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Int J Sports Med
DOI: 10.1055/a-2541-2768
Training & Testing

Proprioceptive neuromuscular facilitation warm-ups: a key to improved isokinetic performance

Muhammed Yıldız 
1   Vocational School of Health Services, Artvin Coruh University, Artvin, Turkey (Ringgold ID: RIN187431)
,
Mehmet Çebi
2   Department of Recreation, Ondokuz Mayis Universitesi, Samsun, Turkey (Ringgold ID: RIN37139)
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Abstract

This study examined the immediate effects of proprioceptive neuromuscular facilitation warm-ups on isokinetic strength, endurance, and body balance in 50 football players. Data collection spanned four sessions, each separated by full rest. The isokinetic strength of the hip, knee, and ankle flexion and extension was measured using a dynamometer at 60°/s, 180°/s, and 240°/s. Endurance was assessed at 240°/s through 25 repetitions, analyzing peak torque changes. On the first day, participants performed general warm-ups followed by balance and strength tests. Subsequent sessions repeated these tests with additional measurements. Results showed that proprioceptive neuromuscular facilitation warm-ups significantly improved the static and dynamic balance compared to other methods. Peak torque measurements at all speeds also highlighted the superior effectiveness of proprioceptive neuromuscular facilitation warm-ups. Additionally, this warm-up approach provided greater acute enhancement in knee joint isokinetic endurance. In conclusion, proprioceptive neuromuscular facilitation warm-ups increased the isokinetic strength, endurance, and balance in football players. Incorporating proprioceptive neuromuscular facilitation warm-ups into football training especially for lower body preparation is recommended. Combining them with active warm-ups may further boost acute performance.

Keywords

PNF - isokinetic strength - balance - endurance - warm-up


Publication History

Received: 28 January 2025

Accepted: 14 February 2025

Article published online:
19 March 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • References

