Generalized hypermobility is associated with higher rates of musculoskeletal injuries, a trend also observed in volleyball. We aimed to investigate how asymptomatic hypermobility affects other suggested lower limb injury risk factors. Fifty female volleyball players (22 hypermobile, 28 non-hypermobile) were assessed using Beighton scores (BS) and lower limb injury risk factors based on the Landing Error Scoring System, single-leg dynamic balance, and Limb Symmetry Index (LSI) for single-leg hop and triple hop for distance. Spearman's correlations assessed relationships between BS and the risk factors, and t-tests or Mann-Whitney U tests compared risk factors between non-hypermobile and asymptomatic hypermobile groups. No significant associations were found between BS and most risk factors, except for a negative correlation with the centre of pressure range of motion in the medio-lateral direction during dynamic balance on the non-dominant leg (ρ = -0.332; p = 0.015). The only significant group difference was in the LSI for single-leg hop distance, where the hypermobile group showed greater symmetry (r = 0.28, p = 0.041). The association between BS and dynamic balance was weak, with no clear difference in injury risk factors were observed between groups, suggesting hypermobile players may not need specialized training programs.

Department of Natural Sciences in Kinanthropology Faculty of Physical Culture Palacký University Olomouc Olomouc Czech Republic

Department of Physiotherapy Faculty of Physical Culture Palacký University Olomouc Olomouc Czech Republic

Department of Sport Faculty of Physical Culture Palacký University Olomouc Olomouc Czech Republic

Division of Health Engineering Computing and Science Te Huataki Waiora School of Health University of Waikato Tauranga New Zealand

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