Unilateral plyometric training effectively reduces lower limb asymmetry in athletes: a meta-analysis

Background

Lower limb asymmetry in athletes is associated with impaired performance and elevated injury risk. Plyometric training (PT) and complex training (CT) are commonly used interventions for this problem, but existing evidence on their effectiveness remains inconsistent.

Objective

This meta-analysis aimed to evaluate PT and CT's effects on athletes' lower limb asymmetry. The findings could help optimize training protocols and reduce the risk of sports injuries.

Methods

A systematic search of Web of Science, PubMed, ProQuest, Scopus, EBSCO, CNKI, and Wanfang databases was conducted up to March 2024. Two researchers independently performed the literature screening, data extraction, and quality assessment processes. A meta-analysis was conducted via Review Manager 5.3 software, including heterogeneity tests, effect size pooling, subgroup analysis, and funnel plot construction.

Results

A total of eight randomized controlled trials (RCTs) involving 157 participants were included. PT effectively reduced lower limb asymmetry, particularly improving single-leg countermovement jump (SLCMJ) (SMD = 0.51, P = 0.05), single-leg broad jump (SLBJ) (SMD = 0.56, P = 0.01), and single-leg lateral jump (SLLJ) (SMD = 1.24, P = 0.01), but did not affect single-leg horizontal triple jumps (SLH3J) (SMD = 0.24, P = 0.60). In contrast, CT showed no meaningful reduction in asymmetry. Subgroup analysis indicated that unilateral PT alone significantly decreased asymmetry (SMD = 0.71, P < 0.01), whereas bilateral PT (SMD = 0.23, P = 0.45), unilateral CT (SMD = -0.15, P = 0.15) and bilateral CT (SMD = -0.09, P = 0.78) interventions all failed to demonstrate efficacy.

Conclusion

Unilateral PT effectively reduces lower limb asymmetry in athletes. Coaches should integrate this method into training programs to address asymmetry-related performance deficits and injury risks. Further high-quality trials are required to validate clinical applicability.

Interlimb kinetic asymmetries during the tuck jump assessment are more exposed following kinetic stabilization

OBJECTIVE

To analyse interlimb kinetics and asymmetries during the tuck jump assessment (TJA), before and after kinetic stabilization, to identify injury risk in healthy female athletes.

DESIGN

Cross-sectional study.

SETTING

Laboratory.

PARTICIPANTS

Twenty-five healthy females (age 21.0 ± 1.83 yrs; height 1.68 ± 0.06 m; body mass 69.4 ± 10.7 kg).

MAIN OUTCOME MEASURES

Kinetics were measured during 10-s trials of the TJA and absolute asymmetries compared, before and after kinetic stabilization using paired sample t-tests. Statistical parametric mapping (SPM) compared vertical ground reaction force (VGRF) data for each limb during the jumping cycles before and after stabilization.

RESULTS

Small to moderate increases in interlimb asymmetries were observed after stabilization for VGRF, relative vertical leg stiffness, average loading rate, total and propulsive impulse, peak braking and propulsive force (p < 0.05). SPM revealed significant interlimb differences between 77-98% and 83-99% of ground contact for the jumping cycles pre- and post-stabilization respectively.

CONCLUSIONS

Larger asymmetries were evident after kinetic stabilization, with increased VGRF in the non-dominant limb. We speculate that participants sacrificed interlimb landing symmetry to achieve kinetic stability, which may reflect a primal landing strategy that forgoes movement quality. Assessing lower limb biomechanics using the TJA should involve examining kinetic stability and interlimb kinetic asymmetries.

Development of upper and lower extremity functional asymmetries in male and female elite youth tennis players: a longitudinal study

BACKGROUND

This longitudinal study aimed to examine the development of both upper and lower extremity functional performances, together with asymmetry magnitudes and directionality in youth tennis players.

