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On this month’s episode of the Mountain Land Running Medicine Podcast, we sit down with Dr. David Opar to discuss Hamstring Strain Injuries. Dr. Opar is the Director of the Sports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre at Australian Catholic University. He has conducted extensive research into hamstring strain injuries with a particular focus on how best to identify individuals at risk of this injury and how… The post Hamstring Strain Injuries first appeared on Mountain Land Physical Therapy & Rehabilitation.
Episode 58: Ben Ashworth hosts his first episode of Inform Performance. On this episode Ben chats to Dr David Opar the Director of the Sports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre at Australian Catholic University. David completed his undergraduate degree in Human Movement at RMIT University in 2008. He commenced his doctoral thesis (PhD) in the area of hamstring strain injuries at the Queensland University of Technology in 2010. He also heads up the ACU Hamstring Injury Group and is leading the way in hamstring injury research. Dr Opar and his team are in close consultation with professional sporting codes both nationally and internationally to deliver evidence-based prevention and treatment strategies for their athlete group. In this episode Ben Ashworth and Dr David Opar discuss: David’s backgroundHamstring Injury risk mitigationMinimal dose for hamstrings Optimal sprint dosage Timing training stimuli within competitive schedulesWhen & how to use nordics Load tolerance RTP Criteria’s Where you can find David: TwitterLinkedIn SponsorInform Performance is sponsored by VALD Performance, makers of the Nordbord, Forceframe, ForeDecks and HumanTrak. VALD Performance systems are built with the high-performance practitioner in mind, translating traditionally lab-based technologies into engaging, quick, easy-to-use tools for daily testing, monitoring and training Keep up to date with everything that is going on with the podcast by following Inform Performance on: InstagramTwitterOur Website Our Team Andy McDonaldBen Ashworth
In this episode of the Pacey Performance Podcast, I am speaking to Professor at the University of Copenhagen, Kristian Thorborg. I know I say this every week but Kristian has been on my hit list for a long time and it was great to finally line it up and get him on the podcast. Kristian is a world-renowned researcher, most well known for his work in hamstring injuries and it is this area that we chat about in this episode. Kristian had recently edited a book, Prevention and Rehabilitation of Hamstring Injuries alongside some giants of the industry, David Opar and Anthony Shield, both of who have been on the podcast. If you're trying to keep your athletes fit, healthy and on the field or court, you will enjoy this one! In this episode we discussed... Who is Kristian Thorborg (background, education and current role)? Hamstring injury risk The structure of the hamstrings Intrinsic and extrinsic risk factors Neuromuscular factors related to hamstring injury and performance Asymmetries Assessments of risk Rehabilitation Return to sport protocols post hamstring injury Ideal vs applied realities Optimising function post hamstring injury Reasons for persistent hamstring injuries Kristian can be found on Twitter @KThorborg This episode of the Pacey Performance Podcast is sponsored by Perch. Engineered at MIT, Perch uses small and mobile cameras to monitor and manage weight room performance without detracting from it. Perch is velocity based training. No strings attached. For exclusive deals and offers, tell them Rob sent you by going to pacey.perch.fit/. This episode of the Pacey Performance Podcast is sponsored by Hawkin Dynamics, the team behind the worlds only wireless force plate system. Hawkin Dynamics can be found at hawkindynamics.com and you can follow them on Twitter @hawkindynamics This episode is also sponsored by IMeasureU. IMeasureU are a world leading inertial platform to precisely quantify body movement and workload metrics in the field. IMeasureU can be found at imeasureu.com and you can follow them on Twitter @imeasureu. This episode is sponsored by BLK BOX, leaders in performance training equipment & facility design. BLK BOX manufacture and distribute a full range of strength training equipment across Europe from their Headquarters in Belfast, Northern Ireland. BLK BOK can be found at blkboxfitness.com and you can follow them on Twitter @blkboxfitness and Instagram @blkboxfitness. This episode is also sponsored by Kitman Labs. Kitman partners with leading sports teams to achieve consistent success, on and off the pitch. Over 150 teams across the globe use Kitman Labs' Athlete Optimization System to simplify daily operations and rely on the company's unique analytics to uncover the factors that influence success. You can find Kitman Labs at kitmanlabs.com and on Twitter @kitmanlabs. Keep up to date with everything that is going on with the podcast by following on Twitter @strengthofsci or visiting strengthofscience.com. Enjoy PP
