The Effect of Functional Training on Dynamic Knee Valgus of Youth Soccer Players: A Pilot Study.

Abstract

Knee injuries are very common in soccer players. High loads on the knee during landing or changes of direction can lead to a valgus shift of the knee, known as Dynamic Knee Valgus (DKV). Many studies have shown that a large shift in DKV is a predisposing factor for knee injuries and disease, such as anterior cruciate ligament injury (ACL), patellofemoral pain syndrome or osteoarthritis. Functional training could be a great tool to reduce DKV. Thus, in this pilot study, nine male youth soccer players (mean age: 16.4 ± 0.2 years) took part in six weeks of functional training program. DKV was measured in pre- and post-measurements during single leg squats using Kinect Azure camera with DynaKnee software. In addition, maximal voluntary muscle contraction (MVC) was measured using a dynamometer and muscle activation amplitude (MAA) was measured using electromyography. Data were analysed using a non-parametric Wilcoxon signed rank test to assess differences in DKV, MAA and MVC at a 5% significance level. Data showed a small improvement of DKV in the dominant leg. MVC increased slightly in all variables. The MAA of the involved muscles in the single-leg squat did not show a higher value, but rather a decreasing trend. However, none of the analyses showed significant changes. The small number of participants and the short duration of the training might have been a limiting factor. Further studies should repeat the procedure with a larger group of participants and a longer training period.