ObjectivesThe British Athletics Muscle Injury Classification (BAMIC) correlates with return to play in muscle injury. The aim of this study was to examine hamstring injury diagnoses and outcomes within elite track and field athletes following implementation of the British Athletics hamstring rehabilitation approach.MethodsAll hamstring injuries sustained by elite track and field athletes on the British Athletics World Class Programme between December 2015 and November 2019 that underwent an MRI and had British Athletics medical team prescribed rehabilitation were included. Athlete demographics and specific injury details, including mechanism of injury, self-reported gait phase, MRI characteristics and time to return to full training (TRFT) were contemporaneously recorded.Results70 hamstring injuries in 46 athletes (24 women and 22 men, 24.6±3.7 years) were included. BAMIC grade and the intratendon c classification correlated with increased TRFT. Mean TRFT was 18.6 days for the entire cohort. Mean TRFT for intratendon classifications was 34±7 days (2c) and 48±17 days (3c). The overall reinjury rate was 2.9% and no reinjuries were sustained in the intratendon classifications. MRI variables of length and cross-sectional (CSA) area of muscle oedema, CSA of tendon injury and loss of tendon tension were associated with TRFT. Longitudinal length of tendon injury, in the intratendon classes, was not associated with TRFT.ConclusionThe application of BAMIC to inform hamstring rehabilitation in British Athletics results in low reinjury rates and favourable TRFT following hamstring injury. The key MRI variables associated with longer recovery are length and CSA of muscle oedema, CSA of tendon injury and loss of tendon tension.

Commercially available headforms, such as the Hybrid-III and EN 960 headforms, have been used effectively to investigate the mechanics of head impacts. These headforms may result in accelerations that are unrepresentative of a human head in some impact scenarios. This may be important when considering impacts that produce areas of high pressure, since skull deformation and resonance excitation may influence the dynamic response. The National Operating Committee on Standards for Athletic Equipment (NOCSAE) headform may produce a more suitable response during these types of impacts due to the more representative skull component. However, permanent deformation may occur in some unprotected impact scenarios, resulting in the entire headform needing to be replaced. This paper outlines the development of a novel, modular and destructible headform (LU headform) that can be used in potentially destructive testing, where individual components can be replaced. The LU headform was modelled after a UK 50th percentile male. The inertial properties of the LU headform were within 6% of those observed in humans. The skull simulant properties were within the range of values reported for human tissue in two build orientations, but lower in one build orientation. The lowest and highest resonance frequencies observed in the headform model were within 5% of those observed in humans. Drop and projectile tests were conducted in line with previous cadaver tests with the observed accelerations within the range reported for post-mortem human subjects. The LU headform offers a practical means of simulating head dynamics during localised unprotected impacts or in protected impacts where local deformation and/or resonance frequency excitation remains possible.

The current British Standard for head protectors for cricketers has been recently revised to include a projectile-based battery of tests, the intention being to ensure that a certified helmet will also prevent contact of the ball or grille with the specified headform facial region. The purpose of this study was to characterise the dynamic response of the headform to direct ballistic impacts for alternative headform mounting arrangements. On one hand, and in accordance with the relevant sections of the Standard, what might be described as a 'Constrained' setup was evaluated while, on the other hand, an arrangement with significantly reduced stiffness, in line with that previously reported for the passive human neck, was subject to equivalent appraisal. For each mounting scenario, an air cannon was used to project a cricket training ball at three speeds towards the instrumented headform at three locations with five repeats per speed/location combination. High-rate/resolution video and piezoelectric accelerometer data were collected and processed to determine the headform response. While differences between specific ball impact speed and location scenarios are set out in detail later in the article, overall observations are summarised as follows. From a ball/headform contact duration standpoint, video derived results showed ranges of 1.30-1.45 ms (Constrained) versus 1.26-1.41 ms. Maximum ball deformations, the timing of which enabling the event to be subdivided into 'loading' and 'unloading' phases, were found to be 82.5%-86.2% (Constrained) versus 82.8%-86.4% of original ball diameter; mean peak headform accelerations during loading were found to be 860-1615 m/s 2 (Constrained) versus 967-1638 m/s 2 ; and headform speeds at the end of the loading phase were found to be 0.5-0.92 m/s (Constrained) versus 0.54-0.93 m/s. Differences between headform response for the two mounting arrangements were observed to be more substantial during the loading rather than unloading phase.

No abstract

No abstract