Have We Changed our Approach to Hamstring Injuries? 🎯 Five key points for clinical practice: 1⃣ - Strength and Flexibility are weak risk factors for hamstring injuries and continue to form a small but important part of the causal pathway. Although the evidence for stretching is lacking, multi-faceted prevention... programmes might consider including these components to be successful in the prevention of hamstring injuries. 2⃣ - Intrinsic neuromuscular function may be altered post-injury. Clinicians should focus on returning the player to full function during the rehabilitation of hamstring injuries, which may include specific targeted intervention even after return to play. 3⃣ - Our common strength and flexibility tests have poor predictive value, and do not possess the characteristics needed to successfully identify individual players at greater risk of hamstring injury. This is evident in the large amount of variability between seasons, and poor sensitivity and specificity demonstrated for these measurements. The wide overlap in distribution of pre-season strength between injured and uninjured players demonstrates the difficulty in identifying a subgroup of at-risk players that might benefit from targeted intervention. It is therefore recommended that prevention programs be implemented for all players. 4⃣ - Workload monitoring provide another potential way in which we may reduce the risk of injury. The aggregation of chronic workload, as well as careful planning of acute workload increases, may reduce the risk of hamstring injury. However, high-level evidence to support this is lacking. 5⃣ - Understanding the context in which injuries occur and appreciating the complex nature of these injuries are important considerations to better manage players with hamstring injuries 🔗Read the full article 👉 ✍️ Roald Bahr & Nicol van Dykshow more

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