METHODS

Dominant and non-dominant physical performance values of 90 players (53 males, 37 females) were determined yearly (with monitoring up to 3 years) using unilateral strength, power, speed and agility tests from which asymmetry magnitude percentages were calculated. Linear mixed effect models examined the development of performance values according to youth players' maturity offset, performance dominance, sex and training volume. Similarly, the development of functional asymmetry magnitudes was examined according to players' maturity offset, sex and training volume. Kappa coefficients (k) examined the consistency in directionality across test occasions.

RESULTS

Regardless of sex, the dominant and non-dominant physical performance values of every test significantly (P<0.05) improved with increasing maturity offset. No sex differences were apparent except for strength and power related tests where male players performed significantly better. Functional asymmetry magnitudes (ranging from 2.0 to 15.9%) did not significantly change with increasing maturity offset (range=-0.3-0.4% per year). Training volume was not significantly associated with the performance values and asymmetry magnitudes. The dominant upper extremity (which holds the tennis racket) consistently displayed the dominant performance value (k value: 1.00) across test occasions, which was not the case at lower extremity level (k value range: -0.28-0.31).

CONCLUSIONS

The functional asymmetry magnitudes did not change significantly with youth tennis players' maturity offset over a 3-year period.

Movement Asymmetries: From Their Molecular Origin to the Analysis of Movement Asymmetries in Athletes

Asymmetry plays a major role in biology at all scales. This can be seen in the helix of DNA, the fact that the human heart is on the left side, or that most people use their right hand. A single protein such as Myosin 1D can induce helical motion in another molecule. This causes cells, organs, and even entire bodies to twist in a domino effect, causing left-right behaviour. More generally, athlete movements are often asymmetric and, during the physical rehabilitation after injury, the asymmetry is visually discernible. Herein, we review the molecular basis of the movement asymmetries and report on the available knowledge on the few therapeutics investigated so far such as meloxicam. From a more rehabilitative perspective, it is very important to use effective methods to control the process of resolving the injury-related movement asymmetry through the complex use of specialised exercises, measurements, and gait analysis, which can all provide useful information on the effectiveness of the rehabilitation plans. If for each athlete, the normal range of asymmetry is known, the asymmetry can be individually treated and the evolution can be monitored over time. Appropriate measures should be taken if the movement asymmetry is outside this range. In addition, genetic, physiological, and psychological factors relevant to athlete health should be considered in the process of assessing and improving exercise asymmetry, which we also discuss in this review. The main proposal of this work is that the movement asymmetries in athletes should be individually treated, while taking into account the athlete's genetics, physical condition, and previous injuries.

Effects of Exercise-Induced Neuromuscular Fatigue on Jump Performance and Lower-Limb Asymmetries in Youth Female Team Sport Athletes

The objective of the present study was to examine the effect of acute neuromuscular fatigue on unilateral jump performance and inter-limb asymmetries. Thirty elite youth female team sport athletes (age: U-14 to U-18) performed the Unilateral Countermovement Jump (UCJ) and the Unilateral Drop Jump (UDJ) (18-cm box) tests before and approximately 10 minutes after the 30-15 intermittent fitness test (30-15 IFT). A paired samples t-test showed significant reductions in UCJ jump height in the right leg after the 30-15 IFT (p = 0.018; d = 0.33), but not in the left leg (p = 0.459; d = 0.48). For the UDJ, significant reductions in jump height were shown in both the right (p < 0.001; d = 0.33) and left (p < 0.001; d = 0.33) legs. In addition, for the reactive strength index (UDJ), significant reductions were seen in the left leg after the 30-15 IFT (p < 0.001; d = 0.31), but not in the right leg (p = 0.948; d < 0.001). Only UCJ inter-limb jump height asymmetries increased significantly post 30-15 IFT (p = 0.033; d = 0.46). In conclusion, the current study indicates that the 30-15 IFT provides a sufficient dose of activity for inducing acute fatigue in elite youth female team sport athletes. Therefore, monitoring jump height in unilateral jump testing is recommended given the tests' sensitivity to detect significant differences in physical performance and inter-limb asymmetries under acutely fatigued conditions in healthy youth female athletes.

