Match high-speed running distances are often suppressed after return from hamstring strain injury in professional footballers

Journal article


Whiteley, Rodney, Massey, Andrew, Gabbett, Tim, Blanch, Peter, Cameron, Matthew, Conlan, Greta, Ford, Matthew and Williams, Morgan. (2020). Match high-speed running distances are often suppressed after return from hamstring strain injury in professional footballers. Sports Health. 13(3), pp. 290-295. https://doi.org/10.1177/1941738120964456
AuthorsWhiteley, Rodney, Massey, Andrew, Gabbett, Tim, Blanch, Peter, Cameron, Matthew, Conlan, Greta, Ford, Matthew and Williams, Morgan
Abstract

Background:
High-speed running is commonly implicated in the genesis of hamstring injury. The success of hamstring injury management is typically quantified by the duration of time loss or reinjury rate. These metrics do not consider any loss in performance after returning to play from hamstring injury. It is not known to what extent high-speed running is altered on return to play after such injury.

Hypothesis:
Match high-speed running distance will change after returning from hamstring injury.

Study Design:
Non-randomized cohort.

Level of Evidence:
Level 3.

Methods:
Match high-speed running distance in highest level professional football (soccer, Rugby League, Rugby Union, and Australian Rules) were examined for a minimum of 5 games prior and subsequent to hamstring strain injury for individual differences using a linear regression models approach. A total of 22 injuries in 15 players were available for analysis.

Results:
Preinjury cumulative high-speed running distances were strongly correlated for each individual (r2 = 0.92-1.0; P < 0.0001). Pre- and postinjury high-speed running data were available for a median of 15 matches (range, 6-15). Variance from the preinjury high-speed running distance was significantly less (P = 0.0005) than the post injury values suggesting a suppression of high-speed running distance after returning from injury. On return to play, 7 of the 15 players showed a sustained absolute reduction in preinjury high-speed running distance, 7 showed no change, and 1 player (only) showed an increase. Analysis of subsequent (second and third injury) return to play showed no differences to return from the index injury.

Conclusion:
Return to play was not associated with return to high-speed running performance for nearly half of the players examined, although the same number showed no difference. Persisting deficits in match high-speed running may exist for many players after hamstring strain injury.

Clinical Relevance:
Returning to play does not mean returning to (high-speed running) performance for nearly half of the high-level professional football players examined in this study. This suggests that successful return to play metrics should be expanded from simple time taken and recurrence to include performance.

