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Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players : a 3-season prospective study

Roel De Ridder UGent, Erik Witvrouw UGent, Mieke Dolphens, Philip Roosen UGent and Ans Van Ginckel UGent (2017) AMERICAN JOURNAL OF SPORTS MEDICINE. 45(2). p.410-416
abstract
Background: Numerous epidemiological studies have emphasized the burden of lateral ankle sprains in youth soccer players. However, no prospective study has identified intrinsic physical and modifiable risk factors for these injuries in this particular population. Although injury prevention programs in soccer incorporate proximal hip and core stability exercises, it is striking that the relationship between impaired proximal hip function and ankle sprains has not yet been prospectively investigated in youth soccer players. Hypothesis: This prospective study aimed to examine whether hip muscle strength is a risk factor for sustaining a lateral ankle sprain in youth soccer players. We hypothesized that decreased hip muscle strength would predispose youth soccer players to an increased risk of lateral ankle sprains. Study Design: Case-control study; Level of evidence, 3. Methods: This study included a total of 133 male youth soccer players (age divisions U11-U17) for analysis. At the beginning of the season, anthropometric characteristics were collected and hip muscle strength was assessed using a handheld dynamometer. Injury registration was performed by the team medical staff during 3 consecutive seasons. A principal-component, multivariate Cox regression analysis was performed to identify potential risk factors for sustaining a lateral ankle sprain. Results: Twelve participants (18% of all reported injuries) sustained a lateral ankle sprain (0.36 per 1000 athletic-exposure hours). After adjustment for body size dependencies and other hip muscle forces, an increase in hip muscle extension force was associated with a significant decrease in the hazard of the injury (hazard ratio, 0.3; 95% confidence interval, 0.1-0.9; P = .028). No other study variable could be identified as a risk factor for lateral ankle sprains. Conclusion: Reduced hip extension muscle strength is an independent risk factor for lateral ankle sprains in male youth soccer players. Other hip muscle strength outcomes were not identified as risk factors. Replication in larger samples with more injured cases is warranted to further ascertain the importance of this risk factor.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
field test, adolescent, youth soccer, kinetic chain, ankle ligaments
journal title
AMERICAN JOURNAL OF SPORTS MEDICINE
Am. J. Sports Med.
volume
45
issue
2
pages
410 - 416
ISSN
0363-5465
DOI
10.1177/0363546516672650
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8046242
handle
http://hdl.handle.net/1854/LU-8046242
date created
2016-08-09 10:16:47
date last changed
2017-03-16 14:18:21
@article{8046242,
  abstract     = {Background: Numerous epidemiological studies have emphasized the burden of lateral ankle sprains in youth soccer players. However, no prospective study has identified intrinsic physical and modifiable risk factors for these injuries in this particular population. Although injury prevention programs in soccer incorporate proximal hip and core stability exercises, it is striking that the relationship between impaired proximal hip function and ankle sprains has not yet been prospectively investigated in youth soccer players.
Hypothesis: This prospective study aimed to examine whether hip muscle strength is a risk factor for sustaining a lateral ankle sprain in youth soccer players. We hypothesized that decreased hip muscle strength would predispose youth soccer players to an increased risk of lateral ankle sprains.
Study Design: Case-control study; Level of evidence, 3.
Methods: This study included a total of 133 male youth soccer players (age divisions U11-U17) for analysis. At the beginning of the season, anthropometric characteristics were collected and hip muscle strength was assessed using a handheld dynamometer. Injury registration was performed by the team medical staff during 3 consecutive seasons. A principal-component, multivariate Cox regression analysis was performed to identify potential risk factors for sustaining a lateral ankle sprain.
Results: Twelve participants (18\% of all reported injuries) sustained a lateral ankle sprain (0.36 per 1000 athletic-exposure hours). After adjustment for body size dependencies and other hip muscle forces, an increase in hip muscle extension force was associated with a significant decrease in the hazard of the injury (hazard ratio, 0.3; 95\% confidence interval, 0.1-0.9; P = .028). No other study variable could be identified as a risk factor for lateral ankle sprains.
Conclusion: Reduced hip extension muscle strength is an independent risk factor for lateral ankle sprains in male youth soccer players. Other hip muscle strength outcomes were not identified as risk factors. Replication in larger samples with more injured cases is warranted to further ascertain the importance of this risk factor.},
  author       = {De Ridder, Roel and Witvrouw, Erik and Dolphens, Mieke and Roosen, Philip and Van Ginckel, Ans},
  issn         = {0363-5465},
  journal      = {AMERICAN JOURNAL OF SPORTS MEDICINE},
  keyword      = {field test,adolescent,youth soccer,kinetic chain,ankle ligaments},
  language     = {eng},
  number       = {2},
  pages        = {410--416},
  title        = {Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players : a 3-season prospective study},
  url          = {http://dx.doi.org/10.1177/0363546516672650},
  volume       = {45},
  year         = {2017},
}

Chicago
De Ridder, Roel, Erik Witvrouw, Mieke Dolphens, Philip Roosen, and Ans Van Ginckel. 2017. “Hip Strength as an Intrinsic Risk Factor for Lateral Ankle Sprains in Youth Soccer Players : a 3-season Prospective Study.” American Journal of Sports Medicine 45 (2): 410–416.
APA
De Ridder, Roel, Witvrouw, E., Dolphens, M., Roosen, P., & Van Ginckel, A. (2017). Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players : a 3-season prospective study. AMERICAN JOURNAL OF SPORTS MEDICINE, 45(2), 410–416.
Vancouver
1.
De Ridder R, Witvrouw E, Dolphens M, Roosen P, Van Ginckel A. Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players : a 3-season prospective study. AMERICAN JOURNAL OF SPORTS MEDICINE. 2017;45(2):410–6.
MLA
De Ridder, Roel, Erik Witvrouw, Mieke Dolphens, et al. “Hip Strength as an Intrinsic Risk Factor for Lateral Ankle Sprains in Youth Soccer Players : a 3-season Prospective Study.” AMERICAN JOURNAL OF SPORTS MEDICINE 45.2 (2017): 410–416. Print.