Original Paper. Biomedical Human Kinetics, 2, 15 - 18, 2010 DOI: 10.2478/v10101-010-0004-z Spine flexibility and the prevalence of contractures of selected postural muscle groups in junior male football players Małgorzata Grabara1, Grzegorz Kołodziej2, Marcin Wójcik1 1 Department of Tourism and Recreation, Academy of Physical Education, Katowice; 2 Primary School No. 32, Chorzów and Sport Club “POLONIA” BYTOM S.A., Bytom, Poland Summary Study aim: To assess spine flexibility and possible muscle contractures at shoulder and hip joints in boys practicing football and in their untrained mates. Material and methods: Two groups of boys aged 10 – 13 years were studied: football players (n = 176) and untrained boys (n = 137). Warm-up stretching exercises were applied at every training session. Spine mobility was determined by measuring differences between standing and bent postures in the forward (thoracic and lumbar regions), backward and lateral bends and in axial rotation (body twist). Muscle contractures were detected by applying Thomas’, Dega’s (wall test) and pseudo-Laseque’s (for sciatic-tibial muscles) tests. Results: Boys training football had significantly (p<0.01 – 0.001) better mobility of the thoracic spine and in the transversal plane, that latter being age-related. Muscle contractures (by pseudo-Laseque’s test) were significantly (p<0.05) less frequent in football players than in untrained boys, especially in the older ones. Conclusions: Stretching exercises ought to be recommended as elements of warm-ups and of physical education classes in order to improve spine flexibility and reduce the incidence of muscle contractures (thoracic and sciatictibial muscles and hip flexors). Key words: Spine flexibility – Muscle contractures – Male football players Introduction Physical development and life quality of youths ought to be carefully supervised and monitored, especially in athletes, in order to improve their muscle strength and endurance and to prevent possible injuries [2,3,13]. One of the principal health-related elements of physical fitness is flexibility expressed by motion ranges at joints. Flexibility depends on the anatomy of joints, elasticity of muscles, tendons and ligaments, amount of the subcutaneous fat, age, gender, body build and, chiefly, on the kind of motor activity. That latter improves the agility, prevents tissue damages and decreases in fitness, and enhances shaping specific skills. Dynamic movements require that motion ranges at various joints are adequate [1,5,6,15]. Motion ranges, in turn, requires appropriate muscle elasticity, i.e. the capacity of extending a muscle or muscle group while executing movement by antagonistic muscles. Stretching exercises may improve muscle elasticity but it is not clear whether those used in foot- ball training improve also spine flexibility and motion ranges. The aim of the study was thus an assessment of spine flexibility and of possible muscle contractures at shoulder and hip joints in boys practicing football. Material and Methods Subjects: Two groups of boys aged 10 – 13 years were studied: football players (n = 176) and untrained boys (n = 137). Football players, members of Silesian football clubs aged 10 years, trained twice weekly, those aged 11 – 12 years – 3 times weekly and those aged 13 years – 5 times weekly. Every training session lasted 90 min. Warm-ups (15 – 20 min) consisted of running followed by dynamic flexibility exercises (shoulder circles and arm swings) and then static ones. Boys aged 10 years were trained in basic technical skills and general motor abilities (speed, motor co-ordination, flexibility); the training of older boys aimed at shaping their fitness potential according to their biological development, versatile Dr Małgorzata Grabara, Academy of Physical Education, Mikołowska 72, 40-065 Katowice, Poland Author’s address [email protected] Unauthenticated Download Date | 6/18/17 4:53 AM M. Grabara et al. 16 technical skills, team and individual tactics, use of technical-tactical skills in various game elements. Their training experience ranged from 10 months to 4 years, depending on age. The untrained (control) boys were not engaged in motor activities except the obligatory physical education classes. Measurements: Body height was measured with a stadiometer (accuracy 