In this episode of the Pacey Performance Podcast, I am speaking to Lecturer in Musculoskeletal & Sports Injury Rehabilitation at Australian Catholic University, Jack Hickey. As well as being a lecturer, Jack is a researcher in the ACU hamstring injury group alongside previous podcast guests David Opar and Anthony Shield. As hamstring injury rates continue to rise, the area of hamstring injury rehab is only going to grow so it was great to get Jack on to give us an update on what the research is telling us and how it can relate to our practice. Hope you enjoy this episode with Jack Hickey. In this episode we discussed... Who is Jack Hickey (background, education and current role) Mechanism of HSI HSI injury rates Issues with traditional HSI rehab The part pain plays in HSI rehab Pain-free vs pain-threshold HSI rehab Eccentric compliance Knowing when to progress (or regress) Early phase eccentric loading Timings Intensity Examples Isometric training for HSI rehab HSI risk reduction post RTP Jack can be found on Twitter @jackhickey89 This episode of the Pacey Performance Podcast is sponsored by Hawkin Dynamics, the team behind the worlds only wireless force plate system. Hawkin Dynamics can be found at hawkindynamics.com and you can follow them on Twitter @hawkindynamics This episode is also sponsored by IMeasureU. IMeasureU are a world leading inertial platform to precisely quantify body movement and workload metrics in the field. IMeasureU can be found at imeasureu.com and you can follow them on Twitter @imeasureu. This episode is sponsored by BLK BOX, leaders in performance training equipment & facility design. BLK BOX manufacture and distribute a full range of strength training equipment across Europe from their Headquarters in Belfast, Northern Ireland. BLK BOK can be found at blkboxfitness.com and you can follow them on Twitter @blkboxfitness and Instagram @blkboxfitness. This episode is also sponsored by the team at Notre Dame University and Australian Catholic University who are excited to host their second annual Human Performance Summit. If you want more information on the event, see the image below, visit their information page or follow them on Twitter @UND_HPS Keep up to date with everything that is going on with the podcast by following on Twitter @strengthofsci or visiting strengthofscience.com. Enjoy PP
As part of this masterclass episode focusing on hamstring injuries, I am speaking to Dave Opar, Anthony Shield, Lachlan Wilmot, Ben Ashworth and Matt Taberner. After the great success of the sprint masterclass episode, velocity based training masterclass episode and the training load masterclass episode I decided to continue with the structure and pick out some of the best bits around the topic of hamstring injuries. It was great to listen to these guys again, talking about Nordics, Nordics and Nordics as well as return to play post injury, alternatives to Nordics and injury prevention strategies in the field. Enjoy. In this episode, you will learn - Dave Opar When and where hamstring injuries occur Why people resist the Nordic exercise Anthony Shield What we know about hamstring injuries Why Nordics aren't 'functional' Matt Taberner Return to play post hamstring injury Lachlan Wilmot Hamstring injury prevention strategies in the field Ben Ashworth Getting buy in into Nordics using the Nordbord Dave can be found on Twitter @davidopar Tony can be found on Twitter @das_shield Matt can be found on Twitter @matttaberner Lachlan can be found on Twitter @lachlan_wilmot Ben can be found on Twitter @benashworth This episode of the Pacey Performance Podcast is sponsored by Vald Performance, the team behind the NordBord and the new Groinbar, a hip and groin strength measuring solution. They can be found at valdperformance.com and you can get more information on the groin bar at groinbar.com and on Twitter @groinbar. This episode is sponsored by Fatigue Science. Fatigue Science combine wearable technology with biomathematical science developed by the US Army to offer fantastic insights into sleep and cognitive fatigue. This episode is also sponsored by Forcedecks. If you want to know more about ForceDecks, listen to episode #139 of the Pacey Performance Podcast with co-founder, Dr. Daniel Cohen. Keep up to date with everything that is going on with the podcast by following on Twitter @strengthofsci or visiting strengthofscience.com below. Enjoy PP
Many of us have had a hamstring twinge at one time or another, you know, that big muscle group at the back of the thigh. Well sportspeople are constantly injuring that muscle group at great cost to themselves and the team. David Opar and his team research, collaborate and coordinate the new wave of inquiry into hamstring injury, rehabilitation and management.
