Handgrip Strength Asymmetry in Elite Young Czech Male Tennis Players: Implications for Injury Prevention

Vol.18,No.1(2024)

Abstract

The term laterality refers to the preference or dominance of the lateral asymmetry of the human body. The prevalence of left-handedness is reported to be 10–13%, but in some interactive sports (e.g., fencing, racquet sports), the proportion of left-handers is higher. The left-handedness is considered an advantage in tennis; however, the one-sided load can cause muscular dysbalances leading to injuries. The research aim was to assess bilateral differences in handgrip strength youth male tennis players under-14 as to injury prevention (n = 232). In the study 12.5% were left-handed players. Handgrip strength was tested using a digital hand dynamometer (TKK 5401). A significant difference in grip strength in favor of the dominant hand was found between all players and right-handed players, only a non-significant difference was found between left-handed players. Regarding injury prevention, a difference between dominant hand and non-dominant hand force of >15% was found in 5.6% of players (high risk of injury) and >20% in 1.3% of players (very high risk). This predicts an increased risk of injury, so it is desirable to pay attention to both sides of the training load and to include compensatory or strengthening exercises.


Keywords:
bilateral asymmetry; dominance; dynamometer; handedness; laterality
References

Afonso, J., Peña, J., Sá, M., Virgile, A., García-de-Alcaraz, A., & Bishop, C. (2022). Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review. Symmetry, 14, 1993. https://doi.org/10.3390/sym14101993

Alqahtani, B. A., Alenazi, A. M., Elnaggar, R. K., Alshehri, M. M., Alhowimel, A., Najmi, A. A., Alasraj, M., & Alghadeir, M. (2023). Normative values for hand grip and pinch strength for 6 to 18 year-olds in Saudi Arabia. BMC Musculoskeletal Disorders, 24(96). https://doi.org/10.1186/s12891-023-06197-0

Amo-Setién, F. J., Leal-Costa, C., Abajas-Bustillo, R., González-Lamuño, D., & Redondo-Figuero, C. (2020). Factors associated with grip strength among adolescents: An observational study. Journal of Hand Therapy, 33(1), 96–102. https://doi.org/10.1016/j.jht.2018.10.005

Armstrong, C. A., & Oldham, J. A. (1999). A comparison of dominant and non-dominant hand strengths. The Journal of Hand Surgery: British & European Volume, 24(4), 421–425. https://doi.org/10.1054/jhsb.1999.0236

Baker, J., Kungl, A. M., Pabst, J., Strauß, B., Büsch, D., & Schorer, J. (2013). Your fate is in your hands? Handedness, digit ratio (2D: 4D), and selection to a national talent development system. Laterality: Asymmetries of Body, Brain and Cognition, 18(6), 710–718. https://doi.org/10.1080/1357650X.2012.755992

Barrenetxea-Garcia, J., Torres-Unda, J., Esain, I., & Gil, S. M. (2019). Relative age effect and left-handedness in world class water polo male and female players. Laterality: Asymmetries of Body, Brain and Cognition, 24(3), 259–273. https://doi.org/10.1080/1357650X.2018.1482906

Bechtol, C. O. (1954). Grip test; the use of a dynamometer with adjustable handle spacings. Journal of Bone and Joint Surgery America, 36(4), 820–832. https://doi.org/10.2106/00004623-195436040-00013

Butterfield, S. A., Lehnhard, R. A., Loovis, E. M., Coladarci, T., & Saucier, D. (2009). Grip Strength Performances by 5- to 19-year-olds. Perceptual and Motor Skills, 109(2), 362–370. https://doi.org/10.2466/pms.109.2.362-370

Bishop, C., Read, P., Lake, J., Chavda, S., & Turner, A. (2018). Interlimb Asymmetries: Understanding How to Calculate Differences from Bilateral and Unilateral Tests. Strength & Conditioning Journal, 40(4), 1–6. https://doi.org/10.1519/SSC.0000000000000371

Carrasco, L., Pradas, F., Floría, P., Martínez, A., Herrero, R., & Jurado, J. (2010). Grip strength in young top-level table tennis players. International Journal of Table Tennis Sciences, 6(6), 64–66.

