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Implementing hamstring injury prevention programmes remotely: a randomised proof of concept trial [with consumer summary]
Behan FP, van Dyk N, Rane L, Thorne E, Banaghan A, Gilsenan K, Whyte EF
BMJ Open Sport & Exercise Medicine 2024;10(1):e001728
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: This study aimed to (1) compare the effectiveness of a Nordic hamstring exercise (NHE) versus single-leg Romanian deadlift (SLRDL) exercise programme on a hamstring injury risk surrogate; (2) compare the muscle soreness experienced by both exercise programmes; and (3) assess compliance to remote injury prevention exercise protocols through video software. METHODS: Twenty participants (10 women and 10 men: 21.45 +/- 1.6 years; 176 +/- 23 cm; 70 +/- 10 kg) were randomised into an NHE or SLRDL programme for 6 weeks. Single-leg hamstring bridge (SLHB), a hamstring injury surrogate, was the primary outcome for exercise efficacy. Muscle soreness and exercise adherence were also assessed. Significance was set at p < 0.05. RESULTS: Both exercises increased SLHB performance resulting in an overall effect (p = 0.013) with no effect for group (p = 0.470) and no interaction effect (p = 0.709), indicating both groups improved but there was no difference in improvement between interventions. There was no difference in muscle soreness between groups (p = 0.087). Finally, both groups had 100% adherence to the programme. CONCLUSIONS: Both the NHE and SLRDL are equally effective in increasing SLHB performance and demonstrate a similar level of muscle soreness. This suggests that SLRDL may be a viable option as a preventative exercise to mitigate the risk of hamstring injury. Finally, implementing injury prevention programmes remotely has the potential to enhance adherence.

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