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  1. Such interdisciplinary discussion is likely to help find solutions to keep players safe and at reduced injury risk.11. Our finding that players are exposed to high risk of recurrences during the first 2 months after the index hamstring injury is important for team clinicians.

  2. 1 Additionally, more than 50% of athletes with prior hamstring injury experience a recurrence of hamstring injury within 25 days of returning to play. 2 Considering that players typically resume...

  3. Apr 10, 2017 · The consequences of recurrence are high as recurrent hamstring strains have been shown to result in significantly more time lost than first time hamstring strains. 10 Therefore, the purpose of this review article was to provide a summary of the current evidence for clinicians to improve the quality of rehabilitation and decision-making for retur...

    • Lauren N. Erickson, Marc A. Sherry
    • 10.1016/j.jshs.2017.04.001
    • 2017
    • J Sport Health Sci. 2017 Sep; 6(3): 262-270.
    • Risk factors for HSI
    • Study type
    • Data extraction
    • Recurrent hSI
    • What is already known
    • What are the new findings
    • COnCluSIOn
    • Patient consent for publication Not required.

    Studies were required to present discrete data for one or more risk factors and their association with HSI. Intrinsic (eg, age, injury history, physical qualities) and extrinsic (eg, environment, stage of the season, competition schedule) factors were included. Studies reporting data that were not directly examined in rela-tion to injury risk or th...

    Systematic reviews and studies involving the analysis of prospectively collected data on non- modifiable factors were included. Intervention studies were excluded to limit potential confounding. All included studies involved human participants, were published in English and full- text versions were available. Conference abstracts and unpublished da...

    Data were extracted with a focus on factors evaluated for their association with index and/or recurrent HSI. Raw data were extracted according to outcome measurement and the results reported. Reviewers extracted data relating to the key results, athletic population, length of tracking, and methods of HSI diag-nosis and injury classification.

    Clinical data about the history of HSI and persistent hamstring deficits best evaluate risk of recurrent HSI. Strength deficits, reduced hamstring flexibility and palpation tenderness at return to play may indicate an increased risk of recurrent HSI. MRI descriptors of the index HSI at baseline and return to play do not accurately predict risk of r...

    ► Older age and a history of hamstring strain injury (HSI) are strong risk factors for HSI.

    ► Older age and injury history (HSI, ACL injury, calf strain injury) are associated with an increased risk of subsequent HSI. ► Key areas to evaluate athletes for information about risk of HSI are sports performance and match play, hamstring strength, and running. ► Clinical examination findings best evaluate the risk of recurrent HSI. ► Future res...

    Older age, and a history of HSI, ACL injury and calf strain injury were significant risk factors for HSI. Factors related to sports performance and match play, running and hamstring strength are likely important for evaluating the risk profile of athletes, which reflects the multifactorial nature of index and recurrent HSIs. Correction notice This ...

    Provenance and peer review Not commissioned; externally peer reviewed.

    • 1MB
    • Brady Green, Matthew N Bourne, Nicol van Dyk, Tania Pizzari
    • 10
    • 2020
  4. From the best evidence synthesis, factors relating to sports performance and match play, running and hamstring strength were most consistently associated with HSI risk. The risk of recurrent HSI is best evaluated using clinical data and not the MRI characteristics of the index injury.

    • Brady Green, Matthew N Bourne, Nicol van Dyk, Tania Pizzari
    • 2020
  5. ⇒ These data on incidence and burden of hamstring injuries provide a strong rationale for teams to keep focusing on preventing first and recurrent hamstring injuries. ⇒ The high rate of recurrent hamstring injury within 2 months of return to play suggests this period is a particularly important time for team clinicians to: (1) carefully monitor ...

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  7. Feb 28, 2022 · Clinicians should use the history of a hamstring strain injury (HSI) in return-to-play (RTP) progression, as a previous HSI is a risk factor for a future reinjury.