170 Isokinetic torque-angle testing and eccentric training as a strategy to prevent hamstring injury in AFL football players

2005 ◽  
Vol 8 ◽  
pp. 96
Author(s):  
J. Richardson ◽  
P. Percival ◽  
D. Morgan ◽  
U. Proske
2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Gurutze del Ama Espinosa ◽  
Tapani Pöyhönen ◽  
José Francisco Aramendi ◽  
Juan Carlos Samaniego ◽  
José Ignacio Emparanza Knörr ◽  
...  

SummaryStudy aim: to test the hypothesis that an eccentric training programme applied on women football players would reduce the hamstring injury rate by improving thigh muscle balance and, particularly, hamstring strength.Material and methods: three football teams were recruited for this randomised controlled trial. They played in the first and second divisions in Spain. Players were randomised within clubs either to the intervention (eccentric exercises, n = 22) or control (control exercises, n = 21) groups, and randomisation was stratified according to previous history of thigh strains. The eccentric programme was divided into 3 phases, and each phase was composed of 7 weeks. Compliance level and all injuries were recorded throughout the season as well as training and game exposure times. Muscle strength and power of the lower extremities and flexibility of the hamstrings and lower back were measured before and after the intervention.Results: the risk for sustaining a hamstring strain (RSHS) was reduced by 81%. However, differences were not significant due to the low number of subjects (relative risk 0.19; 95% coefficient interval 0.02–1.50). The strength of the hamstrings decreased in both groups (p < 0.05), whereas sprint time was improved only in the intervention group (p < 0.05).Conclusion: the present findings suggest that a simple program of eccentric exercise could reduce RSHS.


2011 ◽  
Vol 39 (11) ◽  
pp. 2296-2303 ◽  
Author(s):  
Jesper Petersen ◽  
Kristian Thorborg ◽  
Michael Bachmann Nielsen ◽  
Esben Budtz-Jørgensen ◽  
Per Hölmich

Background: The incidence of acute hamstring injuries is high in several sports, including the different forms of football. Purpose: The authors investigated the preventive effect of eccentric strengthening of the hamstring muscles using the Nordic hamstring exercise compared with no additional hamstring exercise on the rate of acute hamstring injuries in male soccer players. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Fifty Danish male professional and amateur soccer teams (942 players) were allocated to an intervention group (461 players) or a control group (481 players). Players in the intervention group conducted a 10-week progressive eccentric training program followed by a weekly seasonal program, whereas players in the control group followed their usual training program. The main outcome measures were numbers of overall, new, and recurrent acute hamstring injuries during 1 full soccer season. Results: Fifty-two acute hamstring injuries in the control group compared with 15 injuries in the intervention group were registered. Comparing intervention versus the control group, overall acute hamstring injury rates per 100 player seasons were 3.8 versus 13.1 (adjusted rate ratio [RR], 0.293; 95% confidence interval [CI], 0.150-0.572; P < .001). New injury rates per 100 player seasons were 3.1 versus 8.1 (RR, 0.410; 95% CI, 0.180-0.933; P = .034), whereas recurrent injury rates per 100 player seasons were 7.1 versus 45.8 (RR, 0.137; 95% CI, 0.037-0.509; P = .003). Number needed to treat [NNT] to prevent 1 acute hamstring injury (new or recurrent) is 13 (95% CI, 9-23) players. The NNT to prevent 1 new injury is 25 (95% CI, 15-72) players, and NNT to prevent 1 recurrent injury is 3 (95% CI, 2-6) players. Conclusion: In male professional and amateur soccer players, additional eccentric hamstring exercise decreased the rate of overall, new, and recurrent acute hamstring injuries.


Retos ◽  
2015 ◽  
pp. 168-171
Author(s):  
Andrés Vargas Fuentes ◽  
Iban Urkiza Ibaibarriaga ◽  
Susana María Gil Orozko

