Does lumbo-pelvic dysfunction predispose to hamstring strain in professional soccer players?

Wallden, Matthew; Walters, Nick

doi:10.1016/j.jbmt.2004.03.005

Cited by 12 publications

(6 citation statements)

References 22 publications

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“…Eight review articles were excluded because they were not systematic reviews 17–24. Another two studies were omitted as they were retrospective designs25 26 and a further 11 were excluded on the basis that they had no specific risk factor data for hamstring injury 27–37. Six articles were excluded because they did not contain any discrete data regarding incidence or recurrence of hamstring muscle strain-type injury 38–43.…”

Section: Resultsmentioning

confidence: 99%

Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis

2012

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Section: Resultsmentioning

confidence: 99%

Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis

2012

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“…7,9,29,45 However, other studies suggest that this may not be the predominant factor, citing the lower levels of recurrence for other muscle strains. 46 Functional performance measures had no signifi cant association with either initial or recurrent hamstring strain injury. This is an important fi nding, questioning the validity of such commonly used tests by sporting clubs in determining a player's injury risk and suitability to RTS.…”

Section: Discussionmentioning

confidence: 92%

“…Debate exists as to whether this is because of inadequate rehabilitation and premature RTS, or whether an intrinsic risk is created by the initial injury. 1 , 37 , 42 , 45 , 46 Premature RTS arguably places the athlete at higher risk, but even in the presence of thorough rehabilitation, with corresponding functional improvement, recurrence remains high. 5 , 42 The argument exists, therefore, that the hamstrings are at risk because of scar tissue formation and reorganization secondary to initial strain.…”

Section: Discussionmentioning

confidence: 99%

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An Evidence-Based Approach to Hamstring Strain Injury: A Systematic Review of the Literature

Prior

Guerin

Grimmer

2009

Sports Health: A Multidisciplinary Approach

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Background:Hamstring strain injury is a common problem within sport. Despite research interest, knowledge of risks for and management of hamstring strain is limited, as evidenced by high injury rates.Objective:To present the current best evidence for hamstring strain injury risk factors and the management of hamstring strain injury.Methods:MEDLINE, AMED, SportDiscus, and AUSPORT databases were searched (key terms “hamstring” and “strain,” “injury,” “pull,” or “tear”) to identify relevant literature published between 1982 and 2007 in the English language. Studies of adult athlete populations (older than 18 years) pertaining to hamstring strain incidence, prevalence, and/or intervening management of hamstring strain injury were included. Articles were limited to full-text randomized, controlled studies or cohort studies. Twenty-four articles were included. Articles were critically appraised using the McMaster Quantitative Review Guidelines instrument. Data pertaining to injury rates and return to sport outcomes were extracted. Each author undertook independent appraisal of a random selection of articles after establishing inter-rater agreement of appraisal.Results:Previous strain, older age, and ethnicity were consistently reported as significant risks for injury, as was competing in higher levels of competition. Associations with strength and flexibility were conflicting. Functional rehabilitation interventions had preventive effects and resulted in significantly earlier return to sport. Additionally, weak evidence existed for other interventions.Conclusion:Current evidence is inconclusive regarding most interventions for hamstring strain injury, while the effect of potentially modifiable risks is unclear. Further high-quality prospective studies into potential risks and management are required to provide a better framework within which to target interventions.

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“…SIJ dysfunction has been reported in subjects with HMI79–81 though the inter-rater reliability of many of the tests used is known to be poor79 with almost all subjects including controls in these studies identified as having some level of dysfunction. While Cibulka et al 80 claimed that SIJ manipulation resulted in an increase in hamstring peak torque measured isokinetically, significant methodological flaws undermine the interpretation of this outcome40 and further research is required to validate the role of SIJ manipulation in the treatment of the player with HMI 71.…”

Section: Seven Part Management Planmentioning

confidence: 86%

Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme

Brukner¹,

Nealon

Morgan

et al. 2013

Br J Sports Med

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Recurrent hamstring injuries are a major problem in sports such as football. The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent hamstring injuries and examine the evidence for each intervention. A professional footballer sustained five hamstring injuries in a relatively short period of time. The injury was managed successfully with a seven-point programme—biomechanical assessment and correction, neurodynamics, core stability, eccentric strengthening, an overload running programme, injection therapies and stretching/relaxation. The evidence for each of these treatment options is reviewed. It is impossible to be definite about which aspects of the programme contributed to a successful outcome. Only limited evidence is available in most cases; therefore, decisions regarding the use of different treatment modalities must be made by using a combination of clinical experience and research evidence.

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Does lumbo-pelvic dysfunction predispose to hamstring strain in professional soccer players?

Cited by 12 publications

References 22 publications

Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis

Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis

An Evidence-Based Approach to Hamstring Strain Injury: A Systematic Review of the Literature

Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme

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