Asian Journal of Sports Medicine

Published by: Kowsar

Hamstring Muscle Injuries, a Rehabilitation Protocol Purpose

Xavier Valle 1 , * , Johannes L.Tol 2 , Bruce Hamilton 3 , Gil Rodas 1 , Peter Malliaras 4 , Nikos Malliaropoulos 4 , 5 , Vicenc Rizo 1 , Marcel Moreno 1 and Jaume Jardi 1
Authors Information
1 Football Club Barcelona, Medical Department, Barcelona, Spain
2 Department of Sports Medicine, Aspetar, Doha, Qatar
3 Sports Medicine Department, Millenium Institute of Sport and Health, Auckland, New Zealand
4 Sports Medicine Department, Centre for Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom
5 Musculoskeletal Department, Thessaloniki Sports Medicine Clinic, Thessaloniki, Greece
Article information
  • Asian Journal of Sports Medicine: December 01, 2015, 6 (4); e25411
  • Published Online: December 1, 2015
  • Article Type: Review Article
  • Received: November 20, 2014
  • Revised: January 28, 2015
  • Accepted: March 6, 2015
  • DOI: 10.5812/asjsm.25411

To Cite: Valle X, L.Tol J, Hamilton B, Rodas G, Malliaras P, et al. Hamstring Muscle Injuries, a Rehabilitation Protocol Purpose, Asian J Sports Med. 2015 ; 6(4):e25411. doi: 10.5812/asjsm.25411.

Abstract
Copyright © 2015, Sports Medicine Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Context
2. Evidence Acquisition
3. Results
4. Conclusions
Acknowledgements
Footnotes
References
  • 1. Jarvinen TA, Jarvinen TL, Kaariainen M, Kalimo H, Jarvinen M. Muscle injuries: biology and treatment. Am J Sports Med. 2005; 33(5): 745-64[DOI][PubMed]
  • 2. Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011; 39(6): 1226-32[DOI][PubMed]
  • 3. Borowski LA, Yard EE, Fields SK, Comstock RD. The epidemiology of US high school basketball injuries, 2005-2007. Am J Sports Med. 2008; 36(12): 2328-35[DOI][PubMed]
  • 4. Feeley BT, Kennelly S, Barnes RP, Muller MS, Kelly BT, Rodeo SA, et al. Epidemiology of National Football League training camp injuries from 1998 to 2007. Am J Sports Med. 2008; 36(8): 1597-603[DOI][PubMed]
  • 5. Orchard J, Seward H. Epidemiology of injuries in the Australian Football League, seasons 1997-2000. Br J Sports Med. 2002; 36(1): 39-44[PubMed]
  • 6. Alonso JM, Junge A, Renstrom P, Engebretsen L, Mountjoy M, Dvorak J. Sports injuries surveillance during the 2007 IAAF World Athletics Championships. Clin J Sport Med. 2009; 19(1): 26-32[DOI][PubMed]
  • 7. Schache AG, Dorn TW, Wrigley TV, Brown NA, Pandy MG. Stretch and activation of the human biarticular hamstrings across a range of running speeds. Eur J Appl Physiol. 2013; 113(11): 2813-28[DOI][PubMed]
  • 8. Ekstrand J, Hagglund M, Walden M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med. 2011; 45(7): 553-8[DOI][PubMed]
  • 9. Opar DA, Williams MD, Shield AJ. Hamstring strain injuries: factors that lead to injury and re-injury. Sports Med. 2012; 42(3): 209-26[DOI][PubMed]
  • 10. Malliaropoulos N, Isinkaye T, Tsitas K, Maffulli N. Reinjury after acute posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med. 2011; 39(2): 304-10[DOI][PubMed]
  • 11. Verrall GM, Esterman A, Hewett TE. Analysis of the Three Most Prevalent Injuries in Australian Football Demonstrates a Season to Season Association Between Groin/Hip/Osteitis Pubis Injuries With ACL Knee Injuries. Asian J Sports Med. 2014; 5(3)[DOI][PubMed]
  • 12. Mendiguchia J, Brughelli M. A return-to-sport algorithm for acute hamstring injuries. Phys Ther Sport. 2011; 12(1): 2-14[DOI][PubMed]
