5):592–601.

    • Search Google Scholar
    • Export Citation
  • 45.

    Malloy P, Morgan A, Meinerz C, Geiser CF, Kipp K. Hip external rotator strength is associated with better dynamic control of the lower extremity during landing tasks. J Strength Cond Res. 2016;30(1):282–291. PubMed ID: 26110347 doi:10.1519/JSC.0000000000001069

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 46.

    Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med. 1999;27(6):699–706. PubMed ID: 10569353 doi:10.1177/03635465990270060301

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47.

    Lawrence RK 3rd, Kernozek TW, Miller EJ, Torry MR, Reuteman P. Influences of hip external rotation strength on knee mechanics during single-leg drop landings in females. Clin Biomech. 2008;23(6):806–813. doi:10.1016/j.clinbiomech.2008.02.009

    • Crossref
    • Search Google Scholar
    • Export Citation
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