Reliability of a Field-Based Test for Hamstrings and Quadriceps Strength Assessment in Football Players

Abstract

Background: Field-based tests using portable devices are extremely helpful to assist physicians and coaches in the assessment of athletes’ muscle strength and for injury risk screening. The aim of this study was to investigate the reliability of a field-based test to assess unilateral hamstring and quadriceps isometric muscle strength in a nearly extended position (30° knee flexion) in football players. Methods: Nineteen male football players completed the field-based test on two separate occasions, one week apart, to produce a test–retest design. To complete the test, participants performed maximal isometric efforts on a custom-built bench with 30° of knee flexion and 90° of hip flexion while the force applied was measured with a portable load cell at 80 Hz. On each occasion, participants performed two 2 s maximal isometric repetitions intending to flex and extend the knee to assess hamstring and quadriceps strength, respectively. In each repetition, the force developed during the maximum voluntary isometric contraction (MVIC) and rate of force development (RFD) metrics for hamstring (H) and quadriceps (Q) were collected, and the H:Q ratio was calculated afterwards. Results: MVIC showed the highest reliability for the measurement of both hamstring and quadriceps strength (ICC > 0.80, [95% CI: 0.55, 0.96]; CV 0.75, [95% CI: 0.48, 0.95]; CV 0–150 and RFD0–250 yielded moderate reliability values for hamstring strength (ICC = 0.78–0.86, [95% CI: 0.52, 0.94]; CV = 20–27%, [95% CI: 15, 39.7]). RFD0–50 presented the largest variability (ICC 25%, [95% CI: 19.2, 45.3]). Conclusions: The field-based test presented here provided reliable results for the measurement of maximal isometric hamstring and quadriceps strength and for the calculation of the H:Q ratio. However, the measurement of RFD with this test is less reliable. This test allows reliable field-based assessments of hamstring and quadriceps maximal isometric strength which can be helpful to identify muscle strength deficits and imbalances during injury prevention and management processes in football players.

Keywords

• risk factors
• athletic injury
• muscle strength
• isometric contraction
• anterior cruciate ligament