The Temporal Pattern of Recovery in Directional Dynamic Stability Post Football-Specific Fatigue

in Journal of Sport Rehabilitation
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Background: Rising injury rates within football require further understanding of the etiological risk factors associated with lower-limb injury. Aim: To examine the temporal pattern of recovery of directional dynamic stability measures post football-specific fatigue. Methods: Eighteen male elite footballers completed baseline assessments of directional dynamic stability measures (Overall Stability Index, anterior–posterior stability [A-P], medial–lateral stability [M-L] on level 1 of the Biodex Stability System). Post Soccer-Specific Aerobic Field Test90 measures were repeated immediately, +24 hours, +48 hours, and +72 hours. The main effects for the recovery time and direction of stability were supplemented by regression modeling to describe the temporal pattern of recovery. Results: Significant main effects for time were identified for all directions of stability (Overall Stability Index, A-P, and M-L) up to +48 hours postexercise (P ≤ .05). The quadratic pattern of temporal recovery highlights a minimum of 37.55 to 38.67 hours and maximum of 75.09 to 77.33 hours. Additionally, a main effect for direction of stability was observed, with significant differences identified between A-P and M-L stability at all time points (P ≤ .001). Conclusions: Reductions in directional dynamic stability +48 hours postfatigue highlight implications for training design, recovery strategies, and injury management for performance practitioners. Interestingly, A-P stability has been highlighted as being significantly reduced compared with M-L stability at all time points, regardless of the fatigue exposure. Practitioners should consider the reduction of stability in this plane in relation to common mechanisms of injury in the knee to inform injury–risk-reduction strategies.

Rhodes is with the Institute of Coaching and Performance, School of Sport and Health Sciences, University of Central Lancashire, Preston, United Kingdom. Alexander is with the Sport, Nutrition and Clinical Sciences, School of Sport and Health Sciences, University of Central Lancashire, Preston, United Kingdom. Greig is with the Department of Sport and Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom.

Rhodes (DRhodes2@uclan.ac.uk) is corresponding author.
  • 1.

    Changela PK, Selvamani K, Ramaprabhu. A study to evaluate the effect of fatigue on knee joint proprioception and balance in healthy individuals. Int J Sci Res Publications. 2012;2:18511857.

    • Search Google Scholar
    • Export Citation
  • 2.

    Melnyk M, Gollhofer A. Submaximal fatigue of the hamstrings impairs specific reflex components and knee stability. Knee Surg Sports Traumatol Arthrosc. 2007;15(5):525532. PubMed ID: 17151846 doi:

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

    Letafatkar K, Alizadeh MH, Kordi MR. The effect of exhausting exercise induced muscular fatigue on functional stability. J Social Sci. 2009;4:416422.

    • Search Google Scholar
    • Export Citation
  • 4.

    Torres R, Duarte JA, Cabri JMH. An acute bout of quadriceps muscle stretching has no influence on knee joint proprioception. J Human Kinet. 2012;34(1):3339. doi:

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

    Ribeiro F, Santos F, Goncalves P, Oliveira J. Effects of volleyball match induced fatigue on knee joint position sense. Eur J Sports Sci. 2008;8(6):397402. doi:

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

    Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lazaro-Haro C, Cugat R. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc. 2009;17(7):705729. PubMed ID: 19452139 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Gioftsidou A, Malliou P, Pafis G, Beneka A, Tsapralis K, Sofokleous P, Kouli O, Roka S, Godolias G. Balance training programs for soccer injuries prevention. J Hum Sport Exerc. 2012;7(3):639647. doi:

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

    Arifin N, Osman NAA, Abas WAB. Intrarater test–retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance. J Appl Biomech. 2014;30(2):300304. doi:

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

    Rhodes D, Leather M, Birdsall D, Alexander J. The effect of proprioceptive training on directional dynamic stabilisation. J Sports Rehab. 2020;30:248254. In Press Accepted.

    • Search Google Scholar
    • Export Citation
  • 10.

    McHugh MP, Tyler TF, Mirabella MR. The effectiveness of a balance training intervention in reducing the incidence of non-contact ankle sprains in high school football players. Am J Sports Med. 2007;35(8):12891294. PubMed ID: 17395956 doi:

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

    De Ste Croix MBA, Priestly AM, Lloyd RS, Oliver JL. ACL injury risk in elite female youth soccer: changes in neuromuscular control of the knee following soccer‐specific fatigue. Scand J Med Sci Sports. 2015;25:531538.

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

    Greig, M. The influence of soccer-specific fatigue on peak isokinetic torque production of the knee flexors and extensors. Am J Sports Med. 2008;36(7):14031409. PubMed ID: 18326034 doi:

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

    Small K, McNaughton LR, Greig M, Lovell R. The effects of multidirectional soccer-specific fatigue on markers of hamstring injury risk. J Sci Med Sport. 2009;13(1):120125. doi:

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

    Rhodes D, McNaughton L, Greig M. The temporal pattern of recovery in eccentric hamstring strength post soccer specific fatigue. Res Sports Med. 2018;27(3):339350. PubMed ID: 30296168 doi:

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

    Hody S, Croisier JL, Bury T, Rogister B, Leprince P. Eccentric muscle contractions: risks and benefits. Front Phys. 2019;10:118. doi:

  • 16.

