This document discusses hamstring injuries, which are very common in sports. It notes that previous hamstring injury is a major risk factor, and that injuries typically cause players to miss around 3 matches. When evaluating hamstring pain, clinicians should examine biomechanics in the tibiofibular joint, sacroiliac joint, and lumbar spine, as well as muscular factors like strength, length, and trigger points. Treatment of hamstring injuries should address underlying contributing factors beyond just the hamstrings.
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Hamstring injuries
1. Problems cannot be solved by the same
level of thinking that created them A.E.
Mathieu Gram
4. Hamstring Incidence & Severity
Approximately 6 players/squad/season
Miss approximately 3 matches or weeks of
play
Woods et al., 2004 Hoskins et al., 2005
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5. Risk factors
Previous hamstring injury >2x risk
Age
ACL injury (altered proprioceptive feedback)
Reduced flexibility ???
Low hamstring strength ???
Strength deficits or imbalances ???
Isokinetic testing specificity? Engebretsen et al., 2010
Arnason et al., 2004
Tsuda et al., 2001
Verrall et al., 2001
Christensen et al., 2000Mathieu Gram
14. Articular
When evaluating hamstring pain,
Evaluate biomechanics of:
Problems cannot be solved by the same
level of thinking that created them A.E.
Mathieu Gram
21. Problems cannot be solved by the same
level of thinking that created them A.E.
Treatment of hamstring injuries should also
be directed at non-local hamstring factors.
Hoskins & Pollard, 2005
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