scholarly journals The Current Implementation of an Evidence-Based Hamstring Injury Prevention Exercise (Nordic Hamstring Exercise) among Athletes Globally

2021 ◽  
Vol 21 (3) ◽  
pp. 273-280
Author(s):  
Wesam Saleh A. Al Attar

Purpose. The Nordic hamstring exercise (NHE) has been shown to be successful in reducing hamstring muscle injury (HMI), which is one of the most common non-contact injuries of the lower limbs. This is especially pertinent in sports that require acceleration, maximal sprints, and sudden changes in the direction of running and sprinting, such as soccer and rugby. This study aimed to evaluate the awareness, implementation, and opinions of athletes worldwide regarding the effectiveness of NHE in preventing hamstring injury. Materials and methods. A self-administered questionnaire was distributed to 1500 athletes from different sports. The survey consisted of six questions covering country, gender, type of sport, awareness, implementation, and opinions of athletes worldwide regarding the effectiveness of NHE in preventing hamstring injury. The survey was available in ten different languages. Results. A total of 1142 male and female athletes from different sports participated in the survey. More than half of the athletes 641 (56%) were aware of NHE, and only 519 (45.4 %) were implementing NHE in their current training routines. Athletes who implemented NHE reported a positive opinion regarding the program’s effectiveness with a score of 8.4 ± 1 out of 10. Conclusions. Many athletes were aware of NHE and implemented it in their training routine since they found it to be effective in decreasing hamstring injury rates. However, additional work must be done to educate athletes about the importance of implementing this exercise and its effectiveness in preventing hamstring injury.

2018 ◽  
Vol 33 (4) ◽  
pp. 711-723
Author(s):  
Sergio Hernández-Sanchez ◽  
Vasileios Korakakis ◽  
Nikos Malliaropoulos ◽  
Víctor Moreno-Perez

Objective: To cross-culturally adapt and validate the Functional Assessment Scale for acute hamstring injury for professional Spanish-speaking soccer players. Design: Clinical measurement study. Cross-cultural adaptation was conducted following international recommendations. Indicators of validity, reliability and responsiveness are provided. Subjects: The Spanish version of the Functional Assessment Scale for acute hamstring injury scale was administered to 165 participants: 45 professional soccer players with acute hamstring muscle injury diagnosis, 40 healthy subjects, 40 individuals at-risk for a hamstring muscle injury and 40 patients with injuries of the lower limb other than hamstring muscle injury. Main measures: The Functional Assessment Scale for acute hamstring injury. Reference measures: Spanish version of the Quality of Life Short-Form 36 questionnaire (SF-36) and the Lower Limb Functional Index (LLFI). Results: Cronbach’s alpha (internal consistency) for the Spanish version of the Functional Assessment Scale for acute hamstring injury scale was >0.8. The intraclass correlation coefficient using the two-way random model (ICC2,1) (test–retest) was 0.993 (95% confidence interval (CI): 0.991–0.995; P < 0.05). In the exploratory factor analysis, a one-factor solution explained 85% of the variance. Subjects with hamstring muscle injury scored significantly lower than the other groups in the Spanish version of the Functional Assessment Scale for acute hamstring injury scale ( P < 0.001). The Spanish version of the Functional Assessment Scale for acute hamstring injury scale score within the hamstring muscle injury group showed moderate and significant correlations with SF-36 physical components (Spearman’s rs > 0.6; P < 0.001), and LLFI score at baseline ( rs = 0.42; P < 0.01). The standard error of measurement (SEM) and minimum detectable change threshold (MDC95%) were 2.6 and 7.2 points, respectively. The responsiveness indicators have an effect size of 3.62, and the standardized response mean is 3.24. Conclusion: The Spanish version of the Functional Assessment Scale for acute hamstring injury scale showed satisfactory psychometric properties. It can be considered a reliable and valid instrument to assess the functional impact of acute hamstring muscle injury in professional Spanish-speaking football players.


2021 ◽  
Vol 11 (7) ◽  
pp. 44-50
Author(s):  
Swapnil G. Kulkarni ◽  
Harshada R. Patil ◽  
Akshay A. Chougule

Background: Football is a dynamic sport that requires athlete to perform many different movements and skills such as rapid acceleration and deceleration, jumping, kicking, and sliding, quick changes of directions. Hamstring muscle injury being the commonest injury is due to hamstring tightness. Prevalence of hamstring injury is common in football players because of its tightness. Muscle energy technique helps in increasing Hamstring flexibility of football players with hamstring tightness. Purpose of Study: The purpose of this study was to find out the effect of Muscle energy technique on kicking speed in football players with hamstring tightness. The players were given 6 days Muscle energy technique on hamstring muscle to improve its flexibility. Kicking speed time was checked pre and post Muscle energy technique. Materials and Methodology: Football players with hamstring tightness [n=40] were included in this study. Muscle energy technique was given for hamstring tightness for 6 days. Pre and post kicking speed time of the players were noted. Result: There was decrease in kicking speed time of the players when compared with pre [0.785] and post [0.4450] Muscle energy technique was proved statistically significant [p=0.000]. Conclusion: It is concluded that Muscle energy technique helps in decreasing the kicking speed time i.e. the ball will cover the given distance in shorter period of time in football players with hamstring tightness and hence helps in bringing out their best performance on field. Key words: Muscle energy technique [MET], Hamstring tightness, kicking speed time.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 703
Author(s):  
Xiaoyi Yang ◽  
Yuqi He ◽  
Shirui Shao ◽  
Julien S. Baker ◽  
Bíró István ◽  
...  