  • 1 Oleksy Ł, Królikowska A, Mika A. et al. A Compound Hop Index for Assessing Soccer Players’ Performance. J Clin Med 2022; 11: 255
    CrossrefPubMedSearch in Google Scholar
  • 2 Mohammad WS, Elsais WM. Comparison of hip abductor and adductor muscle performance between healthy and osteitis pubis professional footballers. Ir J Med Sci 2023; 192: 685-691
    CrossrefPubMedSearch in Google Scholar
  • 3 Wadell K, Sundelin G, Lundgren R, Henriksson-Larsén K, Lindström B. Muscle performance in patients with chronic obstructive pulmonary disease – Effects of a physical training programme. Adv Physiother 2005; 7: 51-59
    CrossrefPubMedSearch in Google Scholar
  • 4 Örtqvist M, Bartonek Å, Gutierrez-Farewik EM, Broström EW. Knee muscle strength-A challenge to measure. Eur J Physiother 2014; 16: 33-40
    CrossrefPubMedSearch in Google Scholar
  • 5 Wilson GJ, Wood GA, Elliott BC. Optimal stiffness of series elastic component in a stretch-shorten cycle activity. J Appl Physiol 1991; 70: 825-833
    CrossrefPubMedSearch in Google Scholar
  • 6 Kurdiova T, Balaz M, Vician M. et al. Effects of obesity, diabetes and exercise on Fndc5 gene expression and irisin release in human skeletal muscle and adipose tissue: in vivo and in vitro studies. J Physiol 2014; 592: 1091-1107
    CrossrefPubMedSearch in Google Scholar
  • 7 Kyselovičová O, Zemková E, Péliová K, Matejová L. Isokinetic leg muscle strength relationship to dynamic balance reflects gymnast-specific differences in adolescent females. Front Physiol 2022; 13: 1084019
    CrossrefPubMedSearch in Google Scholar
  • 8 Opar DA, Serpell BG. Is there a potential relationship between prior hamstring strain injury and increased risk for future anterior cruciate ligament injury. Arch Phys Med Rehabil 2014; 95: 401-405
    CrossrefPubMedSearch in Google Scholar
  • 9 Palmer TB, Blinch J, Farrow AC, Agu-Udemba CC, Mitchell EA. Real-time measurement of isometric peak torque and rate of torque development using a novel strength testing device: A validity and reliability study. Physiol Meas 2020; 41
    CrossrefPubMedSearch in Google Scholar
  • 10 Müller S, Bühl L, Nüesch C, Pagenstert G, Mündermann A, Egloff C. RetroBRACE: Clinical, socioeconomic and functional-biomechanical outcomes 2 years after ACL repair and InternalBrace augmentation in comparison to ACL reconstruction and healthy controls – Experimental protocol of a non-randomised single-centre comparative study. BMJ Open 2022; 12: e054709
    CrossrefPubMedSearch in Google Scholar
  • 11 Lee S, Kim A-R, Bang W-S. et al. Psoas weakness following oblique lateral interbody fusion surgery: a prospective observational study with an isokinetic dynamometer. Spine J 2022; 22: 1990-1999
    CrossrefPubMedSearch in Google Scholar
  • 12 Claiborne TL, Timmons MK, Pincivero DM. Test-retest reliability of cardinal plane isokinetic hip torque and EMG. J Electromyogr Kinesiol 2009; 19: 345-352
    CrossrefPubMedSearch in Google Scholar
  • 13 Herman K, Barton C, Malliaras P, Morrissey D. The effectiveness of neuromuscular warm-up strategies, that require no additional equipment, for preventing lower limb injuries during sports participation: a systematic review. BMC Med 2012; 10: 75
    CrossrefPubMedSearch in Google Scholar
  • 14 Ikeda N, Ryushi T. Effects of 6-Week Static Stretching of Knee Extensors on Flexibility, Muscle Strength, Jump Performance, and Muscle Endurance. J Strength Cond Res 2021; 35: 715-723
    CrossrefPubMedSearch in Google Scholar
  • 15 Akdoğan E, Ertan H, Üniversitesi A, Eğitimi B, Yüksekokulu S. HALK DANSÇILARINDA EKLEM POZİSYON DUYUSUNUN (PROPRİYOSEPSİYON) İNCELENMESİ. Dergipark Org Tr 2013; 4 : 122-133 https://dergipark.org.tr/en/pub/psbd/issue/20581/219293 [accessed July 20, 2022]
    PubMedSearch in Google Scholar
  • 16 Lakkadsha TM, Qureshi MI, Kovela RK, Saifee SS, Lalwani SS. Efficacy of Single Stretching Session of Iliopsoas Using Proprioceptive Neuromuscular Facilitation Versus Muscle Energy Technique on Low Back Pain in Patients With Lumbar Hyper-Lordosis. Cureus 2022; 14: e27916
