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Recommendations for hamstring injury prevention in elite football: translating research into practice

Published on Apr 1, 2019in British Journal of Sports Medicine11.64
· DOI :10.1136/bjsports-2018-099616
Matthew Buckthorpe2
Estimated H-index: 2
,
Steve Wright1
Estimated H-index: 1
+ 8 AuthorsMo Gimpel3
Estimated H-index: 3
Cite
Abstract
Injuries in football exert negative impacts on team performance1 and club finance.2 Hamstring strain injuries (HSI) are consistently the most prevalent time loss injury in football3 and as such are an important issue in football medicine. Despite an ever-increasing wealth of information emerging on the aetiology of HSIs, their incidence in football is increasing.3 This could be explained by the increased intensity and physical demands of football match play over the last decade4; but practitioners should also question their approach to injury prevention and physical preparation of players, an area where research is lacking.5–8 There is an evidence-based strategy to prevent HSIs, however, there appears to be a large disconnect between this available evidence and its adoption in elite football.5 6 For example, the Nordic hamstring exercise (NHE) programme has been shown to effectively reduce HSIs by 65%–70%.9 10 But recent surveys of elite European Champions League (n=32) and Norwegian Premier League (n=18) teams showed that only 11% of these teams fully adopt the programme.11 Within elite football, there is a large disconnect between evidence-based practice and the actual interventions used by science and medical teams to prevent injuries.12 In line with an emerging body of evidence-based research, we believe that preventing HSIs in elite football requires a holistic approach, which considers multiple risk factors and their inter-relations, implemented effectively.6–8 13 In designing our injury prevention programme, we combine both the theory and the available evidence on HSI risk factors and intervention studies, as well as considering the context surrounding the player when designing our overall injury prevention approach. ### Why do HSIs happen? Risk factor analysis and programme planning To prevent HSIs, it is important to understand why they occur, so that an appropriate intervention can be developed, targeted at the specific risk factors. Importantly, there is not a …
  • References (89)
  • Citations (3)
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References89
Newest
Published on Mar 1, 2019in British Journal of Sports Medicine11.64
J. Ekstran57
Estimated H-index: 57
(Linköping University),
Daniel Lundqvist4
Estimated H-index: 4
(Linköping University)
+ 2 AuthorsAnne Marte Pensgaard8
Estimated H-index: 8
(Norwegian School of Sport Sciences)
Objectives We investigated medical staff interpretations and descriptions of internal communication quality in elite football teams to determine whether internal communication was correlated with injuries and/or player availability at training and matches. Methods Medical staff from 36 elite football clubs across 17 European countries produced 77 reports at four postseason meetings to provide their perceptions of internal communications in their teams. They also recorded data on individual playe...
Published on Oct 1, 2018in British Journal of Sports Medicine11.64
Evert Verhagen34
Estimated H-index: 34
,
Nicol van Dyk4
Estimated H-index: 4
+ 1 AuthorsIan Shrier40
Estimated H-index: 40
(JGH: Jewish General Hospital)
Norway’s Professor Roald Bahr recently highlighted that screening does not predict which athlete will sustain an injury.1 Some interpreted this to mean screening is useless for injury prevention. However, screening remains essential in our efforts to protect athletes’ health. To extend what has been a robust discussion, we argue how screening can be important for an individual athlete , and offer potential reasons why and how individual screening tests still lack clinical utility. Previous injur...
Published on Sep 1, 2018in British Journal of Sports Medicine11.64
Håkan Bengtsson5
Estimated H-index: 5
(Linköping University),
J. Ekstran57
Estimated H-index: 57
(Linköping University)
+ 1 AuthorsMartin Hägglund39
Estimated H-index: 39
(Linköping University)
Background The association between match congestion and injury rates in professional football has yielded conflicting results. Aim To analyse associations between match congestion on an individual player level and injury rates during professional football matches. Methods Data from a prospective cohort study of professional football with 133 170 match observations were analysed with Poisson regressions. Associations between short-term match congestion, defined as number of days between two match...
Published on Jul 1, 2018in British Journal of Sports Medicine11.64
Aiden J. Oakley1
Estimated H-index: 1
,
Jacob Jennings1
Estimated H-index: 1
,
Chris Bishop6
Estimated H-index: 6
(Middlesex University)
Hamstring strain injuries (HSIs) are the most prevalent in team sports, accounting for 12%–26% of injuries in Australian rules football, American football, football, rugby and track and field.1 The biceps femoris is the most commonly injured muscle with 53%–68% of injuries occurring during sprinting.1 In European football, the incidence and recurrence of HSI has continued to rise, while in Australian rules football, a notable reduction in HSI recurrences has been reported.1 It is possible that e...
Published on Jul 1, 2018in Scandinavian Journal of Medicine & Science in Sports3.63
J. Presland3
Estimated H-index: 3
(ACU: Australian Catholic University),
Ryan Timmins11
Estimated H-index: 11
(ACU: Australian Catholic University)
+ 2 AuthorsDavid A. Opar17
Estimated H-index: 17
(ACU: Australian Catholic University)
Published on Jun 18, 2018in Journal of Sports Sciences2.81
Ayako Higashihara4
Estimated H-index: 4
(Japan Society for the Promotion of Science),
Yasuharu Nagano7
Estimated H-index: 7
(Japan Women's College of Physical Education)
+ 1 AuthorsToru Fukubayashi27
Estimated H-index: 27
(Waseda University)
ABSTRACTThis study aimed to investigate activation characteristics of the biceps femoris long head (BFlh) and semitendinosus (ST) muscles during the acceleration and maximum-speed phases of sprinting. Lower-extremity kinematics and electromyographic (EMG) activities of the BFlh and ST muscles were examined during the acceleration sprint and maximum-speed sprint in 13 male sprinters during an overground sprinting. Differences in hamstring activation during each divided phases and in the hip and k...
