European Journal of Adapted Physical Activity 14, 2 (2021) | DOI: 10.5507/euj.2020.010
Effects of lower limb eccentric strength training on functional measurements in football players with cerebral palsy
- 1 Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
- 2 Department of Adapted physical Activity, National Rehabilitation Centre Pedro Aguirre Cerda, Santiago, Chile
This study examined the effects of eccentric strength training on muscle function and functionality in football players with cerebral palsy (CP). Eight players (M=21.6, SD=5.9 years) performed bilateral lower limb (LL) eccentric strength training for six-week at 80% of one repetition maximum (ECC), three times per week, while nine players (M=20.9, SD=6.6 years) were used as controls (CTL). Knee extensor muscles isometric (MVC) strength, asymmetry between LL, thigh perimeter, balance (Y-balance test) and agility (Illinois agility test) were measured in both LL before and after training. CTL maintained all dependent variables unchanged after six weeks. MVC strength increased in the right (M=22.7, SD=9.6%; p<0.001; ES=1.12) and in the left LL (M=23.7, SD=7.6%; p<0.001; ES=0.93) after ECC. Strength asymmetry decreased (M=-22.7, SD=15.4%; p<0.001; ES=0.58) after ECC. Thigh perimeter increased in the left (M=4.8, SD=1.6%; p<0.001; ES=0.84) and in the right LL (M=4.4, SD=1.5%; p<0.001; ES=0.73) after ECC. Balance improved in the left (M=12.9, SD=3.2%; p<0.001; ES=0.84) and in the right LL (M=10.5, SD=4.5%; p<0.001; ES=0.63) after ECC. The results suggest that eccentric strength training seems to effectively increase muscle strength, balance, and thigh perimeter and decrease strength asymmetry in football players with CP.
Keywords: Exercise training; brain injury; soccer; Y-balance test; agility
Received: December 9, 2019; Revised: July 8, 2020; Accepted: August 11, 2020; Prepublished online: November 26, 2020; Published: April 30, 2021 Show citation
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References
- Carroll, K. L., Leiser, J., & Paisley, T. S. (2006). Cerebral Palsy: physical activity and sport. Current Sports Medicine Reports, 5(6), 319-322. https://doi.org/10.1097/01.CSMR.0000306437.21359.f7
Go to original source...
Go to PubMed...
- Dallmeijer, A. J., Rameckers, E. A., Houdijk, H., de Groot, S., Scholtes, V. A., & Becher, J. G. (2017). Isometric muscle strength and mobility capacity in children with cerebral palsy. Disability and Rehabilitation, 39(2), 135-142. https://doi.org/10.3109/09638288.2015.1095950
Go to original source...
Go to PubMed...
- de Hoyo, M., Sañudo, B., Carrasco, L., Mateo-Cortes, J., Domínguez-Cobo, S., Fernandes, O., Del Ojo, J. J. & Gonzalo-Skok, O. (2016). Effects of 10-week eccentric overload training on kinetic parameters during change of direction in football players. Journal of Sports Sciences, 34(14), 1380-1387. https://doi.org/10.1080/02640414.2016.1157624
Go to original source...
Go to PubMed...
- Fang, Y., Siemionow, V., Sahgal, V., Xiong, F., & Yue, G. H. (2001). Greater movement-related cortical potential during human eccentric versus concentric muscle contractions. Journal of Neurophysiology, 86(4), 1764-1772. https://doi.org/10.1152/jn.2001.86.4.1764
Go to original source...
Go to PubMed...
- Feter, N., Calonego, C., Cavanhi, A. C., & del Vecchio, F. B. (2018). Wheelchair basketball: Fitness and quality of life. European Journal of Adapted Physical Activity, 11(1), 1-11. https://doi.org/10.5507/EUJ.2018.001
Go to original source...
- Franchi, M. V., Reeves, N. D., & Narici, M. V. (2017). Skeletal muscle remodeling in response to eccentric vs. concentric loading: morphological, molecular, and metabolic adaptations. Frontiers in Physiology, 8, 1-16. https://doi.org/10.3389/fphys.2017.00447
Go to original source...
Go to PubMed...
- Gamonales, J. M., Muñoz-Jiménez, J., León-Guzmán, K., & Ibáñez, S. J. (2018). 5-A-side football for individuals with visual impairments: A review of the literature. European Journal of Adapted Physical Activity, 11(1). https://doi.org/10.5507/EUJ.2018.004
Go to original source...