    CrossrefPubMedSearch in Google Scholar
  • 17 Cramer JT, Housh TJ, Weir JP, Johnson GO, Coburn JW, Beck TW. The acute effects of static stretching on peak torque, mean power output, electromyography, and mechanomyography. Eur J Appl Physiol 2005; 93: 530-539
    CrossrefPubMedSearch in Google Scholar
  • 18 Castillo GB, Brech GC, Luna NMS. et al. Influence of invertor and evertor muscle fatigue on functional jump tests and postural control: A prospective cross-sectional study. Clinics 2022; 77: 100011
    CrossrefPubMedSearch in Google Scholar
  • 19 Schiltz M, Lehance C, Maquet D, Bury T, Crielaard JM, Croisier JL. Explosive strength imbalances in professional basketball players. J Athl Train 2009; 44: 39-47
    CrossrefPubMedSearch in Google Scholar
  • 20 Kannus P. Isokinetic evaluation of muscular performance: Implications for muscle testing and rehabilitation. Int J Sports Med 1994; 15 Suppl 1: 11-18
    Thieme ConnectPubMedSearch in Google Scholar
  • 21 Costa SN, Boiko Ferreira LH, Barauce Bento PC. The effects of supervision on three different exercises modalities (supervised vs. home vs. supervised+home) in older adults: Randomized controlled trial protocol. PLoS One 2021; 16: e0259827
    CrossrefPubMedSearch in Google Scholar
  • 22 Zhou Z, Chen C, Chen X. et al. Lower extremity isokinetic strength characteristics of amateur boxers. Front Physiol 2022; 13: 898126
    CrossrefPubMedSearch in Google Scholar
  • 23 van der Horst N, Denderen RV. Isokinetic hamstring and quadriceps strength interpretation guideline for football (soccer) players with ACL reconstruction: a Delphi consensus study in the Netherlands. Sci Med Footb 2022; 6: 434-445
    CrossrefPubMedSearch in Google Scholar
  • 24 Palladino L, Ruotolo I, Berardi A, Carlizza A, Galeoto G. Efficacy of aquatic therapy in people with spinal cord injury: a systematic review and meta-analysis. Spinal Cord 2023; 61: 317-322
    CrossrefPubMedSearch in Google Scholar
  • 25 Costa PB, Graves BS, Whitehurst M, Jacobs PL. The acute effects of different durations of static stretching on dynamic balance performance. J Strength Cond Res 2009; 23: 141-147
    CrossrefPubMedSearch in Google Scholar
  • 26 Handrakis JP, Southard VN, Abreu JM. et al. Static stretching does not impair performance in active middle-aged adults. J Strength Cond Res 2010; 24: 825-830
    CrossrefPubMedSearch in Google Scholar
  • 27 Mesut Çelebi M, Murat Zergeroğlu A. Isınma ve Germe Egzersizlerinin Propriosepsiyon ve Denge Üzerine Etkisi. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2017; 70: 83-89
    CrossrefPubMedSearch in Google Scholar
  • 28 Jiang C, McKay RM, Lee SY. et al. Cutaneous Neurofibroma Heterogeneity: Factors that Influence Tumor Burden in Neurofibromatosis Type 1. J Invest Dermatol 2023; 143: 1369-1377
    CrossrefPubMedSearch in Google Scholar
  • 29 Chen Y-T, Hsieh Y-Y, Ho J-Y, Lin T-Y, Lin J-C. Running Training Combined With Blood Flow Restriction Increases Cardiopulmonary Function and Muscle Strength in Endurance Athletes. J Strength Cond Res 2022; 36: 1228-1237
    CrossrefPubMedSearch in Google Scholar
  • 30 Behm DG, Blazevich AJ, Kay AD, McHugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: A systematic review. Appl Physiol Nutr Metab 2016; 41: 1-11
    CrossrefPubMedSearch in Google Scholar
  • 31 Kafkas ME, İlbak I, Eken Ö, Çınarlı F, Yılmaz N, Şahin Kafkas A. FARKLI ISINMA PROTOKOLLERİNİN 1-MAKSİMUM TEKRAR SKUAT PERFORMANSI ÜZERİNE AKUT ETKİSİ. Spor ve Performans Araştırmaları Derg 2018; 9: 192-205
    CrossrefPubMedSearch in Google Scholar
  • 32 Fujisawa H, Suzuki H, Yamaguchi E, Yoshiki H, Wada Y, Watanabe A. Hip muscle activity during isometric contraction of hip abduction. J Phys Ther Sci 2014; 26: 187-190
    CrossrefPubMedSearch in Google Scholar
  • 33 Yamaguchi T, Ishii K. Effects of static stretching for 30 seconds and dynamic stretching on leg extension power. J Strength Cond Res 2005; 19: 677-683
    CrossrefPubMedSearch in Google Scholar
