Hamstring Strain Prevention in Elite Soccer Players

Turner, Anthony N.; Cree, Jon; Comfort, Paul; Jones, Leigh; Chavda, Shyam; Bishop, Chris; Reynolds, Andy M.

doi:10.1519/ssc.0000000000000076

Cited by 10 publications

(11 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is also a disagreement in the literature as to whether the muscle action involved in the hamstrings during HSR is the active lengthening or eccentric action [13][14][15][16][17][18][19], as described above, or whether it is a quasi-isometric action [14,18,20]. Despite this lack of clarity, a number of nonmodifiable and modifiable risk factors have been outlined [21][22][23] including, age, ethnicity, previous HSI, fatigue, flexibility, muscle architecture, and strength.…”

Section: Key Pointsmentioning

confidence: 99%

The Effect of Nordic Hamstring Exercise Intervention Volume on Eccentric Strength and Muscle Architecture Adaptations: A Systematic Review and Meta-analyses

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Although performance of the Nordic hamstring exercise (NHE) has been shown to elicit adaptations that may reduce hamstring strain injury (HSI) risk and occurrence, compliance in NHE interventions in professional soccer teams is low despite a high occurrence of HSI in soccer. A possible reason for low compliance is the high dosages prescribed within the recommended interventions. The aim of this review was to investigate the effect of NHE-training volume on eccentric hamstring strength and biceps femoris fascicle length adaptations. Methods A literature search was conducted using the SPORTDiscus, Ovid, and PubMed databases. A total of 293 studies were identified prior to application of the following inclusion criteria: (1) a minimum of 4 weeks of NHE training was completed; (2) mean ± standard deviation (SD) pre-and post-intervention were provided for the measured variables to allow for secondary analysis; and (3) biceps femoris muscle architecture was measured, which resulted in 13 studies identified for further analysis. The TESTEX criteria were used to assess the quality of studies with risk of bias assessment assessed using a fail-safe N (Rosenthal method). Consistency of studies was analysed using I 2 as a test of heterogeneity and secondary analysis of studies included Hedges' g effect sizes for strength and muscle architecture variables to provide comparison within studies, between-study differences were estimated using a random-effects model. Results A range of scores (3-11 out of 15) from the TESTEX criteria were reported, showing variation in study quality. A 'low risk of bias' was observed in the randomized controlled trials included, with no study bias shown for both strength or architecture (N = 250 and 663, respectively; p < 0.001). Study consistency was moderate to high for strength (I 2 = 62.49%) and muscle architecture (I 2 = 88.03%). Within-study differences showed that following interventions of ≥ 6 weeks, very large positive effect sizes were seen in eccentric strength following both high volume (g = 2.12) and low volume (g = 2.28) NHE interventions. Similar results were reported for changes in fascicle length (g ≥ 2.58) and a large-to-very large positive reduction in pennation angle (g ≥ 1.31). Between-study differences were estimated to be at a magnitude of 0.374 (p = 0.009) for strength and 0.793 (p < 0.001) for architecture. Conclusions Reducing NHE volume prescription does not negatively affect adaptations in eccentric strength and muscle architecture when compared with high dose interventions. These findings suggest that lower volumes of NHE may be more appropriate for athletes, with an aim to increase intervention compliance, potentially reducing the risk of HSI.

show abstract

Section: Key Pointsmentioning

confidence: 99%

The Effect of Nordic Hamstring Exercise Intervention Volume on Eccentric Strength and Muscle Architecture Adaptations: A Systematic Review and Meta-analyses

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…It may be reasonable to juxtapose these rates to the growing traction of workload monitoring systems during this time period-affording researchers and practitioners the capacity to identify specific ''high risk'' movements and craft prevention strategies targeting such movements. 14 Strategies that were widely adopted to reduce the incidence of muscular injuries may provide a meaningful blueprint for crafting further injury prevention strategies. It is also important to continue monitoring the incidence trajectory of hamstring tears given that the aforementioned decrease was observed only for the final 2 years of this study period.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Injuries in National Collegiate Athletic Association Men's Soccer: 2014–2015 Through 2018–2019