Clark, N. C., & Clacher, L. H. (2020). Lower-limb motor-performance asymmetries in English community-level female field hockey players: Implications for knee and ankle injury prevention. Physical Therapy in Sport, 43(1), 43–51. https://doi.org/10.1016/j.ptsp.2020.02.001

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Science (2nd ed.). Hillsdale, NJ: Erlbaum. ISBN 0-8058-0283-5

Colberg, R. E., Aune, K. T., Choi, A. J., & Fleisig, G. S. (2015). Incidence and Prevalence of Musculoskeletal Conditions in Collegiate Tennis Athletes. Journal of Medicine and Science in Tennis, 20(3), 137–144.

Coren, S. (1996). Handedness as a predictor of increased risk of knee, elbow, or shoulder injury, fractures and broken bones. Laterality: Asymmetries of Body, Brain and Cognition, 1(2), 139–152. https://doi.org/10.1080/713754232

Cronin, J., Lawton, T., Harris, N., Kilding, A., & McMaster, D. T. (2017). A brief review of handgrip strength and sport performance. Journal of Strength and Conditioning Research, 31(11), 3187–3217. https://doi.org/10.1519/jsc.0000000000002149

De Smet, L., & Vercammen, A. (2001). Grip Strength in Children. Journal of Pediatric Orthopaedics B, 10(4), 352–354.

Ellenbecker, T. S., & Davies, G. J. (2000). The Application of Isokinetics in Testing and Rehabilitation of the Shoulder Complex. Journal of Athletic Training, 35(3), 338–350.

Ellenbecker, T. S., Roetert, E. P., Petracek, K., Kovacs, M., Barajas, N., & Bailie, D. (2022). Bilateral Comparison of Anterior Shoulder Position in Elite Tennis Players. International Journal of Sports Physical Therapy, 17(5), 863–869. https://doi.org/10.26603/001c.36629

Elliott B. (2006). Biomechanics and tennis. British Journal of sports Medicine, 40(5), 392–396. https://doi.org/10.1136/bjsm.2005.023150

Fu, M. C., Ellenbecker, T. S., Renstrom, P. A., Windler, G. S., & Dines, D. M. (2018). Epidemiology of injuries in tennis players. Current Reviews in Musculoskeletal Medicine, 11(1), 1–5. https://doi.org/10.1007/s12178-018-9452-9

Fukuda, D. H., Beyer, K. S., Boone, C. H., Wang, R., La Monica, M. B., Wells, A. J., Hoffman, J. R., & Stout, J. R. (2018). Developmental associations with muscle morphology, physical performance, and asymmetry in youth judo athletes. Sport Sciences for Health, 14(1), 555–562. https://doi.org/10.1007/s11332-018-0460-3

Gómez-Campos, R., Andruske, C. L., de Arruda, M., Sulla-Torres, J., Pacheco-Carrillo, J., Urra-Albornoz, C., & Cossio-Bolaños, M. (2018). Normative data for handgrip strength in children and adolescents in the Maule Region, Chile: Evaluation based on chronological and biological age. PLOS ONE, 13(8): e0201033. https://doi.org/10.1371/journal.pone.0201033

Gualdi-Russo, E., Rinaldo, N., Pasini, A., & Zaccagni, L. (2019). Hand Preference and Performance in Basketball Tasks. International Journal of Environmental Research and Public Health, 16, 4336. https://doi.org/10.3390/ijerph16224336

Hadzic, V., Sattler, T., Veselko, M., Markovic, G., & Dervisevic, E. (2014). Strength Asymmetry of the Shoulders in Elite Volleyball Players. Journal of Athletic Training, 49(3), 338–344. https://doi.org/10.4085/1062-6050-49.2.05

Hepping, A. M., Ploegmakers, J. J., Geertzen, J. H., Bulstra, S. K., & Stevens, M. (2015). The influence of hand preference on grip strength in children and adolescents; a cross-sectional study of 2284 children and adolescents. PLOS ONE, 10(11), e0143476. https://doi.org/10.1371/journal.pone.0143476

