Kinetic Variables as Indicators of Lower Limb Indirect Injury Risk in Professional Soccer: A Systematic Review.

Abstract

Background: The high demands of professional soccer predispose players to musculoskeletal injuries. The primary challenge for identifying potential risk factors lies in determining the appropriate assessment methods and indicators to consider. Kinetic variables have been identified as potential indicators of injury risk. Objectives: To conduct a systematic review of the literature analyzing the relationship between kinetic variables and the risk of indirect musculoskeletal injuries of the lower limb in professional soccer players. Methods: A search was conducted on Web of Science, PubMed, and Scopus following the PRISMA guidelines. The search included articles that link kinetic variables assessed through dynamometry to indirect lower limb injuries. Sample characteristics, assessments, injury follow-ups, and statistical results were extracted for qualitative synthesis. Results: A total of 1096 studies were initially identified, of which 380 duplicates were removed. After screening 716 articles by title and abstract, 631 were excluded. Subsequently, 85 full-text articles were examined, resulting in 11 studies being included. Of the included articles, 10 used isokinetic dynamometry and the Nordic hamstring curl test to assess lower limb strength. Conclusions: The results of this review indicate that kinetic variables, particularly isokinetic strength measures at different angular velocities, are consistently associated with indirect musculoskeletal injury risk in professional soccer players. The most relevant indicators include eccentric hamstring force and concentric quadriceps torque, which help identify strength deficits and muscular disequilibrium. Monitoring these variables through validated assessments enables the development of targeted prevention strategies. Additionally, injury risk assessment should integrate kinetic data with contextual indicators such as well-being, fatigue, and training load.