{"id":3857,"date":"2012-10-16T07:32:45","date_gmt":"2012-10-16T06:32:45","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bjsm\/?p=3857"},"modified":"2012-10-17T09:16:47","modified_gmt":"2012-10-17T08:16:47","slug":"hamstring-injury-mini-symposium-bjsm-papers-that-will-help-you-manage-hamstring-injuries","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bjsm\/2012\/10\/16\/hamstring-injury-mini-symposium-bjsm-papers-that-will-help-you-manage-hamstring-injuries\/","title":{"rendered":"Hamstring injury mini-symposium (BJSM papers that will help you manage hamstring injuries)."},"content":{"rendered":"<p>Bruce Hamilton&#8217;s article (<a href=\"http:\/\/bjsm.bmj.com\/content\/46\/13\/900.full\" target=\"_blank\">Hamstring muscle strain injuries: what can we learn from history? 2012;46: 900-903<\/a>) is receiving a lot of attention. Current in\u00a0this month&#8217;s BJSM print edition, &gt;6,000 people have already downloaded and digested it (<a href=\"http:\/\/bjsm.bmj.com\/content\/46\/13\/900.full\" target=\"_blank\">free full text!<\/a>). This October issue has been shaped by the Australasian College of Sports Physicians, one of BJSM&#8217;s 8 member societies (and more to be announced shortly!).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-3858\" src=\"https:\/\/stg-blogs.bmj.com\/bjsm\/files\/2012\/10\/manchester-231x300.jpg\" alt=\"\" width=\"231\" height=\"300\" srcset=\"https:\/\/stg-blogs.bmj.com\/bjsm\/files\/2012\/10\/manchester-231x300.jpg 231w, https:\/\/stg-blogs.bmj.com\/bjsm\/files\/2012\/10\/manchester.jpg 494w\" sizes=\"auto, (max-width: 231px) 100vw, 231px\" \/>Clinicians&#8217; interest in hamstring injury prevention, diagnosis, and management is no surprise. Elite athletes from American Football (<a href=\"http:\/\/espn.go.com\/new-york\/nfl\/story\/_\/id\/8495720\/new-york-jets-expect-dustin-keller-stephen-hill-play-indianapolis-colts\" target=\"_blank\">i.e\u00a0Jets&#8217; tight end Dustin Keller who has missed four weeks &#8211; to date &#8211; with a hamstring injury<\/a>), to European Football (<a href=\"http:\/\/www.thesun.co.uk\/sol\/homepage\/sport\/football\/4588043\/Stuart-Pearce-will-not-risk-Jack-Rodwell.html\" target=\"_blank\">i.e Manchester City&#8217;s\u00a0Jack Rodwell who may be warming the bench for England in Tuesday&#8217;s Euro 2013 decider<\/a>) suffer from hamstring injury. Rodwell has the classic &#8216;recurrence&#8217; issue &#8211; six such injuries this season.<\/p>\n<p>As a &#8216;mini-symposium&#8217; we share 4 recent papers below. Their take-home messages include that: (i) focussed eccentric loading &#8211; in the appropriate functional range of motion is critical, (ii) that there are different types of hamstring strains with different prognosis (Type 1 &#8216;sprinters&#8217;; Type 2 &#8216;dancers&#8217;), (iii) there remains an element of art in treatment &#8211; but don&#8217;t give up the science as the first option. And don&#8217;t forget <a href=\"http:\/\/podcasts.bmj.com\/bjsm\/2012\/01\/13\/hamstring-injuries-with-carl-askling\/\">Carl Askling&#8217;s podcast<\/a> &#8211; one of BJSM&#8217;s most popular of all time.<\/p>\n<p>BJSM senior associate editor Roald Bahr (<a href=\"https:\/\/twitter.com\/RoaldBahr\" target=\"_blank\">@RoaldBahr<\/a>) vouches strongly for the &#8216;nordic hamstring&#8217; exercises to prevent recurrence. He suggest that EPL teams should be ensuring the high-risk players (those with previous injury) perform the program. You can see the v<a href=\"http:\/\/www.klokavskade.no\/no\/Skadefri\/Kroppsdel\/Lar\/Nordisk-Hamstrings\/http:\/\/\">ideo of this program at the Oslo Sports Trauma Research linked web-page. (Skadefri <\/a>which means &#8216;Injury Free&#8217;). The words are in Norwegian but the images speak for themselves. And while you are on that site check out the <a href=\"http:\/\/www.klokavskade.no\/en\/News-archive\/News-archive-2012\/httpwwwklokavskadenonoNyhetsarkivNyhetsarkiv-201New-IOC-Manual-of-Sports-Injuries-edited-by-Roald-Bahr\/\">IOC Manual of Sports Injuries<\/a> &#8211; great value and completely up to date.