Dynamometric Strength Profile of Hip Muscles in Youth Soccer Players

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Citation: Contreras-Díaz, G.; Chirosa-Ríos, L.J.; Chirosa-Ríos, I.; Riego-Ruiz, A.; Intelangelo, L.; Tuesta-Roa, M.; Morales-Zúñiga, J.; Jerez-Mayorga, D. Dynamometric Strength Profile of Hip Muscles in Youth Soccer Players Int. J. Environ Res. Public Health 2023 , 20 , 1291 https://doi.org/10.3390/ ijerph 20021291 Academic Editor: Paul B. Tchounwou Received: 30 November 2022 Revised: 5 January 2023 Accepted: 6 January 2023 Published: 11 January 2023 Copyright: © 2023 by the authors Licensee MDPI, Basel, Switzerland This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/) International Journal of Environmental Research and Public Health Article Dynamometric Strength Profile of Hip Muscles in Youth Soccer Players Guido Contreras-D í az 1,2 , Luis Javier Chirosa-R í os 1 , Ignacio Chirosa-R í os 1 , Antonio Riego-Ruiz 1 , Leonardo Intelangelo 3 , Marcelo Tuesta-Roa 4 , Jorge Morales-Z ú ñiga 5 and Daniel Jerez-Mayorga 1,4, * 1 Department Physical Education and Sports, Faculty of Sport Science, University of Granada, 18011 Granada, Spain 2 Department of Health, University of Los Lagos, Puerto Montt 5500000, Chile 3 Musculoskeletal Research Group, University Center for Assistance, Teaching and Research, University of Gran Rosario, Rosario S 2000, Argentina 4 Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Science, University Andres Bello, Santiago 7591538, Chile 5 Laboratory of Sport Sciences, Center of Medicine Sports MD, Viña del Mar 2521156, Chile * Correspondence: djerezmayorga@ugr.es Abstract: Background: Soccer is the most widely practiced sport in the world, demanding highspeed activities such as jumps, sprints and changes of direction. Therefore, having optimal levels of muscle strength improves performance and reduces the injury rate. Objectives: The objectives of our study were (i) to determine the dynamometric profile of hip muscle strength in young soccer players by position, evaluated at different isokinetic speeds, (ii) to describe the conventional and functional unilateral muscle strength ratios, (iii) to analyze the bilateral balance. Methods: Thirtyseven male soccer players (age 17.02 ± 0.92 years) participated in the study. Strength assessment was performed with a functional electromechanical dynamometer, and concentric and eccentric strength of abductors, adductors, extensors and hip flexors were measured bilaterally at 0.5 m/s and 1 m/s. Results: For eccentric right hip abduction at 0.5 m/s, defenders are significantly stronger than midfielders ( p = 0.013) and stronger than forwards ( p = 0.140). For eccentric right hip adduction at 0.5 m/s, defenders are significantly stronger than midfielders ( p = 0.005) and stronger than forwards ( p = 0.253), as for eccentric right hip adduction at 1 m/s, defenders are significantly stronger than midfielders ( p = 0.014) and stronger than forwards ( p = 0.084). There is a significant effect for the conventional strength ratio of left abduction/adduction at 1 m/s. The conventional strength ratio of forwards is significantly higher than that of defenders ( p = 0.045) and higher than that of midfielders ( p = 0.152). Conclusions: Concentric and eccentric hip strength values differ according to playing position Keywords: muscle strength; dynamometer; hip joint; soccer players 1. Introduction Soccer is the most widely practiced sport in the world, and its performance is determined by technical, tactical, physiological, biomechanical, and psychological factors [ 1 ]. For 90 min, the soccer player must perform activities at high speed, including jumps, sprinting, and changes of direction [ 1 ]. Therefore, having optimal levels of muscle strength improves performance [ 2 , 3 ] and reduces the injury rate [ 4 – 6 ]. Likewise, knowing the muscle strength levels of the player establishes reference values per player and per position [ 7 ], which are important to generate guidelines for prevention, rehabilitation, and sports training [ 8 ]. Most existing studies on muscle strength parameters and profiles by position in soccer players have been developed at the knee level, evaluating the concentric and eccentric action of quadriceps and hamstrings [ 9 – 11 ]. However, it is also necessary to know these values at the hip level due to the great influence they have on sports performance [ 12 – 15 ] Int. J. Environ. Res. Public Health 2023 , 20 , 1291. https://doi.org/10.3390/ijerph 20021291 https://www.mdpi.com/journal/ijerph

