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Br J Sports Med. Published Online First: 22 October 2009. doi:10.1136/bjsm.2009.061762
Copyright © 2009 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Original article

Eccentric Hip Adduction and Abduction Strength in Elite Soccer Players and Matched Controls A Cross-Sectional Study

Kristian Thorborg1,*, Christian Couppé2, Jesper Petersen1, Peter Magnusson2, Per Holmich1

1 Amager University Hospital, Denmark;
2 Bispebjerg Hospital, Sports Medicine Research Unit, Denmark

Correspondence to: Kristian Thorborg, Department of Orthopaedics, Amager Hospital, Italiensvej 1, 2300 Kbh. S, Copenhagen, 2300, Denmark; kristianthorborg{at}hotmail.com

Accepted 3 September 2009

ABSTRACT

Background: Eccentric hip adduction and abduction strength plays an important role in the treatment and prevention of groin injuries in soccer players. Lower extremity strength deficits of less than 10% on the injured side, compared to the uninjured side has been suggested as the clinical milestone before returning to sport following injury.

Objective: To examine whether a side-to-side eccentric hip adduction or abduction strength symmetry can be assumed in non-injured soccer players and matched controls.

Material and method: Nine elite soccer players 19.4 (1.5) years and nine recreational athletes 19.5 (2.0) years matched for gender, height and weight were included. Eccentric hip adduction and abduction strength of the dominant and non-dominant leg was tested for all the participants using an eccentric break test with a hand-held dynamometer.

Results: The dominant leg was 14% stronger than the non-dominant leg for hip adduction in the soccer players (p<0.05). No other side-to-side strength differences existed in soccer players or controls. In soccer players, hip abduction strength was 17-30% greater than controls for the dominant (p<0.05) and non-dominant leg (p<0.001).

Conclusion: Eccentric hip adduction strength was greater in the dominant leg than in the non-dominant leg in soccer players, but not in matched controls. Eccentric hip abduction strength was greater in soccer players than matched controls, but soccer does not seem to induce a similar eccentric strength adaptation in the hip adductors.


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