Differential Repeated Sprinting Training in Youth Basketball Players: An Analysis of Effects According to Maturity Status

The differential learning approach, which includes fluctuations that occur without movement repetitions and without corrections has received growing interest in the skill acquisition field. This study aimed to determine the effects of a 9-week training intervention involving differential repeated sprint training on a series of physical tests in youth basketball players. A total of 29 participants with different maturity statuses (pre-peak height velocity (PHV), n = 7; mid-PHV, n = 6; post-PHV, n = 16) completed 2 sessions per week of differential repeated sprint training for a period of 9 weeks. Sessions consisted of 2 × 10 repetitions sprints of 20-m whereby participants were instructed to perform various additional fluctuations for each repetition. Before and after the training intervention, participants completed jumping tests (countermovement jump (CMJ), single-leg CMJs, the modified 505 agility test, and straight sprinting tests (0-10 splits time), and maturity status was evaluated as well. Within-group analysis showed improvement in CMJ asymmetries and changes in direction asymmetries and 10-m sprint performance for the pre-, mid-, and post-PHV groups, respectively (p < 0.05), with large to very large effects. Analysis of covariance demonstrated that changes in sprint time in post-PHV players were greater than in the pre- and mid-PHV groups (p < 0.05), with moderate effect. Adding random fluctuations during repeated sprint training appear to be a suitable and feasible training strategy for maintaining and enhancing physical performance in youth basketball players, irrespective of maturity status. Furthermore, the present findings encourage practitioners to implement the present approach in youth athletes to improve their physical performance, but they should be aware that training response can vary according to maturity status.

Single-leg mechanical performance and inter-leg asymmetries during bilateral countermovement jumps: A comparison of different calculation methods

BACKGROUND

The possibility to selectively assess the force exerted by each leg during bilateral jumps has allowed sport scientists to explore inter-leg asymmetries, this metric being a rich source of research due to its potential applications to improve sports performance and reduce the risk of injury. The purpose of this study was to explore the reliability and agreement of single-leg mechanical performance and inter-leg asymmetry variables obtained by two procedures of analysis (Synchronous [simultaneous jump detection for both legs] and Asynchronous [specific jump detection for each leg]) during bilateral countermovement jumps (CMJs).

METHOD

During a single testing session, 74 participants performed 5 maximal height bilateral CMJs on dual force platforms (Kistler, model 9260AA6, Winterthur, Switzerland), and the 2 trials that differed the least in terms of squat depth and jump height were considered for statistical analyses. The following mechanical variables were calculated separately for each leg using the Synchronous and Asynchronous procedures: mean force, peak force, and propulsive impulse.

RESULTS

The procedures showed comparable reliability, except for mean force and propulsive impulse of the left leg (higher for the Asynchronous procedure). The agreement between the procedures was very high, while the most reliable mechanical variable was mean force (CV≈2.9%, ICC≈0.98), followed by peak force (CV≈4.4%, ICC≈0.96) and propulsive impulse (CV≈6.4%, ICC≈0.91). Reliability of inter-leg asymmetries was greater using mean and peak force (ICC range=0.74-0.82) than using propulsive impulse (ICC range = 0.65-0.66).

SIGNIFICANCE

Both Synchronous and Asynchronous procedures can be used to evaluate single-leg mechanical performance (mean force, peak force, and propulsive impulse) and asymmetries, whereas mean force should be used to evaluate single-leg mechanical performance and mean or peak force to assess asymmetries.

Acute Effect of Repeated Sprints on Interlimb Asymmetries During Unilateral Jumping