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Int. J. Environ. Res. Public Health 2023 , 20 , 1291 2 of 13 and lower extremity injuries [ 16 ]. There is scarce evidence regarding hip muscle strength values in soccer players by position. A recent study found no significant differences between goalkeepers, defenders, midfielders and forwards [ 17 ]. In addition to muscle strength, it is important to know the conventional and functional unilateral strength ratios, which are well described in the knee [ 18 ], and to a lesser extent, in the hip, focusing mainly on abductors and adductors [ 19 , 20 ], with no further information on flexors and extensors. Another important factor is bilateral strength balance, which is also well described in the knee [ 21 ], but in the hip, information is scarce, again emphasizing abductors and adductors [ 20 ]. There are several methods and evaluation instruments to determine the levels of muscle strength of the athlete. Manual tests, manual dynamometry, and isokinetic dynamometry are the most frequently used [ 22 ]. Isokinetic dynamometry is considered the gold standard for the assessment of muscle function [ 23 ]. Though its lack of functionality is questioned, arguing that joints do not function in isolation in sports, this criticism may be less relevant during muscle assessment since its main objective is to find bilateral differences, determine strength ratios, and compare its results with established reference values [ 23 ]. In turn, there are valid multi-joint dynamometers, such as the functional electromechanical dynamometer (FEMD) [ 24 ], that allow a reliable isokinetic assessment [ 25 , 26 ], respecting the athlete’s natural movement, which can be replicated during evaluation, training, and rehabilitation The objectives of our study were (i) to determine the dynamometric profile of hip muscle strength in young soccer players by position, evaluated at different isokinetic speeds, (ii) to describe the conventional and functional unilateral muscle strength ratios, (iii) to analyze the bilateral balance of young soccer players by position on the field 2. Materials and Methods 2.1. Study Design A cross-sectional study design was used. All soccer players and coaching staff were informed about the risks and benefits of the study. Before the evaluations, informed consent was collected from all players. The study was approved by the scientific ethics committee of the University of Los Lagos, Puerto Montt, Chile (N ◦ H 007/2022). The research was carried out following the Helsinki declaration’s ethical norms and the sports sciences’ ethical norms [ 27 ]. 2.2. Participants The study included 40 male soccer players (age 17.02 ± 0.92 years, height 1.70 ± 0.04 cm, weight 66.75 ± 6.07 kg, BMI 22.82 ± 1.57 kg/m 2 ), all of them members of the youth team of the professional soccer club of the city of Puerto Montt, Chile, which currently participates in the second division of the national championship, known as first b. To maintain the homogeneity of the subjects, the three goalkeepers of the team were excluded from the study (Table 1 ). The experience of the players averaged 5 years in the club, and the evaluations were carried out during the first week of preseason. After the evaluations and before the start of the southern zone championship, the players prepared 5 days a week for one month Table 1. Physical characteristics of the participants Variable Defenders ( n = 13) Mean ± SD Midfielders ( n = 12) Mean ± SD Forwards ( n = 12) Mean ± SD Age (years) 17.07 ± 0.49 16.75 ± 1.35 17.25 ± 0.75 Weight (kg) 70.23 ± 5.06 63.16 ± 6.67 66.58 ± 4.46 Height (m) 1.74 ± 0.04 1.69 ± 0.04 1.68 ± 0.04 BMI (kg/m 2 ) 23.11 ± 1.26 21.84 ± 1.75 23.50 ± 1.27 BMI: body mass index, SD: standard deviation.

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Int. J. Environ. Res. Public Health 2023 , 20 , 1291 3 of 13 2.3. Anthropometric Measurement Body composition was established by measuring weight and height using a digital scale (SECA 769) for weight and a portable stadiometer (SECA 206 ® ; Hamburg, Germany) for height 2.4. Muscle Strength Concentric (CON) and eccentric (ECC) muscle strength of the hip muscles was assessed with a FEMD (Haefni Health System 1.0) [ 24 ]. The movements evaluated were hip abduction (ABD), adduction (ADD), extension (EXT) and flexion (FLE). Each movement was evaluated at two speeds (0.5 m/s and 1 m/s) bilaterally. Maximal and relative strength values were recorded. Conventional unilateral strength ratios and functional and bilateral strength balance of the stronger leg with respect to the weaker leg were calculated [ 28 ]. Bilateral Strength Balance ( % ) = Strong Leg − Weak Leg Strong Leg × 100 (1) 2.5. Experimental Procedure The thirty-seven youth soccer players were evaluated at the Kinesiology laboratory of the University of Los Lagos, Puerto Montt. Before starting the strength evaluation, the players completed a sports form which included personal, medical, sports and injury history from the previous two years. Hip range of motion was determined with a goniometer, allowing a functional range for each player. The range of abduction was between 10 and 30 ◦ , adduction between 30 and 0 ◦ , extension from 0 to 30 ◦ , and flexion between 0 and 90 ◦ Subsequently, the players performed a 10-min warm-up jogging at 8 km/h., and were familiarized with all hip movements in both limbs at 0.5 m/s. According to previous studies’ results [ 29 , 30 ], the assessments were performed in a standing position. For each movement and speed, two sets of five repetitions were performed with thirty seconds of rest between sets. The order of strength evaluation was (1) left abduction at 0.5 and 1 m/s, (2) right abduction at 0.5 and 1 m/s, (3) left adduction at 0.5 and 1 m/s, (4) right adduction at 0.5 and 1 m/s, (5) left extension at 0.5 and 1 m/s, (6) right extension at 0.5 and 1 m/s, (7) left flexion at 0.5 and 1 m/s and (8) right flexion at 0.5 and 1 m/s (Figures 1 – 4 ). Int. J. Environ. Res. Public Health 2023 , 20 , x FOR PEER REVIEW 4 of 13 Figure 1. Hip abduction. ( A ) initial position, ( B ) final position. Figure 2. Hip adduction. ( A ) initial position, ( B ) final position. Figure 1. Hip abduction. ( A ) initial position, ( B ) final position.