  • 34 Denerel N, Ergun M, Yuksel O, Ozgurbuz C, Karamizrak O. The Acute Effects of Static and Dynamic Stretching Exercises on Dynamic Balance Performance. Spor Hekim Derg 2019; 54: 148-157
    CrossrefPubMedSearch in Google Scholar
  • 35 Papadopoulos C, Kalapotharakos VI, Meliggas K, Gantiraga E, Prassas S. The effect of static stretching on maximal voluntary contraction and force-time curve characteristics. J Sport Rehabil 2006; 15: 185-194 , https://journals.humankinetics.com/abstract/journals/jsr/15/3/article-p185.xml [accessed September 17, 2023]
    CrossrefPubMedSearch in Google Scholar
  • 36 Torres-Banduc MA, Jerez-Mayorga D, Moran J, Keogh JWL, Ramírez-Campillo R. Isokinetic force-power profile of the shoulder joint in males participating in CrossFit training and competing at different levels. PeerJ 2021; 9: e11643
    CrossrefPubMedSearch in Google Scholar
  • 37 El-Ashker S, Chaabene H, Prieske O. Maximal isokinetic elbow and knee flexor-extensor strength measures in combat sports athletes: the role of movement velocity and limb side. BMC Sports Sci Med Rehabil 2022; 14: 40
    CrossrefPubMedSearch in Google Scholar
  • 38 Bugnet M. The acute effects of static stretching of the gastrocnemius on limits of stability in young adults versus elderly adults. 2011 https://search.proquest.com/openview/e979be3f9e5781eb2533929f558eed39/1?pq-origsite=gscholar&cbl=18750&casa_token=X3bZTb3dxToAAAAA:_28p7KSYXGUkjpdNm3Bis9yI5mm1zRIFI_IlVxP-WpQA-lwMEBj3J48BWIK6Xx5Q5p_UuzCxPZs
    PubMed
  • 39 Chatzopoulos DE, Yiannakos A, Kotzamanidou M, Bassa E. Warm-up protocols for high school students. Percept Mot Skills 2015; 121: 1-13
    CrossrefPubMedSearch in Google Scholar
  • 40 Arcanjo FL, Martins JVP, Moté P. et al. Proprioceptive neuromuscular facilitation training reduces pain and disability in individuals with chronic low back pain: A systematic review and meta-analysis. Complement Ther Clin Pract 2022; 46: 101505
    CrossrefPubMedSearch in Google Scholar
  • 41 Kim JJ, Lee SY, Ha K. The effects of exercise using PNF in patients with a supraspinatus muscle tear. J Phys Ther Sci 2015; 27: 2443-2446 https://www.jstage.jst.go.jp/article/jpts/27/8/27_jpts-2015-205/_article/-char/ja/ [accessed June 23, 2023]
    CrossrefPubMedSearch in Google Scholar
  • 42 Leblebici H, Yarar H, Aydın EM, Zorlu Z, Ertaş U, Kıngır ME. The acute effects of different stretching on dynamic balance performance. Int J Sport Stud 2017; 7: 153-159
    PubMedSearch in Google Scholar
  • 43 Pereira M, Gonçalves G. Proprioceptive neuromuscular facilitation improves balance and knee extensors strength of older fallers. Int Sch Res Notices 2012; 2012: 402612
    CrossrefPubMedSearch in Google Scholar
  • 44 Seo KC, Park SH, Park K. The effects of stair gait training using proprioceptive neuromuscular facilitation on stroke patients’ dynamic balance ability. J Phys Ther Sci 2015; 27: 1459-1462
    CrossrefPubMedSearch in Google Scholar
  • 45 Kim K, Lee DK, Jung SI. Effect of coordination movement using the PNF. J Phys Ther Sci 2015; 27: 3699-3701
    CrossrefPubMedSearch in Google Scholar
  • 46 Jeon J-K. The effects of combination patterns exercise of proprioceptive neuromuscular facilitation on balance in chronic low back pain elderly patients. J Digit Converg 2013; 11: 361-368
    PubMedSearch in Google Scholar
  • 47 Madak E. Proprioseptif nöromüsküler fasilitasyon germe egzersizlerinin elit taekwondocuların esneklik ve denge becerileri üzerine etkisi. 2020. http://acikerisim.subu.edu.tr/xmlui/handle/20.500.14002/946
    PubMed
  • 48 Lazarou L, Kofotolis N, Pafis G, Kellis E. Effects of two proprioceptive training programs on ankle range of motion, pain, functional and balance performance in individuals with ankle sprain. J Back Musculoskelet Rehabil 2018; 31: 437-446
    CrossrefPubMedSearch in Google Scholar
  • 49 Joo CH. The effects of short-term detraining on exercise performance in soccer players. J Exerc Rehabil 2016; 12: 54-59
    CrossrefPubMedSearch in Google Scholar