ABSTRACT

Bishop, C, McAuley, W, Read, P, Gonzalo-Skok, O, Lake, J, and Turner, A. Acute effect of repeated sprints on interlimb asymmetries during unilateral jumping. J Strength Cond Res 35(8): 2127-2132, 2021-The aim of this study was to investigate the effects of multiple repeated sprints on unilateral jump performance and interlimb asymmetries. Eighteen recreationally active men performed 3 single-leg countermovement jumps (SLCMJ) as baseline data. The repeated sprint protocol was 6 × 40 m with 20 seconds of passive rest between each sprint. This protocol was conducted 4 times, each set separated by 4 minutes of rest. Within that rest period, subjects performed one SLCMJ on each limb after 2 minutes of rest. A 1-way analysis of variance showed significant reductions (p < 0.05; effect size [ES] = -0.52 to -0.99) in jump height on both limbs after each set relative to baseline. Interlimb asymmetries increased at each time point and ranged from 7.62 to 14.67%, with significant increases in asymmetry seen after sets 3 (p = 0.046) and 4 (p = 0.002). Significant increases in sprint time were shown between sprints 1 and 6 in each set (p ≤ 0.01). A fatigue index (%) was also calculated and showed an exponential increase from 5.74% (set 1) to 13.50% (set 4), with significant differences between all sets (p < 0.001) with the exception of sets 3 and 4. Results from this study show that a 6 × 40-m repeated sprint protocol is a sufficient dose for implementing acute fatigue in recreationally active subjects. This was manifested by reductions in jump height at all time points and jump height asymmetries after the third and fourth sets. These findings indicate that jump height from unilateral jump testing may be a useful metric to use during the monitoring process in recreationally trained athletes.

Jumping Asymmetries Are Associated With Speed, Change of Direction Speed, and Jump Performance in Elite Academy Soccer Players

ABSTRACT

Bishop, C, Brashill, C, Abbott, W, Read, P, Lake, J, and Turner, A. Jumping asymmetries are associated with speed, change of direction speed, and jump performance in elite academy soccer players. J Strength Cond Res 35(7): 1841-1847, 2021-The aim of this study was to establish interlimb asymmetries across different age groups in elite academy male soccer players and to examine any relationships between asymmetry and measures of physical performance. Fifty-one players from an English Premier League soccer academy were split into under-23 (n = 21), under-18 (n = 14), and under-16 (n = 16) groups and performed bilateral and unilateral countermovement jumps, 5-, 10-, and 20-m sprints, and a 505 change of direction speed tests. All tests showed low variability (coefficient of variation ≤ 2.5%) and good to excellent reliability (intraclass correlation coefficient = 0.80-0.99). A 1-way analysis of variance showed that the under-23 group was significantly faster than the under-16 group during the 20-m sprint (2.90 vs. 2.98 s; p = 0.02; effect size = 0.94). No other significant differences were present between groups. Interlimb asymmetry was quantified from the single-leg countermovement jump, and no significant differences in the magnitude of asymmetry were present between groups. However, multiple significant correlations were present in each age group between asymmetry and physical performance tests, all of which were indicative of reduced athletic performance. Results from this study show that although interlimb asymmetry scores are comparable across age groups in elite academy soccer players, differences as low as 5% are associated with reduced physical performance during jumping, sprinting, and change of direction speed tasks. This study suggests the importance of monitoring jump height asymmetries in elite academy soccer players.

Unilateral or Bilateral Standing Broad Jumps: Which Jump Type Provides Inter-Limb Asymmetries with a Higher Reliability?

This study aimed to compare the between-session reliability of performance and asymmetry variables between unilateral and bilateral standing broad jumps (SBJ). Twenty-four amateur basketball players (12 males and females) completed two identical sessions which consisted of four unilateral SBJs (two with each leg) and two bilateral SBJs. Mean and peak values of force, velocity and power, and impulse were obtained separately for each leg using a dual force platform. Inter-limb asymmetries were computed using the standard percentage difference for the unilateral SBJ, and the bilateral asymmetry index-1 for the bilateral SBJ. All performance variables generally presented an acceptable absolute reliability for both SBJs (CV range = 3.65-9.81%) with some exceptions for mean force, mean power, and peak power obtained with both legs (CV range = 10.00-15.46%). Three out of 14 variables were obtained with higher reliability during the unilateral SBJ (CVratio ≥ 1.18), and 5 out of 14 during the bilateral SBJ (CVratio ≥ 1.27). Asymmetry variables always showed unacceptable reliability (ICCrange = -0.40 to 0.58), and slight to fair levels of agreement in their direction (Kappa range = -0.12 to 0.40) except for unilateral SBJ peak velocity [Kappa = 0.52] and bilateral SBJ peak power [Kappa = 0.51]) that showed moderate agreement for both SBJs. These results highlight that single-leg performance variables can be generally obtained with acceptable reliability regardless of the SBJ variant, but the reliability of the inter-limb asymmetries in the conditions examined in the present study is unacceptable to track individual changes in performance.