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Int. J. Environ. Res. Public Health 2023 , 20 , 1291 4 of 13 Int. J. Environ. Res. Public Health 2023 , 20 , x FOR PEER REVIEW 4 of 13 Figure 1. Hip abduction. ( A ) initial position, ( B ) final position. Figure 2. Hip adduction. ( A ) initial position, ( B ) final position. Figure 2. Hip adduction. ( A ) initial position, ( B ) final position Int. J. Environ. Res. Public Health 2023 , 20 , x FOR PEER REVIEW 5 of 13 Figure 3. Hip extension. ( A ) initial position, ( B ) final position. Figure 4. Hip flexion. ( A ) initial position, ( B ) final position. 2.6. Statistical Analysis Descriptive data are presented as mean and standard deviation (SD). The normal distribution of the data (Shapiro-Wilk test) and the homogeneity of variances (Levene test) were confirmed ( p > 0.05). For the main analysis, analysis of variance (ANOVA) was conducted with Tukey Post-hoc analysis. The Greenhouse–Geisser correction was used when the Mauchly sphericity test was violated. Omega squared ( ω 2 ) was calculated for the ANOVA where the values of the effect size 0.01, 0.06 and above 0.14 were considered small, medium, and large, respectively [31]. Statistical significance was accepted at p < 0.05 level. The JASP statistics package (version 0.16.4) was used for statistical analyses. Figure 3. Hip extension. ( A ) initial position, ( B ) final position.

Int. J. Environ. Res. Public Health 2023 , 20 , 1291 5 of 13 Int. J. Environ. Res. Public Health 2023 , 20 , x FOR PEER REVIEW 5 of 13 Figure 3. Hip extension. ( A ) initial position, ( B ) final position. Figure 4. Hip flexion. ( A ) initial position, ( B ) final position. 2.6. Statistical Analysis Descriptive data are presented as mean and standard deviation (SD). The normal distribution of the data (Shapiro-Wilk test) and the homogeneity of variances (Levene test) were confirmed ( p > 0.05). For the main analysis, analysis of variance (ANOVA) was conducted with Tukey Post-hoc analysis. The Greenhouse–Geisser correction was used when the Mauchly sphericity test was violated. Omega squared ( ω 2 ) was calculated for the ANOVA where the values of the effect size 0.01, 0.06 and above 0.14 were considered small, medium, and large, respectively [31]. Statistical significance was accepted at p < 0.05 level. The JASP statistics package (version 0.16.4) was used for statistical analyses. Figure 4. Hip flexion. ( A ) initial position, ( B ) final position All measurements were performed by the same researcher, following the same protocol for each player (Supplementary Material, Video S 1) 2.6. Statistical Analysis Descriptive data are presented as mean and standard deviation (SD). The normal distribution of the data (Shapiro-Wilk test) and the homogeneity of variances (Levene test) were confirmed ( p > 0.05). For the main analysis, analysis of variance (ANOVA) was conducted with Tukey Post-hoc analysis. The Greenhouse–Geisser correction was used when the Mauchly sphericity test was violated. Omega squared ( ω 2 ) was calculated for the ANOVA where the values of the effect size 0.01, 0.06 and above 0.14 were considered small, medium, and large, respectively [ 31 ]. Statistical significance was accepted at p < 0.05 level The JASP statistics package (version 0.16.4) was used for statistical analyses 3. Results 3.1. Absolute (N · m) and Relative (N · m/kg) Muscular Strength There is a significant effect for absolute muscle strength of right hip ECC abduction at 0.5 m/s (F (2, 34) = 4.707, p = 0.016, ES = 0.167). Post Hoc analysis using Tukey’s correction revealed that for ECC, abduction defenders are significantly stronger than midfielders ( p = 0.013) and stronger than forwards ( p = 0.140) (Table 2 ). The multifactorial ANOVA showed no significant effect for the other values of absolute and relative hip abduction muscle strength.

