Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
The Relationship Between Eccentric Hamstring Muscle Strength and Reaction Time in Elite Volleyball Players: Cross-Sectional Study
Elit Voleybolcularda Eksantrik Hamstring Kas Kuvveti ile Reaksiyon Süresi Arasındaki İlişki: Kesitsel Çalışma
Emre ALTUNDAĞa , Çağlar SOYLUb , Mehmet Görkem İŞGÜZARc
aDepartment of Physical Education and Sport Teacher, Kütahya Dumlupınar University Faculty of Sports Sciences, Kütahya, Türkiye
bDepartment of Orthopedic Rehabilitation, University of Health Sciences Gülhane Faculty of Physiotherapy and Rehabilitation, Ankara, Türkiye
cDepartment of Movement and Training Sciences, Gazi University Institute of Health Sciences, Ankara, Türkiye
Turkiye Klinikleri J Sports Sci. 2024;16(1):7-13
doi: 10.5336/sportsci.2023-97965
Article Language: EN
Full Text
ABSTRACT
Objective: The aim of this study was to investigate whether or not eccentric hamstring muscle strength has an effect on reaction time in elite volleyball players. Material and Methods: The study included 33 male volleyball players, aged 16-20 years, who met the study inclusion criteria. The eccentric hamstring strength was measured during Nordic hamstring exercises with an iVMES H-BORD®. The reaction time of the volleyball players was measured with the Light Trainer Flash Light Exercise System TM. Results: A strong level, negative, significant correlation was determined between the maximum eccentric hamstring muscle strength values of the dominant and non-dominant side of the study participants and the mean reaction time (r=-0.69, p<0.001; r=-0.78, p<0.001, respectively) and the best reaction time values (r=-0.70; p<0.001, r=-0.75; p<0.001, respectively). A strong level, negative, significant correlation was determined between the mean eccentric hamstring muscle strength values of the dominant and nondominant side and the mean reaction time (r=-0.69; p<0.001, r=-0.71; p<0.001, respectively) and the best reaction time values (r=-0.71; p<0.001, r=-0.68; p<0.001, respectively). At the same time, it was determined that there was no significant correlation between maximum and mean eccentric muscle strength difference and mean reaction time and best reaction time values (p>0.05). Conclusion: The results of this study showed a significant correlation between eccentric hamstring muscle strength and reaction time parameters in young, male volleyball players. Trainers and sports scientists should take this into consideration in training programs to improve the performance of volleyball players.

Keywords: Volleyball; eccentric muscle strength; hamstring; reaction time
ÖZET
Amaç: Bu çalışmanın amacı, elit voleybol oyuncularında eksantrik hamstring kuvvetinin reaksiyon zamanı üzerine etkili olup olmadığını araştırmaktır. Gereç ve Yöntemler: Çalışmaya dahil edilme kriterlerini karşılayan 16-20 yaş arası 33 erkek voleybol oyuncusu dahil edilmiştir. Eksantrik hamstring kuvveti Nordic hamstring egzersizi sırasında iVMES H-BORD® cihazı ile ölçülmüştür. Sporcuların reaksiyon zamanı Light Trainer Flash Light Exercise System TM reaksiyon zamanı cihazı ile yapılmıştır. Bulgular: Çalışmaya katılan bireylerin dominant ve nondominant taraf maksimum eksantrik hamstring kas kuvvetleri ile ortalama alt ekstremite reaksiyon zamanı (sırasıyla r=-0,69, p<0,001; r=-0,78, p<0,001) ve en iyi reaksiyon zamanı (sırasıyla r=-0,70; p<0,001, r=-0,75; p<0,001) değerleri arasında kuvvetli, ters yönde, anlamlı ilişki olduğu saptanmıştır. Benzer şekilde dominant ve nondominant taraf ortalama eksantrik hamstring kas kuvvetleri ile ortalama alt ekstremite reaksiyon zamanı (sırasıyla r=-0,69; p<0,001, r=-0,71; p<0,001) ve en iyi reaksiyon zamanı (sırasıyla r=-0,71; p<0,001, r=-0,68; p<0,001) değerleri arasında anlamlı, kuvvetli, ters yönde ilişki olduğu bulunmuştur. Aynı zamanda maksimum ve ortalama eksantrik kas kuvvet farklılığı ile ortalama alt ekstremite reaksiyon zamanı ve en iyi reaksiyon zamanı değerleri arasında ise anlamlı bir ilişki olmadığı tespit edilmiştir (p>0,05). Sonuç: Sonuç olarak, voleybolcularda eksantrik hamstring kuvveti ile reaksiyon zamanı parametreleri arasında anlamlı ilişki olduğu bulunmuştur. Voleybolcuların performanslarını geliştirmek için çalışan atletik performans antrenörleri ve spor bilimciler bu durumu göz önünde bulundurmalıdırlar.

