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- W1969771710 abstract "Introduction: Hamstring muscle strain injuries are the most common and prevalent of all injuries in the AFL. The desire to improve the management and prevention of hamstring muscle strain injuries in the AFL required an initial comprehensive understanding of what is “current practice” among AFL physiotherapists. The purpose of this project was to survey the physiotherapists of all AFL clubs to detail their management of hamstring injuries in AFL players. Method: Semi-structured interviews were conducted with 26 medical personnel from all AFL clubs. Interviews were audio-taped and transcribed verbatim. The transcripts were imported into QSR-NUD*IST software to organisation and analysis the transcript data. Results: The respondents reported management in three phases: the acute phase, the rehabilitation phase and the pre-return to sport phase. The principles of the acute phase centred around restoring hamstring mobility, restoring normal lower back and pelvic mechanics, reducing pain and regaining hamstring muscle functioning. The major variations between clubs in this phase occurred with the period of rest. Respondents from all clubs except one reported postposing the use of non-steroidal anti-inflammatory drugs (NSAIDs) or avoiding them completely where possible. Injection therapy for lower back pathology and pelvic instability was commonplace at most clubs where any hamstring pain was thought to have some contribution from the spine. Local injections to the hamstring muscle were avoided by the majority of clubs, although respondents from three of the clubs used injections of Traumeel into the hamstring routinely following a strain. In the rehabilitation phase, the key component was a return to running and a progression towards the running intensity required for a return to play. The rehabilitation phase involved beginning to load the muscle and three systems of loading emerged among the clubs. One system involved a focus on agility and functional exercise programs with little pure strengthening of the hamstrings, another system included mostly traditional strengthening exercise with little emphasis on agility training, and the third system undertaken by several clubs was a combination of both agility and pure hamstring strengthening. The third phase, the pre-return to sport phase involved a graded progression back to full training. The criteria for commencing this phase were commonly the successful completion of the running program, return to long kicking, and the absence of symptoms on clinical testing. Conclusion: These findings can be used to guide management principles at all levels of Australian football and guide future research into hamstring strains." @default.
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- W1969771710 date "2010-12-01" @default.
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- W1969771710 title "Management of hamstring muscle strain injuries in the Australian Football League (AFL): A survey of current practice" @default.
- W1969771710 doi "https://doi.org/10.1016/j.jsams.2010.10.623" @default.
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