Keywordshamstring; performance; shared decision making; return to sport; professional; football
Year2020
JournalSports Health
Journal citation13 (3), pp. 290-295
PublisherSAGE Publications Inc.
ISSN1941-7381
Digital Object Identifier (DOI)https://doi.org/10.1177/1941738120964456
Scopus EID2-s2.0-85095443880
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range290-295
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online05 Nov 2020
Publication process dates
Deposited08 Jul 2021
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Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults
Furness, Trentham, Maschette, Wayne, Lorenzen, Christian, Naughton, Geraldine and Williams, Morgan. (2010). Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults. Journal of Alternative & Complementary Medicine. 16(7), pp. 795 - 797. https://doi.org/10.1089/acm.2009.0366
Whole body vibration for preventing and treating osteoporosis (protocol)
Lorenzen, Christian, Naughton, Geraldine, Cameron, Lainie, Williams, Morgan and Greene, David. (2010). Whole body vibration for preventing and treating osteoporosis (protocol). Cochrane Database of Systematic Reviews.
Acute effects of strength training on running economy
Ho, Kuok Wai, Williams, Morgan D., Wilson, Cameron J., Lorenzen, Hans Christian, Meehan, Daniel L. and Joseph, Corey W.. (2010). Acute effects of strength training on running economy. 28th Conference of the International Society of Biomechanics in Sports. USA: International Society of Biomechanics. pp. 551 - 554
Breaking the vicious cycle of activity avoidance in an adolescent boy diagnosed with DCD and mild Asperberger's disorder
Aumand, Elizabeth, Williams, Morgan, Wilson, Cameron and Saunders, John. (2010). Breaking the vicious cycle of activity avoidance in an adolescent boy diagnosed with DCD and mild Asperberger's disorder. 4th Exercise and Sports Science Australia Conference 2010 : Research to practice : Science and nutrition in exercise and sport. Gold Coast, Queensland, Australia 09 - 11 Apr 2010 Red Hill, Queensland: Exercise and Sports Science Australia. pp. 64-64
Analysis of player workloads for defensive outlets at the Champion's Trophy International Field Hockey
Morgan, Stuart and Williams, Morgan. (2010). Analysis of player workloads for defensive outlets at the Champion's Trophy International Field Hockey. 15th Annual Congress of the ECSS (European College of Sports Science). Antalya, Turkey 23 - 26 Jun 2010
Relationship between velocity reached at VO2max and time-trial performances in elite australian rules footballers
Lorenzen, Christian Hans, Williams, Morgan D., Turk, Paul S., Meehan, Daniel Lawrence and Cicioni-Kolsky, Daniel James. (2009). Relationship between velocity reached at VO2max and time-trial performances in elite australian rules footballers. International Journal of Sports Physiology and Performance. 4(3), pp. 408 - 411. https://doi.org/10.1123/ijspp.4.3.408
Stabilising the hip and pelvis during running: Is there an explosive solution for uninjured athletes?
Meehan, Daniel Lawrence, Williams, Morgan David, Wilson, Cameron John and Bradshaw, Elizabeth Jane. (2009). Stabilising the hip and pelvis during running: Is there an explosive solution for uninjured athletes? 27th International Conference on Biomechanics; in Sports. Castleroy, Limerick, Ireland: University of Limerick. pp. 390 - 393
Reliability of the Ekblom Soccer-Specific Endurance Test
Williams, Morgan D., Wiltshire, Huw D., Lorenzen, Christian Hans, Wilson, Cameron J., Meehan, Daniel Lawrence and Cicioni-Kolsky, Daniel James. (2009). Reliability of the Ekblom Soccer-Specific Endurance Test. Journal of Strength and Conditioning Research. 23(5), pp. 1378 - 1382. https://doi.org/10.1519/JSC.0b013e31819f1e6c
Horizontal positioning error derived from stationary GPS units: A function of time and proximity to building infrastructure
Williams, Morgan and Morgan, Stuart. (2009). Horizontal positioning error derived from stationary GPS units: A function of time and proximity to building infrastructure. International Journal of Performance Analysis in Sport. 9(2), pp. 275 - 280.
Exploration of differences in vertical jump performance between typically developing children and those identified with DCD: A kinematic and kinetic analysis
Williams, Morgan. (2008). Exploration of differences in vertical jump performance between typically developing children and those identified with DCD: A kinematic and kinetic analysis [Thesis]. https://doi.org/10.4226/66/5a95e2f4c67fa
Laterality and its effect on lower extremity musculoskeletal stiffness in male soccer players and track runners
Williams, Morgan David, Bradshaw, Elizabeth Jane and Joseph, Corey W.. (2007). Laterality and its effect on lower extremity musculoskeletal stiffness in male soccer players and track runners. In Hans-Joachim Menzel and Mauro Heleno Chagas (Ed.). XXV International Symposium on Biomechanics; in Sports. Segrac,Brazil: Department of Sports, Federal University of Minas Gerais. pp. 613 - 617
Measurement agreement (repeatability) for a countermovement jump protocol using a portable forceplate
Williams, Morgan, Bradshaw, Elizabeth and Maschette, Wayne. (2007). Measurement agreement (repeatability) for a countermovement jump protocol using a portable forceplate. International Journal of Sports Physiology and Performance. 2(4), pp. 445 - 448. https://doi.org/10.1123/ijspp.2.4.445
Differences in vertical jump performance for typically developing compared to those identified with DC
Maschette, Wayne and Williams, Morgan David. (2007). Differences in vertical jump performance for typically developing compared to those identified with DC. 2nd Australian Association for Exercise and Sports Science Conference.
Evaluating strength qualities of athletes using relationships between jump protocols
Williams, Morgan David, Joseph, Corey W. and Bradshaw, Elizabeth Jane. (2007). Evaluating strength qualities of athletes using relationships between jump protocols. In Hans-Joachim Menzel and Mauro Heleno Chagas (Ed.). Federal University of the State of Minas Gerais in Belo Horizonte, Ouro Preto, Brazil. Segrac,Brazil: Department of Sports, Federal University of Minas Gerais. pp. 474 - 477
Novel insights on lower limb musculoskeletal health and performance in pre-adolescent and adolescent gymnasts
Bradshaw, Elizabeth Jane, Lorenzen, Hans Christian, Williams, Morgan David and Le Rossignol, Peter Freeman. (2006). Novel insights on lower limb musculoskeletal health and performance in pre-adolescent and adolescent gymnasts. In M Schwaneder, G Strutzenberger and Sastenbauer et al (Ed.). XXI International Conference on Biomechanics; in Sport. Salzburg, Austria: University of Salzburg. pp. 413 - 417
Timing error by children identified with DCD leads to inefficient jump performance
Williams, Morgan David, Lythgo, Noel Desmond and Maschette, Wayne Edward. (2006). Timing error by children identified with DCD leads to inefficient jump performance. In M Schwaneder, G Strutzenberger and Sastenbauer et al (Ed.). XXIV International Symposium on Biomechanics; in Sports. Salzburg, Austria: University of Salzburg. pp. 54 - 57