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Int. J. Environ. Res. Public Health 2023 , 20 , 1291 6 of 13 Table 2. Absolute (N · m) and relative (N · m/kg) left and right hip strength at 0.5 m/s and 1 m/s Side Velocity Movement Maximum Strength Defenders ( n = 13) Mean ± SD Midfielders ( n = 12) Mean ± SD Forwards ( n = 12) Mean ± SD p -Value ES Left 0.5 m/seg ABD CON Absolute 256.00 ± 101.52 201.08 ± 37.62 238.25 ± 46.47 0.147 0.052 Relative 3.62 ± 1.35 3.22 ± 0.74 3.60 ± 0.86 0.569 0.000 ABD ECC Absolute 310.61 ± 47.74 275.25 ± 46.36 317.50 ± 59.55 0.111 0.000 Relative 4.43 ± 0.70 4.38 ± 0.78 4.81 ± 1.05 0.421 0.000 ADD CON Absolute 287.84 ± 67.64 252.41 ± 80.24 266.50 ± 28.67 0.375 0.000 Relative 4.08 ± 0.87 3.98 ± 1.10 4.02 ± 0.54 0.955 0.000 ADD ECC Absolute 404.38 ± 82.59 351.25 ± 74.97 381.33 ± 57.17 0.203 0.035 Relative 5.74 ± 1.00 5.61 ± 1.34 5.77 ± 1.10 0.939 0.000 EXT CON Absolute 307.15 ± 74.92 289.00 ± 85.33 304.16 ± 37.97 0.786 0.000 Relative 4.35 ± 0.90 4.58 ± 1.26 4.60 ± 0.81 0.779 0.000 EXT ECC Absolute 416.53 ± 84.03 395.16 ± 98.72 436.75 ± 113.49 0.594 0.000 Relative 5.91 ± 0.98 6.33 ± 1.79 6.59 ± 1.78 0.549 0.000 FLE CON Absolute 464.15 ± 136.11 406.58 ± 95.32 430.33 ± 106.35 0.458 0.000 Relative 6.60 ± 1.90 6.48 ± 1.52 6.48 ± 1.60 0.979 0.000 FLE ECC Absolute 567.15 ± 86.27 518.91 ± 70.82 538.08 ± 63.85 0.278 0.017 Relative 8.10 ± 1.27 8.30 ± 1.45 8.13 ± 1.25 0.924 0.000 Right 0.5 m/seg ABD CON Absolute 235.69 ± 54.90 192.83 ± 41.16 227.08 ± 46.36 0.079 0.085 Relative 3.36 ± 0.82 3.06 ± 0.59 3.42 ± 0.73 0.425 0.000 ABD ECC Absolute 333.07 ± 77.38 257.41 ± 54.64 284.08 ± 51.35 0.016 * 0.167 Relative 4.78 ± 1.28 4.11 ± 0.93 4.32 ± 1.08 0.312 0.010 ADD CON Absolute 292.69 ± 72.18 256.08 ± 46.58 277.00 ± 30.46 0.242 0.025 Relative 4.15 ± 0.93 4.06 ± 0.63 4.18 ± 0.62 0.913 0.000 ADD ECC Absolute 420.38 ± 86.30 324.41 ± 62.77 374.75 ± 57.68 0.007 * 0.205 Relative 6.00 ± 1.26 5.13 ± 0.75 5.66 ± 1.00 0.125 0.061 EXT CON Absolute 331.07 ± 80.05 301.41 ± 67.67 335.33 ± 61.54 0.444 0.000 Relative 4.70 ± 1.02 4.78 ± 0.97 5.06 ± 1.00 0.651 0.000 EXT ECC Absolute 396.84 ± 53.13 383.58 ± 80.89 406.16 ± 72.98 0.728 0.000 Relative 5.65 ± 0.63 6.15 ± 1.58 6.13 ± 1.28 0.511 0.000 FLE CON Absolute 487.61 ± 106.33 396.66 ± 107.26 448.33 ± 130.54 0.156 0.049 Relative 6.92 ± 1.33 6.37 ± 1.94 6.75 ± 1.98 0.729 0.000 FLE ECC Absolute 586.38 ± 83.96 511.50 ± 85.82 540.75 ± 101.22 0.128 0.060 Relative 8.35 ± 1.12 8.11 ± 1.27 8.16 ± 1.68 0.899 0.000 Left 1 m/seg ABD CON Absolute 218.69 ± 71.89 207.58 ± 69.12 268.33 ± 103.66 0.173 0.043 Relative 3.12 ± 1.07 3.34 ± 1.25 4.06 ± 1.72 0.216 0.031 ABD ECC Absolute 416.07 ± 149.60 357.50 ± 94.60 381.66 ± 117.90 0.498 0.000 Relative 5.95 ± 2.19 5.69 ± 1.62 5.80 ± 2.01 0.948 0.000 ADD CON Absolute 306.30 ± 85.01 266.33 ± 90.39 265.25 ± 66.50 0.362 0.002 Relative 4.33 ± 1.08 4.20 ± 1.32 4.02 ± 1.15 0.803 0.000 ADD ECC Absolute 435.07 ± 72.14 379.25 ± 53.26 401.16 ± 50.81 0.077 0.087 Relative 6.18 ± 0.90 5.99 ± 0.48 6.07 ± 1.04 0.849 0.000 EXT CON Absolute 316.92 ± 77.74 296.33 ± 87.19 295.66 ± 53.91 0.718 0.000 Relative 4.48 ± 0.85 4.71 ± 1.32 4.46 ± 0.91 0.810 0.000 EXT ECC Absolute 557.84 ± 177.82 535.91 ± 187.89 509.33 ± 169.37 0.795 0.000 Relative 7.86 ± 2.08 8.49 ± 2.93 7.69 ± 2.60 0.718 0.000 FLE CON Absolute 436.84 ± 112.86 412.58 ± 122.75 393.41 ± 96.41 0.623 0.000 Relative 6.17 ± 1.26 6.60 ± 2.10 5.92 ± 1.49 0.600 0.000 FLE ECC Absolute 668.46 ± 79.06 622.16 ± 71.08 611.16 ± 81.21 0.157 0.049 Relative 9.55 ± 1.23 9.92 ± 1.38 9.26 ± 1.77 0.555 0.000

