Análisis bayesiano de los principales factores de riesgo de lesión de la musculatura isquiosural

  1. Ayala Rodríguez, Francisco 1
  2. Puerta Callejón, José Miguel 2
  3. Flores Gallego, María Julia 2
  4. García Vaquero, María del Pilar 3
  5. Ruíz Pérez, Ignacio 3
  6. Caldearon López, Ana 3
  7. Parra Sánchez, Sergio 3
  8. López Plaza, Diego 3
  9. López Valenciano, Alejandro 3
  1. 1 Centro de Investigación del Deporte, Universidad Miguel Hernández de Elche (Alicante, España). ISEN, centro afiliado a la Universidad de Murcia (Murcia, España)
  2. 2 Universidad de Castilla-La Mancha
    info

    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

  3. 3 Centro de Investigación del Deporte, Universidad Miguel Hernández de Elche (Alicante, España)
Show affiliations +
Journal:
Kronos: revista universitaria de la actividad física y el deporte

ISSN: 1579-5225

Year of publication: 2016

Volume: 15

Issue: 1

Type: Article

DIALNET GOOGLE SCHOLAR

More publications in: Kronos: revista universitaria de la actividad física y el deporte

Abstract

The purpose of this study was to investigate the relationships among the main injury risk factors suggested for hamstrings strains through a Bayesian Network in athletes. All the hamstrings injuries sustained in the previous competitive year by the participants were recorded. In addition, all participants were assessed of the potential personal, psychological and biomechanical injury risk factors for hamstring strains in a single session. Probabilistic relationships of dependence and independence of the variables were studied by a Bayesian Network. After, we instantiated hypothetical probability values of several assessed variables in order to analyse the variation of the probability of sustain a hamstrings injury. The results confirm a key role of modifiable and biological injury factors in leading to hamstrings injury, highlighting the range of motion and isokinetic strength profile of the knee, the isometric unilateral strength ratio between of the hip abduction and adduction movements, as well as the core and lower extremities dynamic stability during anterior-posterior movements. Both the age and player´ positions were also suggested as key injury risk factors for hamstrings injuries.

€ View funding

Funding information

Los autores agradecen la colaboración de los participantes en el estudio, el cuál se llevó a cabo gracias a la ayuda económica recibida por la Escuela Universitaria Real Madrid - Universidad Europea de Madrid (Ref.: 2014/UEM1.14)