Injured athletes like to recover and return to play as quickly as possible, and we need to balance return to play against impaired strength, performance and risk of reinjury. Initial injury rehabilitation often commences with isometric exercises, progressing into concentric/eccentric style exercises when isometric tests are pain-free. Finally high load eccentric exercises such as the Nordic hamstring are introduced for their positive effects of increased strength, fascicle length and reduced injury risk. High level and eccentric exercises are often avoided in the early stages of rehab, for fear of aggravating the injury. What if we could commence higher-level and eccentric exercises safely at an earlier stage? Would this impair or accelerate your patients' recovery? In this podcast with Jack Hickey, currently completing a PhD with the QUT/ACU hamstring injury research group, we explore an accelerated hamstring injury rehabilitation program, and how this can be implemented with your patients. You will discover: The limitations of traditional rehabilitation What is the evidence for only using isometric exercises in the early stages of rehab Why eccentric exercises are commonly thought of as too high a load for initial rehab More modern rehabilitation programs for hamstring strain injuries, including the Askling (2013), Aspetar (2017) and Mendiguchia (2017) programs An accelerated rehab program, introducing higher-level and eccentric exercises at an early stage How often high-level exercises need to be performed Which exercises you can use with your hamstring injury patients How to know when to progress your patient's exercises When you can start your patient's rehabilitation When your patients can return to running How to progress your patience through a return to running program When your patients are suitable for return to sport Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Jack Hickey David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership ACU open access hamstring journal repository Dr David Opar on Twitter Dr Anthony Shield Dr Morgan Williams Dr Matthew Bourne Nicol van Dyk Rod Whiteley Nirav Maniar Ryan Timmins Dr Steve Duhig Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon) Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises Other episodes of interest: PE 071 - Hamstring strengthening, lengthening and injury prevention with Dr David Opar PE 019 - Hamstring strength, flexibility and injury reduction with Dr Kieran O’Sullivan PE016 - Preventing hamstring injuries with Dr Kristian Thorborg Articles associated with this episode: Askling et al. 2013. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols Aspetar Hamstring Protocol Hickey et al. 2016. Criteria for Progressing Rehabilitation and Determining Return-to-Play Clearance Following Hamstring Strain Injury: A Systematic Review Jacobsen et al. 2016. A combination of initial and follow-up physiotherapist examination predicts physician-determined time to return to play after hamstring injury, with no added value of MRI. Järvinen et al. 2007. Muscle injuries: optimising recovery. Mendiguchia et al. 2017. Hamstring rehab for football players. Silder et al. 2013. Clinical and Morphological Changes Following 2 Rehabilitation Programs for Acute Hamstring Strain Injuries: A Randomized Clinical Trial
Hamstring injuries are the most common injury in football and AFL, and we can help our patients strengthen their hamstrings while significantly reducing their risk of injury with the right exercise program. What are the best exercises to use to strengthen and lengthen the hamstrings, and to prevent hamstring injury? In this Physio Edge podcast with Dr David Opar, we discuss hamstring injury prevention, which athletes will benefit, which exercises to use, the most important aspects of each exercise and how to incorporate these with your athletes. You will discover: What does the latest research around hamstring exercises and injury reveal? Which players are most at risk of hamstring injury? How can we prevent hamstring injuries? How does hamstring muscle architecture adapt to training, and how does this relate to your exercise selection or prescription? How can we increase hamstring muscle fascicle length? How can we tailor our patients hamstring program based on whether they are preseason, in-season, uninjured or previously injured? Which exercises are important in hamstring rehabilitation and prehabilitation? How can you start and progress a hamstring injury prevention program? How quickly do patients lose their hamstring gains, and how much maintenance do they need to perform? What happens to hamstring muscle strength and flexibility following injury? What neuromuscular inhibition happens following hamstring injuries, and how can we address this in our rehab? There has been a lot of great research performed recently on hamstring injuries, and to share this and help you with your hamstring injury patients, we have invited Dr David Opar to present at the upcoming Sports Injuries virtual conference in December 2017. You can access six free preconference sports injury presentations by CLICKING HERE. Links Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership ACU open access hamstring journal repository Dr David Opar on Twitter Dr Anthony Shield Dr Morgan Williams Dr Matthew Bourne Nicol van Dyk Rod Whiteley Nirav Maniar Jack Hickey Ryan Timmins Dr Steve Duhig Articles associated with this episode: Bourne et al. 2017. Impact of exercise selection on hamstring muscle activation. Opar et al. 2015. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Petersen et al. 2011. Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer. Timmins et al. 2015. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. Timmins et al. 2016. Architectural Changes of the Biceps Femoris Long Head after Concentric or Eccentric Training. van Dyk et al. 2016. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study.
