A comparison of hamstring muscle activity during different screening tests for non-contact ACL injury

Rasmus S Husted; Jesper Bencke; Lars Louis Andersen; Grethe Myklebust; Thomas Kallemose; Hanne Bloch Lauridsen; Per Hølmich; Per Aagaard; Mette Kreutzfeldt Zebis

doi:10.1016/j.knee.2016.02.004

A comparison of hamstring muscle activity during different screening tests for non-contact ACL injury

Rasmus S Husted, Jesper Bencke, Lars Louis Andersen, Grethe Myklebust, Thomas Kallemose, Hanne Bloch Lauridsen, Per Hølmich, Per Aagaard, Mette Kreutzfeldt Zebis

Department of Clinical Medicine

3 Citations (Scopus)

Abstract

Background: Reduced ability to activate the medial hamstring muscles during a sports-specific sidecutting movement has been found to be a potential risk factor for non-contact ACL injury. However, whether a reduced ability to activate the medial hamstring muscle is a general neuromuscular phenomenon and thereby observable independently of the type of clinical screening tests used is not known. This cross sectional study investigated the rank correlation of knee joint neuromuscular activity between three different ACL injury risk screening tests. Methods: Sixty-two adolescent female elite football and handball players (16.7 ± 1.3 years) participated in the study. Using surface electromyography (EMG) assessment, the neuromuscular activity of medial hamstring muscle (semitendinosus, ST), lateral hamstring muscle (biceps femoris, BF) and quadriceps muscle (vastus lateralis, VL) were monitored during three standardized screening tests - i.e. one-legged horizontal hop (OLH), drop vertical jump (DJ) and sidecutting (SC). Neuromuscular pre-activity was measured in the time interval 10 ms prior to initial contact on a force plate. Results: For neuromuscular hamstring muscle pre-activity, correlation analysis (Spearman correlation coefficient) showed low-to-moderate correlations between SC and 1) DJ (r_s = 0.34-0.36, P < 0.05) and 2) OLH (r_s = 0.40-0.41, P < 0.05), respectively. Conclusions: In conclusion, the present data suggest that hamstring pre-activity share some common variance during the examined tests. However, a lack of strong correlation suggests that we cannot generalize one risk factor during one test to another test. Clinical relevance: The present data demonstrate that one-legged horizontal hop and drop vertical jump testing that are commonly used in the clinical setting does not resemble the specific neuromuscular activity patterns known to exist during sidecutting, a well known high risk movement for non-contact ACL injury.

Original language	English
Journal	The Knee
Volume	23
Issue number	3
Pages (from-to)	362-366
Number of pages	5
ISSN	0968-0160
DOIs	https://doi.org/10.1016/j.knee.2016.02.004
Publication status	Published - 1 Jun 2016

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Journal Article

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10.1016/j.knee.2016.02.004

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title = "A comparison of hamstring muscle activity during different screening tests for non-contact ACL injury",

abstract = "Background: Reduced ability to activate the medial hamstring muscles during a sports-specific sidecutting movement has been found to be a potential risk factor for non-contact ACL injury. However, whether a reduced ability to activate the medial hamstring muscle is a general neuromuscular phenomenon and thereby observable independently of the type of clinical screening tests used is not known. This cross sectional study investigated the rank correlation of knee joint neuromuscular activity between three different ACL injury risk screening tests. Methods: Sixty-two adolescent female elite football and handball players (16.7 ± 1.3 years) participated in the study. Using surface electromyography (EMG) assessment, the neuromuscular activity of medial hamstring muscle (semitendinosus, ST), lateral hamstring muscle (biceps femoris, BF) and quadriceps muscle (vastus lateralis, VL) were monitored during three standardized screening tests - i.e. one-legged horizontal hop (OLH), drop vertical jump (DJ) and sidecutting (SC). Neuromuscular pre-activity was measured in the time interval 10 ms prior to initial contact on a force plate. Results: For neuromuscular hamstring muscle pre-activity, correlation analysis (Spearman correlation coefficient) showed low-to-moderate correlations between SC and 1) DJ (rs = 0.34-0.36, P < 0.05) and 2) OLH (rs = 0.40-0.41, P < 0.05), respectively. Conclusions: In conclusion, the present data suggest that hamstring pre-activity share some common variance during the examined tests. However, a lack of strong correlation suggests that we cannot generalize one risk factor during one test to another test. Clinical relevance: The present data demonstrate that one-legged horizontal hop and drop vertical jump testing that are commonly used in the clinical setting does not resemble the specific neuromuscular activity patterns known to exist during sidecutting, a well known high risk movement for non-contact ACL injury.",

keywords = "Journal Article",

author = "Husted, {Rasmus S} and Jesper Bencke and Andersen, {Lars Louis} and Grethe Myklebust and Thomas Kallemose and Lauridsen, {Hanne Bloch} and Per H{\o}lmich and Per Aagaard and Zebis, {Mette Kreutzfeldt}",

year = "2016",

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doi = "10.1016/j.knee.2016.02.004",

language = "English",

volume = "23",

pages = "362--366",

journal = "The Knee",

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T1 - A comparison of hamstring muscle activity during different screening tests for non-contact ACL injury

