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. 2015 Oct;49(19):1241-4.
doi: 10.1136/bjsports-2014-094427. Epub 2015 Jun 23.

Hamstring injuries: prevention and treatment-an update

Peter Brukner

Hamstring injuries: prevention and treatment-an update

Peter Brukner. Br J Sports Med. 2015 Oct.

Abstract

Despite increased knowledge of hamstring muscle injuries, the incidence has not diminished. We now know that not all hamstring injuries are the same and that certain types of injuries require prolonged rehabilitation and return to play. The slow stretch type of injury and injuries involving the central tendon both require longer times to return to play. A number of factors have been proposed as being indicators of time taken to return to play, but the evidence for these is conflicting. Recurrence rates remain high and it is now thought that strength deficits may be an important factor. Strengthening exercise should be performed with the hamstrings in a lengthened position. There is conflicting evidence regarding the efficacy of platelet-rich plasma injection in the treatment of hamstring injuries so at this stage we cannot advise their use. Various tests have been proposed as predictors of hamstring injury and the use of the Nordboard is an interesting addition to the testing process. Prevention of these injuries is the ultimate aim and there is increasing evidence that Nordic hamstring exercises are effective in reducing the incidence.

Keywords: Hamstring; Injury; Prevention; Treatment.

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References

    1. 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;46:86–7. 10.1136/bjsports-2011-090534 - DOI - PubMed
    1. Askling CM, Tengvar M, Saartok T, et al. . Acute first-time hamstring strains during slow-speed stretching: clinical, magnetic resonance imaging, and recovery characteristics. Am J Sports Med 2007;35:1716–24. 10.1177/0363546507303563 - DOI - PubMed
    1. Askling CM, Tengvar M, Saartok T, et al. . Acute first-time hamstring strains during high-speed running: a longitudinal study including clinical and magnetic resonance imaging findings. Am J Sports Med 2007;35:197–206. 10.1177/0363546506294679 - DOI - PubMed
    1. 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;40:40–4. 10.1136/bjsm.2005.018879 - DOI - PMC - PubMed
    1. Rehorn MR, Blemker SS. The effects of aponeurosis geometry on strain injury susceptibility explored with a 3D muscle model. J Biomech 2010;43:2574–81. 10.1016/j.jbiomech.2010.05.011 - DOI - PMC - PubMed