Houle, J., & Tremblay, F. (2020). Neurophysiological basis of manual force asymmetries in young and senior adults. Laterality: Asymmetries of Body, Brain, and Cognition, 25(4), 469–489. https://doi.org/10.1080/1357650X.2020.1722149

Chapelle, L., Bishop, C., D’Hondt, J., D’Hondt, E., & Clarys, P. (2022). Morphological and functional asymmetry in elite youth tennis players compared to sex- and age-matched controls. Journal of Sports Sciences, 40(14), 1618–1628. https://doi.org/10.1080/02640414.2022.2096769

Kenji, T., & Demura, S. (2016). Age-related Differences in Grip Strength Laterality in Male Elite Soft-tennis Players. American Journal of Sports Science and Medicine, 4(4), 109–114. https://doi.org/10.12691/ajssm-4-4-5

Kolínský, R., Strašilová, K., Vodička, T., & Zháněl, J. (2017). Lateral Differences in Maximal Grip Strength in Czech Male Tennis Players Aged 9–10 in The Context of Injury Prevention. Proceedings of the 11th International Conference on Kinanthropology, „Sport and Quality of Life“, 837–847.

Kolínský, R., & Zháněl, J. (2019). Lateral differences in maximal grip strength in Czech male tennis players aged 11–12 in the context of injury prevention. Studia sportiva, 13(1), 55–62. https://doi.org/10.5817/StS2019-1-6

Kovacs, M. S., Ellenbecker, T. S., Kibler, W. B., Roetert, E. P., & Lubbers, P. (2014). Injury trends in American competitive junior tennis players. Journal of Medicine and Science in Tennis, 19(1), 19–24.

Kubota, H., & Demura, S. (2011). Gender differences and laterality in maximal handgrip strength and controlled force exertion in young adults. Health, 3(11), 684–688. https://doi.org/10.4236/health.2011.311115

Loffing, F., & Hagemann, N. (2016). Performance differences between left-and right-sided athletes in one-on-one interactive sports. In Laterality in sports (249–277). Academic Press. https://doi.org/10.1016/B978-0-12-801426-4.00012-2

Loffing, F., Hagemann, N., Strauß, B., & MacMahon, C. (Eds.). (2016). Laterality in Sports: Theories and Applications. Cambridge: Academic Press. ISBN 978-0-12-801426-4

Loffing, F., & Schorer, J. (2021). Handedness and Relative Age in International Elite Interactive Individual Sports Revisited. Frontiers in Sports and Active Living, 3:662203. https://doi.org/10.3389/fspor.2021.662203

Loffing, F., Sölter, F., & Hagemann, N. (2014). Left preference for sport tasks does not necessarily indicate left-handedness: sport-specific lateral preferences, relationship with handedness and implications for laterality research in behavioural sciences. PLOS ONE, 9(8), e105800. https://doi.org/10.1371/journal.pone.0105800

Malagoli Lanzoni, I., Semprini, G., Di Michele, R., & Merni, F. (2013). Top athletes handedness in the major racket sports. International Journal of Table Tennis Sciences, 8, 160–163.

McGrath, R., Vincent, B. M., Jurivich, D. A., Hackney, K. J., Tomkinson, G. R., Dahl, L. J., & Clark, B. C. (2021). Handgrip Strength Asymmetry and Weakness Together Are Associated with Functional Disability in Aging Americans. Journal of Gerontology: Medical Sciences, 76(2), 291–296. https://doi.org/10.1093/gerona/glaa100

McQuiddy, V. A., Scheerer, C. R., Lavalley, R., McGrath, T., & Lin., L. (2015). Normative Values for Grip and Pinch Strength for 6- to 19-Year-Olds. Archives of Physical Medicine and Rehabilitation, 96(9), 1627–1633. https://doi.org/10.1016/j.apmr.2015.03.018

Papadatou-Pastou, M., Ntolka, E., Schmitz, J., Martin, M., Munafò, M. R., Ocklenburg, S., & Paracchini, S. (2020). Human handedness: A meta-analysis. Psychological Bulletin, 146(6), 481–524. https://doi.org/10.1037/bul0000229

