@article{ref1,
title="Applying a holistic hamstring injury prevention approach in elite football: 12 seasons, single club study",
journal="Scandinavian journal of medicine and science in sports",
year="2020",
author="Suarez-Arrones, Luis and Nakamura, Fabio Yuzo and Maldonado, Rafael A. and Torreno, Nacho and Di Salvo, Valter and Mendez-Villanueva, Alberto",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The aim was to investigate the preventive effect of a complex training program based on holistic hamstring health understanding in elite professional soccer players. This study involved an elite club in Europe and was conducted over 12 seasons. The  last 2 seasons were the intervention period and the others were the control seasons. During the intervention period, players performed a complex program organized into  different interventions throughout the week having as a priority the player health. Hamstring injuries, absenteeism, injury rates, and injury burden between the control  and intervention seasons were compared using a rate ratio (RR) with 95% CI. Players  had a mean exposure of 333.5±18.6 hours per season with no significant differences  between the intervention and control seasons. The overall injury rate was 3 times  lower during the two intervention seasons than during the previous seasons (p<0.01);  the match injury rate was 2.7 times lower (p<0.01) and the training rate 4.3 times  (p<0.01). Injury burden was almost 4 times lower during the two intervention seasons  than during the previous seasons (p<0.01) and recurrences in the control group were  10% vs. 0% in the intervention group. Hamstring injuries were reduced ~3 times  during the seasons in which elite football players were exposed to multicomponent,  complex prevention training with individual approaches based on player needs,  management of training load, individualized physiotherapy treatment, and planned  staff communication, in comparison to the control seasons without a clearly defined  and structured injury prevention intervention.<p /> <p>Language: en</p>",
language="en",
issn="0905-7188",
doi="10.1111/sms.13913",
url="http://dx.doi.org/10.1111/sms.13913"
}