A Novel Case Study Approach to the Investigation of Leg Strength Asymmetry and Rugby League Player's Multidirectional Speed.

ABSTRACT: Helme, M, Emmonds, S, Low, C, and Till, K. A novel case study approach to the investigation of leg strength asymmetry and Rugby League player's multidirectional speed. J Strength Cond Res 38(5): 941-947, 2024-Leg strength and multidirectional speed qualities have repeatedly been linked with increased performance during Rugby League (RL) match play and associated with career attainment. However, very little of this evidence for strength has been gained through unilateral measurements with no study available that has examined the impact of strength asymmetry, in this population, on speed qualities in RL players. Therefore, this study examined the association between unilateral strength, and as a novel development, the subject with the most extreme asymmetry was identified for further analysis. Fifty RL players undertook the rear foot elevated split squat 5 repetition maximum, 20-m linear sprint, and modified 505 change of direction test. The mean leg strength for the group was 88.92 ± 12.59 kg; when divided by body mass, the mean relative strength (REL) was 1.03 ± 0.17 kg·kg -1 , and the mean asymmetry was 3.21 ± 5.70%. The subject with the greatest asymmetry (subject A) had an imbalance of 33% and a mean leg strength of 75 kg (REL = 0.78 kg·kg -1 ) and a body mass 1 SD above the group mean. Analysis of the group's data and that of subject A did not indicate that leg strength asymmetry was either frequent or harmful, with respect to speed performance. However, relative leg strength was associated with both improved linear and multidirectional speed. Practitioners are recommended to prioritize the development of relative leg strength and disregard the aspiration for between leg performance symmetry.

The associations between unilateral leg strength, asymmetry and injury in sub-elite Rugby League players.

OBJECTIVES: The aim of this study was to analyse the relationship between unilateral leg strength, associated asymmetries and the injuries suffered by sub-elite Rugby League (RL) players in one competitive season. DESIGN: A prospective cohort design was used. METHOD: Unilateral leg strength was measured using the rear foot elevated split squat five repetition maximum test. Injuries were recorded using the Orchard classification system and were used to quantify relative risk (RR), mean severity, burden, player availability and survival time. RESULTS: No measures of leg strength were related to RR, relative leg strength was found to have a significant, but not meaningful correlation with total time lost to lower body injury, lower body injury burden and lower body injury survival time. CONCLUSIONS: The data from the current study indicates a possible positive effect of increasing relative leg strength for injury outcomes in sub-elite RL players. This supports a heuristic that multi-joint lower body strength training for RL players has a potential dual effect of enhancing physical performance and reducing injury time loss, with minimal risk of harm.

Is the Rear Foot Elevated Split Squat Unilateral? An Investigation Into the Kinetic and Kinematic Demands.

ABSTRACT: Helme, M, Emmonds, S, and Low, C. Is the rear foot elevated split squat unilateral? An investigation into the kinetic and kinematic demands. J Strength Cond Res 36(7): 1781-1787, 2022-The purpose of the study was to determine the unilateral nature of the rear foot elevated split squat (RFESS). Specifically, the production of force by the rear leg was examined to better understand its role, if any, toward successful completion of the exercise. Male volunteers were recruited (n = 26, age = 23.8 ± 4.6 years, body mass = 88.1 ± 10.7 kg, and height = 1.79 ± 0.1 m), who were recreationally trained and engaged in a structured strength and conditioning program, including both bilateral and unilateral exercises, and had at least 2 years supervised training experience. Subjects participated in an incremental 5 repetition maximum protocol after familiarization. Kinetic data were recorded through 2 independent force plates, 1 integral to the floor and the second mounted on top of solid weightlifting blocks. Kinematic data were captured through 3-dimensional motion analysis. A total of 715 repetitions were analyzed, and the mean contribution of the lead foot to total vertical force production was 84.36 ± 3.6%. An almost certainly small positive correlation (rho = 0.25, confidence interval [CI] 0.18-0.33) was found between the percentage of force produced by the lead foot, with increasing exercise intensity. A most likely trivial, nonsignificant correlation (rho = -0.01, CI -0.09 to 0.06) with rear foot force production, representing the mass of the rear leg. Data from this study do not indicate that the rear foot contributes to the kinetic demands of the exercise and therefore suggests that the RFESS is a valid unilateral exercise.

Does lower-limb asymmetry increase injury risk in sport? A systematic review.

OBJECTIVE: The aim of this review was to synthesize the current understanding relating to the risks of lower body functional asymmetry with injury in athletic populations. METHODS: An iterative data mining and sampling approach was used to construct a search phrase from key words, which were used to identify studies within SPORTdiscus, Medline and Academic Search Complete databases. Additional references were sourced from the reference lists of these articles. RESULTS: After screening, 31 papers were reviewed, from an initial search identifying 302 possible studies. A total of 6228 participants were involved in the studies, of which soccer players were the most observed sporting demographic (n = 2171). Of the 31 studies reviewed eight found no statistical association between lower limb asymmetry and injury risk, 10 studies provided partial statistically significant evidence and a further 10 provided statistically significant statistical links. CONCLUSION: Overall moderate to lower quality evidence for functional asymmetry as a risk factor for injury in sport was observed. While the possibility of a relationship between lower limb functional asymmetry and injury risk cannot be ruled out, further higher quality investigations, adopting standardised methodologies, is required.

Validity and Reliability of the Rear Foot Elevated Split Squat 5 Repetition Maximum to Determine Unilateral Leg Strength Symmetry.

Helme, M, Bishop, C, Emmonds, S, and Low, C. Validity and reliability of the rear foot elevated split squat 5 repetition maximum to determine unilateral leg strength symmetry. J Strength Cond Res 33(12): 3269-3275, 2019-The purpose of this study was to examine the validity and reliability of the rear foot elevated split squat (RFESS) 5 repetition maximum (5RM) test as a field method for measuring unilateral leg strength symmetry. As a validated method of testing symmetry, the RFESS 5RM may be used by strength and conditioning coaches and sports medicine staff to measure the presence of imbalances with minimal equipment and time. Twenty-six subjects (age = 23.8 ± 4.6 years, mass = 88.1 ± 10.7 kg, and height = 1.79 ± 0.1 m) with a minimum 2 years of strength and conditioning experience were recruited. After a familiarization session, subjects performed an incremental 5RM protocol on both legs, on 2 occasions where 3D motion and force data were collected. Moderate reliability of bar load symmetry was found between test and retest conditions correlation (intraclass coefficient = 0.73, 0.33-0.91) with no proportional bias between sessions. Validation of the exercise was analyzed using a correlation between asymmetries in mean set vertical ground reaction forces (vGRF) of the lead foot during the concentric phase, with bar load. When all maximal trials, from both test conditions, were analyzed, a most likely large positive correlation (0.57, 0.30-0.76) was found for mean set concentric lead foot vGRF. When a threshold level of load symmetry (96.54-103.46%) was applied, a most likely large positive correlation (r = 0.59, 0.14-0.84) between symmetry in lead foot vGRF was found in subjects who exceeded this limit. Conversely, analysis of subjects within the threshold produced unclear correlations. Findings of this study suggest the RFESS is a valid and reliable measure of unilateral leg strength symmetry. Practitioners are recommended to use this exercise to investigate the strength symmetry of athletes, but are guided to note that a threshold level of symmetry (96.54-103.46%) may be required to have been exceeded to indicate a true difference in vGRF production.