Hamstring strain injuries: are we heading in the right direction?

Mendiguchía, Jurdan; Alentorn-Geli, Eduard; Brughelli, Matt

doi:10.1136/bjsm.2010.081695

Cited by 188 publications

(167 citation statements)

References 101 publications

(122 reference statements)

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“…Horizontal force development is higher during the acceleration phase (figure 2) and has been correlated with performance variables related to acceleration, rather than those related to steady state sprinting [17]. For that reason it was hypothesised that any injury-related differences in horizontal force performance were more likely to be present in this phase.…”

Section: Discussionmentioning

confidence: 99%

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Asymmetry after Hamstring Injury in English Premier League: Issue Resolved, or Perhaps Not?

2015

Int J Sports Med

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Hamstring injuries constitute one of the most concerning injuries in English Premier League football, due to its high primary incidence but also its recurrence. Functional methods assessing hamstring function during high-risk performance tasks such as sprinting are vital to identify potential risk factors. The purpose of this study was to assess horizontal force deficits during maximum sprint running on a non-motorized treadmill in football players with previous history of hamstring strains as a pre-season risk-assessment in a club setting. 17 male football players from one Premier League Club were divided into 2 groups, experimental (n= 6, age = 24.5 ± 2.3 years) and control (n= 11, age = 21.3 ± 1.2 years), according to history of previous hamstring injury. Participants performed a protocol including a 10 seconds maximum sprint on a non-motorized treadmill. Force deficits during acceleration phase and steady state phases of the sprint were assessed between limbs and between groups. The main outcome measures were horizontal and vertical peak forces during the acceleration phase or steady state. There were no significant differences in peak forces between previously injured and non-injured limbs, or between groups, challenging the ideas around functional force deficits in sprint running as a diagnostic measure of hamstring re-injury risk.

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Section: Discussionmentioning

confidence: 99%

“…Hamstrings also present a high recurrence rate of 12-14% [20,28], and re-injury on average requires six days longer absence from competition than the initial injury [6]. In fact, previous injury remains to be the strongest available predictor for hamstring injury [2,8,9,17,22,28].…”

Section: Introductionmentioning

confidence: 99%

Asymmetry after Hamstring Injury in English Premier League: Issue Resolved, or Perhaps Not?

2015

Int J Sports Med

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“…It seems appropriate to direct future investigations toward HSI management that incorporates various multimodal strategies to identify the optimal HSI plan that achieves the best patient outcomes. 80 Whereas many other prevalent sport-related injuries, such as anterior cruciate ligament tears and ankle sprains, have well-developed evidence-based protocols available for use as clinical practice guidelines, 81-83 a protocol for managing HSIs has not been established. An evidence-based approach is needed for HSI management to decrease the high injury rates plaguing athletes at this time.…”

Section: Beliefs Associated With Treatment and Rehabilitation Methodsmentioning

confidence: 99%

Clinical Practice Patterns and Beliefs in the Management of Hamstrings Strain Injuries

Lobacz¹,

Glutting

Kaminski³

2016

Journal of Athletic Training

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Context: Hamstrings strain injuries (HSIs) are among the most commonly occurring injuries in sport and are top causes of missed playing time. Lingering symptoms, prolonged recovery, and a high reinjury rate (12%-34%) make HSI management a frustrating and challenging process for the athletic trainer (AT). The clinical practice patterns and opinions of ATs regarding HSI treatment and rehabilitation are unknown.Objective: To examine the frequency of method use and opinions about current HSI management among ATs.Design: Cross-sectional study. Setting: Survey administered to registrants at the 2013 National Athletic Trainers' Association Clinical Symposia and AT Expo.Patients or Other Participants: A total of 1356 certified ATs (691 men, 665 women; age ¼ 35.4 6 10.5 years, time certified ¼ 11.92 6 9.75 years).Data Collection and Analysis: A survey was distributed electronically to 7272 registrants and on paper to another 700 attendees. Validity and reliability were established before distribution. Participants reported demographic information and rated their frequency of treatment and rehabilitation method use and agreement with questions assessing confidence, satisfaction, and desire for better clinical practice guidelines. Exploratory factor analysis and principal axis factor analysis were used. We also calculated descriptive statistics and v 2 tests to assess practice patterns.Results: The response rate was 17% (n ¼ 1356). A 2-factor solution was accepted for factor analysis (r ¼ 0.76, r ¼ 0.70), indicating that ATs follow either a contemporary or traditional management style. Various practice patterns were evident across employment settings and years of clinical experience. Satisfaction with the current HSI management plan was high (73.6%), whereas confidence in returning an athlete to play was lower (62.0%). Rates of use were associated with belief in effectiveness for all methods assessed (P , .001). Higher confidence levels were associated with high use of several methods; we observed increased satisfaction (v 2 2 ¼ 22.5, P ¼ .002) but not increased confidence levels in more experienced ATs.Conclusions: Our study demonstrated the lack of consensus in HSI treatment and rehabilitation and the ATs' desire for better clinical practice guidelines. Future research in which multimodal strategies, including both traditional and contemporary methods, are studied is warranted for effective management of HSI.Key Words: muscle, athletic trainer, reinjury Key PointsConsensus on the management of hamstrings strain injuries among athletic trainers was lacking. Confidence in returning an athlete to play after injury was low. Evidence-based treatment and rehabilitation methods are needed to drive clinical practice.H amstrings strain injury (HSI) is one of the most commonly occurring soft tissue injuries in sport and recreational participants.1-3 Authors of epidemiologic studies across various sports leagues have indicated that HSI is one of the highest ranked causes of missed playing time in both practice and competition, with...

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“…Notably, Petersen et al [50] demonstrated a significant reduction of approximately 85%. This is particularly relevant given that previous injury is the greatest risk factor for hamstring strain [68] and that re-injuries cause longer absences from sport [5].…”

Section: Summary Of Evidencementioning

confidence: 99%

The Efficacy of Exercise in Preventing Injury in Adult Male Football: A Systematic Review of Randomised Controlled Trials

Porter¹,

Rushton²

2014

Sports Med - Open

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Hamstring strain injuries: are we heading in the right direction?

Cited by 188 publications

References 101 publications

Asymmetry after Hamstring Injury in English Premier League: Issue Resolved, or Perhaps Not?

Asymmetry after Hamstring Injury in English Premier League: Issue Resolved, or Perhaps Not?

Clinical Practice Patterns and Beliefs in the Management of Hamstrings Strain Injuries

The Efficacy of Exercise in Preventing Injury in Adult Male Football: A Systematic Review of Randomised Controlled Trials

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