Promoting healthy weight training programs as it relates to joint health for young female athletes
Allen Jackson, M.Ed. ABD, Larry W. McDaniel Ed.D., & Laura Gaudet PhD., discuss the processes related to the promotion of healthy strength training programs as it relates to joint health for female athletes.
What are the considerations for joint health of adolescence female athletes?
In Allison Aubrey's article, "Training May Curb Some Sports Injuries in Women" it was noted that females are more prone to knee injuries than their male equivalent. In a literature review conducted by Ms. Moore there was a focus on the ACL tear with injuries occurring during soccer competition. The research indicated that after boys go through puberty they have an increase in muscle development. Their gluts and hamstring muscles are much bigger and stronger while females seldom experience this burst or increase in muscular strength. Females tend to be more dominant through the anterior compartment of the upper leg. The quadriceps and front muscles become thick, leaving the back muscles, such as the gluts and hamstrings less developed, thus leading to a muscular imbalance through the anterior compartment of the upper leg. This condition puts more stress on the ACL therefore, increasing the chance for injury (Moore, 2008).
Recent research is allowing those involved in human performance provide a better understanding of the physiological differences between men and women and how these differences affect injury rates in female versus male athletes. There are many factors influencing this phenomenon. First and foremost are the anatomical and physiological differences between the sexes and, secondly, the number of female athletes and the intensity of competition (Oliver & Healy, 2008).
What Dr. McDaniel and I want our students (perspective teachers, coaches, and those in the field of exercise science) to realize about female athletes and the high rate of injury to the lower extremity lies in the imbalance between the different muscle groups of the upper leg. Through the realization of one of the major problems we need to develop a hypothesis for a solution or a way to minimize the risk of injury among female athletes. Our hypothesis centres on training for a better balance of these muscle groups. By creating greater strength and endurance between the agonist and the antagonist muscles involved in movement of the lower extremity we can minimize the occurrence of many sport related injuries plaguing females who chose to participate in sport and recreation.
A major aspect contributing to women's increased occurrence of sport injury is that females seldom get the training that focuses on basic movement patterns early on in life. As coaches and educators, and even those involved in administration, we need to ensure that young women are receiving proper instruction regarding certain basics such as form running, agility training, fast-feet drills, stop-start activities, jumping, and resistance training. Once the opportunity to teach these basic skills is lost, it becomes increasingly more difficult to counteract many of the neuromuscular deficiencies experienced by female athletes due to a lack of proper training during childhood and early adolescence (Oliver & Healy, 2008).
Resistance Training for Women
Most girls have an unreceptive perception of resistance training. My experience as a weights coach for adolescent girls was in convincing them that their image of the muscle-bound female body is an ill-conceived misunderstanding. From a coaching perspective what the female athlete needs is help in overcoming this myth. It has grown into a cultural barrier that compromises the overall health and well-being of a generation of American women. Adolescent females need to overcome these misconceptions and realize that resistance training is essential to their well-being (Marshall, n.d.).
When we approach training from the aspect of preparing women to compete there needs to be a sense of urgency in developing a balance of strength and endurance between opposing muscle groups, especially those involved in the movement of the lower extremities (Marshall, n.d.).
Strength Training Program
Being an advocate for strength training for women is easy once one realizes the overall benefits. The best advices we can offer is to develop a program structured on diversity. This can be done by using a variety of fitness components in assisting young women to develop physiologically, as well as emotionally by realizing their potential and achieving personal goals. The focus of this article is in creating a balance between the muscles of the anterior compartment of the upper leg and the muscles found in the posterior compartment of the upper leg.
Anterior Muscles of the Upper Leg
The muscles found in the anterior compartment of the upper leg make up the Quadriceps.
This would include the rectus femoris, vastus intermedius, vastus lateralis and the vastus medialis.
These muscles are responsible for the extension of the knee and as we have learned these muscles are better developed in females than the muscles of the posterior compartment of the upper leg.
Exercises specific to training the Quadriceps include squats, hack squat, front squat, leg press, leg extension, overhead squat, and lunges (GymAddiction, 2002).
Posterior Muscles of the Upper Leg
The muscles of the posterior compartment make up the hamstrings and glutes.
The Hamstring group includes the semitendinosus the semimembranosus and the biceps femoris.
According to the literature these muscles are not as developed in females as the muscles from the Quadricep group (Sokolove, 2008).
The glutes consist of the gluteus maximus, one of the largest and strongest muscles in the body, the gluteus minimus and the gluteus medius (Encyclopedia Britannica, 2008).