International vs. National female tennis players: a comparison of upper and lower extremity functional asymmetries

BACKGROUND

Asymmetries have been reported to negatively impact sport performance. This study examined the magnitude and direction of whole-body functional asymmetry in international versus national female tennis players.

METHODS

Ten internationally and twelve nationally ranked tennis players participated. Upper extremity functional asymmetries (or side-to-side performance differences) were evaluated using handgrip strength, seated shot-put throw and plate tapping. Lower extremity functional asymmetries were determined using the single leg countermovement jump, single leg forward hop test, 6 m single leg hop test, 505 changes of direction (time and deficit), and Y-balance test (anterior, posteromedial, posterolateral). ANOVAs were used to compare the dominant (overall best or fastest result of a specific test) versus non-dominant performance values (best or fastest result of the corresponding extremity) within the internationally versus nationally ranked players. Functional asymmetry magnitudes differences (expressed as a %) were examined using Mann-Whitney U tests. Kappa coefficients examined the consistency as to which extremity performed dominantly across tests.

RESULTS

Significant asymmetries for every upper and lower extremity test were found. The functional asymmetry magnitude was significantly (p=0.020) higher on the single leg forward hop test for the nationally (6.3%) versus internationally ranked players (2.9%). Kappa coefficients showed perfect levels of consistency regarding all upper extremity tests (k=1.00), indicating true limb dominance whereas more variance was found as to which lower extremity performed dominantly across tests (k range=-0.067-0.174).

CONCLUSIONS

The included female tennis players displayed significant whole-body functional asymmetries. Poor consistency as to which lower extremity performed dominantly across tests warrants individual asymmetry monitoring.

Interlimb Asymmetries: The Need for an Individual Approach to Data Analysis

ABSTRACT

Bishop, C, Lake, J, Loturco, I, Papadopoulos, K, Turner, A, and Read, P. Interlimb asymmetries: the need for an individual approach to data analysis. J Strength Cond Res 35(3): 695-701, 2021-It has been shown that the magnitude of interlimb asymmetries varies depending on the test selected; however, literature relating to whether asymmetries always favor the same limb is scarce. The aim of this study was to determine whether interlimb asymmetries always favored the same side for common metrics across unilateral strength and jumping-based tests. Twenty-eight recreational sport athletes performed unilateral isometric squats, single-leg countermovement jumps, and single-leg broad jumps with asymmetries in peak force compared across all tests, and eccentric and concentric impulse asymmetries compared between jumps. Mean asymmetries for all tests were low (≤-5.3%), and all interlimb differences for jump tests favored the left limb, whereas asymmetries during the isometric squat favored the right limb. Despite the low mean asymmetry values, individual data highlighted substantially greater differences. Levels of agreement for asymmetries were computed through the Kappa coefficient and ranged from slight to substantial (<0.01-0.79), although concentric impulse asymmetries for jump tests was the only comparison with result in substantial levels of agreement. With asymmetries rarely being present on the same side across tests, these results show that a more individual approach to reporting asymmetries is required, which should help practitioners when designing targeted training interventions for their reduction.