- García, C. C., Alcocer-Gamboa, A., Ruiz, M. P., Caballero, I. M., Faigenbaum, A. D., Esteve-Lanao, J., Saiz, B., Lorenzo, T., Lara, S. L. (2016). Metabolic, cardiorespiratory, and neuromuscular fitness performance in children with cerebral palsy: A comparison with healthy youth. Journal of Exercise Rehabilitation, 12(2), 124-131. https://doi.org/10.12965/jer.1632552.276
Go to original source...
Go to PubMed...
- Gillett, J. G., Boyd, R. N., Carty, C. P., & Barber, L. A. (2016). The impact of strength training on skeletal muscle morphology and architecture in children and adolescents with spastic cerebral palsy: A systematic review. Research in Developmental Disabilities, 56, 183-196. https://doi.org/10.1016/j.ridd.2016.06.003
Go to original source...
Go to PubMed...
- Graham, H. K., Rosenbaum, P., Paneth, N., Dan, B., Lin, J.-P., Damiano, D. L., Becher, J. G., Gaebler-Spira, D., Colver, A., Reddihough, D. S., Crompton, K. E., Lieber, R. L. (2016). Cerebral palsy. Nature Reviews Disease Primers, 2, 15082. https://doi.org/10.1038/nrdp.2015.82
Go to original source...
Go to PubMed...
- Hopkins, W. G., Marshall, S. W., Batterham, A. M., & Hanin, J. (2009). Progressive statistics for studies in sports medicine and exercise science. Medicine and Science in Sports and Exercise, 41(1), 3-12. https://doi.org/10.1249/MSS.0b013e31818cb278
Go to original source...
Go to PubMed...
- Hortobagyi, T., Hill, J. P., Houmard, J. A., Fraser, D. D., Lambert, N. J., & Israel, R. G. (1996). Adaptive responses to muscle lengthening and shortening in humans. Journal of Applied Physiology, 80(3), 765-772. https://doi.org/10.1152/jappl.1996.80.3.765
Go to original source...
Go to PubMed...
- Hussain, A. W., Onambele, G. L., Williams, A. G., & Morse, C. I. (2014). Muscle size, activation, and coactivation in adults with cerebral palsy. Muscle & Nerve, 49(1), 76-83. https://doi.org/10.1002/mus.23866
Go to original source...
Go to PubMed...
- Ito, J., Araki, A., Tanaka, H., Tasaki, T., Cho, K., & Yamazaki, R. (1996). Muscle histopathology in spastic cerebral palsy. Brain and Development, 18(4), 299-303. https://doi.org/10.1016/0387-7604(96)00006-X
Go to original source...
Go to PubMed...
- Jeng, S. C., Yeh, K. K., Liu, W. Y., Huang, W. P., Chuang, Y. F., Wong, A. M., & Lin, Y. H. (2013). A physical fitness follow-up in children with cerebral palsy receiving 12-week individualized exercise training. Research in Developmental Disabilities, 34(11), 4017-4024. https://doi.org/10.1016/j.ridd.2013.08.032
Go to original source...
Go to PubMed...
- Jones, M., Morgan, E., Shelton, J. E., & Thorogood, C. (2007). Cerebral Palsy: Introduction and Diagnosis (Part I). Journal of Pediatric Health Care, 21(3), 146-152. https://doi.org/10.1016/j.pedhc.2006.06.007
Go to original source...
Go to PubMed...
- Jones, P., Bampouras, T., & Marrin, K. (2009). An investigation into the physical determinants of change of direction speed. Journal of Sports Medicine and Physical Fitness, 49(1), 97-104.
Go to PubMed...
- Kloyiam, S., Breen, S., Jakeman, P., Conway, J., & Hutzler, Y. (2011). Soccer-specific endurance and running economy in soccer players with cerebral palsy. Adapted Physical Activity Quarterly, 28(4), 354-367. https://doi.org/10.1123/apaq.28.4.354
Go to original source...
Go to PubMed...
- Kobal, R., Loturco, I., Barroso, R., Gil, S., Cuniyochi, R. R., Ugrinowitsch, C., … Tricoli, V. (2017). Effects of different combinations of strength, power, and plyometric training on the physical performance of elite young soccer players. Journal of Strength and Conditioning Research, 31(6), 1468-1476. https://doi.org/10.1519/JSC.0000000000001609
Go to original source...
Go to PubMed...
- Koldoff, E. A., & Holtzclaw, B. J. (2015). Physical activity among adolescents with cerebral palsy: An integrative review. Journal of Pediatric Nursing, 30(5), e105-e117. https://doi.org/10.1016/j.pedn.2015.05.027
Go to original source...
