John DeWitt1, Tim Vidale2. 1. The Ohio State University, Columbus, Ohio, USA. 2. Howard University, Washington Injury and Sports Performance Clinic, Washington, DC, USA.
Abstract
PURPOSE/ BACKGROUND: Hamstring injuries are common at all levels of sport, however recurrence rates are disproportionate compared to other soft tissue injuries. Age and previous injury are supported in the literature as risk factors for hamstring injury; nonetheless, debate exists regarding modifiable risk factors. Restoration of peak torque length using lengthening eccentrics and core stability interventions appear to reduce incidence of re-injury. The purpose of this clinical commentary is to review examination techniques and rehabilitation considerations in order to identify important risk factors to reduce recurrence after hamstring strain and total rupture. DISCUSSION/RELATION TO CLINICAL PRACTICE: Novel clinical examination techniques both at time of acute injury and prior to return to sport may provide valuable prognostic information. Restoration of core stability, neuromuscular control and lengthening eccentric hamstring interventions are proposed key components to reduce hamstring re-injury. LEVELS OF EVIDENCE: Level 5.
PURPOSE/ BACKGROUND: Hamstring injuries are common at all levels of sport, however recurrence rates are disproportionate compared to other soft tissue injuries. Age and previous injury are supported in the literature as risk factors for hamstring injury; nonetheless, debate exists regarding modifiable risk factors. Restoration of peak torque length using lengthening eccentrics and core stability interventions appear to reduce incidence of re-injury. The purpose of this clinical commentary is to review examination techniques and rehabilitation considerations in order to identify important risk factors to reduce recurrence after hamstring strain and total rupture. DISCUSSION/RELATION TO CLINICAL PRACTICE: Novel clinical examination techniques both at time of acute injury and prior to return to sport may provide valuable prognostic information. Restoration of core stability, neuromuscular control and lengthening eccentric hamstring interventions are proposed key components to reduce hamstring re-injury. LEVELS OF EVIDENCE: Level 5.
Authors: Tero A H Järvinen; Teppo L N Järvinen; Minna Kääriäinen; Ville Aärimaa; Samuli Vaittinen; Hannu Kalimo; Markku Järvinen Journal: Best Pract Res Clin Rheumatol Date: 2007-04 Impact factor: 4.098
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