0.1 cm) and body mass – with medical balance (accuracy 0.1 kg); from these the body mass index (BMI) was computed. The range of spine mobility was determined using a measuring tape (accuracy 0.1 cm) according to the SFTR (sagittal-frontaltransverse-rotation) protocol [16] and expressed as differences between the neutral (standing) body position and after having performed given movement. The following motion ranges were determined: – Forward bend – thoracic region (Th1-Th12), – Forward bend – lumbar region (L1-L5), – Backward bend (xi-sy), – Lateral bend (armpit – plate, lateral side) – contralateral measurement, – Rotation (xi; plate, lateral side) – contralateral measurement. Muscle contractures (defined here as insufficient elasticity of given muscle group when certain movement was to be performed) at shoulder and hip joints were detected by simple clinical tests: Thomas’, Dega’s (wall test) and pseudo-Laseque’s (for sciatic-tibial muscles) [7,16]. Thomas’ test was performed in lying position, the control leg was pulled to the chest and an involuntary flexion of the other leg at the hip joint was a sign of contracture of hip flexors. Pseudo-Laseque’s test consisted of lifting leg (maximum hip flexion, knee extended) lying on the back; pain of the popliteal fossa induced by forcing the leg to fully rise (90º), disappearing upon knee flexing, was a sign of contracture of sciatic-tibial muscles. Dega’s wall test was performed in tucked position, loins touching the wall; arms were lifted so as to touch the wall without moving loins away; when the subject could not press the palms against the wall, it was a sign of contracture of thoracic muscles [7,16]. The data were subjected to two-way ANOVA and post-hoc Student’s t-test in case of significant group×age interaction (measurements). The between-group differences in the incidences of muscle contracture were assessed by chi-square function. The level of p≤0.05 was considered significant. Results The results recorded in this study are presented in Tables 1 – 4. In case of anthropometric variables (Table 1) no significant group×age interactions were found, thus in case of body mass and BMI significant (p<0.01) differences were noted: untrained boys were heavier and had higher BMI than their mates playing football. Table 1. Mean values (±SD) of anthropometric variables of boys aged 10 – 13 years Age (years) 10 11 12 13 n 43 39 56 38 Body height (cm) 141.3 ± 6.8 144.3 ± 6.7 153.7 ± 7.1 159.1 ± 7.9 Football players Body mass * (kg) 34.9 ± 5.9 35.7 ± 5.8 42.9 ± 8.2 45.7 ± 6.8 BMI * n 17.4 ± 2.7 17.2 ± 2.1 18.1 ± 2.3 17.9 ± 1.6 30 34 43 30 Body height (cm) 142.2 ± 5.6 144.9 ± 6.4 151.0 ± 6.2 159.0 ± 8.2 Untrained Body mass (kg) 40.1 ± 8.4 38.6 ± 10.4 42.0 ± 7.9 51.2 ± 12.2 BMI 19.6 ± 3.1 18.2 ± 3.4 18.4 ± 2.8 20.0 ± 3.7 * Significantly (p<0.01) different from untrained boys by two-way ANOVA Table 2. Mean values (±SD) of spine mobility in the sagittal plane in boys aged 10 – 13 years Age (years) 10 11 12 13 n 43 39 56 38 BF(Th1 – Th12) (cm) # 4.49 ± 1.04 4.12 ± 0.96 3.92 ± 1.12 5.92 ± 1.26* Football players BF (L1 – L5) BB (xi – sy) (cm) (cm) 4.60 ± 1.18* 3.76 ± 1.07 4.65 ± 0.91 3.45 ± 1.81 5.30 ± 1.18 3.71 ± 0.98 4.75 ± 1.34 3.39 ± 1.38* n 30 34 43 30 BF(Th1 – Th12) (cm) 4.32 ± 1.48 3.54 ± 1.02 3.62 ± 1.23 3.70 ± 1.38 Untrained BF (L1 – L5) BB (xi – sy) (cm) (cm) 6.50 ± 2.31 4.20 ± 1.77 4.59 ± 1.07 3.51 ± 1.26 4.98 ± 1.52 3.58 ± 1.73 4.87 ± 1.97 5.43 ± 2.53 Legend: BF – Bend forward; BB – Bend backward; # Significantly (p<0.01) different from untrained boys by two-way ANOVA (age 10 – 12 years); * Significantly (p<0.001) different from untrained boys by t-test Unauthenticated Download Date | 6/18/17 4:53 AM Spine flexibility in trained and untrained boys 17 Table 3. Mean values (±SD) of spine mobility in the frontal and transversal planes in boys aged 10 – 13 years FP-L Age n (cm) (years) Football players 10 43 7.05 ± 1.7 11 39 6.78 ± 1.43 12 56 7.46 ± 1.71 13 38 7.31 ± 1.73 Untrained 10 30 6.55 ± 1.74 11 34 6.31 ± 1.83 12 43 7.14 ± 2.09 13 30 7.77 ± 1.71 FP-R (cm) 7.51 ± 1.66* 6.71 ± 1.16 7.66 ± 1.77 7.53 ± 1.57 6.52 ± 1.60 6.15 ± 1.68 7.07 ± 2.08 7.75 ± 1.62 TP-L (cm) TP-R (cm) 4.53 ± 1.47*** 4.58 ± 1.51** 3.54 ± 1.89 3.64 ± 1.87 4.14 ± 1.80*** 4.17 ± 1.95** 4.05 ± 1.69 4.28 ± 1.77 3.33 ± 0.99 4.03 ± 1.52 2.98 ± 1.07 