Go to PubMed...
- Linek, P., Sikora, D., Wolny, T., & Saulicz, E. (2017). Reliability and number of trials of Y Balance Test in adolescent athletes. Musculoskeletal Science and Practice, 31(7), 72-75. https://doi.org/10.1016/j.msksp.2017.03.011
Go to original source...
Go to PubMed...
- Macdougall, H., O'Halloran, P., Sherry, E., & Shields, N. (2019). A pilot randomised controlled trial to enhance well-being and performance of athletes in para sports. European Journal of Adapted Physical Activity, 12(2), 1-19. https://doi.org/10.5507/euj.2019.006
Go to original source...
- Mcnee, A. E., Gough, M., Morrisey, M. C., & Shortland, A. P. (2009). Increases in muscle volume after plantarflexor strength training in children with spastic cerebral palsy. Developmental Medicine & Child Neurology, 51(6), 429-435. https://doi.org/10.1111/j.1469-8749.2008.03230.x
Go to original source...
Go to PubMed...
- Miyamoto, A., Maehana, H., & Yanagiya, T. (2019). The relationship between sprint speed and sprint motion in amputee soccer players. European Journal of Adapted Physical Activity, 12(2), 1-9. https://doi.org/10.5507/euj.2019.009
Go to original source...
- Park, E. Y., & Kim, W. H. (2014). Meta-analysis of the effect of strengthening interventions in individuals with cerebral palsy. Research in Developmental Disabilities, 35(2), 239-249. https://doi.org/10.1016/j.ridd.2013.10.021
Go to original source...
Go to PubMed...
- Pastor, D., Campayo-Piernas, M., Pastor, J. T., & Reina, R. (2019). A mathematical model for decision-making in the classification of para-footballers with different severity of coordination impairments. Journal of Sports Sciences, 37(12), 1403-1410. https://doi.org/10.1080/02640414.2018.1560617
Go to original source...
Go to PubMed...
- Peñailillo, L., Espíldora, F., Jannas-Vela, S., Mujika, I., & Zbinden-Foncea, H. (2016). Muscle strength and speed performance in youth soccer players. Journal of Human Kinetics, 50(1), 203-210. https://doi.org/10.1515/hukin-2015-0157
Go to original source...
Go to PubMed...
- Reid, S., Hamer, P., Alderson, J., & Lloyd, D. (2010). Neuromuscular adaptations to eccentric strength training in children and adolescents with cerebral palsy. Developmental Medicine and Child Neurology, 52(4), 358-363. https://doi.org/10.1111/j.1469-8749.2009.03409.x
Go to original source...
Go to PubMed...
- Reina, R., Elvira, J., Valverde, M., Roldán, A., & Yanci, J. (2019). Kinematic and kinetic analyses of the vertical jump with and without header as performed by para-footballers with cerebral palsy. Sports, 7(9), 209. https://doi.org/10.3390/sports7090209
Go to original source...
Go to PubMed...
- Reina, R., Iturricastillo, A., Castillo, D., Urbán, T., & Yanci, J. (2020). Activity limitation and match load in para-footballers with cerebral palsy: An approach for evidence-based classification. Scandinavian Journal of Medicine and Science in Sports, 30(3), 496-504. https://doi.org/10.1111/sms.13583
Go to original source...
Go to PubMed...
- Reina, R., Sarabia, J. M., Caballero, C., & Yanci, J. (2017). How does the ball influence the performance of change of direction and sprint tests in para-footballers with brain impairments? Implications for evidence-based classification in CP-Football. PLOS ONE, 12(11), e0187237. https://doi.org/10.1371/journal.pone.0187237
Go to original source...
Go to PubMed...
- Roig, M., O'Brien, K., Kirk, G., Murray, R., McKinnon, P., Shadgan, B., & Reid, W. D. (2009). The effects of eccentric versus concentric resistance training on muscle strength and mass in healthy adults: A systematic review with meta-analysis. British Journal of Sports Medicine, 43(8), 556-568. https://doi.org/10.1136/bjsm.2008.051417
Go to original source...
Go to PubMed...
- Rose, J., & Mcgill, K. (1998). The motor unit in cerebral palsy. Developmental Medicine & Child Neurology, 40, 270-277. Retrieved from papers2://publication/uuid/B70D003F-9F04-4F96-9D2C-43A868021E6C
Go to original source...
Go to PubMed...
