Injury Injury management

[frizzle]

Found this interesting from a Physio on Linkedin via Twitter

I know nothing of the exercise, but if it does reduce hamstring strains by 50% it must be worth a look if we aren't already using it. Hamstring strains have been our bug bear for a number of years.

Injury prevention

Mick Hughes
Physiotherapist at Melbourne Sports Medicine Centre
8h · Edited

I've never seen an exercise that is so hotly debated than the Nordic Hamstring Curl. Earlier this year a systematic review and meta-analysis showed that when Nordic Hamstring Exercises were added to injury prevention programs, they reduced the risk of hamstring strains by 50% when compared to "usual" training or injury prevention programs that didn't include Nordics (van Dyk et al, 2019). Of course Nordics shouldn't be the only thing to be considered when trying to reduce hamstring strains. Hip dominant exercises such as RDLs & regular exposure to high speed running also play a role in hamstring injury prevention. But when an exercise is handed to you on a silver platter, that: 1) has been shown to significantly reduce hamstring injury risk in your athletes 2) only requires someone or something to hold your ankles down 3) has also been shown to improve athlete's sprint times & change of direction ability 4) requires little effort to maintain strength gains throughout the competitive season (2x4 reps) And they're not included in the rehab plan or S&C plan!? Maybe I'm missing something, but I just don't get it. Thoughts and comments on this topic are more than welcomed Want to learn more about sports physio topics? Make sure you're following Learn.Physio

 

[Good_Old]

It's highly likely that most clubs have been programming these exercises in for a good while now.

I remember a video of Dylan Sheil doing this with GWS trainers years ago.

 

[unplugged]

It's highly likely that most clubs have been programming these exercises in for a good while now.

I remember a video of Dylan Sheil doing this with GWS trainers years ago.

Dylan Shiel sprung straight to my mind also, I recall the same vision.

 

[melaniej]

Shiel is an absolute freak at them.
Shiel Ham Curl Youtube

 

[frizzle]

Shiel is an absolute freak at them.
Shiel Ham Curl Youtube

Ouch that hurts just looking at it.
Well the question now arises.
How many hamstring strains has Shiel had while playing for GWS?

 

[Finnishpie]

Shiel is an absolute freak at them.
Shiel Ham Curl Youtube

That's inhuman.

 

[HeadInTheSand]

Jeezus wept.

Shiel isn't doing Nordics.

The Physio is a bit of a twat - maybe he should work at the Collingwood football club?

Nordic's have a very low compliance rate, which is why they don't reduce rates of HSI. They have a low compliance rate because they result in increased muscle soreness, they're uncomfortable to perform, optimal dosage is unknown, timing of when to perform the exercise is unknown, and nearly- possibly all - studies that have looked at Nordics as a HSI prevention have done so out of season.