The aim of the study was to observe the evolution of the external load of a soccer player who just joined the team after a recovered injury.13 male football players of a soccer team (20.9 ± 1.7 years, 1.80 ± 0.05 m, 73.1 ± 5.3 kg) belonging to the 2nd division B participated in this study. After 30 days off following a hamstring injury a player started to train with the team. The next week his injury relapsed, so he had to stop training for another week. Finally he was re-incorporated to the team. External load was measured in the injured player (P) and the rest of the players of the team (T) using GPS devices (GPSport) during week 1 and week 2. The variables measured were: distance at high intensity (DHI; >14 km/h) and distance at sprint (S; >24 km/h). Besides, the number of times they entered the different acceleration rates: (Acc) 1 (0-2 m/s/s), Acc2 (2-3 m/s/s) and Acc3 (3-5 m/s/s) and the number of times they entered the different deceleration rates: (Dec) 1 (0-2 m/s/s), Dec2 (2-3 m/s/s) and Dec3 (3-5 m/s/s). During the first week of training, P performed longer DHI and S than T. Moreover, P performed higher acc1, acc2, acc3, dec1, dec2 and dec3 than T. In contrast, during the second week, T performed longer DHI and S than P. However, P performed higher acc1, acc2, acc3, and dec1 than T. However, similar values were found in dec2 and dec3 in P and T. It was observed that the acc and dec in both weeks indicated a higher peripheral muscle work in P. Therefore, according to the nature of the injury a modification or even avoidance of certain exercises should be considered especially those exercises that directly impact on the repaired muscles.Key words: Hamstring, injury, incorporation and football.Resumen: El objetivo del estudio fue observar la evolución de la carga externa de un futbolista al reincorporarse al equipo después de una lesión. 13 jugadores masculinos de fútbol (20.9±1.7 años, 1.80±0.05 m, 73.1±5.3 kg) de un equipo de 2ª división B participaron en este estudio. Después de 30 días de baja tras una lesión en el músculo isquiotibial un jugador comenzó a entrenar con el equipo. Tras la primera semana, la lesion recidivó y se volvió a incorporar al equipo tras una semana de baja. La carga externa se evaluó en el jugador lesionado (P) y en el resto de los jugadores del equipo (T) utilizando dispositivos GPS (GPSport). Las variables medidas fueron: Distancia a alta intensidad (DHI; >14 km/h) y la distancia a Sprint (S; >24 km/h). Además, el número de aceleraciones (Acc) 1 (0-2 m/s/s), Acc2 (2-3 m/s/s) y Acc3 (3-5 m/s/s) y deceleraciones (Dec) 1 (0-2 m/s/s), Dec2 (2-3 m/s/s) y dec3 (3-5 m/s/s). Durante la primera semana de entrenamiento P realizó mayor DHI y S que T. Por otra parte, P realizó mayor cantidad de acc1, acc2, acc3, dec1, dec2 y dec3 que T. Por el contrario, durante la segunda semana, T realizó mayor DHI y S que P. Sin embargo, P realizó mayor cantidad de acc1, acc2, acc3 y dec1 que T. Valores similares fueron encontrados en dec2 y dec3 en P y T. En ambas semanas se observó un mayor trabajo muscular periférico en el jugador lesionado. Por lo tanto, de acuerdo con la naturaleza de la lesión una modificación o incluso la exclusión de ciertos ejercicios deben ser considerados; especialmente aquellos ejercicios que impactan directamente en los músculos recuperadosPalabras claves: Isquiotibial, lesión, incorporación y fútbol.


2020 ◽  
Vol 41 (04) ◽  
pp. 233-241
Author(s):  
François Delvaux ◽  
Cedric Schwartz ◽  
Thibault Decréquy ◽  
Thibault Devalckeneer ◽  
Julien Paulus ◽  
...  

AbstractMuscle strength imbalances and poor flexibility are frequently described as risk factors for hamstring injury. Preventive strategies include eccentric exercises, but the influence of field eccentric exercises on these risk factors remains unclear. We investigated the influence of a field hamstring eccentric program on hamstring strength and flexibility. Twenty-seven amateur athletes were randomly assigned to an intervention (n=13) or control group (n=14). In the intervention group, participants were involved in 15 sessions of four eccentric exercises. Peak torque, hamstring-to-quadriceps ratios, passive and active flexibility were analyzed. No significant modifications of strength, passive or active flexibility were observed in the control group (p>0.05). Hamstring eccentric peak torque (+7.1%) and functional hamstring-to-quadriceps ratios (9.3%) were significantly increased (p<0.05) in the intervention group, but not concentric strength (p<0.05). Passive straight leg raise was significantly increased by 11.4° (+12.7%, p<0.001), but not active flexibility (+3.1%, p>0.05). In conclusion, a 6-week eccentric program, including four field exercises for hamstring muscles, is an effective method of improving eccentric strength, functional ratios and, especially, passive flexibility. As this program may be easily implemented in a real-world context, this association of multiple eccentric exercises might be useful in an injury prevention strategy.


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