Abstract
The purpose of this study is to identify lower-extremity (LE) musculoskeletal characteristics of elite female soccer players and to determine whether differences between dominant and nondominant extremities exist with respect to strength, flexibility, and range of motion. Physical data were collected from 26 female professional soccer players. Core control, hip and knee passive range of motion (PROM), LE flexibility, hip abductor strength, and dynamic functional alignment were assessed for each LE. Of 26 subjects, 21 scored 2/5 or less on core control. Mean hip internal rotation and external rotation were 33° (±8°) and 25° (±6.7°), respectively. All subjects had shortened two-joint hip flexors with an average knee flexion angle of 50° (±11°) and increased femoral anteversion. Forty one of 48 dominant limbs and 42 of 48 nondominant limbs demonstrated deviations from neutral alignment during step down or single-leg squat. Of 25 subjects, 15 demonstrated a stiff-knee landing and/or takeoff. All subjects demonstrated limitations in hip external rotation PROM and hip flexor length. There was no difference between dominant and nondominant LEs in all variables including hip abductor strength. Additional research is needed to determine if there is a correlation between the musculoskeletal characteristics, LE biomechanics, and potential risk for injury.
Level of evidence: IV
Similar content being viewed by others
References
Chappell JD, Yu B, Kirkendall DT, Garrett WE (2002) A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. Am J Sports Med 30(2):261–267
Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE (2001) A comparison of knee joint motions in patterns between men and women in selected athletic maneuvers. Clin Biomech 16(5):438–445
Ford KR, Myer GD, Hewett TE (2003) Valgus knee motion during landing in high school female and make basketball players. Med Sci Sports Exerc 35(10):1745–1750
Zeller BL, McCroy JL, Kibler WB, Uhl TL (2003) Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 31:449–456
Mangine RE, Noyes FR, Mullen MP, Barber SD (1990) A physiological profile of the elite soccer athlete. J Orthop Sports Phys Ther 12:147–152
Rosch D, Hodgson R, Peterson TL, Graf-Baumann T, Junge A, Chomiak J et al (2000) Assessment and evaluation of football performance. Am J Sports Med 28:S29–39
Witvrouw E, Danneels L, Asselman P, D’Have T, Cambier D (2003) Muscle flexibility as a risk factor for developing muscle injuries in male soccer players. Am J Sports Med 31:41–46
Norkin CC, White DJ (1987) Measurement of joint motion: a guide to goniometry. FA Davis, Philadelphia
Ruwe PA, Gage JR, Ozonoff MB, DeLuca PA (1992) Clinical determination of femoral anteversion. A comparison with established techniques. J Bone Joint Surg Am 74(6):820–830
Sahrmann S (2002) Diagnosis and treatment of movement impairment syndromes. Mosby, St. Louis
Kendall FP, McCreary EK (1993) Muscles: testing and function, 4th edn. Lippincott Williams and Wilkins, Baltimore
Grelsamer R, McConnell J (1998) The patella: a team approach. Aspen, Gaithersburg, pp 109–118
Magee DJ (1992) Orthopedic physical assessment. Saunders, Philadelphia, pp 333–371
Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Ostreicher N, Sahrmann SA (2000) Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med 10(3):169–175
Richardson C, Jull G, Hodges P, Hides J (1999) Therapeutic exercise for spinal segmental stabilization in low back pain. Churchill Livingstone, New York
American Academy of Orthopedic Surgeons (1965) Joint motion: method of measuring and recording. American Academy of Orthopedic Surgeons, Chicago
Simoneau GG, Hoenig KJ, Lepley JE, Papanek PE (1998) Influence of hip position and gender on active hip internal and external rotation. J Orthop Sports Phys Ther 28(3):158–164
Cibulka MT (2004) Determination and significance of femoral neck anteversion. Phys Ther 84(6):550–558
Crockett HC, Gross LB, Wilk KE et al (2002) Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. Am J Sports Med 30(1):20–26
Osbahr DC, Cannon DL, Speer KP (2002) Retroversion of the humerus in the throwing shoulder of college baseball pitchers. Am J Sports Med 30(3):347–353
Reagan KM, Meister K, Horodyski MB, Werner DW, Carruthers C, Wilk KE (2002) Humeral retroversion and its relationship to glenohumeral rotation in the shoulder of college baseball players. Am J Sports Med 30(3):354–360
Hruska R (1998) Pelvic stability influences lower-extremity kinematics. Biomechanics 6:23–29
Ireland ML (1999) Anterior cruciate ligament injury in female athletes: epidemiology. J Athl Train 34(2):150–154
Gregory PL, Batt ME, Kerslake RW (2004) Comparing spondylolysis in cricketers and soccer players. Br J Sports Med 38:737–742
Faude O, Junge A, Kindermann W, Dvorak J (2005) Injuries in female soccer players. A prospective study in the German national league. Am J Sports Med 33(11):1694–1700
Boden BP, Dean GS, Feagin JA, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23:573–578
Olsen OE, Myklebust G, Engebretsen L, Bahr R (2004) Injury mechanisms for anterior cruciate injuries in team handball: a systematic video analysis. Am J Sports Med 32:1002–1012
Teitz CC (2001) Video analysis of ACL injuries. In: Griffin LY (ed) Prevention of noncontact ACL injuries. American Academy of Orthopaedic Surgeons, Rosemont, pp 93–96
Wilson JD, Dougherty CP, Ireland ML, Davis IM (2005) Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg 13:316–325
Leetun DT, Ireland ML, Wilson JD, Ballantyne BT, Davis IM (2004) Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc 36:926–934
Hewett TE, Myer GD, Ford KR et al (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. Am J Sports Med 33(4):492–501
Pollard CD, Sigward SM, Ota S, Langford K, Powers CM (2006) The influence of in-season injury prevention training on lower-extremity kinematics during landing in female soccer players. Clin J Sport Med 16(3):223–227
Egrun M, Islegen C, Taskiran E (2004) A cross-sectional analysis of sagittal knee laxity and isokinetic muscle strength in soccer players. Int J Sports Med 25:594–598
McLean BD, Tumilty DM (1993) Left-right asymmetry in two types of soccer kick. Br J Sports Med 27(4):260–262
Burnie J, Brodie DA (1986) Isokinetic measurement in preadolescent males. Int J Sports Med 7:205–209
Capranica L, Cama G, Fanton F, Tessitore A, Figura F (1992) Force and power of preferred and non-preferred leg in young soccer players. J Sports Med Phys Fitness 32:358–363
Acknowledgments
We’d like to thank the athletes and coaches and medical staff of the New York Power for their willingness to participate in this study. Jennifer Rogers and Monique Sheridan were Ludwig Research Fellows at HSS. The philanthropic support of Robert Ludwig, who has endowed the Ludwig Research Fellowship in Women’s Sports is acknowledged and greatly appreciated.
Author information
Authors and Affiliations
Corresponding author
Additional information
Study protocol was approved by the Institutional Review Board at the Hospital for Special Surgery, New York, NY, USA.
Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
Rights and permissions
About this article
Cite this article
Chiaia, T.A., Maschi, R.A., Stuhr, R.M. et al. A Musculoskeletal Profile of Elite Female Soccer Players. HSS Jrnl 5, 186–195 (2009). https://doi.org/10.1007/s11420-009-9108-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11420-009-9108-9