  • 13. Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG. Hamstring strain injuries: recommendations for diagnosis, rehabilitation, and injury prevention. J Orthop Sports Phys Ther. 2010; 40(2): 67-81[DOI][PubMed]
  • 14. Silder A, Sherry MA, Sanfilippo J, Tuite MJ, Hetzel SJ, Heiderscheit BC. Clinical and morphological changes following 2 rehabilitation programs for acute hamstring strain injuries: a randomized clinical trial. J Orthop Sports Phys Ther. 2013; 43(5): 284-99[DOI][PubMed]
  • 15. Silder A, Thelen DG, Heiderscheit BC. Effects of prior hamstring strain injury on strength, flexibility, and running mechanics. Clin Biomech (Bristol, Avon). 2010; 25(7): 681-6[DOI][PubMed]
  • 16. Connell DA, Schneider-Kolsky ME, Hoving JL, Malara F, Buchbinder R, Koulouris G, et al. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstring injuries. AJR Am J Roentgenol. 2004; 183(4): 975-84[DOI][PubMed]
  • 17. Silder A, Heiderscheit BC, Thelen DG, Enright T, Tuite MJ. MR observations of long-term musculotendon remodeling following a hamstring strain injury. Skeletal Radiol. 2008; 37(12): 1101-9[DOI][PubMed]
  • 18. Jarvinen TA, Jarvinen TL, Kaariainen M, Aarimaa V, Vaittinen S, Kalimo H, et al. Muscle injuries: optimising recovery. Best Pract Res Clin Rheumatol. 2007; 21(2): 317-31[DOI][PubMed]
  • 19. Sanfilippo JL, Silder A, Sherry MA, Tuite MJ, Heiderscheit BC. Hamstring strength and morphology progression after return to sport from injury. Med Sci Sports Exerc. 2013; 45(3): 448-54[DOI][PubMed]
  • 20. Chumanov ES, Heiderscheit BC, Thelen DG. The effect of speed and influence of individual muscles on hamstring mechanics during the swing phase of sprinting. J Biomech. 2007; 40(16): 3555-62[DOI][PubMed]
  • 21. Schache AG, Dorn TW, Blanch PD, Brown NA, Pandy MG. Mechanics of the human hamstring muscles during sprinting. Med Sci Sports Exerc. 2012; 44(4): 647-58[DOI][PubMed]
  • 22. Dahmane R, Djordjevic S, Smerdu V. Adaptive potential of human biceps femoris muscle demonstrated by histochemical, immunohistochemical and mechanomyographical methods. Med Biol Eng Comput. 2006; 44(11): 999-1006[DOI][PubMed]
  • 23. Cibulka MT, Rose SJ, Delitto A, Sinacore DR. Hamstring muscle strain treated by mobilizing the sacroiliac joint. Phys Ther. 1986; 66(8): 1220-3[PubMed]
  • 24. Garrett WJ, Rich FR, Nikolaou PK, Vogler JB 3rd. Computed tomography of hamstring muscle strains. Med Sci Sports Exerc. 1989; 21(5): 506-14[PubMed]
  • 25. Askling CM, Malliaropoulos N, Karlsson J. High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis. Br J Sports Med. 2012; 46(2): 86-7[DOI][PubMed]
  • 26. Askling C, Saartok T, Thorstensson A. Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level. Br J Sports Med. 2006; 40(1): 40-4[DOI][PubMed]
  • 27. Thelen DG, Chumanov ES, Hoerth DM, Best TM, Swanson SC, Li L, et al. Hamstring muscle kinematics during treadmill sprinting. Med Sci Sports Exerc. 2005; 37(1): 108-14[PubMed]
  • 28. Chumanov ES, Schache AG, Heiderscheit BC, Thelen DG. Hamstrings are most susceptible to injury during the late swing phase of sprinting. Br J Sports Med. 2012; 46(2): 90[DOI][PubMed]
  • 29. Orchard JW. Hamstrings are most susceptible to injury during the early stance phase of sprinting. Br J Sports Med. 2012; 46(2): 88-9[DOI][PubMed]
