Are Previous Joint Injuries Associated with Muscle Performance in Volleyball Athletes?

Natália F N Bittencourt; Giovanna M Amaral; Alysson L Zuin; Rodrigo de O Mascarenhas; Anderson A Silva; Hytalo de J Silva; Luciana D Mendonça

doi:10.1055/s-0042-1745801

Are Previous Joint Injuries Associated with Muscle Performance in Volleyball Athletes?

Rev Bras Ortop (Sao Paulo). 2023 Mar 24;58(1):36-41. doi: 10.1055/s-0042-1745801. eCollection 2023 Feb.

Authors

Natália F N Bittencourt¹, Giovanna M Amaral^{1

2}, Alysson L Zuin³, Rodrigo de O Mascarenhas⁴, Anderson A Silva⁵, Hytalo de J Silva⁶, Luciana D Mendonça^{4

6}

Affiliations

¹ Laboratório de Prevenção e Reabilitação de Lesões Esportivas (LAPREV), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
² Pontifícia Universidade Católica de Minas Gerais - PUC Minas, Belo Horizonte, MG, Brasil.
³ SADA Cruzeiro, Belo Horizonte, MG, Brasil.
⁴ Departamento de Fisioterapia, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brasil.
⁵ Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brasil.
⁶ Programa de Pós-Graduação em Reabilitação e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brasil.

Abstract

Objective The aim of the present study is to determine whether previous shoulder and knee injuries were associated with isokinetic fatigue index and agonist/antagonist ratio of shoulder internal/external rotators and knee flexors/extensors in male volleyball athletes. Methods The current study is a cross-sectional investigation of 49 male elite volleyball players competing at a high level in Brazil. Isokinetic fatigue index and agonist/antagonist profiles were assessed during the preseason. Additionally, in order to record previous injuries, the athletes answered a standardized questionnaire. We conducted a receiver operating characteristic (ROC) curve analysis to determine the association strength and the clinically relevant cut-off point for variables presenting statistical significance for the area under the curve (AUC) (α = 0.05). An independent t-test was used to compare isokinetic variables between athletes with and without previous injury (α = 0.05). Results The results of the ROC curve analysis indicated that hamstring fatigue index values at 300 ^o /s were associated with the presence of previous knee injury (area under the curve [AUC] = 73%, p = 0.004), and shoulder external rotators fatigue index values at 360°/s were not associated with the presence of previous shoulder injury (AUC = 68%, p = 0.053). Conclusions Elite volleyball athletes who reported previous knee injuries were prone to a higher fatigue index than those reporting no injuries. Knee flexor resistance training might be useful for those athletes who reported knee injuries in the previous season.

Keywords: knee injuries; muscle strength; shoulder injuries; volleyball.

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