Background: Netball is a popular sport. Due to high impact and quick movement, there is an enormous load on the lower extremities which increases the risk for injury. Aim: The aim of this study was to investigate the relationship between the quadricep and hamstring strength and the prevalence of lower extremity injuries in netball players. Setting: Twenty-five female netball players (age: 20.8 ± 1.4 years) voluntarily participated. Methods: The Cybex Isokinetic dynamometer was used to determine concentric knee torques. Quadriceps:hamstring strength ratio was determined. Occurrence of lower extremity injuries was documented bi-weekly. Results: Medium effect sizes were noted for flexion torque:work for the left leg and for the quadriceps:hamstring ratio (≥60%) for the right leg. All the other measured variables have a small effect size. 18.75% of lower extremity injuries and ConQ:ConH of <60% was present. No association between lower extremity injuries and ConQ:ConH. Injuries may not be accurately predicted by this ratio. Conclusion: Injuries to the ankle and knee are especially common among netball players. Hamstring and quadriceps muscle asymmetry (>10%) were found to be a potential indicator of lower extremity injury. Contribution: This study highlights awareness on lower extremity injuries and the strength ratio between the quadriceps and hamstrings. This can aid coaches and netball players to lower the risk for injuries and thus improve individual- and team performance.
References
[1]
Kim, D. and Hong, J. (2011) Hamstring to Quadriceps Strength Ratio and Noncontact Leg Injuries: A Prospective study during One Season. Isokinetics and Exercise Science, 19, 1-6. https://doi.org/10.3233/IES-2011-0406
[2]
Simpson, M.J., Jenkins, D.G., Scanlan, A.T. and Kelly, V.G. (2020) Relationships between External-and Internal-Workload Variables in an Elite Female Netball Team and between Playing Positions.International Journal of Sports Physiology and Performance, 15, 841-846. https://www.ncbi.nlm.nih.gov/pubmed/32163926 https://doi.org/10.1123/ijspp.2019-0619
[3]
Chandler, P.T., Pinder, S.J., Curran, J.D. and Gabbett, T.J. (2014) Physical Demands of Training and Competition in Collegiate Netball Players. The Journal of Strength & Conditioning Research, 28, 2732-2737. https://www.ncbi.nlm.nih.gov/pubmed/24983848 https://doi.org/10.1519/JSC.0000000000000486
[4]
Clark, N.C. (2021) Noncontact Knee Ligament Injury Prevention Screening in Netball: A Clinical Commentary with Clinical Practice Suggestions for Community-Level Players. International Journal of Sports Physical Therapy, 16, 911-929. https://www.ncbi.nlm.nih.gov/pubmed/34123542 https://doi.org/10.26603/001c.23553
[5]
Belcher, S., Whatman, C., Brughelli, M. and Borotkanics, R. (2020) Ten-Year Nationwide Review of Netball Ankle and Knee Injuries in New zealand. Journal of Science and Medicine in Sport, 23, 937-942. https://www.ncbi.nlm.nih.gov/pubmed/32461051 https://doi.org/10.1016/j.jsams.2020.04.004
[6]
Dervišević, E. and Hadžić, V. (2012) Quadriceps and Hamstrings Strength in Team Sports: Basketball, Football and Volleyball. Isokinetics and Exercise Science, 20, 293-300. https://doi.org/10.3233/IES-2012-00483
[7]
Pellicer-Chenoll, M., Serra-Añó, P., Cabeza-Ruiz, R., Pardo, A., Aranda, R. and González, L.M. (2017) Comparison of Conventional Hamstring/Quadriceps Ratio between Genders in Level-Matched Soccer Players. Revista Andaluza de Medicina del Deporte, 10, 14-18. https://doi.org/10.1016/j.ramd.2015.05.002
[8]
Downs, C., Snodgrass, S.J., Weerasekara, I., Valkenborghs, S.R. and Callister, R. (2021) Injuries in Netball—A Systematic Review. Sports Medicine Open, 7, Article Number 3. https://www.ncbi.nlm.nih.gov/pubmed/33409965 https://doi.org/10.1186/s40798-020-00290-7
[9]
Thompson, B.J., Cazier, C.S., Bressel, E. and Dolny, D.G. (2018) A Lower Extremity Strength-Based Profile of NCAA Division in Women’s Basketball and Gymnastics Athletes: Implications for Knee Joint Injury Risk Assessment. Journal of Sports Sciences, 36, 1749-1756. https://www.ncbi.nlm.nih.gov/pubmed/29212413 https://doi.org/10.1080/02640414.2017.1412245
[10]
Pillay, T. and Frantz, J.M. (2012) Injury Prevalence of Netball Players in South Africa the Need for a Jury prevention. SA Journal of Physiotherapy, 68, a17. https://doi.org/10.4102/sajp.v68i3.17
[11]
Leyva-Vela, B., Jesus Llorente-Cantarero, F., Henarejos-Alarcon, S. and Martinez-Rodriguez, A. (2018) Psychosocial and Physiological Risks of Shift Work in Nurses: A Cross-Sectional Study. Central European Journal of Public Health, 26, 183-189. https://www.ncbi.nlm.nih.gov/pubmed/30419619 https://doi.org/10.21101/cejph.a4817
[12]
Al-Nuaim, A.A., Al-Nakeeb, Y., Lyons, M., Al-Hazzaa, H.M., Nevill, A., Collins, P. and Duncan, M.J. (2012) The Prevalence of Physical Activity and Sedentary Behaviours Relative to Obesity among Adolescents from Al-Ahsa, Saudi Arabia: Rural versus Urban Variations. Journal of Nutrition and Metabolism, 2012, Article ID: 417589. https://www.ncbi.nlm.nih.gov/pubmed/22315673 https://doi.org/10.1155/2012/417589
[13]
Williams, N. (2017) The Borg Rating of Perceived Exertion (RPE) Scale. Occupational Medicine, 67, 404-405. https://doi.org/10.1093/occmed/kqx063
[14]
Habets, B., Staal, J.B., Tijssen, M. and van Cingel, R. (2018) Intrarater Reliability of the Humac Norm Isokinetic Dynamometer for Strength Measurements of the Knee and Shoulder Muscles. BMC Research Notes, 11, 15. https://www.ncbi.nlm.nih.gov/pubmed/29321059 https://doi.org/10.1186/s13104-018-3128-9