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Effects of Rugby Training Exposure on Knee-Jerk Reflex Magnitude: A Feasibility Study.
Jamie Benson1, Benjamin D Gompels2,3, Ilektra Epanomeritaki4
1Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, GBR.
Cureus
|March 31, 2026
Summary
Rugby training progressively reduces patellar reflex magnitude and sensitivity. This study introduces a novel method to quantify reflexes, revealing training-induced adaptations in athletes that may impact injury prevention strategies.
Area of Science:
- Neuromuscular Physiology
- Sports Science
- Biomechanical Analysis
Background:
- The patellar reflex is a fundamental neuromuscular response.
- Quantifying reflex changes due to athletic training is crucial for understanding adaptation and injury risk.
- Existing methods for reflex quantification can be complex or inaccessible.
Purpose of the Study:
- To develop and validate a novel, accessible method for quantifying the patellar reflex.
- To investigate the influence of rugby training level on reflex magnitude, asymmetry, and sensitivity.
- To explore potential training-induced neuromuscular adaptations.
Main Methods:
- Utilized a novel force transducer and ankle-mounted accelerometer to measure lower-limb angular velocity.
- Assessed 64 male participants across four groups: control, amateur, semi-professional, and professional rugby players.
- Employed repeated-measures ANOVA and distributional analyses to evaluate reflex characteristics over 20 trials per leg.
Main Results:
- Demonstrated a significant, progressive decrease in patellar reflex magnitude with increasing rugby training intensity (p<0.0001).
- Found no significant difference in reflex asymmetry between dominant and non-dominant legs (p=0.411).
- Observed significantly lower reflex sensitivity in professional players compared to controls (p<0.0001).
Conclusions:
- The developed method offers an accessible and accurate approach to patellar reflex quantification with potential clinical applications.
- Increased rugby training leads to a progressive diminution in patellar reflex responses, suggesting training-dependent neuromuscular plasticity.
- Understanding these reflex adaptations can inform injury prevention strategies for athletes and aid clinical assessments.
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