Unilateral Isometric Squat: Test Reliability, Interlimb Asymmetries, and Relationships With Limb Dominance

ABSTRACT

Bishop, C, Read, P, Lake, J, Loturco, I, Dawes, J, Madruga, M, Romero-Rodrigues, D, Chavda, S, and Turner, A. Unilateral isometric squat: Test reliability, interlimb asymmetries, and relationships with limb dominance. J Strength Cond Res 35(2S): S144-S151, 2021-The aim of this study was to determine test reliability, establish interlimb asymmetries and their associations with force production capability on the dominant (D) and nondominant (ND) limbs during the unilateral isometric squat test. Twenty-eight recreational sport athletes attended a single-test session after familiarization and performed 3 trials on each limb with 140° of hip and knee flexion, to assess peak force (PF), rate of force development (RFD), and impulse at different time intervals. Reliability, interlimb asymmetries, and Pearson's r correlations were computed thereafter. Test reliability was metric-dependent with only PF showing good levels of reliability on both limbs (coefficient of variation = 5.44-5.70; intraclass correlation coefficient = 0.93-0.94). Interlimb asymmetries ranged from 8.36 to 25.46%, with a tendency for RFD and impulse asymmetries to reduce as time intervals increased. Three significant negative relationships of a possible 49 (r = -0.43 to -0.47; p < 0.05) were found between asymmetries and performance on the D limb. However, 31 significant negative correlations (r = -0.42 to -0.71; p < 0.05) were found between asymmetries and performance on the ND limb. These findings demonstrate that practitioners may only be able to use PF as a reliable test metric during a unilateral isometric strength test. Furthermore, the negative association between asymmetries and strength performance on the ND limb may indicate that the reduction of imbalances through targeted training interventions may be warranted.

A Novel Approach for Athlete Profiling: The Unilateral Dynamic Strength Index

ABSTRACT

Bishop, C, Read, P, Lake, J, Loturco, I, and Turner, A. A novel approach for athlete profiling: The unilateral dynamic strength index. J Strength Cond Res 35(4): 1023-1029, 2021-The Dynamic Strength Index (DSI) provides a ratio of the peak force an athlete can produce in both isometric and ballistic tasks. Although the DSI measured during bilateral tests has been examined, unilateral DSI scores have not been reported to date and thus was the aim of the present study. Twenty-eight recreational sport athletes performed 3 trials of a unilateral isometric squat and countermovement jump (CMJ) to measure peak force in each task across 2 separate test sessions. The unilateral DSI was calculated using both left vs. right and dominant vs. nondominant limbs. Good to excellent reliability was shown in the isometric squat (intraclass correlation coefficient [ICC] = 0.86-0.96; coefficient of variation [CV] ≤ 5.7%) and the CMJ (ICC = 0.83-0.93; CV ≤ 5.8%) on both limbs. The DSI showed moderate to good reliability (ICC = 0.71-0.79; CV = 7.54-11.9%). Dynamic Strength Index scores of 0.52-0.55 and 0.55-0.59 were reported on the left and right limbs, respectively, with no significant differences reported between limbs. A significant difference (p = 0.04) was seen for the CMJ between left and right during the second test session only. The dominant and nondominant limbs reported mean DSI scores of 0.53-0.57, and significant differences were evident between limbs in both the isometric squat and CMJ (p < 0.01). This study provides normative data for the unilateral DSI and indicates acceptable levels of reliability, whereas the consistency of individual measures of peak force can be considered good when quantified unilaterally.

Comparison of multidirectional jump performance and lower limb passive range of motion profile between soccer and basketball young players