- Ross, S. M., MacDonald, M., & Bigouette, J. P. (2016). Effects of strength training on mobility in adults with cerebral palsy: A systematic review. Disability and Health Journal, 9(3), 375-384. https://doi.org/10.1016/j.dhjo.2016.04.005
Go to original source...
Go to PubMed...
- Rouissi, M., Chtara, M., Berriri, A., Owen, A., & Chamari, K. (2016). Asymmetry of the modified Illinois change of direction test impacts young elite soccer players' performance. Asian Journal of Sports Medicine, 7(2). https://doi.org/10.5812/asjsm.33598
Go to original source...
Go to PubMed...
- Scholtes, V. A., Becher, J. G., Janssen-Potten, Y. J., Dekkers, H., Smallenbroek, L., & Dallmeijer, A. J. (2012). Effectiveness of functional progressive resistance exercise training on walking ability in children with cerebral palsy: A randomized controlled trial. Research in Developmental Disabilities, 33(1), 181-188. https://doi.org/10.1016/j.ridd.2011.08.026
Go to original source...
Go to PubMed...
- Scholtes, V. A., Dallmeijer, A. J., Rameckers, E. A., Verschuren, O., Tempelaars, E., Hensen, M., & Becher, J. G. (2008). Lower limb strength training in children with cerebral palsy - a randomized controlled trial protocol for functional strength training based on progressive resistance exercise principles. BMC Pediatrics, 8(1), 41. https://doi.org/10.1186/1471-2431-8-41
Go to original source...
Go to PubMed...
- Silva, J. R., Nassis, G. P., & Rebelo, A. (2015). Strength training in soccer with a specific focus on highly trained players. Sports Medicine - Open, 1(1). https://doi.org/10.1186/s40798-015-0006-z
Go to original source...
Go to PubMed...
- Steenbergen, B., & van der Kamp, J. (2008). Attentional processes of high-skilled soccer players with congenital hemiparesis: differences related to the side of the hemispheric lesion. Motor Control, 12(1), 55-66. https://doi.org/10.1123/mcj.12.1.55
Go to original source...
Go to PubMed...
- Van Biesen, D., & Pineda, R. C. (2019). Balance and strength assessment of Special Olympics athletes: How feasible and reliable is the FUNfitness test battery? European Journal of Adapted Physical Activity, 12(1), 1-12. https://doi.org/10.5507/euj.2019.004
Go to original source...
- Verschuren, O., Smorenburg, A. R. P., Luiking, Y., Bell, K., Barber, L., & Peterson, M. D. (2018). Determinants of muscle preservation in individuals with cerebral palsy across the lifespan: a narrative review of the literature. Journal of Cachexia, Sarcopenia and Muscle, 9(3), 453-464. https://doi.org/10.1002/jcsm.12287
Go to original source...
Go to PubMed...
- Weir, J. P., Housh, D. J., Housh, T. J., & Weir, L. L. (1995). The effect of unilateral eccentric weight training and detraining on joint angle specificity, cross-training, and the bilateral deficit. Journal of Orthopaedic & Sports Physical Therapy, 22(5), 207-215. https://doi.org/10.2519/jospt.1995.22.5.207
Go to original source...
Go to PubMed...
- Wirth, K., Keiner, M., Szilvas, E., Hartmann, H., & Sander, A. (2015). Effects of eccentric strength training on different maximal strength and speed-strength parameters of the lower extremity. Journal of Strength and Conditioning Research, 29(7), 1837-1845. https://doi.org/10.1519/JSC.0000000000000528
Go to original source...
Go to PubMed...
- Yanci, J., Castagna, C., Los Arcos, A., Santalla, A., Grande, I., Figueroa, J., & Camara, J. (2016). Muscle strength and anaerobic performance in football players with cerebral palsy. Disability and Health Journal, 9(2), 313-319. https://doi.org/10.1016/j.dhjo.2015.11.003
Go to original source...
Go to PubMed...
- Yanci, J., Castillo, D., Iturricastillo, A., & Reina, R. (2019). Evaluation of the official match external load in soccer players with cerebral palsy. Journal of Strength and Conditioning Research, 33(3), 866-873. https://doi.org/10.1519/JSC.0000000000002085
Go to original source...
Go to PubMed...
- Yanci, J., Castillo, D., Iturricastillo, A., Urbán, T., & Reina, R. (2018). External match loads of footballers with cerebral palsy: A comparison among sport classes. International Journal of Sports Physiology and Performance, 13(5), 590-596. https://doi.org/10.1123/ijspp.2017-0042
Go to original source...
Go to PubMed...
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