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<title><![CDATA[Journal of Orthopaedic & Sports Physical Therapy - Robert H. Brophy, MD]]></title>
<link>http://www.jospt.org/roberthbrophy</link>
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<title>Lower Extremity Muscle Activation and Alignment During the Soccer Instep and Side-foot Kicks</title>
<link>http://www.jospt.org/issues/articleID.1232/article_detail.asp</link>
<description><![CDATA[<a href="http://www.jospt.org/rss/author.roberthbrophy/author.asp">Robert H. Brophy</a>, <a href="http://www.jospt.org/rss/author.sherryibackus/author.asp">Sherry I. Backus</a>, <a href="http://www.jospt.org/rss/author.brianspansy/author.asp">Brian S. Pansy</a>, <a href="http://www.jospt.org/rss/author.stephenlyman/author.asp">Stephen Lyman</a>, <a href="http://www.jospt.org/rss/author.rileyjwilliams/author.asp">Riley J. Williams</a><br /><p><strong><font color="#000099">STUDY DESIGN:</font></strong> Controlled laboratory study. <font color="#000099"><strong>OBJECTIVES:</strong></font> To quantify phase duration and lower extremity muscle activation and alignment during the most common types of soccer kick - the instep kick and side-foot kick. A second purpose was to test the hypotheses that different patterns of lower extremity muscle activation occur between the 2 types of kicks and between the kicking limb compared to the support limb.&nbsp;<strong><font color="#000099">BACKGROUND:</font></strong> Soccer players are at risk for lower extremity injury, especially at the knee. Kicking the soccer ball is an essential, common, and distinctive part of a soccer player&#39;s activity that plays a role in soccer player injury. Regaining the ability to kick is also essential for soccer athletes to return to play after injury. <strong><font color="#000099">METHODS:</font></strong> Thirteen male soccer players underwent video motion analysis and eletromyography (EMG) of 7 muscles in both the kicking and supporting lower extremity (iliacus, gluteus maximus, gluteus medius, vastus lateralis, vastus medialis, hamstrings, gastrocnemius) and 2 additional muscles in the kicking limb only (hip adductors, tibialis anterior). Five instep and 5 side-foot kicks were recorded for each player. Analysis-of-variance models were used to compare EMG activity between type of kicks and between the kicking and nonkicking lower extremity. <strong><font color="#000099">RESULTS:</font></strong> Five phases of kicking were identified: (1) preparation, (2) backswing, (3) limb cocking, (4) acceleration, and (5) follow-through. Comparing the kicking limb between the 2 types of kick, significant interaction effects were identified for the hamstrings (<em>P </em>= .02) and the tibialis anterior (<em>P</em>&lsaquo;.01). Greater activation of the kicking limb iliacus (<em>P</em>&lsaquo;.01), gastrocnemius (<em>P</em>&lsaquo;.01), vastus medialis (<em>P </em>= .016), and hip adductors (<em>P</em>&lsaquo;.01) occurred during the instep kick. Significant differences were seen between the kicking limb and the support limb for all muscles during both types of kick. <strong><font color="#000099">CONCLUSIONS:</font></strong> Certain lower extremity muscle groups face different demands during the soccer instep kick compared to the soccer side-foot kick. Similarly, the support limb muscles face different demands than the kicking limb during both kicks. Better definition of lower extremity function during kicking provides a basis for improved insight into soccer player performance, injury prevention, and rehabilitation.</p><p><em>J Orthop Sports Phys Ther. 2007;37(5):260-268; published online 15 March 2007.</em> doi:10.2519/jospt.2007.2255</p><p><strong><font color="#000099">KEY WORDS:</font></strong> football, kicking, motion analysis</p>]]></description>
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