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Int. J. Environ. Res. Public Health 2023 , 20 , 1291 7 of 13 Table 2. Cont Side Velocity Movement Maximum Strength Defenders ( n = 13) Mean ± SD Midfielders ( n = 12) Mean ± SD Forwards ( n = 12) Mean ± SD p -Value ES Right 1 m/seg ABD CON Absolute 209.76 ± 41.51 187.16 ± 33.39 210.58 ± 49.69 0.309 0.011 Relative 2.98 ± 0.55 2.97 ± 0.52 3.19 ± 0.90 0.678 0.000 ABD ECC Absolute 413.07 ± 119.00 360.16 ± 94.46 357.58 ± 88.32 0.316 0.010 Relative 5.93 ± 1.86 5.74 ± 1.61 5.44 ± 1.63 0.778 0.000 ADD CON Absolute 290.30 ± 64.10 295.91 ± 111.53 283.33 ± 56.18 0.929 0.000 Relative 4.12 ± 0.78 4.71 ± 1.87 4.27 ± 0.89 0.492 0.000 ADD ECC Absolute 459.76 ± 93.18 357.91 ± 62.92 384.41 ± 95.08 0.014 * 0.172 Relative 6.57 ± 1.37 5.66 ± 0.68 5.82 ± 1.54 0.170 0.044 EXT CON Absolute 336.07 ± 80.32 319.75 ± 75.55 322.75 ± 47.53 0.822 0.000 Relative 4.75 ± 0.93 5.08 ± 1.12 4.86 ± 0.75 0.692 0.000 EXT ECC Absolute 508.23 ± 122.76 566.41 ± 171.39 520.25 ± 169.96 0.623 0.000 Relative 7.26 ± 1.79 9.02 ± 2.68 7.90 ± 2.85 0.214 0.031 FLE CON Absolute 488.92 ± 125.87 424.83 ± 123.96 430.08 ± 143.53 0.404 0.000 Relative 6.91 ± 1.53 6.76 ± 1.96 6.49 ± 2.21 0.858 0.000 FLE ECC Absolute 674.00 ± 63.71 632.41 ± 113.25 603.16 ± 93.54 0.166 0.045 Relative 9.60 ± 0.77 9.99 ± 1.30 9.11 ± 1.74 0.277 0.017 ABD: abduction, ADD: adduction, EXT: extension, FLE: flexion, CON: concentric, ECC: eccentric, SD: standard deviation, ES: effect size (Omega squared ( ω 2 )), * Significant at 0.05 level There is a significant effect for right hip ECC adduction absolute muscle strength at 0.5 m/s (F (2, 34) = 5.770, p = 0.007, ES = 0.205), and for right hip ECC adduction absolute muscle strength at 1 m/s (F (2, 34) = 4.842, p = 0.014, ES = 0.172). Post hoc analysis using Tukey’s correction revealed that for right hip ECC adduction at 0.5 m/s, defenders are significantly stronger than midfielders ( p = 0.005) and stronger than forwards ( p = 0.253), as for right hip ECC adduction absolute strength at 1 m/s, where defenders are significantly stronger than midfielders ( p = 0.014) and stronger than forwards ( p = 0.084) (Table 2 ). The multifactorial ANOVA showed no significant effect for the other values of absolute and relative hip adduction muscle strength Multifactorial ANOVA showed no significant effect on absolute and relative muscle strength values of left and right hip extension and flexion CON and ECC at 0.5 m/s and 1 m/s among defenders, midfielders, and forwards 3.2. Unilateral Conventional Strength Ratio There is a significant effect for the conventional strength ratio CON/CON of left ABD/ADD at 1 m/s (F (2, 34) = 3.389, p = 0.045, ES = 0.114). Post hoc analysis using Tukey’s correction revealed that the conventional strength ratio of forwards is significantly greater than defenders ( p = 0.045) and greater than midfielders ( p = 0.152) (Table 3 ). Multifactorial ANOVA showed no significant effect on the conventional strength ratio CON/CON and ECC/ECC of ABD/ADD between left and right at 0.5 m/s, and FLE/EXT left and right at 0.5 m/s and 1 m/s (Table 3 ).

