Comparison of Different Functional Tests for Leg Power and Normative Bilateral Asymmetry Index in Healthy Collegiate Athletes.

athlete functional testing limb symmetry lower leg power testing return to play

Journal

Open access journal of sports medicine
ISSN: 1179-1543
Titre abrégé: Open Access J Sports Med
Pays: New Zealand
ID NLM: 101566036

Informations de publication

Date de publication:
2021
Historique:
received: 10 04 2021
accepted: 13 07 2021
entrez: 16 8 2021
pubmed: 17 8 2021
medline: 17 8 2021
Statut: epublish

Résumé

Bilateral leg power is being increasingly investigated as a proxy for the recovery of muscle performance after injury. Functional tests like the single leg hop for distance (SLHD) and single leg vertical jump (SLVJ) are often used to determine symmetry and return to play (RTP) readiness. As an injury predictor, leg power is accurately measured with the Keiser Air420 seated leg press. To measure and analyze lower leg asymmetry in healthy collegiate athletes across each test battery. Eighty-eight healthy student-athletes (44 males, 44 females) across 14 varsity teams at Wake Forest University performed the SLHD, SLVJ, and the Keiser. Horizontal and vertical displacement were measured via the SLHD and SLVJ, respectively. Peak power was recorded via the Keiser Air420 leg press. Pearson correlations and repeated measures ANOVA were used to calculate associations and compare bilateral asymmetry indices (BAI) and raw scores. There was a significant effect on each test's raw BAI ( At the 90th percentile, healthy collegiate athletes attained <15% BAI. We recommend the implementation of a battery of tests to determine normative lower limb asymmetry. A battery of functional tests may present different asymmetry indices as opposed the 10% reference asymmetry.

Sections du résumé

BACKGROUND BACKGROUND
Bilateral leg power is being increasingly investigated as a proxy for the recovery of muscle performance after injury. Functional tests like the single leg hop for distance (SLHD) and single leg vertical jump (SLVJ) are often used to determine symmetry and return to play (RTP) readiness. As an injury predictor, leg power is accurately measured with the Keiser Air420 seated leg press.
PURPOSE OBJECTIVE
To measure and analyze lower leg asymmetry in healthy collegiate athletes across each test battery.
METHODS METHODS
Eighty-eight healthy student-athletes (44 males, 44 females) across 14 varsity teams at Wake Forest University performed the SLHD, SLVJ, and the Keiser. Horizontal and vertical displacement were measured via the SLHD and SLVJ, respectively. Peak power was recorded via the Keiser Air420 leg press. Pearson correlations and repeated measures ANOVA were used to calculate associations and compare bilateral asymmetry indices (BAI) and raw scores.
RESULTS RESULTS
There was a significant effect on each test's raw BAI (
CONCLUSION CONCLUSIONS
At the 90th percentile, healthy collegiate athletes attained <15% BAI. We recommend the implementation of a battery of tests to determine normative lower limb asymmetry. A battery of functional tests may present different asymmetry indices as opposed the 10% reference asymmetry.

Identifiants

pubmed: 34393525
doi: 10.2147/OAJSM.S315162
pii: 315162
pmc: PMC8354771
doi:

Types de publication

Journal Article

Langues

eng

Pagination

119-128

Informations de copyright

© 2021 Sullivan et al.

Déclaration de conflit d'intérêts

B.U.N. reports ownership interest in BICMD, outside the submitted work. The other authors have no conflicts of interest to report.

Références

Orthop J Sports Med. 2017 Nov 14;5(11):2325967117739811
pubmed: 29164167
Phys Ther Sport. 2011 Nov;12(4):194-8
pubmed: 22085714
PLoS One. 2017 Jan 23;12(1):e0170627
pubmed: 28114431
Am J Sports Med. 2016 Aug;44(8):2030-8
pubmed: 27257127
J Orthop Sports Phys Ther. 2019 Feb;49(2):43-54
pubmed: 30501385
Am J Sports Med. 2015 Feb;43(2):345-53
pubmed: 25480833
J Sports Sci Med. 2018 Nov 20;17(4):539-546
pubmed: 30479521
J Strength Cond Res. 2019 Nov;33(11):3015-3029
pubmed: 29985219
Sports Med. 2016 Jun;46(6):899-912
pubmed: 26767837
Scand J Med Sci Sports. 2006 Apr;16(2):111-20
pubmed: 16533349
Sports Med. 2017 Nov;47(11):2395-2402
pubmed: 28361327
Int J Sports Phys Ther. 2016 Oct;11(5):784-802
pubmed: 27757291
J Orthop Sports Phys Ther. 1998 Jul;28(1):23-31
pubmed: 9653687
Knee. 2018 Dec;25(6):1016-1026
pubmed: 30115591
Br J Sports Med. 2000 Dec;34(6):436-9
pubmed: 11131231
Int J Environ Res Public Health. 2016 Feb 19;13(2):237
pubmed: 26907311
MMWR Morb Mortal Wkly Rep. 2015 Dec 11;64(48):1330-6
pubmed: 26655724
J Electromyogr Kinesiol. 2015 Jun;25(3):501-7
pubmed: 25801907
J Sport Health Sci. 2018 Oct;7(4):405-415
pubmed: 30450248
Malawi Med J. 2012 Sep;24(3):69-71
pubmed: 23638278
Int J Sports Phys Ther. 2014 Oct;9(5):596-603
pubmed: 25328822
J Strength Cond Res. 2002 Nov;16(4):617-22
pubmed: 12423195
J Strength Cond Res. 2006 Nov;20(4):867-73
pubmed: 17194245
J Strength Cond Res. 2012 Jun;26(6):1601-8
pubmed: 21921816
J Athl Train. 2018 Jan;53(1):35-42
pubmed: 29314871
Knee Surg Sports Traumatol Arthrosc. 2020 Mar;28(3):816-822
pubmed: 31025059
Scand J Med Sci Sports. 2017 Nov;27(11):1404-1410
pubmed: 27747938
Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1273-81
pubmed: 25682164
Sports Health. 2013 May;5(3):244-50
pubmed: 24427396

Auteurs

Spencer W Sullivan (SW)

Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, 27106, USA.
Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, 10021, USA.

Niles A Fleet (NA)

Department of Sports Medicine, Wake Forest University, Winston-Salem, NC, 27106, USA.

Vanessa A Brooks (VA)

Department of Sports Medicine, Wake Forest University, Winston-Salem, NC, 27106, USA.

Jennifer Bido (J)

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, 10021, USA.

Benedict U Nwachukwu (BU)

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, 10021, USA.

Peter H Brubaker (PH)

Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, 27106, USA.

Classifications MeSH