Anahtar Kelimeler: Voleybol; eksantrik kas kuvveti; hamstring; reaksiyon zamanı
REFERENCES:
  1. Sattler T, Sekulic D, Esco MR, Mahmutovic I, Hadzic V. Analysis of the association between isokinetic knee strength with offensive and defensive jumping capacity in high-level female volleyball athletes. J Sci Med Sport. 2015;18(5):613-8. [Crossref]  [PubMed] 
  2. Schons P, Da Rosa RG, Fischer G, Berriel GP, Fritsch CG, Nakamura FY, et al. The relationship between strength asymmetries and jumping performance in professional volleyball players. Sports Biomech. 2019;18(5):515-26. [Crossref]  [PubMed] 
  3. Pupo JD, Detanico D, Santos SGD. Kinetic parameters as determinants of vertical jump performance. Revista Brasileira de Cineantropometria & Desempenho Humano. 2012;14:41-51. [Link] 
  4. Tamin TZ, Murdana IN, Kekalih A. Hamstring muscle flexibility among KONI volleyball players of DKI Jakarta province-a pilot study for sport injury prevention. Indonesian Journal of Physical Medicine & Rehabilitation. 2013;2(01):115-31. [Crossref] 
  5. Martin RL, Cibulka MT, Bolgla LA, Koc TA Jr, Loudon JK, Manske RC, et al. Hamstring strain injury in athletes. J Orthop Sports Phys Ther. 2022;52(3):CPG1-CPG44. [Crossref]  [PubMed] 
  6. Bourne MN, Opar DA, Williams MD, Shield AJ. Eccentric knee flexor strength and risk of hamstring injuries in rugby union: a prospective study. Am J Sports Med. 2015;43(11):2663-70. [Crossref]  [PubMed] 
  7. Hedayatpour N, Falla D. Physiological and neural adaptations to eccentric exercise: mechanisms and considerations for training. Biomed Res Int. 2015;2015:193741. [Crossref]  [PubMed]  [PMC] 
  8. Shejwal K, Kumar N. Comparison of simple reaction time between volleyball and football playing collegiate athletes. Int J Res Anal. 2020;7(2):421-4. [Link] 
  9. Ceylan H, Günay A. Positional differences in anticipation timing, reaction time and dynamic balance of American football players. Pedagogy of Physical Culture and Sports. 2020;24(5):227-39. [Crossref] 
  10. Badau D, Baydil B, Badau A. Differences among three measures of reaction time based on hand laterality in individual sports. Sports (Basel). 2018;6(2):45. [Crossref]  [PubMed]  [PMC] 
  11. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. [Crossref]  [PubMed] 
  12. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;4:863. [Crossref]  [PubMed]  [PMC] 
  13. Soylu Ç, Altundağ E, Akarçeşme C, Ün Yildirim N. The relationship between isokinetic knee flexion and extension muscle strength, jump performance, dynamic balance and injury risk in female volleyball players. Journal of Human Sport and Exercise. 2020;15(3):502-14. [Crossref] 
  14. Opar DA, Piatkowski T, Williams MD, Shield AJ. A novel device using the Nordic hamstring exercise to assess eccentric knee flexor strength: a reliability and retrospective injury study. J Orthop Sports Phys Ther. 2013;43(9):636-40. [Crossref]  [PubMed] 
  15. Opar DA, Williams MD, Timmins RG, Hickey J, Duhig SJ, Shield AJ. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Med Sci Sports Exerc. 2015;47(4):857-65. [Crossref]  [PubMed] 
  16. Myers LR, Toonstra JL, Cripps AE. The test-retest reliability and minimal detectable change of the FitLight Trainer?. International Journal of Athletic Therapy and Training. 2022;28(2):84-8. [Crossref] 
  17. Lakens D. Equivalence tests: a practical primer for t tests, correlations, and meta-analyses. Soc Psychol Personal Sci. 2017;8(4):355-62. [Crossref]  [PubMed]  [PMC] 