Int. J. Environ. Res. Public Health 2023 , 20 , 1291 8 of 13 Table 3. Conventional and Functional Unilateral Strength Ratio of Left and Right Hip Abductor/Adductor and Flexor/Extensor at 0.5 m/s and 1 m/s Velocity Unilateral Ratio Side Muscle Action Defenders ( n = 13) Mean ± SD Midfielders ( n = 12) Mean ± SD Forwards ( n = 12) Mean ± SD p -Value ES 0.5 m/seg ABD/ADD Conventional Left CON/CON 89.51 ± 24.85 83.97 ± 18.30 90.45 ± 22.37 0.739 0.000 ECC/ECC 79.36 ± 18.18 81.40 ± 19.52 85.09 ± 20.10 0.755 0.000 Right CON/CON 81.43 ± 11.42 75.46 ± 8.66 81.93 ± 13.70 0.313 0.010 ECC/ECC 82.30 ± 24.19 81.29 ± 20.40 76.70 ± 14.03 0.765 0.000 1 m/seg ABD/ADD Conventional Left CON/CON 75.140 ± 24.96 81.26 ± 27.80 102.76 ± 30.11 0.045 * 0.114 ECC/ECC 97.04 ± 33.63 94.52 ± 23.27 95.43 ± 28.19 0.975 0.000 Right CON/CON 73.50 ± 12.49 67.91 ± 16.62 76.14 ± 18.76 0.448 0.000 ECC/ECC 93.14 ± 33.78 101.69 ± 26.22 94.62 ± 16.53 0.701 0.000 0.5 m/seg ABD/ADD Functional Left CON/ECC 63.57 ± 20.64 58.63 ± 11.51 63.88 ± 16.33 0.688 0.000 ECC/CON 115.17 ± 39.24 116.30 ± 30.61 121. 14 ± 29.71 0.897 0.000 Right CON/ECC 56.89 ± 12.24 60.25 ± 12.06 61.20 ± 11.94 0.645 0.000 ECC/CON 120.96 ± 44.50 102.27 ± 20.98 102.64 ± 14.70 0.219 0.030 1 m/seg ABD/ADD Functional Left CON/ECC 50.67 ± 14.43 55.32 ± 18.49 67.83 ± 26.18 0.106 0.069 ECC/CON 146.95 ± 64.81 150.21 ± 66.07 153.93 ± 66.88 0.965 0.000 Right CON/ECC 46.54 ± 9.89 53.37 ± 11.48 58.41 ± 20.34 0.137 0.056 ECC/CON 150.69 ± 61.46 134.91 ± 55.86 128.94 ± 31.34 0.555 0.000 0.5 m/seg FLE/EXT Conventional Left CON/CON 150.97 ± 24.40 144.77 ± 29.71 141.87 ± 30.94 0.715 0.000 ECC/ECC 139.52 ± 26.67 138.93 ± 38.32 129.12 ± 30.87 0.672 0.000 Right CON/CON 149.36 ± 20.16 136.42 ± 38.27 136.23 ± 43.79 0.565 0.000 ECC/ECC 148.51 ± 19.06 135.70 ± 20.39 134.70 ± 23.91 0.202 0.035 1 m/seg FLE/EXT Conventional Left CON/CON 139.97 ± 29.16 141.51 ± 31.39 134.61 ± 29.87 0.841 0.000 ECC/ECC 128.57 ± 32.92 128.26 ± 41.83 129.22 ± 34.12 0.997 0.000 Right CON/CON 150.10 ± 47.04 132.00 ± 19.98 131.45 ± 30.27 0.319 0.009 ECC/ECC 138.05 ± 28.31 119.26 ± 36.90 122.92 ± 26.16 0.278 0.017 0.5 m/seg FLE/EXT Functional Left CON/ECC 112.140 ± 28.44 107.65 ± 29.48 104.28 ± 34.69 0.816 0.000 ECC/CON 192.96 ± 46.79 190.15 ± 51.23 178.79 ± 25.53 0.688 0.000 Right CON/ECC 122.67 ± 20.57 104.78 ± 26.48 113.54 ± 40.91 0.347 0.004 ECC/CON 186.04 ± 51.24 173.04 ± 26.25 163.02 ± 27.97 0.316 0.010 1 m/seg FLE/EXT Functional Left CON/ECC 81.37 ± 17.48 79.85 ± 19.67 85.36 ± 32.42 0.844 0.000 ECC/CON 219.65 ± 44.57 224.53 ± 65.90 211.74 ± 39.79 0.826 0.000 Right CON/ECC 100.13 ± 31.73 78.80 ± 25.25 89.31 ± 35.35 0.244 0.024 ECC/CON 209.52 ± 47.16 204.91 ± 49.78 189.04 ± 30.27 0.478 0.000 ABD/ADD: abduction/adduction, FLE/EXT: flexion/extension, CON/ECC: concentric/eccentric, ECC/CON: eccentric/concentric, SD: standard deviation, ES: effect size (Omega squared ( ω 2 )). * Significant at 0.05 level 3.3. Unilateral Functional Strength Ratio Multifactorial ANOVA showed no significant effect on the functional strength ratio CON/ECC and ECC/CON of ABD/ADD and left and right FLE/EXT at 0.5 m/s and 1 m/s (Table 3 ). 3.4. Bilateral Strength Balance Multifactorial ANOVA showed no significant effect on bilateral CON and ECC strength balance for hip abduction, adduction, hip extension and hip flexion at 0.5 m/s and 1 m/s among defenders, midfielders, and forwards (Table 4 ).

[Find the meaning and references behind the names: Aim, Present, Show, Hand, Held, Non, Wik]