  • 30. Yu B, Queen RM, Abbey AN, Liu Y, Moorman CT, Garrett WE. Hamstring muscle kinematics and activation during overground sprinting. J Biomech. 2008; 41(15): 3121-6[DOI][PubMed]
  • 31. Chumanov ES, Heiderscheit BC, Thelen DG. Hamstring musculotendon dynamics during stance and swing phases of high-speed running. Med Sci Sports Exerc. 2011; 43(3): 525-32[DOI][PubMed]
  • 32. Thelen DG, Chumanov ES, Best TM, Swanson SC, Heiderscheit BC. Simulation of biceps femoris musculotendon mechanics during the swing phase of sprinting. Med Sci Sports Exerc. 2005; 37(11): 1931-8[PubMed]
  • 33. van Beijsterveldt AM, van de Port IG, Vereijken AJ, Backx FJ. Risk factors for hamstring injuries in male soccer players: a systematic review of prospective studies. Scand J Med Sci Sports. 2013; 23(3): 253-62[DOI][PubMed]
  • 34. de Visser HM, Reijman M, Heijboer MP, Bos PK. Risk factors of recurrent hamstring injuries: a systematic review. Br J Sports Med. 2012; 46(2): 124-30[DOI][PubMed]
  • 35. Freckleton G, Pizzari T. Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. Br J Sports Med. 2013; 47(6): 351-8[DOI][PubMed]
  • 36. Fyfe JJ, Opar DA, Williams MD, Shield AJ. The role of neuromuscular inhibition in hamstring strain injury recurrence. J Electromyogr Kinesiol. 2013; 23(3): 523-30[DOI][PubMed]
  • 37. Proske U, Morgan DL, Brockett CL, Percival P. Identifying athletes at risk of hamstring strains and how to protect them. Clin Exp Pharmacol Physiol. 2004; 31(8): 546-50[DOI][PubMed]
  • 38. Yeung SS, Suen AM, Yeung EW. A prospective cohort study of hamstring injuries in competitive sprinters: preseason muscle imbalance as a possible risk factor. Br J Sports Med. 2009; 43(8): 589-94[DOI][PubMed]
  • 39. Opar DA, Williams MD, Timmins RG, Dear NM, Shield AJ. Knee flexor strength and bicep femoris electromyographical activity is lower in previously strained hamstrings. J Electromyogr Kinesiol. 2013; 23(3): 696-703[DOI][PubMed]
  • 40. Sole G, Milosavljevic S, Nicholson HD, Sullivan SJ. Selective strength loss and decreased muscle activity in hamstring injury. J Orthop Sports Phys Ther. 2011; 41(5): 354-63[DOI][PubMed]
  • 41. Brughelli M, Cronin J, Mendiguchia J, Kinsella D, Nosaka K. Contralateral leg deficits in kinetic and kinematic variables during running in Australian rules football players with previous hamstring injuries. J Strength Cond Res. 2010; 24(9): 2539-44[DOI][PubMed]
  • 42. Brockett CL, Morgan DL, Proske U. Predicting hamstring strain injury in elite athletes. Med Sci Sports Exerc. 2004; 36(3): 379-87[PubMed]
  • 43. Lee MJ, Reid SL, Elliott BC, Lloyd DG. Running biomechanics and lower limb strength associated with prior hamstring injury. Med Sci Sports Exerc. 2009; 41(10): 1942-51[DOI][PubMed]
  • 44. Malliaropoulos N, Papalexandris S, Papalada A, Papacostas E. The role of stretching in rehabilitation of hamstring injuries: 80 athletes follow-up. Med Sci Sports Exerc. 2004; 36(5): 756-9[PubMed]
  • 45. Kraemer R, Knobloch K. A soccer-specific balance training program for hamstring muscle and patellar and achilles tendon injuries: an intervention study in premier league female soccer. Am J Sports Med. 2009; 37(7): 1384-93[DOI][PubMed]
  • 46. Schmitt B, Tim T, McHugh M. Hamstring injury rehabilitation and prevention of reinjury using lengthened state eccentric training: a new concept. Int J Sports Phys Ther. 2012; 7(3): 333-41[PubMed]
  • 47. Askling CM, Tengvar M, Thorstensson A. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med. 2013; 47(15): 953-9[DOI][PubMed]