  18. Jiménez-García JD, Martínez-Amat A, Hita-Contreras F, Fábrega-Cuadros R, Álvarez-Salvago F, Aibar-Almazán A. Muscle strength and physical performance are associated with reaction time performance in older people. Int J Environ Res Public Health. 2021;18(11):5893. [Crossref]  [PubMed]  [PMC] 
  19. Abellan van Kan G, Cesari M, Gillette-Guyonnet S, Dupuy C, Nourhashémi F, Schott AM, et al. Sarcopenia and cognitive impairment in elderly women: results from the EPIDOS cohort. Age Ageing. 2013;42(2):196-202. [Crossref]  [PubMed] 
  20. Takata Y, Ansai T, Soh I, Kimura Y, Yoshitake Y, Sonoki K, et al. Physical fitness and cognitive function in an 85-year-old community-dwelling population. Gerontology. 2008;54(6):354-60. [Crossref]  [PubMed] 
  21. Lempke LB, Howell DR, Eckner JT, Lynall RC. Examination of reaction time deficits following concussion: a systematic review and meta-analysis. Sports Med. 2020;50(7):1341-59. [Crossref]  [PubMed] 
  22. Griffin L, Cafarelli E. Resistance training: cortical, spinal, and motor unit adaptations. Can J Appl Physiol. 2005;30(3):328-40. [Crossref]  [PubMed] 
  23. Folland JP, Williams AG. The adaptations to strength training : morphological and neurological contributions to increased strength. Sports Med. 2007;37(2):145-68. [Crossref]  [PubMed] 
  24. Wilke J, Groneberg DA. Neurocognitive function and musculoskeletal injury risk in sports: a systematic review. J Sci Med Sport. 2022;25(1):41-5. [Crossref]  [PubMed] 
  25. Váczi M, Fazekas G, Pilissy T, Cselkó A, Trzaskoma L, Sebesi B, et al. The effects of eccentric hamstring exercise training in young female handball players. Eur J Appl Physiol. 2022;122(4):955-64. [Crossref]  [PubMed]  [PMC] 
  26. Markovic G, Sarabon N, Boban F, Zoric I, Jelcic M, Sos K, et al. Nordic hamstring strength of highly trained youth football players and its relation to sprint performance. J Strength Cond Res. 2020;34(3):800-7. [Crossref]  [PubMed] 
  27. Greig M, Naylor J. The efficacy of angle-matched isokinetic knee flexor and extensor strength parameters in predicting agility test performance. Int J Sports Phys Ther. 2017;12(5):728-36. [Crossref]  [PubMed]  [PMC] 
  28. Lee JWY, Mok KM, Chan HCK, Yung PSH, Chan KM. Eccentric hamstring strength deficit and poor hamstring-to-quadriceps ratio are risk factors for hamstring strain injury in football: a prospective study of 146 professional players. J Sci Med Sport. 2018;21(8):789-93. [Crossref]  [PubMed] 
  29. Zebis MK, Andersen LL, Bencke J, Kjaer M, Aagaard P. Identification of athletes at future risk of anterior cruciate ligament ruptures by neuromuscular screening. Am J Sports Med. 2009;37(10):1967-73. [Crossref]  [PubMed] 
  30. Herman DC, Barth JT. Drop-jump landing varies with baseline neurocognition: implications for anterior cruciate ligament injury risk and prevention. Am J Sports Med. 2016;44(9):2347-53. [Crossref]  [PubMed]  [PMC] 
  31. Shibata S, Takemura M, Miyakawa S. The influence of differences in neurocognitive function on lower limb kinematics, kinetics, and muscle activity during an unanticipated cutting motion. Phys Ther Res. 2018 30;21(2):44-52. [Crossref]  [PubMed]  [PMC] 
  32. Giesche F, Wilke J, Engeroff T, Niederer D, Hohmann H, Vogt L, et al. Are biomechanical stability deficits during unplanned single-leg landings related to specific markers of cognitive function? J Sci Med Sport. 2020;23(1):82-8. [Crossref]  [PubMed] 

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