Evidence based prevention of hamstring injuries in sport.
Journal: 2005/July - British Journal of Sports Medicine
ISSN: 1473-0480
Abstract:
A common soft tissue injury in sports involving sprinting and jumping is the hamstring strain. A major problem with hamstring strains is the high incidence of reinjury. Muscle injuries can be classified as direct or indirect and are typically grouped into three categories according to severity. A number of potential risk factors have been proposed for hamstring strains. Only a few are evidence based and some are mainly based on theoretical assumptions. There is a lack of clinical research on the effectiveness of rehabilitation programmes for hamstring strains. Although the initial treatment of rest, ice, compression, and elevation is accepted for muscle strains, no consensus exists for their rehabilitation. Not much evidence based research has been carried out on prevention of hamstring strain. To our knowledge only two prospective studies have so far been published. As the injuries are common in football and other sports involving sprinting and jumping, there is a need for further research preferably in the form of randomised controlled trials.
Relations:
Content
Citations
(34)
References
(34)
Clinical trials
(2)
Diseases
(3)
Organisms
(1)
Anatomy
(1)
Similar articles
Articles by the same authors
Discussion board
Br J Sports Med 39(6): 319-323

Evidence based prevention of hamstring injuries in sport

Full Text

The Full Text of this article is available as a PDF (67K).

Supplementary Material

[Dutch translation]

