Research Summary: London International Consensus and Delphi study on hamstring injuries

Brief Summary

Given the vast amounts of research on hamstring injuries in the last 2 decades, injury incidence rates have failed to decline. This study aimed to develop an international consensus for the management and rehabilitation of hamstring injuries by bringing together an expert panel using a modified Delphi methodology to review key components of rehabilitation.

Some key areas in which the panel reached a consensus involved; exercises selection and dosage, impact of kinetic chain and criteria to progress exercise. The panel acknowledged the importance of developing peak hamstring isometric strength at length, referencing the potential increase to fascicle length, the change in the length tension relationship and ultimately the reduction in injury risk.

The panel go on to discuss the importance in understanding the difference in recruitment strategy when comparing hip and knee dominant exercise advocating that both types should be applied with no agreement on which should be targeted first.

To conclude the study, the panel suggests that rehabilitation prescription should be individualised based on sports specific demands. It should consider differences in hamstring musculotendinous tissue, individual muscle anatomy and functional roles.

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