“…Concerns also exist of whether evidence-based interventions are actually adopted within professional clubs (Bahr et al, 2015) or if reporting of time lost to HSI is more sensitive (Eirale, 2018), making accurate comparison with previous decades challenging. The apparent ongoing rise in HSI is clearly complex, and although there is general consensus on the multi-factorial aetiology of HSI (Sole et al, 2008;Thorborg, 2014), this extensive (Opar et al, 2012) and increasing list of risk factors (Mendiguchía et al, 2015;Schuermans et al, 2017a;Timmins et al, 2015a), may only appear to further confound those seeking to keep their players injury free. Therefore, despite extensive sports injury research, which has arguably stemmed the tide of injury as a whole, the complex and sustained problem of HSI not only endures, but worsens.…”