title: Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme.
abstract: Recurrent hamstring injuries are a major problem in sports such as football. The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent hamstring injuries and examine the evidence for each intervention. A professional footballer sustained five hamstring injuries in a relatively short period of time. The injury was managed successfully with a seven-point programme-biomechanical assessment and correction, neurodynamics, core stability, eccentric strengthening, an overload running programme, injection therapies and stretching/relaxation. The evidence for each of these treatment options is reviewed. It is impossible to be definite about which aspects of the programme contributed to a successful outcome. Only limited evidence is available in most cases; therefore, decisions regarding the use of different treatment modalities must be made by using a combination of clinical experience and research evidence.
authors: Departmernt of Sports Medicine and Sports Science, Liverpool Football Club, , Liverpool, UK.
authors: Peter
authors: P
authors: Brukner
authors: Andrew
authors: A
authors: Nealon
authors: Christopher
authors: C
authors: Morgan
authors: Darren
authors: D
authors: Burgess
authors: Andrew
authors: A
authors: Dunn
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000628:therapy; D001696:Biomechanical Phenomena; D002985:Clinical Protocols; D005081:Exercise Therapy / Q000379:methods; D006801:Humans; D007869:Leg Injuries / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D053580:Muscle Strength / Q000502:physiology; D018482:Muscle, Skeletal / Q000293:injuries*; D009422:Nervous System Diseases / Q000209:etiology / Q000503:physiopathology; D012008:Recurrence; D012064:Relaxation Therapy / Q000379:methods; D012307:Risk Factors; D012420:Running / Q000502:physiology; D012916:Soccer / Q000293:injuries* / Q000502:physiology; D015013:Yoga
keywords: Exercise Rehabilitation; Hamstring Injuries; Muscle Damage/Injuries; Soccer; Soft Tissue Injuries