Hamstring strain injuries: are we heading in the right direction?
- 1Department of Physical Therapy, Zentrum Rehab and Performance Center, Barañain, Navarre, Spain
- 2Department of Orthopedic Surgery, Hospital del Mar i l'Esperança, Barcelona, Spain
- 3Department of Biomedical Kinesiology, K.U. Leuven, Leuven, Belgium
- Correspondence to Jurdan Mendiguchia, Department of Physical Therapy, Zentrum Rehab and Performance Center, Calle B Nave 23, Barañain, Navarre, Spain;
- Accepted 27 April 2011
- Published Online First 15 June 2011
Acute hamstring injuries are the most prevalent muscle injuries reported in sport. Despite a thorough and concentrated effort to prevent and rehabilitate hamstring injuries, injury occurrence and re-injury rates have not improved over the last three decades. This failure is most likely due to the following: (1) a lack of studies with high level of evidence into the identification and prevention of hamstring injuries and (2) a reductionist approach of the current literature. The objectives of this article are to review and critique the current literature regarding isolated risk factors, and introduce a new concept for a more comprehensive scientific understanding of how multiple risk factors contribute to hamstring strain injury. The authors hope that this new conceptual model can serve as a foundation for future evidence-based research and aid in the development of new prevention methods to decrease the high incidence of this type of injury.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.