Pereira, H. M., Menacho, M., Takahashi, R. H., & Rosa Cardoso, J. (2011). Handgrip Strength Evaluation on Tennis Players Using Different Recommendations. Revista Brasileira de Medicina do Esporte, 17(3), 184–188. https://doi.org/10.1590/S1517-86922011000300007

Petersen, P., Petrick, M., Connor, H., & Conklin, D. (1989). Grip strength and hand dominance: challenging the 10% rule. The American journal of occupational therapy, 43(7), 444–447. https://doi.org/10.5014/ajot.43.7.444

Ploegmakers, J. J., Hepping, A. M., Geertzen, J. H., Bulstra, S. K., & Stevens, M. (2013). Grip strength is strongly associated with height, weight and gender in childhood: a cross sectional study of 2241 children and adolescents providing reference values. Journal of Physiotherapy, 59(4), 255–261. https://doi.org/10.1016/S1836-9553(13)70202-9

Pluim, B. M., Loeffen, F. G. J., Clarsen, B., Bahr, R., & Verhagen, E. A. L. M. (2016). A one-season prospective study of injuries and illness in elite junior tennis. Scandinavian Journal of Medicine & Science in Sports, 26(5), 564–571. https://doi.org/10.1111/sms.12471

Pradas, F., Toro-Román, V., Ortega-Zayas, M. Á., Montoya-Suárez, D. M., Sánchez-Alcaraz, B. J., & Muñoz, D. (2022). Physical Fitness and Upper Limb Asymmetry in Young Padel Players: Differences between Genders and Categories. International Journal of Environmental Research and Public Health, 19, 6461. https://doi.org/10.3390/ijerph19116461

Roetert, E. P., & Kovacs, M. (2018). Tennis anatomy. Champaign, IL USA: Human Kinetics.

Rostamzadeh, S., Saremi, M., Abouhossein, A., Vosoughi, S., & Molenbroek, J. F. (2021). Normative data for handgrip strength in Iranian healthy children and adolescents aged 7–18 years: comparison with international norms. Italian Journal of Pediatrics, 47(1), 1–9. https://doi.org/10.1186/s13052-021-01113-5

Schorer, J., Tirp, J., Steingröver. C., & Baker, J. (2016). Chapter 5 - Laterality and Its Role in Talent Identification and Athlete Development. In Loffing, F., Hagemann, N., Strauß, B., & MacMahon, C. (Eds.), Laterality in Sports: Theories and Applications (87–105). Cambridge: Academic Press. ISBN 978-0-12-801426-4. https://doi.org/10.1016/B978-0-12-801426-4.00005-5

Toong, T., Wilson, K. E., Urban, K., Paniccia, M., Hunt, A. W., Keightley, M., & Reed, N. (2018). Grip Strength in Youth Ice Hockey Players: Normative Values and Predictors of Performance. The Journal of Strength & Conditioning Research, 32(12), 3494–3502. https://doi.org/10.1519/JSC.0000000000002815

Tutkuviene, J., & Schiefenhövel, W. (2013). Laterality of handgrip strength: age- and physical training-related changes in Lithuanian schoolchildren and conscripts. Annals of the New York Academy of Sciences, 1288(1), 124–134. https://doi.org/10.1111/nyas.12126

Wang, Y., Bohannon, R. W., Kapellusch, J., Washburn, D., Li, X., Yen, S., & Rahman, M. H. (2019). Between-side differences in hand-grip strength across the age span: Findings from 2011–2014 NHANES and 2011 NIH Toolbox studies. Laterality: Asymmetries of Body, Brain and Cognition, 24(6), 697–706. https://doi.org/10.1080/1357650X.2019.1604727

Zháněl, J., Černošek, M., Zvonař, M., Nykodým, J., Vespalec, T., & López Sánchez, G. F. (2015). Comparison of the level of top tennis players' performance preconditions (case study). Apunts. Educació Física i Esports, 122(4), 52–60. https://doi.org/10.5672/apunts.2014-0983.es.(2015/4).122.06

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