Hamstring injuries and the need for speed.

Hamstring injuries continue to present a major injury burden for all sports that involve high speed running. From the pitch to the track, hamstring strain injuries present a problem with many contributing factors driving the injury bus. So it is no surprise that there continues to be a significant amount of research aimed at improving the prevention and rehabilitation of hamstring injuries. 

A recent investigation from a French University group of researchers wanted to see what exercises could be used to best mimic the stresses experienced during high speed running accelerations and sprints up to 50m Their thought was that if they could find exercises that replicate the stresses experienced during high speed sprints then it provides some insight into how we can train and develop some of the factors required for preparing athletes to withstand these forces. The ultimate aim of which is to stop the injuries from happening in the first place. 

So what did they find?

Well to give further context they wanted to determine whether the horizontally orientated hamstring tasks (those would push you forward, similar to how we propel ourselves in sprinting) could replicate both the force output and muscle activation experienced in all out sprints. What they found was that there was a considerable correlation between the forces and activation levels experienced in tasks such as standing hip extension exercises and Nordic Hamstring exercises when compared with the hamstring muscle actions during high speed sprinting. What was abundantly clear is that the forces and activation, whilst correlated are still significantly lower than hat is experienced during sprinting. 

So what does this mean for using hamstring strength exercises to prepare for fast running activities?

It suggests that these tasks are a part of the conversation, they are an entry to the types of loads, contraction types and activation patterns that may be utilised by the hamstring muscles during sprinting. However they will never fully prepare athletes for the types of loads experienced. It seems like an obsolete statement, but the best way to prepare an athlete to sprint fast in their sport is to gradually and progressively expose them to greater volumes and intensities of fast running. The loads that they experience are specific to that task and it requires gradual acclimatisation to fast running to build the tolerance within the hamstrings to do so. Hamstring strength exercises (and particularly horizontally orientated exercises) provide some foundation, but at the end of the day to prepare and improve your hamstrings’ tolerance for fast running there is, and always be, a need for speed training in your preparation program. 

To access the paper head to https://www.frontiersin.org/articles/10.3389/fspor.2020.609636/full?utm_source=S-TWT&utm_medium=SNET&utm_campaign=ECO_FSPOR_XXXXXXXX_auto-dlvrit

References

Edouard, P., Lahti, J., Nagahara, R., Samozino, P., Navarro, L., Guex, K., Rossi, J., Brughelli, M., Mendiguchia, J., & Morin, J. (2021). Low horizontal force production capacity during sprinting as a potential risk factor of hamstring injury in football. International Journal of Environmental Research and Public Health, 18. https://doi.org/10.3390/ijerph18157827

Green, B., Bourne, M., & Pizzari, T. (2017). Isokinetic strength assessment offers limited predictive validity for detecting risk of future hamstring strain in sport: a systematic review and meta-analysis. British Journal of Sports Medicine, 52, 329–336. https://doi.org/10.1136/bjsports-2017-098101

Green, B., Bourne, M., Van Dyk, N., & Pizzari, T. (2020). Recalibrating the risk of hamstring strain injury (HSI): a 2020 systematic review and meta-analysis of risk factors for index and recurrent hamstring strain injury in sport. British Journal of Sports Medicine, 54, 1081–1088. https://doi.org/10.1136/bjsports-2019-100983

Kellis, E., Sahinis, C., & Baltzopoulos, V. (2022). Is hamstrings-to-quadriceps torque ratio useful for predicting anterior cruciate ligament and hamstring injuries? A systematic and critical review. Journal of Sport and Health Science, 12, 343–358. https://doi.org/10.1016/j.jshs.2022.01.002

Sancese, A., Taylor, L., Walsh, G., Byrd, E., & Delextrat, A. (2023). Effects of sprint versus strength training on risk factors for hamstring injury in football players. The Journal of Sports Medicine and Physical Fitness. https://doi.org/10.23736/s0022-4707.22.14529-9

Van Dyk, N., Bahr, R., Burnett, A., Verhagen, E., & Witvrouw, E. (2018). No association between rate of torque development and onset of muscle activity with increased risk of hamstring injury in elite football. Scandinavian Journal of Medicine & Science in Sports, 28, 2153–2163. https://doi.org/10.1111/sms.13224

Wille, C. M., Stiffler-Joachim, M., Kliethermes, S., Sanfilippo, J. L., Tanaka, C. S., & Heiderscheit, B. (2022). Preseason eccentric strength is not associated with hamstring strain injury: a prospective study in collegiate athletes. Medicine and Science in Sports and Exercise, 54, 1271–1277. https://doi.org/10.1249/mss.0000000000002913

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Our Physios

Mia Bailey

MPhysio, BExSpSc

Australian Rules

FIELD SPORTS

Running

Mia is a physiotherapist with a particular interest in team sport injuries, having worked in local AFL and regularly managing soft tissue conditions such as hamstring, calf and Achilles complaints.

Key Areas:

Achilles

Hamstring

Calf

Soft tissue

ACL

Knee

Running Assessments

Jasmine Genis

M.Physio and M. Heath Science (osteopathy).

AUSTRALIAN RULES

FIELD SPORTS

TRACK AND FIELD

Jas is an experienced physiotherapist with a special interest in field-based sports, having worked across AFLW and VFL competitions over approximately 5 years.

Key Areas:

KNEE INJURIES

HIP PAIN

ANKLE INJURIES

HAMSTRING INJURIES

GROIN / ADDUCTOR STRAINS

LOWER LIMB INJURIES

SOFT TISSUE INJURIES

RETURN TO SPORT REHAB

James Elwin

Physiotherapist (B.Physiotherapy)

Olympic Lifting

Crossfit/Functional Fitness

Football/Cricket

James is a keen footballer in winter and cricket physio in Summer and is also a competitive Olympic lifter and Crossfit gym owner.

Key Areas:

Hamstring injuries

Calf injuries

Quad strains

Shoulder injuries

Back pain/injuries

achilles

Side strains