Preventing hamstring injuries in football through enhanced exercise and RTP strategies

Horst, Nick van der

doi:10.1136/bjsports-2017-098630

Cited by 10 publications

(14 citation statements)

References 7 publications

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“…This results were in agreement with recent study in 2018, which found that Nordic hamstring is proved to be very effective even with the shortest protocol for 4 weeks [16] , but in the present study the intervention protocol duration was 12 weeks which consider the more sufficient duration for muscular adaptation for prevention of hamstring injuries [10] , also the current study results were in line with another study which reported that the muscle thickness and fascicle angle of pennation increased more when applying the Nordic hamstring as post training rather than applying it as pre training protocol [1] . Furthermore this results were in agreement with a study which revealed that the pre training protocol only not sufficient for hamstring muscle injuries prevention [17] .…”

Section: Discussionsupporting

confidence: 92%

Efficacy of Adding Post-Training Nordic Exercises to Hamstring Injury Prevention Program in Soccer Players

El-Sayyad

Elerian

2019

The Medical Journal of Cairo University

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Background: Hamstring injuries represent about 50% of non-contact football muscle injuries, with recurrence rate 12-33%, even with preventive procedures. Aim of Study: To investigate the effect of Nordic Exercise post training for the hamstring initial injury prevention. Subjects and Methods: In this randomly controlled trial study, 34 professional football players randomly assigned into two groups, 17 players in each group, with age range 21-35 years old. Group A (experimental): Subjects performed pre and post training Nordic Hamstring Exercise (NHE) while in Group B (control) they performed only the pre training NHE. The duration of therapeutic intervention in both groups was 12 weeks and was performed beside the normal warming up and cooling down. Method of Evaluation: Arabic version of Australian Football association injury form was used to collect the injuries incidence for each subject in both groups. Results: At the end of the therapeutic intervention, the mean of total risk time was 116.3± 13.2 and 117.6±5.7 exposure hours for group A and B respectively, the experimental group showed reduction in the total number of injuries by 95% than last season, also the incidence of initial injury in group A was 92% less than which in last season while in group B it was 80% less than last season. Conclusion: The pre and post NHE was more effective in reducing the initial hamstring injury rates in professional football players than the pre NHE alone.

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Section: Discussionsupporting

confidence: 92%

Efficacy of Adding Post-Training Nordic Exercises to Hamstring Injury Prevention Program in Soccer Players

El-Sayyad

Elerian

2019

The Medical Journal of Cairo University

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“…Their increases are very critical in sprinters and soccer players to decrease injury rates [20]. Furthermore, these results were in agreement with a previous [17] showing that pre-training only was insufficient for hamstring muscle injuries prevention.…”

Section: Discussionsupporting

confidence: 89%

“…Until 2018, hamstring injuries were still considered as number 1 muscle injury in football. These injuries were increasing in the last decade with high recurrences, increasing personal suffering for players despite all preventive measures were applied with increased knowledge about this muscle injury [17].…”

Section: Discussionmentioning

confidence: 99%

Effect of Pre-training and Post-training Nordic Exercise on Hamstring Injury Prevention, Recurrence, and Severity in Soccer Players

2019

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Hamstring strain injury is the most common noncon-tact muscle injury for soccer players, representing twothirds of thigh muscle strains [1]. Hamstring strain injury and recurrence rate were high in the past three decades.Objective To investigate the effect of adding Nordic exercise as post-training in decreasing hamstring initial, recurrent injuries rates, and their severity. Methods In this randomly controlled trial study, 34 professional football players aged 21 to 35 years were randomly assigned into two groups (17 players each) from Sporting clubs at Alexandria, Egypt. For group one, Nordic hamstring exercise (NHE) was performed pre-training and post-training. For group two, NHE was only performed pre-training. The control group was the same team during the previous season. Length of the trial was 12 weeks. The Australian football association injury form was used to collect incidence of injuries for each subject in both groups. Results Pooled results based on total injuries showed that group one had significantly less hamstring initial injuries (92% less) than the previous season, while group two had 80% less initial injuries and 85% less recurrent injuries than previous season. Regarding the severity of injuries in term of mean number of absent days, it was 1 day for group one and 2.7 days for group two while it was 7.95 days for the previous season during total risk time of 116.3±13.2 and 117.6±5.7 exposure hours for group one and group two, respectively. Conclusion The use of NHE as a prevention protocol was effective in reducing all hamstring injuries with the use of NHE during pre-training and post-training having the greatest effect. ORCID: Ahmed Ebrahim Elerian (https://orcid.org/0000-0003-3335-8933); Mohsen M. El-Sayyad (https://orcid.org/0000-0002-2230-3067); Hend Adel Abdelhalim Dorgham (https://orcid.org/0000-0001-7245-5336).

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“…The lack of evidence-based criteria for a safe return to train/play alongside the fact that team managers and coaches may be tempted to let injured players return to play important matches or to let them play with ongoing minor symptoms might be two reasons behind the high recurrent injuries incidence rates. Future studies should extend our current knowledge in relation to improving the decision-making process for a safe return to training/play by developing learning algorithms or artificial intelligence-based models that allow the identification of when a player is fully and effectively rehabilitated before returning to training/play 93…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of injuries in professional football: a systematic review and meta-analysis

et al. 2019

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ObjectiveWe performed a systematic review and meta-analysis of epidemiological data of injuries in professional male football.MethodForty-four studies have reported the incidence of injuries in football. Two reviewers independently extracted data and assessed trial quality using the Strengthening the Reporting of Observational Studies in Epidemiology statement and Newcastle Ottawa Scale. Studies were combined in a pooled analysis using a Poisson random effects regression model.ResultsThe overall incidence of injuries in professional male football players was 8.1 injuries/1000 hours of exposure. Match injury incidence (36 injuries/1000 hours of exposure) was almost 10 times higher than training injury incidence rate (3.7 injuries/1000 hours of exposure). Lower extremity injuries had the highest incidence rates (6.8 injuries/1000 hours of exposure). The most common types of injuries were muscle/tendon (4.6 injuries/1000 hours of exposure), which were frequently associated with traumatic incidents. Minor injuries (1–3 days of time loss) were the most common. The incidence rate of injuries in the top 5 European professional leagues was not different to that of the professional leagues in other countries (6.8 vs 7.6 injuries/1000 hours of exposure, respectively).ConclusionsProfessional male football players have a substantial risk of sustaining injuries, especially during matches.

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Preventing hamstring injuries in football through enhanced exercise and RTP strategies

Cited by 10 publications

References 7 publications

Efficacy of Adding Post-Training Nordic Exercises to Hamstring Injury Prevention Program in Soccer Players

Efficacy of Adding Post-Training Nordic Exercises to Hamstring Injury Prevention Program in Soccer Players

Effect of Pre-training and Post-training Nordic Exercise on Hamstring Injury Prevention, Recurrence, and Severity in Soccer Players

Epidemiology of injuries in professional football: a systematic review and meta-analysis

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