Article Text

Download PDFPDF

Hamstring strain injuries: are we heading in the right direction?
  1. Jurdan Mendiguchia1,
  2. Eduard Alentorn-Geli2,
  3. Matt Brughelli3
  1. 1Department of Physical Therapy, Zentrum Rehab and Performance Center, Barañain, Navarre, Spain
  2. 2Department of Orthopedic Surgery, Hospital del Mar i l'Esperança, Barcelona, Spain
  3. 3Department of Biomedical Kinesiology, K.U. Leuven, Leuven, Belgium
  1. Correspondence to Jurdan Mendiguchia, Department of Physical Therapy, Zentrum Rehab and Performance Center, Calle B Nave 23, Barañain, Navarre, Spain; jurdan24{at}


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.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.