Funders

Bibliographic References

  • Aagaard, P., Simonsen, E. B., Magnusson, S. P., Larsson, B. & Dyhre-Poulsen, P. (1998). A new concept for isokinetic hamstring: quadriceps muscle strength ratio. American Journal of Sports Medicine, 26(2), 231-237.
  • Akerstedt, T., Hume, K., Minors, D. & Waterhouse, J.I.M. (1994). The subjective meaning of good sleep, an intraindividual approach using the Karolinska Sleep Diary. Perceptual and Motor Skills, 79(1), 287-296.
  • Arce, C., De Francisco, C., Andrade, E., Seoane, G. & Raedeke, T. (2012). Adaptation of the Athlete Burnout Questionnaire in a Spanish Sample of Athletes. Spanish Journal of Psychology, 15(03), 1529-1536.
  • Arnason, A., Sigurdsson, S.B., Gudmundsson, A., Holme, I., Engebretsen, L. & Bahr, R. (2004). Risk factors for injuries in football. American Journal of Sports Medicine, 32(1 suppl), 5S-16S.
  • Bahr, R. & Holme, I. (2003). Risk factors for sports injuries a methodological approach. British Journal of Sports Medicine, 37(5), 384-392.
  • Bennell, K., Wajswelner, H., Lew, P., Schall-Riaucour, A., Leslie, S., Plant, D. & Cirone, J. (1998). Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. British Journal of Sports Medicine, 32(4), 309-314.
  • Brockett, C. L., Morgan, D. L. & Proske, U. (2004). Predicting hamstring strain injury in elite athletes. Medicine & Science in Sports & Exercise, (36), 379-87.
  • Brooks, J. H., Fuller, C. W., Kemp, S. P. T. & Reddin, D. B. (2005). Epidemiology of injuries in English professional rugby union: part 2 training Injuries. British Journal of Sports Medicine, 39(10), 767-775.
  • Cameron, M., Adams, R. & Maher, C. (2003). Motor control and strength as predictors of hamstring injury in elite players of Australian football. Physical Therapy in Sport, 4(4), 159-166.
  • Cejudo, A., de Baranda, P. S., Ayala, F. & Santonja, F. (2015). Test-retest reliability of seven common clinical tests for assessing lower extremity muscle flexibility in futsal and handball players. Physical Therapy in Sport, 16(2), 107-113.
  • Chumanov, E. S., Heiderscheit, B.C. & Thelen, D. G. (2007). The effect of speed and influence of individual muscles on hamstring mechanics during the swing phase of sprinting. Journal of Biomechanics, 40(16), 3555-3562.
  • Croisier, J.L., Ganteaume, S., Binet, J., Genty, M. & Ferret, J. M. (2008). Strength imbalances and prevention of hamstring injury in professional soccer players a prospective study. American Journal of Sports Medicine, 36(8), 1469-1475.
  • De Visser, H.M., Reijman, M., Heijboer, M.P. & Bos, P.K. (2012). Risk factors of recurrent hamstring injuries: a systematic review. British Journal of Sports Medicine, 46(2), 124-130.
  • Ekstrand, J., Hägglund, M. & Waldén, M. (2011). Epidemiology of muscle injuries in professional football (soccer). American Journal of Sports Medicine, 39(6), 1226-1232.
  • Elliott, M.C., Zarins, B., Powell, J. W. & Kenyon, C.D. (2011). Hamstring muscle strains in professional football players a 10-year review. American Journal of Sports Medicine, 39(4), 843-850.
  • Engebretsen, A.H., Myklebust, G., Holme, I., Engebretsen, L. & Bahr, R. (2010). Intrinsic Risk Factors for Hamstring Injuries Among Male Soccer Players A Prospective Cohort Study. American Journal of Sports Medicine, 38(6), 1147-1153.
  • Fousekis, K., Tsepis, E., Poulmedis, P., Athanasopoulos, S. & Vagenas, G. (2010). Intrinsic risk factors of non-contact quadriceps and hamstring strains in soccer: a prospective study of 100 professional players. British Journal of Sports Medicine, 45(9), 709-714.
  • Freckleton, G. & Pizzari, T. (2013). Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. British Journal of Sports Medicine, 47(1), 351-358
  • Fuller, C.W., Molloy, M.G., Bagate, C., Bahr, R., Brooks, J.H., Donson, H., ... & Wiley, P. (2007). Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. British Journal of Sports Medicine, 41(5), 328-331.
  • Gabbe, B.J., Bennell, K.L. & Finch, C.F. (2006). Why are older Australian football players at greater risk of hamstring injury?. Journal of Science and Medicine in Sport, 9(4), 327-333.
  • Gabbe, B.J., Bennell, K.L., Finch, C.F., Wajswelner, H. & Orchard, J. W. (2006). Predictors of hamstring injury at the elite level of Australian football. Scandinavian Journal of Medicine & Science in Sports, 16(1), 7-13.
  • Gabbe, B.J., Finch, C.F., Bennell, K.L. & Wajswelner, H. (2005). Risk factors for hamstring injuries in community level Australian football. British Journal of Sports Medicine, 39(2), 106-110.
  • Gribble, P.A., Hertel, J. & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339-357.
  • Gribble, P.A., Hertel, J. & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339-357.
  • Harvey, D. (1998). Assessment of the flexibility of elite athletes using the modified Thomas test. British Journal of Sports Medicine, 32(1), 68-70.
  • Hootman, J. M., Dick, R. & Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Journal of Athletic Training, 42(2), 311.
  • Hoskins, W. & Pollard, H. (2005). The management of hamstring injury—Part 1: Issues in diagnosis. Manual Therapy, 10(2), 96-107.