4.05 ± 1.05 3.52 ± 1.08 3.93 ± 1.25 3.05 ± 1.06 4.05 ± 1.25 Legend: FP – Frontal plane; TP – Transversal plane; L – Left side; R – Right side; Significantly different from untrained boys by t-test: * p<0.05; ** p<0.01; *** p<0.001 Table 4. Percent incidences of muscle contractures in boys aged 10 – 13 years Football players Age (years) 10 11 12 13 Untrained n TT PL WT n TT PL WT 43 39 56 38 0 9 5 13*** 14 23* 44* 30** 0* 3 2 11 30 34 43 30 3 18 5 60 13 38 30 52 7 6 0 13 Legend: TT – Thomas’ leg test; PL – Pseudo-Laseque’s leg test; WT – Dega’s arm wall test; Different from the respective incidence in the untrained group: * p<0.05; ** p<0.01; *** p<0.001 In case of spine flexibility variables all group×age interactions were significant (p<0.01), thus between-group differences were assessed by the t-test for individual age categories. Football playing boys had significantly (p<0.01 – 0.001) better mobility of thoracic spine than their untrained mates. In the lumbar region, the youngest football players had significantly (p<0.001) worse mobility and the same applied to backward mobility in oldest boys (Table 2). No consistent between-group differences were noted in spine mobility in the frontal and transversal planes but 10- and 12-year old football players attained significantly (p<0.05 – 0.001) better results in the transversal plane mobility than their untrained mates (Table 3). The incidences of muscle contractures were recorded for the right and left extremities separately. However, no significant right-left differences were found for any age or test, therefore mean percentages for both sides were computed and presented in Table 4. The incidence of muscle contractures revealed by Thomas’ test was significantly (p<0.001) lower in football players than in untrained boys but only at the age of 13 years. The re- sults of the wall test were significantly (p<0.05) better in football players than in untrained boys but only at the age of 10 years. Most pronounced differences were noted in the results of the pseudo-Laseque’s test but significantly (p<0.05 – 0.01) lower incidences of muscle contractures were found in football players aged 11 and 13 years compared with their untrained mates, while in 12-year old boys the situation was reversed (p<0.05). Discussion Spine flexibility has been measured mostly by forward bend of the trunk in standing or sitting positions but flexibility is then affected by the tonus of sciatic-tibial muscles [4,8,14] and assessments in all 3 planes are extremely rare. Flexibility, an anatomical-functional feature, is of low heritability. It may increase in effect of diverse motor activities, age and training experience [8,9,14], stretching exercises, shaping spine flexibility, being thus recommended in sport training [8]. An insufficient flexibility Unauthenticated Download Date | 6/18/17 4:53 AM M. Grabara et al. 18 in athletes limits the ranges of performing diverse technical tasks and, more importantly, increases the risk of competition- or training-induced injuries [5,10,11,13]. The results of this study demonstrated that junior football players had, generally, wider motion ranges in the forward bend (thoracic region), and in lateral bends and twists. Yet, those results cannot be fully attributed to sport training since spine mobility, in relation to untrained boys, was not clearly related to age, so football training may bring about improvements of spine mobility but not in all directions. On the other hand, boys playing football exhibited a better elasticity of muscles compared with their untrained mates or, in other words, a better flexibility at some joints. Particularly striking was very high incidence (50 – 60%) of contractures of hip and sciatic-tibial flexors in untrained 13-year old boys. Football training conducted 3 days a week, each session lasting 45 min, was reported to bring about higher improvements in motor skills and flexibility (forward bend in sitting position) in 7 – 8-year old boys compared with traditional physical education programmes [9]. In football players aged 12 – 15 years, subjected to 16 weeks of strength-directed training, a decrease in the sit-andreach bend (by 8.2%) was noted. On the other hand, the increase following football training which included stretching exercises was negligible compared with