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A new hamstring test to complement the common clinical examination before return to sport after injury
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.ORCID iD: 0000-0002-4062-311X
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.ORCID iD: 0000-0002-3612-449X
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
2010 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 18, no 12, 1788-1803 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The aim was to introduce and evaluate the reliability and validity of an active hamstring flexibility test as a complement to common clinical examination when determining safe return to sport after hamstring injury.

METHODS: Eleven healthy subjects (28 years) were tested on repeated occasions, and 11 athletes (21 years) with MRI-verified acute hamstring strain were tested when common clinical examination revealed no signs of remaining injury, i.e. there was no differences between the legs in palpation pain, manual strength tests, and passive straight leg raise. Flexibility, i.e. highest range of motion of three consecutive trials, was calculated from electrogoniometer data during active ballistic hip flexions and conventional passive slow hip-flexions in a supine position. A VAS-scale (0-100) was used to estimate experience of insecurity during active tests.

RESULTS: No significant test-retest differences were observed. Intra-class correlation coefficients ranged 0.94-0.99 and coefficients of variation 1.52-4.53%. Active flexibility was greater (23%) than passive flexibility. In the athletes, the injured leg showed smaller (8%) active, but not passive, flexibility than the uninjured leg. Average insecurity estimation was 52 (range 28-98) for the injured and 0 for the uninjured leg, respectively.

CONCLUSION: The new test showed high reliability and construct validity; furthermore, it seems to be sensitive enough to detect differences both in active flexibility and in insecurity after acute hamstring strains at a point in time when the commonly used clinical examination fails to reveal injury signs. Thus, the test could be a complement to the common clinical examination before the final decision to return to sport is made.

Place, publisher, year, edition, pages
Springer-Verlag , 2010. Vol. 18, no 12, 1788-1803 p.
Keyword [en]
hamstring, muscle, injuries
National Category
Surgery
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-1508DOI: 10.1007/s00167-010-1265-3PubMedID: 20852842OAI: oai:DiVA.org:gih-1508DiVA: diva2:372450
Projects
Hamstring muscle strains in sports
Available from: 2010-11-25 Created: 2010-11-25 Last updated: 2016-11-17Bibliographically approved

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Askling, CarlNilsson, JohnnyThorstensson, Alf

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