The Hamstring muscles are responsible for flexion of the leg at the knee and extension of the leg at the hip. Inadequate strength of the Hamstring muscles among females in comparison to the strength and development of the antagonistic - quadriceps muscle group may compromise the basic biomechanical principles of the lower extremity of the female athlete (Hetherington 2006). Exercises for the development of the Hamstrings include stiff-leg dead lifts, good-mornings, deep squats, leg press, lunges, and leg curls (GymAddiction, 2002).
The gluteus minimus and medius stabilize the pelvis and vertebral column when one or the other foot is lifted. This action is accomplished by producing hip abduction. The gluteus. maximus is the primary hip extensor. This muscle is engaged in activities such as climbing stairs and jumping activities (Stanford Visible Female, n.d.). Several exercises for developing the gluteus group of muscles include, deep bucket squats, lunges, leg curls, and leg extension at the hip (Gym Addiction, 2002).
Gender differences in lower extremity landing mechanics and muscle activation have been identified as potential causative factors leading to the increased incidence of anterior cruciate ligament injuries in female athletes. Female valgus knee alignment places greater strain on the anterior cruciate ligament than a more neutral alignment. Gluteus medius activation may stabilize the leg and pelvis during landing, limiting valgus knee motion and potentially preventing anterior cruciate ligament injury (Russell et al. 2006).
To determine if frontal-plane knee angle and gluteus medius activation differ two variables were studied. The first, gender and the second variable; the relationship between initial surface contact and maximal knee flexion during a single-leg drop landing. Thirty-two subjects, 18 through 30 years of age were studied. Frontal-plane knee angle and gluteus medius average root mean square (aRMS) amplitude (statistical measure of the magnitude of a varying quantity) at initial contact recognized women landing in knee valgus (the knee is turned outward, away from the medial aspect of the body) and men landing in knee varus (inwards towards the centre line of the body) (P < .025).
At maximal knee flexion, both men and women were in a position of knee varus, but the magnitude of varus was less in women than in me< .025); however, Russell et al. (2006) have recognized that gluteus medius muscle activation differed little between the sexes and may not be critical in controlling frontal-plane knee joint motion. Women tended to land in more knee valgus before and at impact than men.
What this means is that gluteus medius muscle activation does not differ between the sexes and is not responsible for any differences in knee valgus. Therefore the excessive valgus knee angles typical in most women may help to explain gender inequality in anterior cruciate ligament injury as compared to this type of injury among young men (Russell, et al. 2006).
The key component to minimizing the risk of injury for female athletes involves the development and maintenance of leg strength and endurance. Everyone would like legs to be strong and pain-free as well as attractive. Endurance activities like biking, swimming, walking, and running are highly recommended.
There are plenty of endurance activities to choose from to add diversity to any training program. Do not overlook plyometric training but do not over use it. Include agility training, especially drills that allow for stop and go movements and most importantly, include resistance training to develop and maintain a proper balance in strength and endurance. To get the high-performing, well-defined legs most women are looking for, the kind that will turn heads, you should hit the weight room (Claps, 2006).
Reducing risk of injury for female athletes also involves understanding that many females may have a five-degree difference in the angle of the femur at the hip joint than their male counterparts. This angle produces a condition named "Valgus" which most people may refer to as "knock knee". This condition is usually accompanied with inversion (medial rotation) of the foot. These postural differences demand special consideration for females in relationship to training strategies.
The number of repetitions in jumps, foot strikes, weight lifting repetitions, and other modes of training as well as postural biomechanics of the hip, knee, ankle joints need to be closely monitored and the training needs involving females must focus on a balancing of the muscles of the lower extremity to better prevent injury to female participants.
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About the Authors
Allen Jackson, M. Ed. is an Assistant Professor of Physical Education and Health at Chadron State College in Chadron, Nebraska (USA) who is well known for his presentations & publications at international conferences focusing on Leadership, Curriculum, and Health.
Dr. Larry W. McDaniel Ed.D. is an Associate Professor of Exercise Science at Dakota State University Madison, SD. USA. Dr. McDaniel was a First Team All-American football player (USA Football), a Hall of Fame Athlete, and Hall of Fame Wrestling Coach.
Dr. Laura Gaudet, Ph.D. is a Professor and Chair of the Department of Counselling, Psychology and Social Work at Chadron State College, Chadron NE. She is well known for her publications and presentations at international conferences focusing on various topics in the field of psychology.
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