  • 48. Sherry MA, Best TM. A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop Sports Phys Ther. 2004; 34(3): 116-25[DOI][PubMed]
  • 49. Brooks JH, Fuller CW, Kemp SP, Reddin DB. Incidence, risk, and prevention of hamstring muscle injuries in professional rugby union. Am J Sports Med. 2006; 34(8): 1297-306[DOI][PubMed]
  • 50. Henderson G, Barnes CA, Portas MD. Factors associated with increased propensity for hamstring injury in English Premier League soccer players. J Sci Med Sport. 2010; 13(4): 397-402[DOI][PubMed]
  • 51. Frohm A, Heijne A, Kowalski J, Svensson P, Myklebust G. A nine-test screening battery for athletes: a reliability study. Scand J Med Sci Sports. 2012; 22(3): 306-15[DOI][PubMed]
  • 52. Perrott MA, Pizzari T, Opar M, Cook J. Development of clinical rating criteria for tests of lumbopelvic stability. Rehabil Res Pract. 2012; 2012: 803637[DOI][PubMed]
  • 53. Kubota J, Ono T, Araki M, Torii S, Okuwaki T, Fukubayashi T. Non-uniform changes in magnetic resonance measurements of the semitendinosus muscle following intensive eccentric exercise. Eur J Appl Physiol. 2007; 101(6): 713-20[DOI][PubMed]
  • 54. Guex K, Millet GP. Conceptual framework for strengthening exercises to prevent hamstring strains. Sports Med. 2013; 43(12): 1207-15[DOI][PubMed]
  • 55. Malliaropoulos N, Mendiguchia J, Pehlivanidis H, Papadopoulou S, Valle X, Malliaras P, et al. Hamstring exercises for track and field athletes: injury and exercise biomechanics, and possible implications for exercise selection and primary prevention. Br J Sports Med. 2012; 46(12): 846-51[DOI][PubMed]
  • 56. Thorborg K. Why hamstring eccentrics are hamstring essentials. Br J Sports Med. 2012; 46(7): 463-5[DOI][PubMed]
  • 57. Kwak HS, Lee KB, Han YM. Ruptures of the medial head of the gastrocnemius ("tennis leg"): clinical outcome and compression effect. Clin Imaging. 2006; 30(1): 48-53[DOI][PubMed]
  • 58. Bleakley CM, Glasgow P, Webb MJ. Cooling an acute muscle injury: can basic scientific theory translate into the clinical setting? Br J Sports Med. 2012; 46(4): 296-8[DOI][PubMed]
  • 59. Kerkhoffs GM, van Es N, Wieldraaijer T, Sierevelt IN, Ekstrand J, van Dijk CN. Diagnosis and prognosis of acute hamstring injuries in athletes. Knee Surg Sports Traumatol Arthrosc. 2013; 21(2): 500-9[DOI][PubMed]
  • 60. Robinson M, Hamilton B. Medical interventions in the management of hamstring muscle injury. Eur J Sport Sci. 2014; 14(7): 743-51[DOI][PubMed]
  • 61. Andia I, Sanchez M, Maffulli N. Platelet rich plasma therapies for sports muscle injuries: any evidence behind clinical practice? Expert Opin Biol Ther. 2011; 11(4): 509-18[DOI][PubMed]
  • 62. Ziltener JL, Leal S, Fournier PE. Non-steroidal anti-inflammatory drugs for athletes: an update. Ann Phys Rehabil Med. 2010; 53(4): 278-82[DOI][PubMed]
  • 63. Guex K, Gojanovic B, Millet GP. Influence of hip-flexion angle on hamstrings isokinetic activity in sprinters. J Athl Train. 2012; 47(4): 390-5[DOI][PubMed]
  • 64. Caekenberghe IV, Segers V, Aerts P, Willems P, De Clercq D. Joint kinematics and kinetics of overground accelerated running versus running on an accelerated treadmill. J R Soc Interface. 2013; 10(84): 20130222[DOI][PubMed]
  • 65. Clanton TO, Coupe KJ. Hamstring strains in athletes: diagnosis and treatment. J Am Acad Orthop Surg. 1998; 6(4): 237-48[PubMed]
