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Study on Hamstring Re-injury Prevention (SHARP): protocol for an international multicentre, randomised controlled

Muhammad Ikhwan Zein1,2, Gustaaf Reurink3,4, Evert Verhagen5,6

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Summary

The Nordic hamstring exercise (NHE) may help prevent hamstring reinjury in football players returning to play. This study also examined NHE

Keywords:
Orthopaedic sports traumaPREVENTIVE MEDICINEPUBLIC HEALTHSPORTS MEDICINE

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Area of Science:

  • Sports Medicine
  • Rehabilitation Science
  • Biomechanics

Background:

  • The Nordic hamstring exercise (NHE) is recognized for preventing primary hamstring injuries.
  • The efficacy of NHE in preventing secondary hamstring reinjury after return to play (RTP) remains under-investigated.
  • Football players are particularly susceptible to hamstring injuries, necessitating effective prevention strategies.

Purpose of the Study:

  • To evaluate the effectiveness of the Nordic hamstring exercise (NHE) in preventing hamstring reinjury in football players post-injury and prior to return to play (RTP).
  • To assess the impact of the NHE program on sprint and vertical jump performance in football players.
  • To determine the long-term effects of NHE on hamstring reinjury rates and performance metrics.

Main Methods:

  • An international multicentre, prospective, randomized controlled trial involving male and female football players aged 18-40 years.
  • Participants within one week of RTP following a hamstring injury were randomized into either a group performing additional NHE or a control group.
  • Primary outcomes included hamstring reinjury incidence at 2 and 12 months, with secondary outcomes assessing sprint/jump performance, adherence, and reinjury burden.

Main Results:

  • Data collection is ongoing, and results are pending.
  • The study is designed to provide robust evidence on NHE's role in secondary hamstring injury prevention.
  • Performance metrics will be analyzed at baseline, 10 weeks, and 12 months.

Conclusions:

  • The study aims to establish whether the Nordic hamstring exercise is an effective secondary prevention strategy for hamstring injuries in football.
  • Findings will inform clinical practice and training protocols for athletes at risk of hamstring reinjury.
  • The research will contribute valuable data on the relationship between targeted exercise interventions and athletic performance recovery.