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Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations

Published on: May 1, 2018

Risk factors of recurrent hamstring injuries: a systematic review.

H M de Visser¹, M Reijman, M P Heijboer

¹Department of Orthopaedics, Erasmus University Medical Center, Rotterdam, The Netherlands.

British Journal of Sports Medicine

|October 21, 2011

Summary

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Recurrent hamstring injuries are common in athletes. Larger initial injury volume, Grade 1 hamstring tears, and prior anterior cruciate ligament (ACL) reconstruction increase re-injury risk. Agility exercises may reduce risk.

Area of Science:

Sports Medicine
Orthopedics
Rehabilitation Science

Background:

Recurrent hamstring injuries significantly impact athletes.
Limited data exists on risk factors for hamstring re-injury.

Purpose of the Study:

To systematically review literature on risk factors for recurrent hamstring injuries.
Provide an overview of factors influencing hamstring re-injury.

Main Methods:

Systematic review of prospective studies on hamstring re-injury risk factors.
Searched medical databases and reference lists.
Performed a best-evidence synthesis of identified risk factors.

Main Results:

Five studies included, reporting recurrence rates of 13.9-63.3%.

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An Inertial Measurement Unit Based Method to Estimate Hip and Knee Joint Kinematics in Team Sport Athletes on the Field

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Risk factors identified: larger initial MRI volume, Grade 1 hamstring injury, previous ipsilateral ACL reconstruction.

Agility/stabilization exercises correlated with lower re-injury risk compared to strength/stretching.

Conclusions:

Limited evidence suggests larger initial injury volume, Grade 1 hamstring injuries, and prior ACL reconstruction increase recurrent hamstring injury risk.
Agility and stabilization exercises may reduce the risk of hamstring re-injury.