AU - Husted, Rasmus S

AU - Bencke, Jesper

AU - Andersen, Lars Louis

AU - Myklebust, Grethe

AU - Kallemose, Thomas

AU - Lauridsen, Hanne Bloch

AU - Hølmich, Per

AU - Aagaard, Per

AU - Zebis, Mette Kreutzfeldt

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Background: Reduced ability to activate the medial hamstring muscles during a sports-specific sidecutting movement has been found to be a potential risk factor for non-contact ACL injury. However, whether a reduced ability to activate the medial hamstring muscle is a general neuromuscular phenomenon and thereby observable independently of the type of clinical screening tests used is not known. This cross sectional study investigated the rank correlation of knee joint neuromuscular activity between three different ACL injury risk screening tests. Methods: Sixty-two adolescent female elite football and handball players (16.7 ± 1.3 years) participated in the study. Using surface electromyography (EMG) assessment, the neuromuscular activity of medial hamstring muscle (semitendinosus, ST), lateral hamstring muscle (biceps femoris, BF) and quadriceps muscle (vastus lateralis, VL) were monitored during three standardized screening tests - i.e. one-legged horizontal hop (OLH), drop vertical jump (DJ) and sidecutting (SC). Neuromuscular pre-activity was measured in the time interval 10 ms prior to initial contact on a force plate. Results: For neuromuscular hamstring muscle pre-activity, correlation analysis (Spearman correlation coefficient) showed low-to-moderate correlations between SC and 1) DJ (rs = 0.34-0.36, P < 0.05) and 2) OLH (rs = 0.40-0.41, P < 0.05), respectively. Conclusions: In conclusion, the present data suggest that hamstring pre-activity share some common variance during the examined tests. However, a lack of strong correlation suggests that we cannot generalize one risk factor during one test to another test. Clinical relevance: The present data demonstrate that one-legged horizontal hop and drop vertical jump testing that are commonly used in the clinical setting does not resemble the specific neuromuscular activity patterns known to exist during sidecutting, a well known high risk movement for non-contact ACL injury.

AB - Background: Reduced ability to activate the medial hamstring muscles during a sports-specific sidecutting movement has been found to be a potential risk factor for non-contact ACL injury. However, whether a reduced ability to activate the medial hamstring muscle is a general neuromuscular phenomenon and thereby observable independently of the type of clinical screening tests used is not known. This cross sectional study investigated the rank correlation of knee joint neuromuscular activity between three different ACL injury risk screening tests. Methods: Sixty-two adolescent female elite football and handball players (16.7 ± 1.3 years) participated in the study. Using surface electromyography (EMG) assessment, the neuromuscular activity of medial hamstring muscle (semitendinosus, ST), lateral hamstring muscle (biceps femoris, BF) and quadriceps muscle (vastus lateralis, VL) were monitored during three standardized screening tests - i.e. one-legged horizontal hop (OLH), drop vertical jump (DJ) and sidecutting (SC). Neuromuscular pre-activity was measured in the time interval 10 ms prior to initial contact on a force plate. Results: For neuromuscular hamstring muscle pre-activity, correlation analysis (Spearman correlation coefficient) showed low-to-moderate correlations between SC and 1) DJ (rs = 0.34-0.36, P < 0.05) and 2) OLH (rs = 0.40-0.41, P < 0.05), respectively. Conclusions: In conclusion, the present data suggest that hamstring pre-activity share some common variance during the examined tests. However, a lack of strong correlation suggests that we cannot generalize one risk factor during one test to another test. Clinical relevance: The present data demonstrate that one-legged horizontal hop and drop vertical jump testing that are commonly used in the clinical setting does not resemble the specific neuromuscular activity patterns known to exist during sidecutting, a well known high risk movement for non-contact ACL injury.

KW - Journal Article

U2 - 10.1016/j.knee.2016.02.004

DO - 10.1016/j.knee.2016.02.004

M3 - Journal article

C2 - 26944470

SN - 0968-0160

VL - 23

SP - 362

EP - 366

JO - The Knee

JF - The Knee

IS - 3

ER -

A comparison of hamstring muscle activity during different screening tests for non-contact ACL injury

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