Table 7

Hamstring loading progressions for 3c proximal biceps femoris injury

Week1+234+56+78+9
Rehabilitation and adaptation aim
  1. Promote tissue healing

  2. Avoid inhibition

  3. Avoid tensile load on tendon

  1. Introduce low-load eccentric contractions with knee dominant exercises

  2. Build tissue capacity and fatigue resistance

  3. Increase isometric loads

  1. Increase eccentric loads at shorter lengths

  2. Introduce low-load eccentrics at longer tissue lengths with hip dominant exercises

  1. Increase eccentric loads at longer lengths

  2. Large fatigue resistance and strength endurance component

  1. High eccentric loads at long length

  2. Maintain heavy isometric loading for tendon and aponeurotic adaptation

Elongation stressLowLowModerateModerate–highHigh
Load intensity /volumeLow (eg, 10–15 RM)/ high (four to five sets)Low–moderate (eg, 8–10 RM)/high (four sets)Moderate–high (eg, 6–8 RM)/moderate–high (three to four sets)High (eg, 2–6 RM)/Mod (three sets)High (eg, 2–6 RM)/moderate–low (two to three sets)
Frequency per week43–4332
Exercise selectionIsometric-concentric hams curls
Bridging patterns
Eccentric knee curls
DL-SL Roman chair iso holds
90–90 bridge capacity
RDL+SL RDL movement pattern
SL Roman chair with load
Nordics
RDL+SL RDL loaded
SL Roman chair with row
Nordics increased volume
Flywheel curl
45° hip extension
Cable hip extension
SL RDL increased load
SL Roman chair with row
Nordics loaded
  • DL, double leg; NHE, Nordic hamstring exercise; RDL, Romanian dead lift; SL, single leg.