Published on May 1, 2018in British Journal of Sports Medicine11.64
Matthew Buckthorpe2
Estimated H-index: 2
,
Mo Gimpel3
Estimated H-index: 3
+ 2 AuthorsMatthew Stride2
Estimated H-index: 2
Hamstring muscle injuries (HMI) are consistently the most prevalent time-loss injury in football and are prone to reoccurrence.1 We note the disconnection between evidence-based recommendations and the HMI prevention programmes adopted in elite clubs.2 For example, only 11% of elite level football teams surveyed fully use the Nordic Hamstring Programme.3 Why don’t elite sports medicine teams adopt evidence-based practices?4 The aim of this editorial is not only to share our experience of HMI pre...
Published on Apr 1, 2018in British Journal of Sports Medicine11.64
J. Ekstran57
Estimated H-index: 57
(Linköping University),
Daniel Lundqvist4
Estimated H-index: 4
(Linköping University)
+ 3 AuthorsQiuxia Zhang71
Estimated H-index: 71
Background Do coaches’ leadership styles affect injury rates and the availability of players in professional football? Certain types of leadership behaviour may cause stress and have a negative impact on players’ health and well-being. Aim To investigate the transformational leadership styles of head coaches in elite men’s football and to evaluate the correlation between leadership styles, injury rates and players’ availability. Methods Medical staff from 36 elite football clubs in 17 European c...
Published on Mar 1, 2018in Sports Medicine7.58
Anthony Shield23
Estimated H-index: 23
(QUT: Queensland University of Technology),
Matthew N. Bourne8
Estimated H-index: 8
(La Trobe University)
Hamstring strain injuries are endemic in running-based sports. Given the economic and performance implications of these injuries, a significant body of research has emerged in recent years in an attempt to identify risk factors and develop or optimise injury prevention strategies. Surveys of injury prevention practices among medical and conditioning staff in elite sport suggest that many sporting clubs invest significant efforts in eccentric hamstring conditioning and lumbo-pelvic or trunk stabi...
Published on Feb 1, 2018in Journal of Science and Medicine in Sport3.62
Shane Malone7
Estimated H-index: 7
(LJMU: Liverpool John Moores University),
Brian Hughes3
Estimated H-index: 3
(Institute of Technology, Tallaght)
+ 2 AuthorsTim J Gabbett4
Estimated H-index: 4
(University of Southern Queensland)
Abstract Objectives The aim of this study was to investigate potential moderators (i.e. lower body strength, repeated-sprint ability [RSA] and maximal velocity) of injury risk within a team-sport cohort. Design Observational Cohort Study. Methods Forty male amateur hurling players (age: 26.2 ± 4.4 yr, height: 184.2 ± 7.1 cm, mass: 82.6 ± 4.7 kg) were recruited. During a two-year period, workload (session RPE x duration), injury and physical qualities were assessed. Specific physical qualities as...
Cited By3
Newest
Published on Jul 12, 2019in British Journal of Sports Medicine11.64
Ben Macdonald , Stephen Mcaleer + 3 AuthorsNoel Pollock8
Estimated H-index: 8
Rationale Hamstring injuries are common in elite sports. Muscle injury classification systems aim to provide a framework for diagnosis. The British Athletics Muscle Injury Classification (BAMIC) describes an MRI classification system with clearly defined, anatomically focused classes based on the site of injury: (a) myofascial, (b) muscle–tendon junction or (c) intratendinous; and the extent of the injury, graded from 0 to 4. However, there are no clinical guidelines that link the specific diagn...
B. Avon , Pascal Edouard21
Estimated H-index: 21
(Jean Monnet University)
Resume Introduction Les lesions musculaires des ischiojambiers sont une problematique importante chez les sportifs du fait de leur frequence, de leur taux de recidive et de leur impact. Leur incidence ne cesse de croitre malgre la multiplication des etudes scientifiques sur ce sujet. L’objectif principal de notre etude etait d’evaluer les connaissances et les attitudes des medecins pouvant y etre confrontes. Methodes Nous avons realise une etude observationnelle, descriptive, transversale, decla...
Published on Jun 1, 2019in Science & Sports0.68
Resume Objectif Determiner et comparer les profils musculaires isocinetiques des cuisses en fonction de la pratique de haut niveau du basketball, du handball, du volleyball, du football, et du cyclisme. Methode Cent dix-neuf sportifs professionnels ont ete inclus. Trente pratiquaient le basketball (10 en Ligue A, 10 en Ligue B et 10 en National Ligue 1), vingt et un pratiquaient le handball (Ligue 1), 13 pratiquaient le volleyball (Ligue A), trente pratiquaient le cyclisme ( Continental Pro Tour...
Published on Apr 1, 2019in Sports Medicine7.58
Colin W Fuller36
Estimated H-index: 36
Introduction The aim of this study was to develop a quick and simple screening procedure for evaluating the return on investment provided by injury prevention programmes in professional football. Injury prevention in sport has usually been considered in isolation of other management responsibilities, and interventions are published irrespective of whether their impact is worthwhile and irrespective of the return on players’ time investment in the programme. This approach is naive from a business...
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