the control group [8]. It could thus be concluded that high volume and intensity of strength-directed training reduced muscle elasticity and, in effect, of flexibility. Also in this study only small improvements were noted which might suggest that flexibility was associated with the kinds and volumes of strength and stretching exercises included in a training session. Better spine mobility in all planes, especially in twists and right lateral bends, was reported for handball players aged 11 years compared with untrained boys [12] and that effect was attributed to training. In earlier studies [10,11], in which the same tests were applied as in this study, handball players aged 15 years were superior to basketball players in forward and lateral bends, other motion ranges being alike. Basketball players aged 13 – 14 years had significantly better spine mobility than their untrained mates. Moreover, the incidences of contractures of the thoracic and sciatic-tibial muscles and of hip flexors were in those handball and basketball players significantly lower than in the untrained boys. However, those results cannot be compared with the presented here because of age differences. Nevertheless, all those sports practiced by boys brought about general improvements in spine flexibility and motion ranges in the shoulder and hip joints but probably due to the kind and amount of warm-up stretching exercises and not to the sport specificity. Thus, such exercises ought to be recommended as warm-up elements in order to improve spine flexibility and reduce the incidence of muscle contractures. References 1. Alter M.J. (2004) Science of Flexibility (3rd ed.). Human Kinetics, Champaign IL. 2. American Academy of Pediatrics. Committee on Sports Medicine and Fitness (2001) Strength training by children and adolescents. Pediatrics 107:147-1472. 3. American College of Sports Medicine (1995) ACSM's Guidelines for Exercise Testing and Prescription (5th ed.). Lippincott, Williams and Wilkins, Baltimore. 4. Baquet G, J.W.Twisk, H.C.Kemper, E.Van Praagh, S.Berthoin (2006). Longitudinal follow-up of fitness during childhood: interaction with physical activity. Am.J.Hum.Biol. 18:51-58. 5. Beedle B., C.Jesse, M.H.Stone (1991) Flexibility characteristics among athletes who weight train. J.Appl.Sport Sci.Res. 5:150-154. 6. Boraczyński T., L.B.Boraczyńska, J.Urniaż (2009) The influence of physical activity on body composition and the level of student’s flexibility. Medicina Sportiva 13:13-16. 7. Buckup K. (1998) Testy kliniczne w badaniu kości, stawów i mięśni. PZWL, Warszawa. 8. Christou M., I.Smilios, K.Sotiropoulos, K.Volaklis, T.Pillanidis, S.Tokmakidis (2006). Effects of resistance training on the physical capacities of adolescent soccer players. J.Strength Cond.Res. 20:783-791. 9. Erceg M., N.Zagorac, R.Katić (2008) The impact of football training on motor development in male children. Coll Antropol. 32:241-247. 10. Grabara M. (2008) Spine flexibility and the prevalence of the increased stiffness of shoulders and hip joint in youth female and male handball players. Medycyna Sportowa 176: 304-310. 11. Grabara M., A.Banaszczak (2007) The flexibility of the spine and muscle contractures in shoulders and hip joints of young female and male basketball players. (Engl. abstr). In: Nabór i Selekcja oraz Szkolenie Dzieci i Młodzieży w Zakresie Gier Sportowych. Międzynarodowe Towarzystwo Gier Sportowych, Wrocław, Monografia 9, pp. 39-44. 12. Jankowicz-Szymańska A., M.Imiołek (2008) Spine mobility and the quality of body posture in 11-year old handball players compared to their peers. Medycyna Sportowa 176:293303. 13. National Strength and Conditioning Association (1996) Youth resistance training. Position statement paper and literature review. Strength Cond.J. 18:62-75. 14. Schmid M., M.Romann, S.Kriemler, L.Zahner (2007). How can the physical fitness of schoolchildren be measured? Schweizerische Zeitschrift für Sportmedizin & Sporttraumatologie 55:52-61. 15. Thrash K., B.Kelly (1987). Flexibility and strength training. J.Appl.Sport Sci.Res. 1:74-75. 16. Zembaty A. (2002) Kinezyterapia (Vol. 1) Kasper, Kraków. Received 21.09.2009 Accepted 18.12.2009 © University of Physical Education, Warsaw, Poland Unauthenticated Download Date | 6/18/17 4:53 AM
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