  • 66. Hubscher M, Refshauge KM. Neuromuscular training strategies for preventing lower limb injuries: what's new and what are the practical implications of what we already know? Br J Sports Med. 2013; 47(15): 939-40[DOI][PubMed]
  • 67. Reurink G, Goudswaard GJ, Oomen HG, Moen MH, Tol JL, Verhaar JA, et al. Reliability of the active and passive knee extension test in acute hamstring injuries. Am J Sports Med. 2013; 41(8): 1757-61[DOI][PubMed]
  • 68. Cameron ML, Adams RD, Maher CG, Misson D. Effect of the HamSprint Drills training programme on lower limb neuromuscular control in Australian football players. J Sci Med Sport. 2009; 12(1): 24-30[DOI][PubMed]
  • 69. Eils E, Schroter R, Schroder M, Gerss J, Rosenbaum D. Multistation proprioceptive exercise program prevents ankle injuries in basketball. Med Sci Sports Exerc. 2010; 42(11): 2098-105[DOI][PubMed]
  • 70. Fourchet F, Materne O, Horobeanu C, Hudacek T, Buchheit M. Reliability of a novel procedure to monitor the flexibility of lower limb muscle groups in highly-trained adolescent athletes. Phys Ther Sport. 2013; 14(1): 28-34[DOI][PubMed]
  • 71. Malliaropoulos N, Papacostas E, Kiritsi O, Papalada A, Gougoulias N, Maffulli N. Posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med. 2010; 38(9): 1813-9[DOI][PubMed]
  • 72. Telhan G, Franz JR, Dicharry J, Wilder RP, Riley PO, Kerrigan DC. Lower limb joint kinetics during moderately sloped running. J Athl Train. 2010; 45(1): 16-21[DOI][PubMed]
  • 73. Rockey AM. The Relationship Between Anterior Pelvic Tilt, Hamstring Extensibility and Hamstring Strength. 2008;
  • 74. Shinkle J, Nesser TW, Demchak TJ, McMannus DM. Effect of core strength on the measure of power in the extremities. J Strength Cond Res. 2012; 26(2): 373-80[DOI][PubMed]
  • 75. Zakas A. Bilateral isokinetic peak torque of quadriceps and hamstring muscles in professional soccer players with dominance on one or both two sides. J Sports Med Phys Fitness. 2006; 46(1): 28-35[PubMed]
  • 76. Barr KP, Griggs M, Cadby T. Lumbar stabilization: a review of core concepts and current literature, part 2. Am J Phys Med Rehabil. 2007; 86(1): 72-80[PubMed]
  • 77. Kloos AD, Heiss GD. Therapeutic exercise. 2007; : 251-70
  • 78. Guex K, Degache F, Gremion G, Millet GP. Effect of hip flexion angle on hamstring optimum length after a single set of concentric contractions. J Sports Sci. 2013; 31(14): 1545-52[DOI][PubMed]
  • 79. Blazevich AJ, Cannavan D, Coleman DR, Horne S. Influence of concentric and eccentric resistance training on architectural adaptation in human quadriceps muscles. J Appl Physiol (1985). 2007; 103(5): 1565-75[DOI][PubMed]
  • 80. O'Sullivan K, McAuliffe S, Deburca N. The effects of eccentric training on lower limb flexibility: a systematic review. Br J Sports Med. 2012; 46(12): 838-45[DOI][PubMed]
  • 81. Hibbert O, Cheong K, Grant A, Beers A, Moizumi T. A systematic review of the effectiveness of eccentric strength training in the prevention of hamstring muscle strains in otherwise healthy individuals. N Am J Sports Phys Ther. 2008; 3(2): 67-81[PubMed]
  • 82. Whiteley R, Jacobsen P, Prior S, Skazalski C, Otten R, Johnson A. Correlation of isokinetic and novel hand-held dynamometry measures of knee flexion and extension strength testing. J Sci Med Sport. 2012; 15(5): 444-50[DOI][PubMed]
  • 83. Pigozzi F, Giombini A, Macaluso A. Do current methods of strength testing for the return to sport after injuries really address functional performance? Am J Phys Med Rehabil. 2012; 91(5): 458-60[DOI][PubMed]
