Low levels of eccentric hamstring strength increased the risk of future HSI. Interaction effects suggest that the additional risk of future HSI associated with advancing age or previous injury was mitigated by higher levels of eccentric hamstring strength.

31The architectural and morphological adaptations of the hamstrings in response to training  Hip extension training promotes more hypertrophy in the biceps femoris long head and semimembranosus than the Nordic hamstring exercise, which preferentially develops the semitendinosus and the short head of biceps femoris.4

Exposing players to large and rapid increases in HSR distances above their 2-yearly session average increased the odds of HSI. However, reducing HSR in week -1 may offset HSI risk.

Although some iterations of the models achieved near perfect prediction, the large ranges in AUC highlight the fragility of the data. The 2013 models performed slightly better than the 2015 models. The predictive performance of between-year HSI models was poor however. In conclusion, risk factor data cannot be used to identify athletes at an increased risk of HSI with any consistency.

31The architectural and morphological adaptations of the hamstrings in response to training  Hip extension training promotes more hypertrophy in the biceps femoris long head and semimembranosus than the Nordic hamstring exercise, which preferentially develops the semitendinosus and the short head of biceps femoris.4