Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes

# Background Eccentric hamstring strength and hamstring/quadriceps strength ratios have been identified as modifiable risk factors of hamstring strains. Additionally, those strength and flexibility characteristics are commonly used as clinical tests to monitor progress of athletes with acute or chr...

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Autores principales: Takashi Nagai, Nathaniel Bates, April McPherson, Rena Hale, Timothy Hewett, Nathan D. Schilaty
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Publicado: North American Sports Medicine Institute 2021
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Acceso en línea:https://doaj.org/article/0653144e803b4d2b8524ada3850052c5
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spelling oai:doaj.org-article:0653144e803b4d2b8524ada3850052c52021-12-02T15:33:58ZEffects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes2159-2896https://doaj.org/article/0653144e803b4d2b8524ada3850052c52021-10-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/27986-effects-of-sex-and-age-on-quadriceps-and-hamstring-strength-and-flexibility-in-high-school-basketball-athletes.pdfhttps://doaj.org/toc/2159-2896# Background Eccentric hamstring strength and hamstring/quadriceps strength ratios have been identified as modifiable risk factors of hamstring strains. Additionally, those strength and flexibility characteristics are commonly used as clinical tests to monitor progress of athletes with acute or chronic hamstring strains. Although hamstring strains are common among basketball athletes, normative values of knee strength and flexibility characteristics are scarce. Normative values for these athletes would be important in prevention and management of hamstring strains. # Purpose To establish quadriceps and hamstring isokinetic strength and flexibility values among high school basketball athletes and examine the effects of sex and age. # Study Design Cross-sectional research # Methods Isokinetic knee muscular strength (concentric quadriceps \[QuadC], concentric hamstring \[HamC], eccentric hamstring \[HamE], and strength ratios (\[HamC/QuadC and HamE/Quad]), flexibility of hip flexors and quadriceps during a Modified Thomas test, and flexibility of hip extensors and hamstring during passive straight leg raise (SLR) and passive knee extension (PKE) tests were measured. Effects of sex and age were analyzed using t-tests and analysis of variance, respectively with Bonferroni corrected post hoc tests (*p*≤0.01). # Results A total of 172 high school basketball athletes (64 males/108 females; mean age (range): 15.7 (14-18) years old) participated in the study. Male athletes were significantly stronger than female athletes (QuadC: *p*<0.001; HamC: *p*<0.001) while no differences were observed in strength ratio (HamC/QuadC: *p*=0.759-0.816; HamE/QuadC: *p*=0.022-0.061). Among male athletes, a significant effect of age on quadriceps and hamstring strength was observed: older male athletes were stronger than younger male athletes. Contrarily, there were no effects of age on strength among female athletes. There were significant sex differences in quadriceps flexibility, SLR, and PKE (female athletes were more flexible; *p*=0.001-0.005) while no sex differences were found in hip flexor flexibility (*p*=0.105-0.164). There were no effects of age for any flexibility variables within male and female athletes (*p*=0.151-0.984). # Conclusion The current results provide normative values for hamstring strength and flexibility in high school basketball athletes. These normative values may further assist sports medicine specialists to develop screening tests, interventions, and return-to-sport criteria in this population. # Level of Evidence 3BTakashi NagaiNathaniel BatesApril McPhersonRena HaleTimothy HewettNathan D. SchilatyNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Takashi Nagai
Nathaniel Bates
April McPherson
Rena Hale
Timothy Hewett
Nathan D. Schilaty
Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes
description # Background Eccentric hamstring strength and hamstring/quadriceps strength ratios have been identified as modifiable risk factors of hamstring strains. Additionally, those strength and flexibility characteristics are commonly used as clinical tests to monitor progress of athletes with acute or chronic hamstring strains. Although hamstring strains are common among basketball athletes, normative values of knee strength and flexibility characteristics are scarce. Normative values for these athletes would be important in prevention and management of hamstring strains. # Purpose To establish quadriceps and hamstring isokinetic strength and flexibility values among high school basketball athletes and examine the effects of sex and age. # Study Design Cross-sectional research # Methods Isokinetic knee muscular strength (concentric quadriceps \[QuadC], concentric hamstring \[HamC], eccentric hamstring \[HamE], and strength ratios (\[HamC/QuadC and HamE/Quad]), flexibility of hip flexors and quadriceps during a Modified Thomas test, and flexibility of hip extensors and hamstring during passive straight leg raise (SLR) and passive knee extension (PKE) tests were measured. Effects of sex and age were analyzed using t-tests and analysis of variance, respectively with Bonferroni corrected post hoc tests (*p*≤0.01). # Results A total of 172 high school basketball athletes (64 males/108 females; mean age (range): 15.7 (14-18) years old) participated in the study. Male athletes were significantly stronger than female athletes (QuadC: *p*<0.001; HamC: *p*<0.001) while no differences were observed in strength ratio (HamC/QuadC: *p*=0.759-0.816; HamE/QuadC: *p*=0.022-0.061). Among male athletes, a significant effect of age on quadriceps and hamstring strength was observed: older male athletes were stronger than younger male athletes. Contrarily, there were no effects of age on strength among female athletes. There were significant sex differences in quadriceps flexibility, SLR, and PKE (female athletes were more flexible; *p*=0.001-0.005) while no sex differences were found in hip flexor flexibility (*p*=0.105-0.164). There were no effects of age for any flexibility variables within male and female athletes (*p*=0.151-0.984). # Conclusion The current results provide normative values for hamstring strength and flexibility in high school basketball athletes. These normative values may further assist sports medicine specialists to develop screening tests, interventions, and return-to-sport criteria in this population. # Level of Evidence 3B
format article
author Takashi Nagai
Nathaniel Bates
April McPherson
Rena Hale
Timothy Hewett
Nathan D. Schilaty
author_facet Takashi Nagai
Nathaniel Bates
April McPherson
Rena Hale
Timothy Hewett
Nathan D. Schilaty
author_sort Takashi Nagai
title Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes
title_short Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes
title_full Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes
title_fullStr Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes
title_full_unstemmed Effects of Sex and Age on Quadriceps and Hamstring Strength and Flexibility in High School Basketball Athletes
title_sort effects of sex and age on quadriceps and hamstring strength and flexibility in high school basketball athletes
publisher North American Sports Medicine Institute
publishDate 2021
url https://doaj.org/article/0653144e803b4d2b8524ada3850052c5
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AT aprilmcpherson effectsofsexandageonquadricepsandhamstringstrengthandflexibilityinhighschoolbasketballathletes
AT renahale effectsofsexandageonquadricepsandhamstringstrengthandflexibilityinhighschoolbasketballathletes
AT timothyhewett effectsofsexandageonquadricepsandhamstringstrengthandflexibilityinhighschoolbasketballathletes
AT nathandschilaty effectsofsexandageonquadricepsandhamstringstrengthandflexibilityinhighschoolbasketballathletes
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