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The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review

BACKGROUND: Non-contact injuries such as anterior cruciate ligament ruptures often occur during physical load toward the end of a match. This is ascribed to emerging processes due to exercise-induced fatigue. Moreover, non-contact injuries often occur during dynamic actions such as landing or cuttin...

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Autores principales: Heil, Jessica, Loffing, Florian, Büsch, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447715/
https://www.ncbi.nlm.nih.gov/pubmed/32844254
http://dx.doi.org/10.1186/s40798-020-00270-x
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author Heil, Jessica
Loffing, Florian
Büsch, Dirk
author_facet Heil, Jessica
Loffing, Florian
Büsch, Dirk
author_sort Heil, Jessica
collection PubMed
description BACKGROUND: Non-contact injuries such as anterior cruciate ligament ruptures often occur during physical load toward the end of a match. This is ascribed to emerging processes due to exercise-induced fatigue. Moreover, non-contact injuries often occur during dynamic actions such as landing or cutting movements. Inter-limb asymmetries are suggested as one possible cause for those injuries based on findings indicating that asymmetries between limbs are associated with a higher injury risk. Hence, assessing inter-limb asymmetry during physical load in the condition of exercise-induced fatigue is warranted to identify potentially relevant precursors for non-contact injuries. OBJECTIVE: The objective of this study was to overview the current state of evidence concerning the influence of exercise-induced fatigue on inter-limb asymmetries through a systematic review. METHODS: A systematic literature search was conducted using the databases Web of Science, Scopus, PubMed, SURF, and SPONET to identify studies that assessed inter-limb asymmetries of healthy people, calculated with an asymmetry equation, before and after, or during a loading protocol. RESULTS: Thirteen studies were included in the systematic review. The loading protocols involved running, race walking, jumping, squatting, soccer, rowing, and combinations of different exercises. Moreover, different tasks/procedures were used to assess inter-limb asymmetries, e.g., squats, single-leg countermovement jumps, gait analysis, or isokinetic strength testing. The results seem to depend on the implemented loading protocol, the tasks/procedures, and the measured parameters. CONCLUSIONS: Future research needs more systematization and consistency, assessing the effect of exercise-induced fatigue on inter-limb asymmetries. Moreover, the emergence of inter-limb asymmetries should be regarded in the context of sport-specific movements/tasks. Testing before, after, and during a physical loading protocol is advisable to consider the influence of exercise-induced fatigue on sport-specific tasks and to identify the possible mechanisms underlying load-dependent inter-limb asymmetries with regard to risk of non-contact injury.
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spelling pubmed-74477152020-09-02 The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review Heil, Jessica Loffing, Florian Büsch, Dirk Sports Med Open Systematic Review BACKGROUND: Non-contact injuries such as anterior cruciate ligament ruptures often occur during physical load toward the end of a match. This is ascribed to emerging processes due to exercise-induced fatigue. Moreover, non-contact injuries often occur during dynamic actions such as landing or cutting movements. Inter-limb asymmetries are suggested as one possible cause for those injuries based on findings indicating that asymmetries between limbs are associated with a higher injury risk. Hence, assessing inter-limb asymmetry during physical load in the condition of exercise-induced fatigue is warranted to identify potentially relevant precursors for non-contact injuries. OBJECTIVE: The objective of this study was to overview the current state of evidence concerning the influence of exercise-induced fatigue on inter-limb asymmetries through a systematic review. METHODS: A systematic literature search was conducted using the databases Web of Science, Scopus, PubMed, SURF, and SPONET to identify studies that assessed inter-limb asymmetries of healthy people, calculated with an asymmetry equation, before and after, or during a loading protocol. RESULTS: Thirteen studies were included in the systematic review. The loading protocols involved running, race walking, jumping, squatting, soccer, rowing, and combinations of different exercises. Moreover, different tasks/procedures were used to assess inter-limb asymmetries, e.g., squats, single-leg countermovement jumps, gait analysis, or isokinetic strength testing. The results seem to depend on the implemented loading protocol, the tasks/procedures, and the measured parameters. CONCLUSIONS: Future research needs more systematization and consistency, assessing the effect of exercise-induced fatigue on inter-limb asymmetries. Moreover, the emergence of inter-limb asymmetries should be regarded in the context of sport-specific movements/tasks. Testing before, after, and during a physical loading protocol is advisable to consider the influence of exercise-induced fatigue on sport-specific tasks and to identify the possible mechanisms underlying load-dependent inter-limb asymmetries with regard to risk of non-contact injury. Springer International Publishing 2020-08-26 /pmc/articles/PMC7447715/ /pubmed/32844254 http://dx.doi.org/10.1186/s40798-020-00270-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Systematic Review
Heil, Jessica
Loffing, Florian
Büsch, Dirk
The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review
title The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review
title_full The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review
title_fullStr The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review
title_full_unstemmed The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review
title_short The Influence of Exercise-Induced Fatigue on Inter-Limb Asymmetries: a Systematic Review
title_sort influence of exercise-induced fatigue on inter-limb asymmetries: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447715/
https://www.ncbi.nlm.nih.gov/pubmed/32844254
http://dx.doi.org/10.1186/s40798-020-00270-x
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