HAMSTRONGANATOMY, FUNCTION,ETIOLOGY&PREVENTION
Hamstring injuries 2nd most prevalent in
Premier league and cost teams £33M/
$40.5M in the 2018-2019 season
(Marsh JLT Specialty)
Hamstring injuries are the most likely AFL
injury with clubs losing players for an
average of 25.2 games in a season in 2018
(AFL Annual Injury Report)
Injuries cost NFL
teams over $500
million USD per
season and
hamstring injuries
are amongst the
most likely
(Forbes, 2020)
Hamstring
Anatomy
Hamstring
Anatomy
3 Primary muscles
Hamstring
Anatomy
3 Primary muscles
Balanced fiber type distribution
Hamstring
Anatomy
3 Primary muscles
Balanced fiber type distribution
Biarticular
Hamstring
Function
Injury
Predictors
(Opar et al., 2012)
Injury History
Injury
Predictors
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Injury History
Injury
Predictors
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Injury History
Strength Symmetry
Injury
Predictors
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Poor Running Mechanics
Injury History
Strength Symmetry
Injury
Predictors
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Poor Running Mechanics
Injury History
Strength Symmetry
Injury
Predictors
Eccentric Capacity
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Poor Running Mechanics
Injury History
Fatigue
Strength Symmetry
Injury
Predictors
Eccentric Capacity
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Poor Running Mechanics
Injury History
Fatigue
Strength Symmetry
Injury
Predictors
Eccentric Capacity
Flexibility
(Opar et al., 2012)
Age (>25+ = 2.5x likelihood)
Poor Running Mechanics
Fatigue
Strength Symmetry
Injury
Predictors
Eccentric Capacity
Flexibility
(Opar et al., 2012)
Poor Running Mechanics
Fatigue
Strength Symmetry
Injury
Predictors
Eccentric Capacity
Flexibility
(Opar et al., 2012)
Sprinting is one of the greatest risk factors for hamstring injuries
Most hamstring injuries are likely to occur
during terminal swing phase
Terminal swing places the greatest load onthe hamstring muscle group
Highest load while lengthening in a biarticular
muscle group create a recipe for injury
XIANGLIN ET AL., 2017
HAMSTRINGINJURY
STRAIN LIKELIHOOD IN SPRINTING
DEVELOPING
HAMSTRING
RESILIENCE
UPRIGHT
SPRINTING
How
Fast?
How
Fast?
Heiderscheitetal.,2007
How
Fast?
Running Fast ≠ Sprinting
Heiderscheitetal.,2007
How
Often?
SPRINTING
REGULARLY
REDUCES
INJURY
RISK
LikelihoodofInjury(%)
Number of Weekly Exposures to Maximal Velocity
Sprinting in training reduces injury likelihood as longas exposure is not increased too rapidly or too high
Upright
Sprinting
Guidelines
Intensity
Volume
Frequency
Mechanics
• Regular exposure to upright sprinting
• Maximal or near maximal velocity
• 150-350m of exposure at maximal velocity per week
• Focusing on mechanics
• Posture
• Touchdown position
• Swing leg action
SPRINTING
FOUNDATIONAL
STRENGTH
Hamstring Resiliency
Hamstring Resiliency
Hamstring ResiliencyLength
Hamstring Resiliency
Speed
Length
Hamstring Resiliency
Speed Strength
Length
Hamstring Resiliency
Speed Strength
Length
Acceleration
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Sub Max
Isometric
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Sub Max
Concentric
Sub Max
Isometric
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Sub Max
Concentric
Sub Max
Isometric
Sub Max
Eccentric
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Top Speed
Maximal
Sub Max
Concentric
Sub Max
Isometric
Sub Max
Eccentric
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Top Speed
Maximal
Sub Max
Concentric
Sub Max
Isometric
Max
Isometric
Sub Max
Eccentric
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Top Speed
Maximal
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Hamstring Resiliency
Speed Strength
Length
Sub Max
Upright
Acceleration
Top Speed
Maximal
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Strength
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Strength
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Strength
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Flexion
Extension
Strength
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Flexion ⬇ Lever
Extension ⬆ Lever
Strength
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Flexion ⬇ Lever ⬆ Rep
Extension ⬆ Lever ⬇ Rep
Strength
Sub Max
Concentric
Sub Max
Isometric
Max
Concentric
Max
Isometric
Sub Max
Eccentric
Max
Eccentric
Flexion ⬇ Lever ⬆ Rep ⬇ Load
Extension ⬆ Lever ⬇ Rep ⬆ Load
ISOMETRIC
STRENGTH
SUB-MAXIMAL ISOMETRIC
MAXIMAL ISOMETRIC
QUASI-ISOMETRIC
ECCENTRIC
LOADING
NHE
REDUCES
INJURY
RATE
STRONG-WEAK METHOD
PARTNER ASSISTED SUPRA-MAXIMAL
CONCENTRIC FLYWHEEL
Take Home Points
A. The hamstring requires training in multiple
actions and multiple loading schemes
B. Sprinting provides a potent stimulus for
hamstring injury reduction
C. Strength work should progress towards
eccentric overloads
ATHLETICLAB.COM
PROFORMANCE.PRO
FITFORFUTBOL.COM
ELITETRACK.COM
THANKS.
Mike Young
@mikeyoung

HamStrong: Examining hamstring injuries & what we can do to prevent them