  • Larrañaga, P. & Moral, S. (2011). Probabilistic graphical models in artificial intelligence. Applied Soft Computing, 11(2), 1511-1528.
  • Liu, H., Garrett, W.E., Moorman, C.T. & Yu, B. (2012). Injury rate, mechanism, and risk factors of hamstring strain injuries in sports: A review of the literature. Journal of Sport and Health Science, 1(2), 92-101.
  • López Elvira, J. L., Barbado Murillo, D., Juan-Recio, C., García-Vaquero, M. P., López-Valenciano, A., López-Plaza, D., Montero Carretero, C., Vera-Garcia, F. J. (2013). Diferencias en la estabilización del tronco sobre un asiento inestable entre piragüistas, judocas y sujetos físicamente activos. Revista Kronos, 12(2), 63-72.
  • Meeuwisse, W.H., Sellmer, R. & Hagel, B.E. (2003). Rates and risks of injury during intercollegiate basketball. American Journal of Sports Medicine, 31(3), 379-385.
  • Mendiguchia, J., Alentorn-Geli, E. & Brughelli, M. (2011). Hamstring strain injuries: are we heading in the right direction?. British Journal of Sports Medicine, 46(2), 81-85.
  • Mueller-Wohlfahrt, H. W., Haensel, L., Mithoefer, K., Ekstrand, J., English, B., McNally, S., ... & Ueblacker, P. (2012). Terminology and classification of muscle injuries in sport: a consensus statement. British Journal of Sports Medicine, 47(6), 342-350.
  • Nielsen, T.D. & Jensen, F. V. (2009). Bayesian networks and decision graphs. Springer Science & Business Media.
  • Noya, J. & Sillero, M. (2012). Incidencia lesional en el fútbol profesional español a lo largo de una temporada: días de baja por lesión. Apunts. Medicina de l'Esport, 47(176), 115-123.
  • Olmedilla, A, Ortega, E, Abenza, L & Boladeras, A. (2011). Lesiones deportivas y psicología: una revisión (2000-2009). Cuadernos de Psicología del Deporte, 11(1), 45-57.
  • Olmedilla, A., Laguna, M. & Redondo, A. (2011). Lesiones y características psicológicas en jugadores de balonmano. Revista Andaluza de Medicina del Deporte, 4(1), 6-12.
  • Opar, M.D.A., Williams, M.D. & Shield, A. J. (2012). Hamstring strain injuries. Sports Medicine, 42(3), 209-226.
  • Quatman, C.E. & Hewett, T. E. (2009). The anterior cruciate ligament injury controversy: is “valgus collapse” a sex-specific mechanism?. British Journal of Sports Medicine, 43(5), 328-335.
  • Robinson, R.H. & Gribble, P.A. (2008). Support for a reduction in the number of trials needed for the Star Excursion Balance Archives of Physical Medicine and Rehabilitation, 89(2), 364-370.
  • Schache, A.G., Blanch, P.D. & Murphy, A.T. (2000). Relation of anterior pelvic tilt during running to clinical and kinematic measures of hip extension. British Journal of Sports Medicine, 34(4), 279-283.
  • Sherry, M.A., & Best, T.M. (2004). A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. Journal of Orthopaedic & Sports Physical Therapy, 34(3), 116-125.
  • Sun, Y., Wei, S., Zhong, Y., Fu, W., Li, L., & Liu, Y. (2015). How Joint Torques Affect Hamstring Injury Risk in Sprinting Swing–Stance Transition. Medicine and Science in Sports and Exercise, 47(2), 373.
  • Taylor, K.L., Sheppard, J. M., Lee, H., & Plummer, N. (2009). Negative effect of static stretching restored when combined with a sport specific warm-up component. Journal of Science and Medicine in Sport, 12(6), 657-661.
  • Thelen, D.G., Chumanov, E. S., Best, T.M., Swanson, S.C. & Heiderscheit, B.C. (2005). Simulation of biceps femoris musculotendon mechanics during the swing phase of sprinting. Medicine and Science in Sports and Exercise, 37(11), 1931.
  • Thorborg, K., Petersen, J., Magnusson, S. P. & Hölmich, P. (2010). Clinical assessment of hip strength using a hand‐held dynamometer is reliable. Scandinavian Journal of Medicine & Science in Sports, 20(3), 493-501.
  • Van Mechelen, W., Hlobil, H. & Kemper, H.C. (1992). Incidence, severity, aetiology and prevention of sports injuries. Sports Medicine, 14(2), 82-99.
  • Verhagen, E., Van der Beek, A.J., Bouter, L.M., Bahr, R.M.,& Van Mechelen, W. (2004). A one season prospective cohort study of volleyball injuries. British Journal of Sports Medicine, 38(4), 477-481.
  • Wiese-Bjornstal, D.M. (2009). Sport injury and college athlete health across the lifespan. Journal of Intercollegiate Sport, 2, 64-80.
  • Witvrouw, E., Danneels, L., Asselman, P., D’Have, T. & Cambier, D. (2003). Muscle flexibility as a risk factor for developing muscle injuries in male professional soccer players a prospective study. American Journal of Sports Medicine, 31(1), 41-46.
  • Woods, C., Hawkins, R. D., Maltby, S., Hulse, M., Thomas, A. & Hodson, A. (2004). The Football Association Medical Research Programme: an audit of injuries in professional football—analysis of hamstring injuries. British Journal of Sports Medicine, 38(1), 36-41.
  • Yu, B., Queen, R.M., Abbey, A.N., Liu, Y., Moorman, C.T., & Garrett, W.E. (2008). Hamstring muscle kinematics and activation during overground sprinting. Journal of Biomechanics, 41(15), 3121-3126.
  • Zvijac, J.E., Toriscelli, T.A., Merrick, S. & Kiebzak, G.M. (2013). Isokinetic concentric quadriceps and hamstring strength variables from the NFL Scouting Combine are not predictive of hamstring injury in first-year professional football players. American Journal of Sports Medicine, 41(7), 1511-1518.
Data source: Dialnet