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Hip Muscle Strength Ratios Predicting Groin Injury in Male Soccer Players Using Machine Learning and Multivariate
Afxentios Kekelekis1,2, Rabiu Muazu Musa3, Pantelis T Nikolaidis4
1Laboratory of Neuromechanics, School of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, 62100 Serres, Greece.
Muscles (Basel, Switzerland)
|August 4, 2025
Summary
Soccer players with imbalanced hip strength, particularly in the non-dominant leg, and a history of prior injury face a higher risk of groin injuries. Addressing these factors may aid prevention strategies.
Area of Science:
- Sports Medicine
- Biomechanics
- Injury Prevention
Background:
- Groin injuries are common in soccer, yet predictors remain unclear.
- Accurate injury prediction is crucial for developing effective prevention strategies.
- Understanding the link between hip muscle strength and groin injuries requires further investigation.
Purpose of the Study:
- To identify significant risk factors for groin injuries in male soccer players.
- To analyze the relationship between hip muscle strength ratios and groin injury incidence.
- To evaluate the predictive value of previous injury history on subsequent groin injuries.
Main Methods:
- Isometric hip muscle strength and strength ratios were measured in 120 male soccer players.
- Injury data were collected following FIFA/UEFA consensus guidelines.
- k-nearest neighbor (k-NN) and multivariate logistic regression (LR) were used for prediction and analysis.
Main Results:
- A decreased adductor/abductor isometric strength ratio in the non-dominant limb significantly reduced groin injury likelihood (OR=0.238).
- A history of previous injury increased the risk of sustaining a new groin injury (OR=0.333).
- Imbalances in non-dominant hip adductor/abductor strength and prior injury history were identified as key risk factors.
Conclusions:
- Non-dominant limb hip strength imbalances and previous injury history are significant predictors of groin injuries in soccer.
- Targeting strength imbalances and considering injury history can inform groin injury prevention programs.
- Further research is warranted to refine predictive models and mitigation strategies for soccer-related groin injuries.
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