    Chen HL, Nosaka K, Chen TC. Muscle damage protection by low-intensity eccentric contractions remains for 2 weeks but not 3 weeks. Eur J Appl Physiol. 2012;112(2):555565. PubMed ID: 21611825 doi:

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

    Opar D, Williams M, Timmins R, Hickey J, Duhig S, Shield A. Eccentric hamstring strength during the Nordic hamstring exercises is a risk factor for hamstring strain injury in elite Australian football: a prospective cohort study. Br J Sports Med. 2014;48(7):647.2648. doi:

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

    Conchola E C, Thompson B J, Smith D B. 2013. Effects of neuromuscular fatigue on the electromechanical delay of the leg extensors and flexors in young and old men. Eur J Appl Physiol. 2013;113(9):23912399. doi:

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

    Bryant AL, Clark RA, Pua YH. Morphology of hamstring torque-time curves following ACL injury and reconstruction: mechanisms and implications. J Orthopaedic Res. 2011;29(6):907914. doi:

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

    Arnason SM, Birnir B, Gudmundsson G, Briem K. Medial hamstring muscle activation patterns are affected 1-6 years after ACL reconstruction using hamstring autograft. Knee Surg Sports Traumatol Arthrosc. 2014;22:10241029. PubMed ID: 24067994

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

    Walden M, Hagglund M, Magnusson H, et al. . Anterior cruciate ligament injury in elite football: a prospective three-cohort study. Knee Surg Sports Traumatol Arthrosc. 2011;19:1119.

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

    De Ste Croix MBA, Elnagar YO, Iga J, James D, Ayala F. Electromechanical delay of the hamstrings during eccentric muscle actions in males and females: implications for non-contact ACL injuries. J Electromyogr Kinesiol. 2015;25(6):901906. doi:

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

    Walden M, Hagglund M, Magnusson H, Ekstrand J. ACL injuries in men’s professional football: a 15-year prospective study on time trends and return to play rates reveals only 65% of players still play at the top level 3 years after ACL rupture. Br J Sports Med. 2016;50:744750. PubMed ID: 27034129

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

    Walden M, Hagglund M, Ekstrand J. Time-trends and circumstances surrounding ankle injuries in men’s professional football: an 11 year follow up of the UEFA champions league injury study. Br J Sports Med. 2013;47:748753. PubMed ID: 23813486

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

    Dupont G, Nedelec M, McCall A. Effect of 2 soccer matches in a week on physical performance and injury rate. Am J of Sports Med. 2010;38(9):17521758. doi:

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

    Dellal A, Lago-Penas C, Rey E. The effects of a congested fixture period on physical performance, technical activity and injury rate during matches in a professional soccer team. Br J Sports Med. 2015;49(6):390394. PubMed ID: 23422422 doi:

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

    Hinman M. Factors affecting reliability of the Biodex Balance System: a summary of four studies. J Sport Rehab. 2000:9(3): 240252. doi:

  • 28.

    Lovell R, Knapper B, Small K. Physiological responses to SAFT90: a new soccer-specific match simulation. Coach Sports Sci. 2008;3:46.

  • 29.

    Sedliak M, Haverinen M, Hakkinen K. Muscle strength, resting muscle tone and EMG activation in untrained men: interaction effect of time of day and test order-related confounding factors. J Sports Med Phys Fit. 2011;51:560570.

    • Search Google Scholar
    • Export Citation
  • 30.

    Brophy R, Silvers HJ, Gonzales T. Gender influences: the role of leg dominance in ACL injury among soccer players. Br J Sports Med. 2010;44(10):694697. PubMed ID: 20542974 doi:

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

    Schmitz K, Arnold B. Intertester and intratester reliability of the biodex stability system. J Sport Rehabil. 1998;7(2):95101. doi:

  • 32.

    Yamada RKF, Arliani GC, Almeida GPL, Venturine AM, Dos Santos CV, Astur DC, Cohen M. The effects of one-half of a soccer match on the postural stability and functional capacity of the lower limbs in young soccer players. Clinics. 2012; 67(12):13611364. PubMed ID: 23295587 doi:

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

    Franklin S, Grey MJ, Heneghan N, Bowen L, Li FX. Barefoot vs common footwear: a systematic review of kinematic, kinetic and muscle activity differences during walking. Gait Posture. 2015;42(3):230239. PubMed ID: 26220400 doi:

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

    Cohen J. Statistical Power Analysis for the Behavioural Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, 1988.

  • 35.

    Doyle TLA, Schilaty ND, Webster KE, Hewett TE. Time of season and game segment is not related to likelihood of lower-limb injuries: a meta-analysis. Clin J Sports Med. 2019;31(3):304312. doi:.

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

    Benjaminse A, Webster KE, Kimp A, Meijer M, Gokeler A. Revised approach to the role of fatigue in anterior cruciate ligament injury prevention: a systematic review with meta analyses. Sports Med. 2019;49(4):565586. PubMed ID: 30659497 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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