<\/p>\n<p>In short &#8211; no-one has all the answers but progressive and functional training &#8211; with a <span style=\"text-decoration: underline\">particular focus on players who have already had a hamstring strain<\/span> &#8211; is a way to go. Please do share your solutions confidentially or in public.<\/p>\n<p><strong>Related publications<\/strong><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/46\/2\/81.full\" target=\"_blank\">Mendiguchia J,\u00a0Alentorn-Geli E,Brughelli M.\u00a0<strong>Hamstring strain injuries: are we heading in the right direction?<\/strong> <abbr>Br J Sports Med<\/abbr> 2012;46:81\u20135.<\/a><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/46\/2\/86.full\">Askling CM, Malliaropoulos N, Karlsson J. <strong>High-speed running type or stretching-type of hamstring injuries makes a difference to treatment and prognosis<\/strong> <cite><abbr title=\"British Journal of Sports Medicine\">Br J Sports Med<\/abbr> 2012;46:2 86-87 Published Online First: 14 December 2011 <\/cite><\/a><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/42\/3\/158.full?ijkey=cf5030ca805a2802c2b20bd69ffd90eb6de65569&amp;keytype2=tf_ipsecsha\" target=\"_blank\">Orchard JW,\u00a0Best TM,\u00a0Mueller-Wohlfahrt HW,\u00a0et al\u00a0<strong>The early management of muscle strains in the elite athlete: best practice in a world with a limited evidence basis.<\/strong> <abbr>Br J Sports Med<\/abbr> 2008;42:158\u20139. (Free full text)<\/a><\/p>\n<p><a href=\"http:\/\/ajs.sagepub.com\/content\/35\/2\/197.abstract?ijkey=704a54476420444150ba5287bdfb4cc21bd2e66c&amp;keytype2=tf_ipsecsha\" target=\"_blank\">Askling CM,\u00a0Tengvar M,\u00a0Saartok T,\u00a0et al.\u00a0<strong>Acute first-time hamstring strains during high-speed running: a longitudinal study including clinical and magnetic resonance imaging findings<\/strong>. <abbr>Am J Sports Med<\/abbr> 2007;35:197\u2013206.<\/a><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/40\/1\/40.abstract?ijkey=460268c4d37e239e0c7f3b8be23e5718cfbcce9d&amp;keytype2=tf_ipsecsha\" target=\"_blank\">\u00a0Askling C,\u00a0Saartok T,\u00a0Thorstensson A. <strong>Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level<\/strong>. Br J Sports Med 2006; 40: 40-4.\u00a0<\/a><\/p>\n<p>&nbsp;<\/p>\n<div><\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bruce Hamilton&#8217;s article (Hamstring muscle strain injuries: what can we learn from history? 2012;46: 900-903) is receiving a lot of attention. Current in\u00a0this month&#8217;s BJSM print edition, &gt;6,000 people have already downloaded and digested it (free full text!). This October issue has been shaped by the Australasian College of Sports Physicians, one of BJSM&#8217;s 8 [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bjsm\/2012\/10\/16\/hamstring-injury-mini-symposium-bjsm-papers-that-will-help-you-manage-hamstring-injuries\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1387,1,187,317],"tags":[1623],"class_list":["post-3857","post","type-post","status-publish","format-standard","hentry","category-football","category-uncategorized","category-hot-topic","category-research","tag-hamstring"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/3857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/comments?post=3857"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/3857\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/media?parent=3857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/categories?post=3857"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/tags?post=3857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}