Int. J. Environ. Res. Public Health 2023 , 20 , 1291 9 of 13 Table 4. Bilateral Concentric and Eccentric Hip Strength Balance (%) at 0.5 m/s and 1 m/s Bilateral Strength Balance Velocity Muscle Action Defenders ( n = 13) Mean ± SD Midfielders ( n = 12) Mean ± SD Forwards ( n = 12) Mean ± SD p -Value ES ABD/ABD 0.5 m/seg CON 13.53 ± 13.31 11.85 ± 7.61 15.78 ± 13.71 0.722 0.000 ECC 14.63 ± 10.84 12.62 ± 10.19 12.12 ± 16.20 0.871 0.000 1 m/seg CON 13.81 ± 10.59 17.71 ± 16.44 18.82 ± 15.08 0.650 0.000 ECC 15.49 ± 20.04 11.72 ± 12.47 16.03 ± 11.78 0.756 0.000 ADD/ADD 0.5 m/seg CON 9.77 ± 9.28 14.47 ± 11.79 10.69 ± 7.29 0.446 0.000 ECC 10.96 ± 11.99 13.52 ± 13.38 10.66 ± 4.61 0.773 0.000 1 m/seg CON 16.01 ± 11.56 16.61 ± 11.93 19.35 ± 12.90 0.769 0.000 ECC 14.11 ± 11.06 10.41 ± 5.38 13.52 ± 8.17 0.526 0.000 EXT/EXT 0.5 m/seg CON 8.95 ± 6.57 10.54 ± 5.10 11.04 ± 10.96 0.786 0.000 ECC 7.11 ± 4.31 12.22 ± 14.23 10.02 ± 12.62 0.519 0.000 1 m/seg CON 12.14 ± 6.33 14.27 ± 6.35 13.65 ± 9.31 0.761 0.000 ECC 17.50 ± 15.22 25.23 ± 17.63 19.58 ± 12.16 0.434 0.000 FLE/FLE 0.5 m/seg CON 11.80 ± 7.50 16.99 ± 19.31 11.56 ± 7.49 0.493 0.000 ECC 8.10 ± 5.69 11.24 ± 9.08 9.06 ± 9.18 0.619 0.000 1 m/seg CON 16.60 ± 14.95 14.64 ± 9.82 22.03 ± 14.68 0.385 0.000 ECC 6.11 ± 4.15 12.31 ± 9.92 7.57 ± 5.91 0.087 0.080 ABD/ABD: abduction/abduction, ADD/ADD: adduction/adduction, EXT/EXT: extension/extension, FLE/FLE: flexion/flexion, CON: concentric, ECC: eccentric, ES: effect size (Omega squared ( ω 2 )) 4. Discussion The aim of the present study was to determine a dynamometric profile of hip muscle strength in young soccer players according to the position they use in the field (defenders, midfielders, forwards). The main results show that for right ECC abduction at 0.5 m/s and right ECC adduction at 0.5 and 1 m/s, defenders are significantly stronger than midfielders and stronger than forwards. On the other hand, there is no significant difference in hip extension and flexion between defenders, midfielders, and forwards. With respect to the conventional strength ratio, there is a significant difference in the CON/CON ratio of left ABD/ADD at 1 m/s, with the strength ratio of forwards being significantly higher with respect to defenders and higher in forwards with respect to midfielders. For the ABD/ADD and FLE/EXT functional strength ratio, there is no significant effect between defenders, midfielders, and forwards, as well as for bilateral strength balance The main conclusions of this study were that eccentric hip abduction and adduction muscle strength was greater in defenders, conventional ABD/ADD strength ratio was greater in forwards, and there is no difference between defenders, midfielders, and forwards with respect to bilateral strength balance 4.1. Absolute and Relative Maximum Strength of Hip Abduction and Adduction We observed a significant effect for ECC right abduction at 0.5 m/s, demonstrating that defenders are stronger than both midfielders and forwards. These results coincide with the findings found by Wik et al. [ 11 ], showing that defenders showed higher eccentric abduction strength values than goalkeepers, with a strong effect size ( p < 0.05, d = 0.85–0.87) However, midfielders turned out to have higher eccentric hip abduction strength than archers (dominant p < 0.01, d = 1.0; non-dominant p < 0.05, d = 0.70) and forwards (hip dominant p < 0.05, d = 0.54). A significant effect is also observed for ECC right adduction at 0.5 m/s and 1 m/s showing that defenders are stronger than midfielders and forwards, unlike the results of Wik et al. [ 11 ], who conclude that midfielders have stronger ECC adduction values with respect to goalkeepers ( p < 0.05, d = 0.65–0.70) and forwards ( p < 0.05, d = 0.52–0.57). It is important to mention that Wik et al. [ 11 ] used a hand-held dynamometer and a side-lying position to assess eccentric hip strength.

[Find the meaning and references behind the names: Strike, Ball, Cutting, Plane, Low, Fast, Altaweel, Jump, Peak, Pass]

Int. J. Environ. Res. Public Health 2023 , 20 , 1291 10 of 13 As in our study, Karatrantou et al. [ 19 ] found that the peak torque values during eccentric muscle action were significantly ( p < 0.001) higher compared to those observed during concentric muscle action. This may be due to the fact that during cutting movements or changes of direction, there is great participation of the hip muscles, both in braking and propulsion [ 7 ]; likewise, during the ball strike, there is eccentric participation of the hip adductors [ 8 ]. Similarly to Wik et al. [ 11 ], Karantrantou et al. [ 19 ] used the side position to evaluate hip strength; however, the instrument used was an isokinetic dynamometer 4.2. Absolute and Relative Maximum Strength of Hip Flexion and Extension Our results show that there is no significant difference in the absolute and relative muscle strength values for hip extension and flexion, which agree with the findings of AlTaweel et al. [ 17 ], who found no significant differences ( p > 0.05) between goalkeepers, defenders, midfielders, and forwards. It is important to consider that the position used for the evaluation of hip flexors and extensors used by AlTaweel et al. [ 17 ] was supine, and the instrument used was an isokinetic dynamometer. More studies comparing flexor and extensor strength in soccer players by position are needed 4.3. Conventional Strength Ratio We found that the conventional CON/CON ratio values of ABD/ADD are higher at low velocities (0.5 m/s), unlike the findings of Karatrantou et al. [ 19 ], who show that the conventional CON/CON ratio values of ABD/ADD are higher at high velocities (90 ◦ /s) ( p < 0.05). On the other hand, our values of the conventional ECC/ECC ratio of ABD/ADD are higher at high velocities (1 m/s), agreeing with the findings found by Karatrantou et al. [ 19 ], who show that the values of conventional ECC/ECC ratio of ABD/ADD are higher at high velocities (90 ◦ /s) ( p < 0.05) In comparisons of the conventional CON/CON vs. ECC/ECC strength ratio between ABD/ADD at 0.5 m/s and ABD/ADD at 1 m/s, at 0.5 m/s, the conventional CON/CON ratio is higher than the conventional ECC/ECC ratio, however, at 1 m/s the ECC/ECC ratio was higher. These results are related to the types of strength applied in soccer, such as the internal pass, which is executed at high speeds and with a predominance of the eccentric muscle action of adductors [ 32 ], and practices associated with displacements, accelerations and changes of direction that increase the eccentric strength of the abductors [ 33 ]. For the conventional strength ratio of FLE/EXT, the CON/CON ratio was greater than the ECC/ECC ratio at both speeds. This is perhaps because, for movements in the sagittal plane such as linear sprint, and vertical and horizontal jump, the athlete initiates the movements with a fast concentric action of extensors and then flexors [ 34 , 35 ], and the eccentric phase is mainly determined by muscles surrounding the knee [ 35 ]. 4.4. Functional Strength Ratio Our research shows that the ABD/ADD CON/ECC functional strength ratio is higher at low velocity (0.5 m/s), and the ECC/CON functional strength ratio is higher at high velocity (1 m/s). These data agree with those reported by Karatrantou et al. [ 19 ], who observed in their study that the CON/ECC ratio was higher at low velocity (30 ◦ /s), and the ECC/CON ratio increased with increasing angular velocity (90 ◦ /s) For the functional strength ratio of FLE/EXT, the CON/ECC ratio is higher at low velocity (0.5 m/s), and the ECC/CON ratio is higher at high velocity (1 m/s). There are no reports of the functional ratio of hip flexors and extensors Comparisons of the functional strength ratio CON/ECC vs. ECC/CON of ABD/ADD and FLE/EXT show that the ECC/CON ratio is always higher, independent of velocity, because when the angular velocity of the movement increases, the maximum strength generation capacity of the antagonist musculature increases through an eccentric action, while the agonist’s muscles produce strength through a concentric action Karatrantou et al. [ 19 ].

