1.Risk Analysis between Hip Strength with Hamstring Injuries among Professional Youth Footballers in a Single Malaysian Football Club
Azwan-Aziz M ; Yunus MY ; Ahmad-Shushami AH
Malaysian Orthopaedic Journal 2025;19(No. 3):10-18
Introduction: There is paucity of research regarding the
incidence of hamstring injuries and its inherent causes within
youth Malaysian football contexts. We aim to investigate the
incidence of hamstring injuries among youth footballers and
analyse the risk between intrinsic risk variables
(anthropometric and hip strength) and the risk of hamstring
strain injuries (HSI).
Materials and methods: This was a prospective cohort
study involving 72 youth Malaysian professional footballers
from a single prestigious club. This study was conducted
during the 2023 Malaysian football league. Pre-season
medical evaluations encompassed demographic information,
anthropometric measurements, and isometric strength
examinations of the hamstrings, quadriceps, hip abductors,
and hip adductors. Injury surveillance was conducted during
the season.
Results: The incidence of HSI in this study was 0.331
injuries per 1000 H, with incidence of injury during match
higher 2.79 injuries per 1000 H compared to training 0.216
injuries per 1000 H. There was no hamstring injuries
reported in U20. Forty-one (56.9%) has hamstring to
quadriceps (H:Q) ratio <0.6 and forty-six (63.9%) has hip
abductor to adductor ratio <0.8. The binary logistic
regression analysis revealed increasing age (OR: 1.227, CI:
0.98 – 5.03), increased body mass index (OR: 1.79, CI: 0.415
– 7.77), increased body fat mass (OR: 1.39, CI: 0.33 – 5.89),
and low H:Q ratio (OR: 4.274, CI: 0.347 – 58.1), increase the
risk of HSI.
Conclusion: Injury prevention programs in youth footballers
should incorporate these modifiable risk factors into account
to reduce the risk of hamstring injuries.
2.Impact of Previous Ankle Injuries on Professional Footballers' Preseason Functional Ankle Assessment
Ahmad-Shushami AH ; A-Hamid MS ; Khair MH ; Ali MO
Malaysian Orthopaedic Journal 2023;17(No.3):73-79
Introduction: Football is the most popular sport and is
widely played around the globe, with approximately 400
million players in 208 countries. Lower extremity injuries
showed the highest incidence, with ankle injuries being the
most prevalent after hip and knee injuries. The purpose of
this study was to describe the characteristics of the players
who reported previous ankle injuries during pre-competition
medical assessment (PCMA) during the 2022 seasons of the
Malaysian professional club. In addition, the study also
investigated the effect of previous injuries on current ankle
function.
Materials and methodsː This was a retrospective crosssectional study using secondary data from the preseason
PCMA data from a professional club that competed in
Malaysia. The ankle range of motion, anterior drawer test,
and functional ankle assessments including the Biodex
athlete single leg stability test and ankle joint muscle
strength were performed during the PCMA.
Results: A total of 45 footballers reported previous history
of ankle injuries to the left (n=9), right (n=20), or both ankles
(n=16). Footballers with prior ankle injuries exhibited
significantly less ankle inversion (p = 0.008) and a larger
proportion of positive ADT tests in the injured ankle (x² (1,
N=90) =7.76, p=0.005) compared to the non-injured side.
there was no significant difference in other ankle range of
motion, ankle stability index, or ankle muscular strength
between previously injured and uninjured ankles.
Conclusionsː During preseason screening, half of the
footballers in this study reported previous history of ankle
injury, putting them at risk of having future ankle injuries.
Aside from inversion and the anterior drawer test, no
significant differences in range of motion, stability index, or
muscle strength were discovered. However, as injury
causation is multifactorial, preventive measures should be
taken to reduce the risk of injury.
3.Incidence of Football and Futsal Injuries Among Youth in Malaysian Games 2018
Ahmad-Shushami AH, MBBS ; Abdul-Karim S, MSpMed
Malaysian Orthopaedic Journal 2020;14(No.1):28-33
Introduction: Football and futsal were the main sports in the Malaysian Games. However, they were associated with a risk of injury. The purpose of the study was to analyse the incidence, circumstances, and characteristics of football and futsal injuries during the Malaysian Games of 2018. Materials and method: During the tournament, 14 teams participated in men's football, 12 teams in men's futsal and 11 teams in women's futsal. The biannual event involved athletes aged under 21 years. A medical report form used by FIFA Medical Assessment and Research Centre (F-Marc), was provided to the physiotherapists and team doctors of all the teams to report all injuries after each match. Results: The response rate was 84.62% in football and 59.76% in futsal. A total of 48 injuries were reported from 26 football matches, equivalent to 64.64 injuries per 1000 match hours (95%CI 46.35 to 82.93). In futsal, a total of 48 injuries from 41 matches were reported, equivalent to 292.42 injuries per 1000 match hours (95% CI 209.7 to 375.14). The rate of injury in women futsal players was higher compared to men: 358.21 versus 247.04 injuries per 1000 match hours (p=0.224). Futsal recorded higher injuries per 1000 match hours than football (p<0.001). Conclusion: The rate of severe injury in futsal and football recorded in the study as compared to previous studies gave rise to serious concerns. Hence, there was an urgent need to pay more attention to injury prevention strategies.


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