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Updated: May 15, 2026

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
Does eccentric training of hamstring muscles reduce acute injuries in soccer?
1Department of Family Medicine and Community Health John A. Burns School of Medicine University of Hawai'i at Mānoa Honolulu, HI, USA.
A 10-week eccentric hamstring exercise program significantly reduced hamstring injuries in male soccer players. This training intervention lowered both new and recurrent hamstring injuries, enhancing player availability and performance during the soccer season.
Area of Science:
- Sports Medicine
- Exercise Physiology
- Injury Prevention
Background:
- Hamstring injuries are prevalent in male soccer players, impacting performance and career longevity.
- Previous research indicates eccentric exercises may be beneficial for hamstring injury prevention.
- A standardized 10-week eccentric hamstring exercise program was implemented during the mid-season break for Danish male soccer players.
Discussion:
- The study utilized a cluster-randomized controlled trial design involving 50 teams and 942 players across top Danish soccer divisions.
- The intervention group performed the Nordic hamstring exercise, gradually increasing frequency and intensity over 10 weeks.
- The control group followed their normal training routines without the specific hamstring intervention.
Key Insights:
- The intervention group experienced significantly lower overall hamstring injury rates (3.8 per 100 player sessions) compared to the control group (13.1 per 100 player sessions).
- The eccentric exercise program demonstrated effectiveness in reducing both new (RR 0.410) and recurrent (RR 0.137) hamstring injuries.
- While injury incidence decreased, the mean severity (days lost) was not significantly different between the groups.
Outlook:
- Implementing targeted eccentric hamstring exercise programs can be a valuable strategy for injury prevention in soccer.
- Further research could explore optimal training loads, long-term adherence, and application in different athlete populations.
- This study provides strong evidence for the efficacy of the Nordic hamstring exercise in reducing hamstring injuries in male soccer players.
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