[Find the meaning and references behind the names: Just, Board, Margarita, Risk, Read, Salas, Original, Helme, Author, Early]

Int. J. Environ. Res. Public Health 2023 , 20 , 1291 11 of 13 4.5. Bilateral Strength Balance It is known that in soccer, there are muscle strength imbalances between the extremities, which are justified by age, dominance, and level of training [ 36 ]. The literature has pointed out critical values, classifying players as asymmetrical if they have a bilateral strength deficit higher than 15% [ 37 ], noting that even deficits over 10% [ 38 ] constitute a risk factor for injury. Our results do not show a significant effect between defenders, midfielders, and forwards. However, despite no statistically significant differences, we found many values that are above 15% bilateral CON and ECC deficits at 0.5 m/s and 1 m/s. On the other hand, Helme et al. [ 39 ] conclude that functional asymmetry of the lower extremities as a risk factor for injury is moderate to low due to the methodological approach of the studies 4.6. Limitations This study is not without limitations, as the subjects only had one familiarization session with the FEMD. Therefore, this could have influenced the technical execution of the exercise and, therefore, the peak values of strength. In this context, subjects, being an average age of 17 years old, are just starting strength training, so their practical experience with this type of evaluation is scarce 5. Conclusions In conclusion, we present a complete profile of hip muscle strength in young soccer players, which may be of interest to coaches, physical trainers, physicians, and physiotherapists, who want to participate in injury prevention, training, rehabilitation, and sports reintegration programs from an early age. There are significant differences in the absolute strength of eccentric hip abduction and adduction, with defenders having greater strength levels. However, we did not find significant differences in the absolute and relative strength of hip flexors and extensors. In the conventional unilateral strength ratio, we found that the forwards have a higher concentric abductor/adductor strength ratio, unlike the functional unilateral strength ratio, where there are no significant differences. These differences may be related to the function of the soccer player within the field since each position demands different capacities. Finally, we also found no significant differences in bilateral strength balance between defenders, midfielders, and forwards Supplementary Materials: The following supporting information can be downloaded at: https: //www.mdpi.com/article/10.3390/ijerph 20021291/s 1 , Video S 1: Experimental Procedure Author Contributions: Conceptualization, G.C.-D. and D.J.-M.; methodology, G.C.-D., D.J.-M. and L.I.; formal analysis, G.C.-D., L.I., M.T.-R., J.M.-Z. and D.J.-M.; investigation, G.C.-D., A.R.-R., D.J.-M., L.J.C.-R. and I.C.-R.; writing—original draft preparation, G.C.-D. and D.J.-M.; writing—review and editing, G.C.-D. and D.J.-M.; visualization, G.C.-D., D.J.-M., L.J.C.-R. and I.C.-R.; supervision, G.C.-D. and D.J.-M.; project administration, G.C.-D.; funding acquisition, G.C.-D. All authors have read and agreed to the published version of the manuscript Funding: Universidad de Los Lagos, Health Sciences and Physical Activity Research Competition, N ◦ S 10/20. The postdoctoral researcher Daniel Jerez-Mayorga has a contract through the program “Recualificaci ó n del Profesorado Universitario. Modalidad Margarita Salas”, University of Granada/Ministry of Universities, and the Next Generation Funds of the European Union Institutional Review Board Statement: The study was conducted in accordance with the Declaration of Helsinki and was approved by the Institutional Review Board of the University of Los Lagos, Puerto Montt, Chile (N ◦ H 007/2022) Informed Consent Statement: Informed consent was obtained from all the subjects involved in the study Data Availability Statement: Not applicable.

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