A 25-year-old male presented to the ski clinic after colliding with a tree while snowboarding. He had immediate sharp pain at his “tailbone,” but denied numbness and weakness. Past medical history was initially reported as unremarkable. On exam, he demonstrated midline tenderness over the sacrum. Pelvic radiography was performed (Figure). Imaging revealed an acute vertebral fracture, but it als...

Hamstring strain is common in athletes, and both diagnosis and surgical treatment of this injury are becoming more common. Nonsurgical treatment of complete ruptures has resulted in complications such as muscle weakness and sciatic neuralgia. Surgical treatment recently has been advocated to repair the complete rupture of the hamstring tendons from the ischial tuberosity. Surgical repair involv...

QUESTION Does the localised application of vibration over the hamstrings improve hamstring extensibility? DESIGN Randomised controlled trial with concealed allocation, intention-to-treat analysis, and assessor blinding. PARTICIPANTS 30 non-athletic females (aged 18-22 yrs) with limited hamstring extensibility bilaterally. INTERVENTION The experimental group received 3 sessions of localise...

STUDY OBJECTIVES The purpose of this study was to compare the effects of endurance training only to endurance plus strength (combined) training in a randomized trial of patients with COPD. METHODS Twenty-four patients completed the study: 11 patients in the combined training group (FEV(1) 45 +/- 5% predicted), and 13 patients in the endurance training group (FEV(1) 40 +/- 4% predicted) [mean ...

INTRODUCTION/PURPOSE Characterization of hamstring mechanics during sprinting is fundamental to understanding musculotendon injury mechanisms. The objective of this study was to use muscle-actuated forward dynamic simulations to investigate musculotendon mechanics of the biceps femoris long head during the swing phase of sprinting. METHODS We used a three-dimensional linked segment model with...

BACKGROUND Hamstring injuries are the second most common injury causing missed days in professional baseball field players. Recent studies have shown the preventive benefit of eccentric conditioning on the hamstring muscle group in injury prevention. Specifically, Nordic-type exercises have been shown to decrease the incidence of acute hamstring injuries in professional athletes. PURPOSE This...

PURPOSE To examine changes in hamstring muscle fatigue and central motor output during a 90-minute simulated soccer match, and the concomitant changes in hamstring maximal torque and rate of torque development. METHOD Eight amateur male soccer players performed a 90-minute simulated soccer match, with measures performed at the start of and every 15-minutes during each half. Maximal torque (Nm...

The purpose of this research was to identify possible predisposing neuromuscular factors for knee injuries, particularly anterior cruciate ligament tears in female athletes by investigating anterior knee laxity, lower extremity muscle strength, endurance, muscle reaction time, and muscle recruitment order in response to anterior tibial translation. We recruited four subject groups: elite female...

[Purpose] This study investigated the effects of the bridging plus exercise with heel lift on lower extremity muscles. [Subjects and Methods] Nine healthy males participated. The subjects performed bridging exercises under two conditions. Surface electromyography was used to measure the electrical activities of the medial hamstring (MH) and the gluteus maximus (GM) muscles. [Results] Activation...

STUDY DESIGN Prospective randomized comparison of 2 rehabilitation programs. OBJECTIVES The objectives of this study were to compare the effectiveness of 2 rehabilitation programs for acute hamstring strain by evaluating time needed to return to sports and reinjury rate during the first 2 weeks and the first year after return to sport. A third objective was to investigate the relationship bet...