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      Limited implementation of the Nordic hamstring exercise in professional and semi-professional soccer

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          Abstract

          Background/Purpose:

          In soccer players, non-contact injuries are most common, especially hamstring muscle injuries, which can be prevented by the Nordic hamstring exercise (NHE). This study assessed the professional and semi-professional soccer players and coaches’ awareness, implementation, and opinion of the NHE efficacy in reducing hamstring injuries.

          Methods:

          A questionnaire regarding the awareness, implementation, and opinions of the NHE’s efficacy in reducing hamstring muscle injuries was distributed.

          Results:

          The survey was completed by 812 (88.3% male and 11.7% female) players and coaches. Of these, 395 (48.6%) were aware of the NHE, and 355 (43.7%) implemented it in their current practice. Those implementing NHE had a positive opinion about its efficacy in reducing hamstring injuries.

          Conclusion:

          Further efforts and research are warranted to increase the international awareness and implementation of the NHE and educate soccer players and coaches about the importance of its implementation and effectiveness in preventing hamstring injury.

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          Most cited references21

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          A new framework for research leading to sports injury prevention.

          Caroline Finch (2006)
          This paper proposes a new sports injury research framework, the Translating Research into Injury Prevention Practice framework, or TRIPP. This model builds on the fact that only research that can, and will, be adopted by sports participants, their coaches and sporting bodies will prevent injuries. Future advances in sports injury prevention will only be achieved if research efforts are directed towards understanding the implementation context for injury prevention, as well as continuing to build the evidence base for their efficacy and effectiveness of interventions. There is no doubt that intervention research in the sporting field can be difficult and many challenges need to be overcome; however, that should not be put up as a barrier towards undertaking it. Over the next few years, sports injury researchers will need to think carefully about the "best" study designs and analysis tools to achieve this. All reported sports injury studies, of whatever design, should include information on key implementation factors such as player/club recruitment rates and other biases as well as the rate of uptake of the interventions being tested, including reasons for use/non-use. However, it will only be broad research endeavours that adopt the TRIPP six-staged approach that will lead to real-world injury prevention gains.
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            Preventing injuries in female youth football--a cluster-randomized controlled trial.

            O Olsen, I Holme, Anne G Myklebust … (2008)
            A set of exercises--the "11"--have been selected to prevent football injuries. The purpose of this cluster-randomized controlled trial was to investigate the effect of the "11" on injury risk in female youth football. Teams were randomized to an intervention (n=59 teams, 1091 players) or a control group (n=54 teams, 1001 players). The intervention group was taught the "11," exercises for core stability, lower extremity strength, neuromuscular control and agility, to be used as a 15-min warm-up program for football training over an 8-month season. A total of 396 players (20%) sustained 483 injuries. No difference was observed in the overall injury rate between the intervention (3.6 injuries/1000 h, confidence interval (CI) 3.2-4.1) and control group (3.7, CI 3.2-4.1; RR=1.0, CI 0.8-1.2; P=0.94) nor in the incidence for any type of injury. During the first 4 months of the season, the training program was used during 60% of the football training sessions, but only 14 out of 58 intervention teams completed more than 20 prevention training sessions. In conclusion, we observed no effect of the injury prevention program on the injury rate, most likely because the compliance with the program was low.
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              Effect of Injury Prevention Programs that Include the Nordic Hamstring Exercise on Hamstring Injury Rates in Soccer Players: A Systematic Review and Meta-Analysis.

              Wesam Saleh A Al Attar, Najeebullah Soomro, Peter J Sinclair … (2017)
              Hamstring injuries are among the most common non-contact injuries in sports. The Nordic hamstring (NH) exercise has been shown to decrease risk by increasing eccentric hamstring strength.
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                Author and article information

                Contributors
                Wesam Saleh A Al Attar: (View ORCID Profile)
                Journal
                Title: Journal of Orthopaedics, Trauma and Rehabilitation
                Abbreviated Title: Journal of Orthopaedics, Trauma and Rehabilitation
                Publisher: SAGE Publications
                ISSN (Print): 2210-4917
                ISSN (Electronic): 2210-4925
                Publication date Created: January 01 2021
                Publication date (Electronic): April 19 2021
                Publication date (Print): January 01 2021
                Volume: 28
                Page: 221049172110086
                Affiliations
                [1 ]Department of Physical Therapy, Faculty of Applied Medical Science, Umm Al Qura University, Makkah, Saudi Arabia
                [2 ]Discipline of Exercise and Sport Science, Faculty of Medicine and Health Sciences, The University of Sydney, Australia
                [3 ]Department of Sport, Exercise and Health, Faculty of Medicine, University of Basel, Basel, Switzerland
                [4 ]Department of Physical Therapy, Faculty of Applied Medical Sciences, Najran University, Najran, Saudi Arabia
                Article
                DOI: 10.1177/22104917211008637
                SO-VID: f941c3be-8690-4f38-9f0c-75d7fcda3ed7
                Copyright © © 2021
                License:

                https://creativecommons.org/licenses/by-nc/4.0/

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