hamstring injuries
DESCRIPTION
Hamstring injuriesTRANSCRIPT
“Problems cannot be solved by the same level of thinking that created them” A.E.
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Hamstrings
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Most common injury in
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Hamstring – Incidence & Severity
• Approximately 6 players/squad/season
• Miss approximately 3 matches or weeks of play
Woods et al., 2004 – Hoskins et al., 2005
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Risk factors
• Previous hamstring injury >2x risk• Age• ACL injury (altered proprioceptive feedback)
• Reduced flexibility ???• Low hamstring strength ???• Strength deficits or imbalances ???
Isokinetic testing – specificity?Engebretsen et al., 2010Arnason et al., 2004Tsuda et al., 2001Verrall et al., 2001Christensen et al., 2000Mathieu Gram
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Clinical reasoning
+ Psychosocial
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Anatomical links
TibFib joint
SI Joint
m. Romboidei
ACL
Tsuda et al., 2001Beltran et al., 2003Hoskins et al., 2005
m. Popliteus
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Strong framework?
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Strong framework?
Tension TLF
Hodges et al., 1997Barker et al., 2004
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Strong framework?
Tension TLF
Hodges et al., 1997Barker et al., 2004
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Strong framework?
Tension TLF
Hodges et al., 1997Barker et al., 2004
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Strong framework?
Tension TLFHodges et al., 1997Barker et al., 2004
SIJ
Lx
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Articular
When evaluating hamstring pain,Evaluate biomechanics of:
“Problems cannot be solved by the same level of thinking that created them” A.E.
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Articular
When evaluating hamstring pain,Evaluate biomechanics of:
TibFib Joint
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Articular
When evaluating hamstring pain,Evaluate biomechanics of:
TibFib Joint
SI Joint
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Articular
When evaluating hamstring pain,Evaluate biomechanics of:
TibFib Joint
SI Joint
Lx
Woods et al., 2004
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Muscular
When evaluating hamstring pain,Evaluate:
- Framework Lumbar-Pelvic dysfunction?
- Tension Trigger Points?
- Strength
- Length
Vogt et al., 2003
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Muscular
When evaluating hamstring pain,Evaluate:
- Framework Lumbar-Pelvic dysfunction?
- Tension Trigger Points?
- Strength
- Length
Vogt et al., 2003
Gluteus Maximusvs
Hamstrings
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Neural
When evaluating hamstring pain,Evaluate neurodynamics:
Piriformis syndrome
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“Problems cannot be solved by the same level of thinking that created them” A.E.
Treatment of hamstring injuries should also be directed at non-local hamstring factors.
Hoskins & Pollard, 2005
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