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Ekstrand J, Gillquist J. Soccer injuries and their mechanisms: a prospective study. Med Sci Sports Exerc. 1983;15(3):267–270. [PubMed] [Google Scholar]
  • Garrett WE., Jr Muscle strain injuries. Am J Sports Med. 1996;24(6 Suppl):S2–S8. [PubMed] [Google Scholar]
  • Askling C, Lund H, Saartok T, Thorstensson A. Self-reported hamstring injuries in student-dancers. Scand J Med Sci Sports. 2002 Aug;12(4):230–235. [PubMed] [Google Scholar]
  • Sallay PI, Friedman RL, Coogan PG, Garrett WE. Hamstring muscle injuries among water skiers. Functional outcome and prevention. Am J Sports Med. 1996 Mar-Apr;24(2):130–136. [PubMed] [Google Scholar]
  • Hawkins RD, Hulse MA, Wilkinson C, Hodson A, Gibson M. The association football medical research programme: an audit of injuries in professional football. Br J Sports Med. 2001 Feb;35(1):43–47.[PMC free article] [PubMed] [Google Scholar]
  • Woods C, Hawkins RD, Maltby S, Hulse M, Thomas A, Hodson A. The Football Association Medical Research Programme: an audit of injuries in professional football--analysis of hamstring injuries. Br J Sports Med. 2004 Feb;38(1):36–41.[PMC free article] [PubMed] [Google Scholar]
  • Arnason A, Gudmundsson A, Dahl HA, Jóhannsson E. Soccer injuries in Iceland. Scand J Med Sci Sports. 1996 Feb;6(1):40–45. [PubMed] [Google Scholar]
  • Orchard J, Seward H. Epidemiology of injuries in the Australian Football League, seasons 1997-2000. Br J Sports Med. 2002 Feb;36(1):39–44.[PMC free article] [PubMed] [Google Scholar]
  • Verrall GM, Slavotinek JP, Barnes PG, Fon GT, Spriggins AJ. Clinical risk factors for hamstring muscle strain injury: a prospective study with correlation of injury by magnetic resonance imaging. Br J Sports Med. 2001 Dec;35(6):435–440.[PMC free article] [PubMed] [Google Scholar]
  • Connell David A, Schneider-Kolsky Michal E, Hoving Jan Lucas, Malara Frank, Buchbinder Rachelle, Koulouris George, Burke Frank, Bass Cheryl. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstring injuries. AJR Am J Roentgenol. 2004 Oct;183(4):975–984. [PubMed] [Google Scholar]
  • Sherry Marc A, Best Thomas M. A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop Sports Phys Ther. 2004 Mar;34(3):116–125. [PubMed] [Google Scholar]
  • Heiser TM, Weber J, Sullivan G, Clare P, Jacobs RR. Prophylaxis and management of hamstring muscle injuries in intercollegiate football players. Am J Sports Med. 1984 Sep-Oct;12(5):368–370. [PubMed] [Google Scholar]
  • Clanton TO, Coupe KJ. Hamstring strains in athletes: diagnosis and treatment. J Am Acad Orthop Surg. 1998 Jul-Aug;6(4):237–248. [PubMed] [Google Scholar]
  • Kujala UM, Orava S, Järvinen M. Hamstring injuries. Current trends in treatment and prevention. Sports Med. 1997 Jun;23(6):397–404. [PubMed] [Google Scholar]
  • Drezner Jonathan A. Practical management: hamstring muscle injuries. Clin J Sport Med. 2003 Jan;13(1):48–52. [PubMed] [Google Scholar]
  • Safran MR, Garrett WE, Jr, Seaber AV, Glisson RR, Ribbeck BM. The role of warmup in muscular injury prevention. Am J Sports Med. 1988 Mar-Apr;16(2):123–129. [PubMed] [Google Scholar]
  • Askling C, Tengvar M, Saartok T, Thorstensson A. Sports related hamstring strains--two cases with different etiologies and injury sites. Scand J Med Sci Sports. 2000 Oct;10(5):304–307. [PubMed] [Google Scholar]
  • Bahr R, Holme I. Risk factors for sports injuries--a methodological approach. Br J Sports Med. 2003;37(5):384–392.[PMC free article] [PubMed] [Google Scholar]
  • Hohmann Erik, Wörtler Klaus, Imhoff Andreas B. MR imaging of the hip and knee before and after marathon running. Am J Sports Med. 2004 Jan-Feb;32(1):55–59. [PubMed] [Google Scholar]
  • Agre JC. Hamstring injuries. Proposed aetiological factors, prevention, and treatment. Sports Med. 1985 Jan-Feb;2(1):21–33. [PubMed] [Google Scholar]
  • Worrell TW. Factors associated with hamstring injuries. An approach to treatment and preventative measures. Sports Med. 1994 May;17(5):338–345. [PubMed] [Google Scholar]
  • Croisier Jean-Louis, Forthomme Bénédicte, Namurois Marie-Hélène, Vanderthommen Marc, Crielaard Jean-Michel. Hamstring muscle strain recurrence and strength performance disorders. Am J Sports Med. 2002 Mar-Apr;30(2):199–203. [PubMed] [Google Scholar]
  • Croisier Jean-Louis. Factors associated with recurrent hamstring injuries. Sports Med. 2004;34(10):681–695. [PubMed] [Google Scholar]
  • Mair SD, Seaber AV, Glisson RR, Garrett WE., Jr The role of fatigue in susceptibility to acute muscle strain injury. Am J Sports Med. 1996 Mar-Apr;24(2):137–143. [PubMed] [Google Scholar]
  • Hartig DE, Henderson JM. Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees. Am J Sports Med. 1999 Mar-Apr;27(2):173–176. [PubMed] [Google Scholar]
  • Witvrouw Erik, Danneels Lieven, Asselman Peter, D'Have Thomas, Cambier Dirk. Muscle flexibility as a risk factor for developing muscle injuries in male professional soccer players. A prospective study. Am J Sports Med. 2003 Jan-Feb;31(1):41–46. [PubMed] [Google Scholar]
  • Devlin L. Recurrent posterior thigh symptoms detrimental to performance in rugby union: predisposing factors. Sports Med. 2000 Apr;29(4):273–287. [PubMed] [Google Scholar]
  • Garrett WE, Jr, Rich FR, Nikolaou PK, Vogler JB., 3rd Computed tomography of hamstring muscle strains. Med Sci Sports Exerc. 1989 Oct;21(5):506–514. [PubMed] [Google Scholar]
  • Malliaropoulos Nikos, Papalexandris Stelios, Papalada Agape, Papacostas Emanuel. The role of stretching in rehabilitation of hamstring injuries: 80 athletes follow-up. Med Sci Sports Exerc. 2004 May;36(5):756–759. [PubMed] [Google Scholar]
  • Speer KP, Lohnes J, Garrett WE., Jr Radiographic imaging of muscle strain injury. Am J Sports Med. 1993 Jan-Feb;21(1):89–96. [PubMed] [Google Scholar]
  • Askling C, Karlsson J, Thorstensson A. Hamstring injury occurrence in elite soccer players after preseason strength training with eccentric overload. Scand J Med Sci Sports. 2003 Aug;13(4):244–250. [PubMed] [Google Scholar]
  • Taylor DC, Dalton JD, Jr, Seaber AV, Garrett WE., Jr Viscoelastic properties of muscle-tendon units. The biomechanical effects of stretching. Am J Sports Med. 1990 May-Jun;18(3):300–309. [PubMed] [Google Scholar]
  • Magnusson SP, Simonsen EB, Aagaard P, Gleim GW, McHugh MP, Kjaer M. Viscoelastic response to repeated static stretching in the human hamstring muscle. Scand J Med Sci Sports. 1995 Dec;5(6):342–347. [PubMed] [Google Scholar]
  • Mjølsnes Roald, Arnason Arni, Østhagen Tor, Raastad Truls, Bahr Roald. A 10-week randomized trial comparing eccentric vs. concentric hamstring strength training in well-trained soccer players. Scand J Med Sci Sports. 2004 Oct;14(5):311–317. [PubMed] [Google Scholar]
Department of Orthopaedic Surgery, Amager University Hospital, Copenhagen, Denmark.
Department of Orthopaedic Surgery, Amager University Hospital, Copenhagen, Denmark.
Full Text
Click here to view.
Selected References
Collaboration tool especially designed for Life Science professionals.Drag-and-drop any entity to your messages.