Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review

(1) Background: Asymmetry is ubiquitous in nature and humans have well-established bilateral asymmetries in their structures and functions. However, there are (mostly unsubstantiated) claims that bilateral asymmetries may impair sports performance or increase injury risk. (2) Objective: To criticall...

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Main Authors: Afonso, José, Peña, Javier, Sá, Mário, Virgile, Adam, García de Alcaraz, Antonio, Bishop, Chris
Format: info:eu-repo/semantics/article
Language:English
Published: MDPI 2022
Subjects:
Online Access:http://hdl.handle.net/10835/14014
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author Afonso, José
Peña, Javier
Sá, Mário
Virgile, Adam
García de Alcaraz, Antonio
Bishop, Chris
author_facet Afonso, José
Peña, Javier
Sá, Mário
Virgile, Adam
García de Alcaraz, Antonio
Bishop, Chris
author_sort Afonso, José
collection DSpace
description (1) Background: Asymmetry is ubiquitous in nature and humans have well-established bilateral asymmetries in their structures and functions. However, there are (mostly unsubstantiated) claims that bilateral asymmetries may impair sports performance or increase injury risk. (2) Objective: To critically review the evidence of the occurrence and effects of asymmetry and sports performance. (3) Development: Asymmetry is prevalent across several sports regardless of age, gender, or competitive level, and can be verified even in apparently symmetric actions (e.g., running and rowing). Assessments of bilateral asymmetries are highly task-, metric-, individual-, and sport-specific; fluctuate significantly in time (in magnitude and, more importantly, in direction); and tend to be poorly correlated among themselves, as well as with general performance measures. Assessments of sports-specific performance is mostly lacking. Most studies assessing bilateral asymmetries do not actually assess the occurrence of injuries. While injuries tend to accentuate bilateral asymmetries, there is no evidence that pre-existing asymmetries increase injury risk. While training programs reduce certain bilateral asymmetries, there is no evidence that such reductions result in increased sport-specific performance or reduced injury risk. (4) Conclusions: Bilateral asymmetries are prevalent in sports, do not seem to impair performance, and there is no evidence that suggests that they increase injury risk.
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spelling oai:repositorio.ual.es:10835-140142023-04-12T19:11:17Z Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review Afonso, José Peña, Javier Sá, Mário Virgile, Adam García de Alcaraz, Antonio Bishop, Chris symmetry bilateral asymmetry interlimb asymmetry laterality injury risk performance (1) Background: Asymmetry is ubiquitous in nature and humans have well-established bilateral asymmetries in their structures and functions. However, there are (mostly unsubstantiated) claims that bilateral asymmetries may impair sports performance or increase injury risk. (2) Objective: To critically review the evidence of the occurrence and effects of asymmetry and sports performance. (3) Development: Asymmetry is prevalent across several sports regardless of age, gender, or competitive level, and can be verified even in apparently symmetric actions (e.g., running and rowing). Assessments of bilateral asymmetries are highly task-, metric-, individual-, and sport-specific; fluctuate significantly in time (in magnitude and, more importantly, in direction); and tend to be poorly correlated among themselves, as well as with general performance measures. Assessments of sports-specific performance is mostly lacking. Most studies assessing bilateral asymmetries do not actually assess the occurrence of injuries. While injuries tend to accentuate bilateral asymmetries, there is no evidence that pre-existing asymmetries increase injury risk. While training programs reduce certain bilateral asymmetries, there is no evidence that such reductions result in increased sport-specific performance or reduced injury risk. (4) Conclusions: Bilateral asymmetries are prevalent in sports, do not seem to impair performance, and there is no evidence that suggests that they increase injury risk. 2022-10-05T17:48:19Z 2022-10-05T17:48:19Z 2022-09-23 info:eu-repo/semantics/article 2073-8994 http://hdl.handle.net/10835/14014 10.3390/sym14101993 en https://www.mdpi.com/2073-8994/14/10/1993 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI
spellingShingle symmetry
bilateral asymmetry
interlimb asymmetry
laterality
injury risk
performance
Afonso, José
Peña, Javier
Sá, Mário
Virgile, Adam
García de Alcaraz, Antonio
Bishop, Chris
Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review
title Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review
title_full Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review
title_fullStr Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review
title_full_unstemmed Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review
title_short Why Sports Should Embrace Bilateral Asymmetry: A Narrative Review
title_sort why sports should embrace bilateral asymmetry: a narrative review
topic symmetry
bilateral asymmetry
interlimb asymmetry
laterality
injury risk
performance
url http://hdl.handle.net/10835/14014
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