  • 84. Bosco C. Methods of functional testing during rehabilitation exercises. Rehabilitation of Sports Injuries.: 2001; : 11-22
  • 85. Pincivero DM, Lephart SM, Karunakara RA. Reliability and precision of isokinetic strength and muscular endurance for the quadriceps and hamstrings. Int J Sports Med. 1997; 18(2): 113-7[DOI][PubMed]
  • 86. Croisier JL, Forthomme B, Namurois MH, Vanderthommen M, Crielaard JM. Hamstring muscle strain recurrence and strength performance disorders. Am J Sports Med. 2002; 30(2): 199-203[PubMed]
  • 87. Tol JL, Hamilton B, Eirale C, Muxart P, Jacobsen P, Whiteley R. At return to play following hamstring injury the majority of professional football players have residual isokinetic deficits. Br J Sports Med. 2014; 48(18): 1364-9[DOI][PubMed]
  • 88. Mendiguchia J, Samozino P, Martinez-Ruiz E, Brughelli M, Schmikli S, Morin JB, et al. Progression of mechanical properties during on-field sprint running after returning to sports from a hamstring muscle injury in soccer players. Int J Sports Med. 2014; 35(8): 690-5[DOI][PubMed]
  • 89. Freckleton G, Cook J, Pizzari T. The predictive validity of a single leg bridge test for hamstring injuries in Australian Rules Football Players. Br J Sports Med. 2014; 48(8): 713-7[DOI][PubMed]
  • 90. Harvey D. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med. 1998; 32(1): 68-70[PubMed]
  • 91. Crossley KM, Zhang WJ, Schache AG, Bryant A, Cowan SM. Performance on the single-leg squat task indicates hip abductor muscle function. Am J Sports Med. 2011; 39(4): 866-73[DOI][PubMed]
  • 92. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004; 36(6): 926-34[PubMed]
  • 93. Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO. Return-to-play in sport: a decision-based model. Clin J Sport Med. 2010; 20(5): 379-85[DOI][PubMed]
  • 94. Benito del Pozo L, Ayan Perez C, Revuelta Benzanilla G, Maestro Fernandez A, Fernández Villa T, Martin Sanchez V. Influencia del estatus profesional de los jugadores de fútbol en la frecuencia y gravedad de las lesiones: estudio piloto comparativo. Apunts. Medicina de l'Esport. 2014; 49(181): 20-4
  • 95. Delvaux F, Rochcongar P, Bruyere O, Bourlet G, Daniel C, Diverse P, et al. Return-to-play criteria after hamstring injury: actual medicine practice in professional soccer teams. J Sports Sci Med. 2014; 13(3): 721-3[PubMed]
  • 96. Ardern CL, Taylor NF, Feller JA, Webster KE. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med. 2013; 47(17): 1120-6[DOI][PubMed]
  • 97. Zvijac JE, Toriscelli TA, Merrick WS, Papp DF, Kiebzak GM. Isokinetic concentric quadriceps and hamstring normative data for elite collegiate American football players participating in the NFL Scouting Combine. J Strength Cond Res. 2014; 28(4): 875-83[DOI][PubMed]
  • 98. Sugiura Y, Saito T, Sakuraba K, Sakuma K, Suzuki E. Strength deficits identified with concentric action of the hip extensors and eccentric action of the hamstrings predispose to hamstring injury in elite sprinters. J Orthop Sports Phys Ther. 2008; 38(8): 457-64[DOI][PubMed]
  • 99. Reurink G, Goudswaard GJ, Tol JL, Almusa E, Moen MH, Weir A, et al. MRI observations at return to play of clinically recovered hamstring injuries. Br J Sports Med. 2014; 48(18): 1370-6[DOI][PubMed]
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