This study was performed aimed at comparing multidirectional bilateral and unilateral jump performance and passive range of motion (ROM) of lower limbs between soccer and basketball young players and evaluating associations between inter-limb ROM asymmetry and bilateral jump performance. A total of 67 young male athletes participated in this study, who were classified as soccer (n = 40; 15.55 ± 1.5 y; 1.76 ± 0.12 m; 58.15 ± 10.82 kg; 19.84 ± 2.98 kg·m2) and basketball (n = 27; 15.7 ± 1.66 y; 1.76 ± 0.12 m; 62.33 ± 16.57 kg; 19.84 ± 2.98 kg·m2) players. Participants were asked to perform bilateral and unilateral multidirectional jumps, and passive ROM of hip (flexion, extension and abduction), knee (flexion) and ankle (dorsiflexion) joints was also assessed. Significant between-group differences were observed for hip extension with flexed knee ROM in dominant (soccer: 142.43 ± 7.74°; basketball: 148.63 ± 8.10°) and non-dominant (soccer: 144.38 ± 8.36°; basketball: 148.63 ± 6.45°) legs; hip flexion with flexed knee ROM in dominant (soccer: 13.26 ± 4.71°; basketball: 9.96 ± 3.42°) and non-dominant (soccer: 12.86 ± 4.55°; basketball: 9.70 ± 3.62°) legs; and for the ratio of hip abduction (soccer: 1.02 ± 0.08; basketball: 0.97 ± 0.11). However, no significant between-group differences were observed for bilateral and unilateral jump capacity, or for inter-limb asymmetries (dominant vs. non-dominant leg). Finally, no associations were observed between ROM ratio (dominant vs. non-dominant leg) and bilateral jump performance. These findings lead to the suggestion that differences on passive ROM values in young male athletes may be sport-specific. Additionally, there seems to be need for the implementation of training strategies specifically aimed at improving bilateral or unilateral jump ability, or at diminishing inter limb passive ROM differences in order to improve multidirectional jump performance for neither soccer nor basketball youth male players.

Inter-limb asymmetries are associated with decrements in physical performance in youth elite team sports athletes

Actually, there is scarce literature looking for the relationship between inter-limb asymmetries and performance in youth elite team sports. The main purpose of this cross-sectional study was to examine the relationships between inter-limb asymmetries and physical performance in youth elite team-sports players. A secondary objective was to evaluate the presence of between-sexes differences in inter-limb asymmetries in elite youth team sports players. Eighty-one young elite team-sports athletes (age: u-14 to u-18) performed the star excursion balance test in the anterior direction (SEBT ANT), a single leg vertical countermovement jump test (SLCMJ), the one leg hop test for distance (OLHT), a 30 m sprint test, and the V-cut test. Inter-limb asymmetries were calculated for SEBT ANT, SLCMJ and OLHT. Pearson r was used to analyse the relationships between inter-limb asymmetries and physical performance. Results showed significant (p < 0.05) but small (r = 0.26) relationships between SLCMJ asymmetries and 30 m sprint time for the total group. Significant negative correlations with small to moderate magnitude of correlation were also found between SLCMJ asymmetries and SLCMJ performance on the lowest performing limb for the total group (p < 0.05; r = -0.26), males (p < 0.01; r = -0.48) and females (p < 0.05; r = -0.30). Moreover, significant negative correlations with moderate and large magnitude were also present between OLHT asymmetries and OLHT performance on the lowest performing limb for the total group (p < 0.01; r = -0.44), males (p < 0.01; r = -0.56) and females (p < 0.01; r = -0.64). No correlations were observed between asymmetries and either the V-cut test or SEBT ANT performance. No correlation were observed between SEBT ANT asymmetries and physical performance. In addition, when comparing asymmetry values between sexes there were no significant differences in vertical (p = 0.06) and horizontal (p = 0.61) jumping tests. However, there were significant differences in asymmetry between sexes in the ANT SEBT (p = 0.04). In conclusion, the current study indicated that jumping asymmetries were associated with decrements in sprint speed and jumping performance. Therefore, assessing inter-limb asymmetries would be recommended to improve training interventions for youth elite team-sports athletes.

A Comparison of 3 Different Unilateral Strength Training Strategies to Enhance Jumping Performance and Decrease Interlimb Asymmetries in Soccer Players

PURPOSE

To compare the effects of performing different unilateral strength training interventions on unilateral and bilateral jumping performance and their related asymmetries in young soccer players.

METHODS

Forty-five young (U-17) male soccer players were randomly assigned to 3 eccentric overload training programs. The first group executed the same volume with both legs starting with the weaker leg (SVW, n = 15); the second group carried out double volume with the weaker leg and also starting with the weaker leg (DVW, n = 15); and the third group performed the same volume with both legs starting with the stronger leg (SVS, n = 15). Jumping-performance assessment included a single-leg horizontal jump test, a triple single-leg horizontal jump test, a bilateral countermovement jump (CMJ) test, and a unilateral CMJ test. Asymmetries were also analyzed in the unilateral jumping tests.

