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Sports Medicine

, Volume 2, Issue 1, pp 21–33 | Cite as

Hamstring Injuries

Proposed Aetiological Factors, Prevention, and Treatment
  • James C. Agre
Review Article

Summary

Injuries to the hamstring muscles can be devastating to the athlete because these injuries frequently heal slowly and have a tendency to recur. It is thought that many of the recurrent injuries to the hamstring musculotendinous unit are the result of inadequate rehabilitation following the initial injury. The severity of hamstring injuries is usually of first or second degree, but occasionally third-degree injuries (complete rupture of the musculotendinous unit) do occur.

Most hamstring strain injuries occur while running or sprinting. Several aetiological factors have been proposed as being related to injury of the hamstring musculotendinous unit. They include: poor flexibility, inadequate muscle strength and/or endurance, dyssynergic muscle contraction during running, insufficient warm-up and stretching prior to exercise, awkward running style, and a return to activity before complete rehabilitation following injury.

Treatment for hamstring injuries includes rest and immobilisation immediately following injury and then a gradually increasing programme of mobilisation, strengthening, and activity. Permission to return to athletic competition should be withheld until full rehabilitation has been achieved (complete return of muscle strength, endurance, and flexibility in addition to a return of co-ordination and athletic agility). Failure to achieve full rehabilitation will only predispose the athlete to recurrent injury. The best treatment for hamstring injuries is prevention, which should include training to maintain and/or improve strength, flexibility, endurance, co-ordination, and agility.

