N. Maffulli et al., TRAINING IN ELITE YOUNG ATHLETES (THE TRAINING OF YOUNG ATHLETES (TOYA) STUDY) - INJURIES, FLEXIBILITY AND ISOMETRIC STRENGTH, British journal of sports medicine, 28(2), 1994, pp. 123-136
Using a mixed longitudinal design, the incidence of injuries, and the
development of flexibility and isometric strength of the upper and low
er limbs were studied for 2 years in 453 elite young athletes (aged be
tween 9 and 18 years) practising football, gymnastics, swimming or ten
nis. The children suffered from a low incidence of injuries. Strength
and flexibility did not exert a significant role in determining injuri
es. The rate of injury was not significantly different between the 2 y
ears of the study. Young swimmers showed a greater generalized flexibi
lity. Girls were more flexible than boys between the ages of 13 to 16
years. Athletic children are able to exert greater isometric strength
than normal schoolchildren. Boys diverged from the normal population a
t 14 years, while athletic girls were stronger at all ages. Girls were
stronger than boys up to age 12, who were still increasing their musc
le strength at 19 years. The average maximal isometric strength exerte
d in both upper and lower limbs in the four sports was not significant
ly different. Male gymnasts over 11 years old were significantly stron
ger than all other athletes.