The high incidence of hamstring injuries in all the football domains is common knowledge. And there has been intense study and focus on reducing their numbers, however in Europe the numbers continue to increase, although in Australia the numbers are reducing.
Anyone want to give a guess at the reason for the difference between Australia and Europe?
Why are hamstring injuries such an ongoing problem?
High incidences of recurrent hamstring injury(12-34%) implicate inadequate rehabilitation and/or premature Return to play as a reason, both potentially the result of underestimating the injury (Brooks, 2006; Orchard and Seward, 2002).
So how should we manage hamstring injuries?
The Return to Play program should be aligned to the different healing stages of muscle (Jarvinen et al. 2005;2014), incorporate the findings from the clinical examination and individualised to the player and injury situation, while considering the risk factors associated with hamstring injuries (Van Beijsterveldt et al. 2013; Bahr and Holme, 2003; Opar et al. 2012; Mendugichia and Brughelli, 2011).
Major Factors that can be controlled are load, lumbopelvic strength, hamstring strength, flexibility, neural tension and running mechanics (Gabbe et al. 2005).
Lumbopelvic stability (Core strengthening) programs are an established part of HMI rehabilitation
The connections of the hamstrings to the pelvis and in particular Biceps Femoris, imply hamstring function is dependent on pelvis posture and kinematics (Higashihara et al. 2015).