Keywords

Stance Phase Gait Cycle Swing Phase Hamstring Muscle Hamstring Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Agre, J.C. and Baxter, T.L.: Strength and flexibility characteristics of collegiate soccer players. Archives of Physical Medicine and Rehabilitation 62: 539 (1981).Google Scholar
  2. Arner, O.; Lindholm, A. and Orell, S.R.: Histologic changes in subcutaneous rupture of the Achilles tendon. Acta Chirurgica Scandinavica 116: 484–490 (1958).Google Scholar
  3. Baker, B.E.: Current concepts in the diagnosis and treatment of musculotendinous injuries. Medicine and Science in Sports and Exercise 16: 323–327 (1984).PubMedGoogle Scholar
  4. Basmajian, J.V.: Muscles Alive: Their Functions Revealed by Electromyography, pp. 156–164 and 235–280 (Williams and Wilkins Company, Baltimore 1978).Google Scholar
  5. Brewer, B.J.: Mechanism of injury to the musculotendinous unit. Instructional Course Lectures, American Academy of Orthopedic Surgeons 17: 354–358 (1960).Google Scholar
  6. Brewer, B.J.: Athletic injuries; musculotendinous unit. Clinical Orthopedics 23: 30–37 (1962).Google Scholar
  7. Brubaker, C.E. and James, S.L.: Injuries to runners. Journal of Sports Medicine 2: 189–198 (1974).PubMedCrossRefGoogle Scholar
  8. Burkett, L.N.: Causative factors in hamstring strains. Medicine and Science in Sports and Exercise 2: 39–42 (1970).Google Scholar
  9. Cailliet, R.: Low Back Pain Syndrome, 2nd ed, pp.44–46 (F.A. Davis Company, Philadelphia, 1968).Google Scholar
  10. Casal, D.C.; Agre, J.C.; Leon, A.S.; McNally, M.C.; Baxter, T.L.; and Serfass, R.: Pre-season cardiorespiratory, anthropometric, and musculoskeletal characteristics of professional ice hockey players. Submitted for publication (1985).Google Scholar
  11. Christensen, C.S.: Strength, the common variable in hamstring strain. Athletic Trainer 7: 36–40 (1972).Google Scholar
  12. Cooper, D.L. and Fair, J.: Trainer’s corner: Hamstring strains. Physician and Sportsmedicine 6: 104 (1978).Google Scholar
  13. Craig, T.T. (Ed.): American Medical Association Comments in Sports Medicine, pp.25–27 (American Medical Association, Chicago, 1973).Google Scholar
  14. Dornan, P.: A report on 140 hamstring injuries. Australian Journal of Sports Medicine 4: 30–36 (1971).Google Scholar
  15. Ekstrand, J. and Gillquist, J.: Soccer injuries and their mechanisms: A prospective study. Medicine and Science in Sports and Exercise 15: 267–270 (1983).PubMedCrossRefGoogle Scholar
  16. Garrett, W.E.: Strains and sprains in athletes. Postgraduate Medicine 73 (3): 200–209 (1983).PubMedGoogle Scholar
  17. Gilliam, T.B.; Sady, S.P.; Freedson, P.S.; and Villanacci, J.: Isokinetic torque levels for high school football players. Archives of Physical Medicine and Rehabilitation 60: 110–114 (1979).PubMedGoogle Scholar
  18. Glick, J.M.: Muscle strains: Prevention and treatment. Physician and Sportsmedicine 8: 73–77 (1980).Google Scholar
  19. Inman, V.T.; Ralston, H.J.; and Todd, F.: Human Walking, pp.l–154 (Williams and Wilkins, Baltimore 1981).Google Scholar
  20. Kennedy, J.C. and Willis, R.B.: The effects of local steroid injections on tendons: A biomechanical and microscopic correlative study. American Journal of Sports Medicine 4: 11–21 (1976).PubMedCrossRefGoogle Scholar
  21. Kirby, R.L.; Simms, F.C.; Symington, V.J. and Garner, J.B.: Flexibility and musculoskeletal symptomatology in female gymnasts and age-matched controls. American Journal of Sports Medicine 9: 160–164 (1981).PubMedCrossRefGoogle Scholar
  22. Kottke, F.J.: Therapeutic exercise to maintain mobility and therapeutic exercise to develop meuromuscular coordination; in Kottke et al. (Eds) Krusen’s Handbook of Physical Medicine and Rehabilitation, 3rd ed. pp.389–402 and 403–426 (W.B. Saunders Company, Philadelphia 1982).Google Scholar
  23. Kraus, H: Evaluation and treatment of muscle function of the athletic injury. American Journal of Surgery 98: 353–362 (1959).PubMedCrossRefGoogle Scholar
  24. Kulund, D.N. (Ed.): The Injured Athlete, pp.358–359 (J.B. Lippincott Company, Philadelphia 1982).Google Scholar
  25. Leach, R.: Running injuries of the knee; in D’Ambrosia and Drez Jr (Eds) Prevention and Treatment of Running Injuries, pp. 57–76 (Charles B. Slack, Inc., Thorofare, NJ 1982).Google Scholar
  26. Mann, R.A.: Biomechanics of running: in D’Ambrosia and Drez Jr (Eds) Prevention and Treatment of Running Injuries, pp.l–14 (Charles B. Slack Inc., Thorofare, NJ 1982a).Google Scholar
  27. Mann, R.A.: Biomechanics of running; in Mack (Ed.) American Academy of Orthopedic Surgeons’ Symposium on The Foot and Leg in Running Sports, pp. 1–29 (C.V. Mosby Company, St Louis 1982b).Google Scholar
  28. Mann, R.A. and Hagy, J.L.: Running, jogging, and walking: A comparative electromyographic and biomechanical study; in Bateman and Trott (Eds) The Foot and Ankle (Thieme-Stratton, Inc, New York 1980).Google Scholar
  29. Mannis, C.I.: Individualized preseason evaluation of high school football players. Medicine and Science in Sports and Exercise 12: 135 (1980).Google Scholar
  30. Morris, A.F.: Sports Medicine: Prevention of Athletic Injuries, pp. 162–163 (Wm C. Brown Publishers, Dubuque, Iowa 1984).Google Scholar
  31. Mueller, E.A.: Influence of training and inactivity on muscle strength. Archives of Physical Medicine and Rehabilitation 51: 449–462 (1970).Google Scholar
  32. Roy, S. and Irvin, R.: Sportsmedicine: Prevention, Evaluation, Management and Rehabilitation, pp.298–305 (Prentice-Hall, Inc., Englewood Cliffs, NJ 1983). ai]Scudder, G.N.: Torque curve produced at the knee during isometric and isokinetic exercise. Archives of Physical Medicine and Rehabilitation 61: 68–73 (1980).Google Scholar
  33. Tipton, C.M.; Matthes, R.D.; Maynard, J.A.; and Carey, R.A.: The influence of physical activity on ligaments and tendons. Medicine and Science in Sports 7: 165–175 (1975).PubMedGoogle Scholar

Copyright information

© ADIS Press Limited 1985

Authors and Affiliations

  • James C. Agre
    • 1
  1. 1.University of Wisconsin Medical SchoolMadisonUSA

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