The chasse step is one of the most important footwork maneuvers used in table tennis. The purpose of this study was to investigate the lower limb kinematic differences of table tennis athletes of different genders when using the chasse step. The 3D VICON motion analysis system was used to capture related kinematics data. The main finding of this study was that the step times for male athletes (MA) were shorter in the backward phase (BP) and significantly longer in the forward phase (FP) than for female athletes (FA) during the chasse step. Compared with FA, knee external rotation for MA was larger during the BP. MA showed a smaller knee flexion range of motion (ROM) in the BP and larger knee extension ROM in the FP. Moreover, hip flexion and adduction for MA were significantly greater than for FA. In the FP, the internal rotational velocity of the hip joint was significantly greater. MA showed larger hip internal rotation ROM in the FP but smaller hip external rotation ROM in the BP. The differences between genders can help coaches personalize their training programs and improve the performance of both male and female table tennis athletes.


2019 ◽  
Vol 53 (23) ◽  
pp. 1464-1473 ◽  
Author(s):  
Ben Macdonald ◽  
Stephen McAleer ◽  
Shane Kelly ◽  
Robin Chakraverty ◽  
Michael Johnston ◽  
...  

RationaleHamstring injuries are common in elite sports. Muscle injury classification systems aim to provide a framework for diagnosis. The British Athletics Muscle Injury Classification (BAMIC) describes an MRI classification system with clearly defined, anatomically focused classes based on the site of injury: (a) myofascial, (b) muscle–tendon junction or (c) intratendinous; and the extent of the injury, graded from 0 to 4. However, there are no clinical guidelines that link the specific diagnosis (as above) with a focused rehabilitation plan.ObjectiveWe present an overview of the general principles of, and rationale for, exercise-based hamstring injury rehabilitation in British Athletics. We describe how British Athletics clinicians use the BAMIC to help manage elite track and field athletes with hamstring injury. Within each class of injury, we discuss four topics: clinical presentation, healing physiology, how we prescribe and progress rehabilitation and how we make the shared decision to return to full training. We recommend a structured and targeted diagnostic and rehabilitation approach to improve outcomes after hamstring injury.


2014 ◽  
pp. 27-44 ◽  
Author(s):  
Anne D. van der Made ◽  
Thijs Wieldraaijer ◽  
Lars Engebretsen ◽  
Gino M. M. J. Kerkhoffs

2016 ◽  
Vol 8 (4) ◽  
pp. 164-176 ◽  
Author(s):  
Justin P. Waxman ◽  
Mark S. Walsh ◽  
Stephanie T. Smith ◽  
William P. Berg ◽  
Rose Marie Ward ◽  
...  

2017 ◽  
Vol 48 (2) ◽  
pp. 251-267 ◽  
Author(s):  
Matthew N. Bourne ◽  
Ryan G. Timmins ◽  
David A. Opar ◽  
Tania Pizzari ◽  
Joshua D. Ruddy ◽  
...  

Sports ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. 65 ◽  
Author(s):  
Shaun Huygaerts ◽  
Francesc Cos ◽  
Daniel D. Cohen ◽  
Julio Calleja-González ◽  
Marc Guitart ◽  
...  

Isolated injury to the long head of biceps femoris is the most common type of acute hamstring strain injury (HSI). However, the precise hamstring injury mechanism (i.e., sprint-type) is still not well understood, and research is inconclusive as to which phase in the running cycle HSI risk is the greatest. Since detailed information relating to hamstring muscle function during sprint running cannot be obtained in vivo in humans, the findings of studies investigating HSI mechanisms are based on modeling that requires assumptions to be made based on extrapolations from anatomical and biomechanical investigations. As it is extremely difficult to account for all aspects of muscle-tendon tissues that influence function during high-intensity running actions, much of this complexity is not included in these models. Furthermore, the majority of analyses do not consider the influence of prior activity or muscular fatigue on kinematics, kinetics and muscle activation during sprinting. Yet, it has been shown that fatigue can lead to alterations in neuromuscular coordination patterns that could potentially increase injury risk. The present critical review will evaluate the current evidence on hamstring injury mechanism(s) during high-intensity running and discuss the interactions between fatigue and hamstring muscle activation and function.


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