Chandran

Morris

Boltz

et al. 2021

Journal of Athletic Training

View full text Add to dashboard Cite

Context The National Collegiate Athletic Association has sponsored men's soccer programs since 1959, and the popularity of the sport has grown over time. Background Routine examinations of athlete injuries are important for identifying emerging temporal patterns. Methods Exposure and injury data collected in the National Collegiate Athletic Association Injury Surveillance Program from 2014–2015 through 2018–2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differential injury rates. Results The overall injury rate was 8.51 per 1000 athlete exposures. Lateral ligament complex tears (ankle sprains) (9.2%), hamstring tears (7.0%), and concussions (5.2%) were the most commonly reported injuries. Rates of lateral ligament complex tears remained stable from 2014–2015 through 2018–2019, whereas hamstring tear rates decreased and concussion rates increased. Summary The findings of this study were in line with the existing epidemiological evidence, although notable temporal patterns were observed. Incidence trajectories of commonly observed injuries warrant particular attention in the future.

show abstract

“…Regarding other aspects that could influence acute hamstring injuries such as nutrition, hydration [ 41 ], fatigue [ 21 ], etc., they were not addressed in any of the selected papers. Therefore, we understand that the results obtained by the studies may have certain limitations in this regard.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the consideration of the risk factors and the prevention of this characteristic health problem in footballs plays are fundamental [ 14 ], not only because of its incidence but also because of the high economic cost to the clubs [ 20 ] and the long treatment involved in their functional recovery [ 14 ]. All this consequently causes a great loss in sports practice [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Acute Hamstring Injury Prevention Programs in Eleven-a-Side Football Players Based on Physical Exercises: Systematic Review

Rosado-Portillo

Chamorro-Moriana

González-Medina

et al. 2021

JCM

View full text Add to dashboard Cite

(1) Objective: To analyze the exercise programs used to prevent of acute hamstring injuries in eleven-a-side football players, and their effectiveness. (2) Methods: A systematic review (PRISMA) was conducted (2008–2020), including RCTs, that exclusively used physical exercises as a prevention method. (3) Results: Ten studies were selected considering 14 interventions, including nine different programs: FIFA11+ (11+), Harmoknee, eccentric Nordic Hamstring Exercise (NHE) exclusively, with eccentric exercises, with stretching or with proprioceptive, New Warm-up Program (NWP), Bounding Exercise Program (BEP), the only one with no positive results, and proprioceptive exercises. Incidence of injuries and strength were the most considered variables, both with favorable evidences. Programs including NHE, which assessed injury incidence, were always effective. The 11+ program was effective in injury incidence and strength; NWP was effective in balance, stability, and strength. (4) Conclusions: The exercise programs discussed were effective to prevent acute hamstring injuries in football players except BEP and partially Harmoknee. Exercises mostly used to reduce the risk of hamstring injuries are those of eccentric force due to its functionality, especially NHE. Only concentric contractions and isometric contractions obtained significant favorable results. The most complete and promising programs were 11+ (in injury incidence and strength) and NWP (strength, balance, and stability). NWP was the best in strength.

show abstract

Hamstring Strain Prevention in Elite Soccer Players

Cited by 10 publications

References 70 publications

The Effect of Nordic Hamstring Exercise Intervention Volume on Eccentric Strength and Muscle Architecture Adaptations: A Systematic Review and Meta-analyses

The Effect of Nordic Hamstring Exercise Intervention Volume on Eccentric Strength and Muscle Architecture Adaptations: A Systematic Review and Meta-analyses

Epidemiology of Injuries in National Collegiate Athletic Association Men's Soccer: 2014–2015 Through 2018–2019

Acute Hamstring Injury Prevention Programs in Eleven-a-Side Football Players Based on Physical Exercises: Systematic Review

Contact Info

Product

Resources

About