A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study
Objective To test whether a musculoskeletal multifactorial and individualised hamstring muscle injury (HMI) risk reduction programme could reduce HMI risk in professional football.Methods We conducted a prospective cohort study in Finnish premier football league teams, with the 2019 season used as a...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open Sport & Exercise Medicine |
| Online Access: | https://bmjopensem.bmj.com/content/10/1/e001866.full |
| _version_ | 1827146309394497536 |
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| author | Pascal Edouard Jean-Benoit Morin Johan Lahti Jurdan Mendiguchia Juha Ahtiainen Ville Peltonen Max Thibault Risto-Matti Toivonen Luca Fleres Juha-Jaakko Ulvila Tiitus Lehtinen Niklas Virtanen Toni Taipale Michel Bellver Toni Huuhka |
| author_facet | Pascal Edouard Jean-Benoit Morin Johan Lahti Jurdan Mendiguchia Juha Ahtiainen Ville Peltonen Max Thibault Risto-Matti Toivonen Luca Fleres Juha-Jaakko Ulvila Tiitus Lehtinen Niklas Virtanen Toni Taipale Michel Bellver Toni Huuhka |
| author_sort | Pascal Edouard |
| collection | DOAJ |
| description | Objective To test whether a musculoskeletal multifactorial and individualised hamstring muscle injury (HMI) risk reduction programme could reduce HMI risk in professional football.Methods We conducted a prospective cohort study in Finnish premier football league teams, with the 2019 season used as a control and an intervention conducted in the 2021 season. Screening was conducted to provide individualised programmes and monitor progress. Cox regression with hazard ratio (HR) was used with HMI as outcome and season as explanatory variable, including all players for primary analysis and those who performed the two seasons for secondary analysis.Results 90 players were included in the control and 87 in the intervention seasons; 31 players performed in the 2 seasons. Twenty HMIs were recorded during the control and 16 during the intervention seasons. Cox regression analyses revealed that HMI risk at any given time was not significantly different between control and intervention seasons (for all players: HR 0.77 (95% CI 0.39 to 1.51), p=0.444; for the 31 players: HR 0.32 (95% CI 0.01 to 1.29), p=0.110)). For the 31 players, the HMI burden was significantly reduced in the intervention compared with the control season (RR 0.67 (95% CI 0.53 to 0.85)). Higher compliance with knee strength training, maximal velocity exposure and lower performance reductions in maximal theoretical horizontal force and knee flexor force were associated with lower HMI incidence.Conclusions Although the primary analysis did not reveal any significant effect of the intervention to reduce HMI risk in professional football, the programme was feasible, and additional secondary analyses showed a significant association between the intervention and lower HMI burden, incidence and risk. |
| first_indexed | 2024-03-08T04:12:18Z |
| format | Article |
| id | doaj.art-30f7477aa6c040689c41757138208684 |
| institution | Directory Open Access Journal |
| issn | 2055-7647 |
| language | English |
| last_indexed | 2025-03-20T20:28:27Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Sport & Exercise Medicine |
| spelling | doaj.art-30f7477aa6c040689c417571382086842024-08-17T08:15:10ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472024-03-0110110.1136/bmjsem-2023-001866A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort studyPascal Edouard0Jean-Benoit Morin1Johan Lahti2Jurdan Mendiguchia3Juha Ahtiainen4Ville Peltonen5Max Thibault6Risto-Matti Toivonen7Luca Fleres8Juha-Jaakko Ulvila9Tiitus Lehtinen10Niklas Virtanen11Toni Taipale12Michel Bellver13Toni Huuhka14Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, Auvergne-Rhône-Alpes, FranceInter‐university Laboratory of Human Movement Science (LIBM EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint Etienne, FranceDepartment of Strength & Conditioning R5 Athletics & Health Performance center, Helsinki, FinlandDepartment of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, SpainFaculty of Sport and Health Sciences, Neuromuscular Research Center, University of Jyväskylä, Jyvaskyla, FinlandFC Inter, Turku, FinlandFC Honka, Espoo, FinlandHIFK, Helsinki, FinlandFaculty of Sport and Health Sciences, Neuromuscular Research Center, University of Jyväskylä, Jyvaskyla, FinlandSJK, Seinajoki, Seinajoki, FinlandSJK, Seinajoki, Seinajoki, FinlandHJK, Helinski, FinlandHJK, Helinski, FinlandFC Inter, Turku, FinlandFC Honka, Espoo, FinlandObjective To test whether a musculoskeletal multifactorial and individualised hamstring muscle injury (HMI) risk reduction programme could reduce HMI risk in professional football.Methods We conducted a prospective cohort study in Finnish premier football league teams, with the 2019 season used as a control and an intervention conducted in the 2021 season. Screening was conducted to provide individualised programmes and monitor progress. Cox regression with hazard ratio (HR) was used with HMI as outcome and season as explanatory variable, including all players for primary analysis and those who performed the two seasons for secondary analysis.Results 90 players were included in the control and 87 in the intervention seasons; 31 players performed in the 2 seasons. Twenty HMIs were recorded during the control and 16 during the intervention seasons. Cox regression analyses revealed that HMI risk at any given time was not significantly different between control and intervention seasons (for all players: HR 0.77 (95% CI 0.39 to 1.51), p=0.444; for the 31 players: HR 0.32 (95% CI 0.01 to 1.29), p=0.110)). For the 31 players, the HMI burden was significantly reduced in the intervention compared with the control season (RR 0.67 (95% CI 0.53 to 0.85)). Higher compliance with knee strength training, maximal velocity exposure and lower performance reductions in maximal theoretical horizontal force and knee flexor force were associated with lower HMI incidence.Conclusions Although the primary analysis did not reveal any significant effect of the intervention to reduce HMI risk in professional football, the programme was feasible, and additional secondary analyses showed a significant association between the intervention and lower HMI burden, incidence and risk.https://bmjopensem.bmj.com/content/10/1/e001866.full |
| spellingShingle | Pascal Edouard Jean-Benoit Morin Johan Lahti Jurdan Mendiguchia Juha Ahtiainen Ville Peltonen Max Thibault Risto-Matti Toivonen Luca Fleres Juha-Jaakko Ulvila Tiitus Lehtinen Niklas Virtanen Toni Taipale Michel Bellver Toni Huuhka A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study BMJ Open Sport & Exercise Medicine |
| title | A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study |
| title_full | A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study |
| title_fullStr | A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study |
| title_full_unstemmed | A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study |
| title_short | A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study |
| title_sort | musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football results of a prospective cohort study |
| url | https://bmjopensem.bmj.com/content/10/1/e001866.full |
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