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Updated: Jan 16, 2026

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
A Field-Based Screening Protocol for Hamstring Injury Risk in Football Players: Evaluating Its Functionality Using
Nikolaos I Liveris1, Charis Tsarbou1, George Papageorgiou2
1Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Rio, Greece.
None:
This paper propose a practical field-based screening protocol for evaluating the risk of hamstring injury. This is done by discerning the most important factors that better explain the underlying structure among various measurements. Following a cross-sectional study design, ninety-nine professional and semi-professional football players were assessed at the team's facilities during the preseason period. The collected data included aspects of demographic characteristics; previous injuries; athlete sense of burnout (Athlete Burnout Questionnaire (ABQ)); hamstring (HS) flexibility (passive single leg raise test); isometric hamstring strength (make and brake test); isometric quadriceps strength; single-leg triple hop for distance; endurance of the core muscles (prone bridge, side bridge and Biering-Sørensen tests); and hamstring strength endurance (single leg hamstring bridge test). Subsequently, Exploratory Factor Analysis was performed. Following a summarized dimension reduction process, the twenty-three assessment variables were grouped into a parsimonious model of six main risk factors. Specifically, the resulting model explains 55.7% of the total variance, comprising HS and core endurance (20.2% of the variance), HS strength (12.8%), previous injuries (8.9%), ABQ (5.8%), lower limb strength (4.1%), and strength limb symmetry (3.8%). The proposed model provides a practical protocol, facilitating sports scientists in evaluating the risk for HI in the highly complex reality of field-based situations.
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