RESULTS

CMJ was improved (effect size [ES]: 0.27-0.48) and CMJ asymmetry was possibly reduced (ES: 0.08-0.24) in all groups. Substantial improvements were found in triple hop (ES: 0.52-0.71) in SVW and DVW, and triple-hop asymmetry was substantially decreased (ES: 0.88) in DVW. Between-groups analysis showed a substantially better performance in triple hop and horizontal hop with right leg in SVW and DVW compared with SVS.

CONCLUSIONS

Unilateral strength training programs were shown to substantially improve bilateral jumping performance, while unilateral jumping was substantially enhanced in the groups that started the training session with the weaker leg. Finally, between-limbs asymmetries in the triple hop were mainly reduced through performing double volume with the weaker leg.

Trunk and hip control neuromuscular training to target inter limb asymmetry deficits associated with anterior cruciate ligament injury

OBJECTIVE

The primary aim of this study was to determine the effect of NMT on female basketball players (performing at least 3 exercise sessions per week for at least 90 min) with inter limb asymmetry.

DESIGN

Controlled laboratory study.

SETTING

University research laboratory.

PARTICIPANTS

40 female basketball players (age 22.4 ± 1.7 years, height 168.4 ± 5.31 cm, weight 66.6 ± 6.6 kg) who demonstrated neuromuscular deficits on the tuck jump test were allocated to a control group (n = 20), and the NMT group (n = 20).

INTERVENTION

Experimental group participate in an 8-week NMT program including 6 weeks (18 sessions), each session almost lasted for 30 min.

MAIN OUTCOME MEASURES

The peak torque as well as time to peak torques of hip abductors and external rotators as well as knee flexors and extensors muscles, and the performance were measured before and at the end of a 6-week NMT using the isokinetic dynamometer and the hop test battery respectively.

RESULTS

A significant improvement was observed in the NMT group for the peak torque and time to peak torque in hip and knee muscles both concentric and eccentric states at 60 and 180ºsec. Also, they showed a significant improvement in the distance of single leg hop and single leg triple crossover hop tests. However, no significant 20 and 21. change was seen in the control group.

CONCLUSIONS

An NMT program can significantly improve muscle strength, hop tests scores, and the inter limb asymmetry in female basketball players. The NMT may be used in ACL prevention in female basketball players with lower limb asymmetry.

Drop Jump Asymmetry is Associated with Reduced Sprint and Change-of-Direction Speed Performance in Adult Female Soccer Players

Studies that examine the effects of inter-limb asymmetry on measures of physical performance are scarce, especially in adult female populations. The aim of the present study was to establish the relationship between inter-limb asymmetry and speed and change-of-direction speed (CODS) in adult female soccer players. Sixteen adult players performed a preseason test battery consisting of unilateral countermovement jump (CMJ), unilateral drop jump (DJ), 10 m, 30 m, and 505 CODS tests. Inter-limb asymmetry was calculated using a standard percentage difference equation for jump and CODS tests, and Pearson's r correlations were used to establish a relationship between asymmetry and physical performance as well as asymmetry scores themselves across tests. Jump-height asymmetry from the CMJ (8.65%) and DJ (9.16%) tests were significantly greater (p < 0.05) than asymmetry during the 505 test (2.39%). CMJ-height asymmetry showed no association with speed or CODS. However, DJ asymmetries were significantly associated with slower 10 m (r = 0.52; p < 0.05), 30 m (r = 0.58; p < 0.05), and 505 (r = 0.52⁻0.66; p < 0.05) performance. No significant relationships were present between asymmetry scores across tests. These findings suggest that the DJ is a useful test for detecting existent between-limb asymmetry that might in turn be detrimental to speed and CODS performance. Furthermore, the lack of relationships present between different asymmetry scores indicates the individual nature of asymmetry and precludes the use of a single test for the assessment of inter-limb differences.