Over the last 12 months, Nordics have become a key criterion and point of progression for most of our athletes. In today's episode, we go deep on why we love them, - why they are better than a deadlift and RDL for brute eccentric hamstring strength - the mistake we made regarding Corelfits - why the Nordic isn't quite perfect - why sport doesn't serve the hamstring well - how eccentrics affect the collagen and titan in your muscles - and how you can start adding them in without being sore for a week Some resources: This video from David Opar should provide a great summary of all things hamstrings: https://www.youtube.com/watch?v=48MAhno35Lg David Opar and the hamstring injury research group have done a heap of work on the Nordic and its effect on injury risk (this link will take you to a heap of their academic papers which you can read for free) https://scholar.google.com.au/scholar?q=david+opar+hamstring&hl=en&as_sdt=0&as_vis=1&oi=scholart&sa=X&ved=0ahUKEwjXoPXP6rjSAhXDEpQKHefTBAkQgQMIFzAA Also the Nordbord website: https://valdperformance.com/ Fascicle length: http://www.jsams.org/article/S1440-2440(12)00580-4/abstract More on Titin (not Titan): http://jeb.biologists.org/content/217/16/2825.long And collagen content of muscles: http://jap.physiology.org/content/97/1/197.long (a small study but Jacob seems to be onto something)
In episode 73 of the Pacey Performance Podcast I am speaking with hamstring expert, David Opar. With an ever increasing interest in the prevention of hamstring injuries in sport due to their relative frequency, it was great to get the world leading expert to discuss the issue. David is a super nice guy and is very open to discussing anything so if you are interested in knowing more, drop David a message on Twitter. In this episode you will learn - Who is David Opar (education, background, current role etc) Hamstring injury trends Research around hamstring injury prevention Nordics and popular opinion Practical hamstring injury prevention NordBord and its integration Future directions Keep up to date with everything that is going on with the podcast by following me on Twitter @paceyperform or visiting paceyperformance.co.uk/podcast. David can be found on Twitter @davidopar Enjoy PP
Podcast titles are limited to 100 characters; the ideal title would have been…”Working as a multidisciplinary team in elite sport – the role of physiotherapy, strength and conditioning teams, medical folks, soft tissue therapists, exercise rehabilitators etc.”. A leading elite team physiotherapist (Andrew Wallis, PT) and a head of sports science/conditioning (Darren Burgess, PhD) provide you the inside view from within two elite teams. And they have international experience before their current jobs. You'll hear WHO these teams include on the sports medicine payroll. Our hosts (Ebonie Rio, David Opar) ask whose head would be on the chopping block if there was a rash of hamstring strains after a vigorous pre-season training. Is one hamstring injury recurrence among 10 players worth 9 players coming back a week early? What about sending players to the funky treatment' clinician – flying for the miracle cure? Apologies for a bit of shuffling noise in Andrew's first two answers but it disappears. Well worth pushing through that distraction (we are working on trying to get sound quality like in Jack Chew's podcasts!). Confident you'll love this inside view! Darren Burgess is High Performance Manager at Port Adelaide Football (AFL) Club. Darren was Head of Fitness and Conditioning at Liverpool Football Club. Darren completed his PhD in movement analysis of AFL and Soccer in 2012. http://www.portadelaidefc.com.au/ Andrew Wallis is head physiotherapist at the St Kilda Football Club and has been there for the last 8 years. He has a special interest in Hip and Groin pathology and consults privately at Melbourne Orthopaedic Group and Malvern Sports Medicine Centre. http://www.saints.com.au/ Relevant papers: Seasonal Training Load Quantification in Elite English Premier League Soccer Players. Malone JJ, Di Michele R, Morgans R, Burgess D, Morton JP, Drust B. Int J Sports Physiol Perform. 2014 Nov 13. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/25393111 Countermovement jump performance is not affected during an in-season training microcycle in elite youth soccer players. Malone JJ, Murtagh CF, Morgans R, Burgess DJ, Morton JP, Drust B. J Strength Cond Res. 2015 Mar;29(3):752-7. doi: 10.1519/JSC.0000000000000701. http://www.ncbi.nlm.nih.gov/pubmed/25226317 Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme. Brukner P, Nealon A, Morgan C, Burgess D, Dunn A. Br J Sports Med. 2014 Jun;48(11):929-38. doi: 10.1136/bjsports-2012-091400. http://bjsm.bmj.com/content/48/11/929.long
Dr David Opar joins us for this BJSM podcast. David is a lecturer at the Australian Catholic University in Melbourne and one of the emerging voices in the field of hamstring strain injuries, having done work on the possible mechanism of injury as well as prospective studies aimed at better understanding eccentric strength as a risk factor for these injuries. His work also investigates the Nordic Hamstring Device, developed by the Queensland University of Technology Hamstring Group, looking into the potential of this device in prevention, treatment and rehabilitation of hamstring injuries. Nicol van Dyk, a physiotherapist in the Rehabilitation Department at Aspetar Sports Medicine & Orthopaedic Hospital in Qatar, leads the discussion around nordic hamstring exercises, the role of eccentric strength in hamstring strain injuries and the seeing the big picture in prevention and rehabilitation. With hamstring strain injuries continuing to receive much attention in the literature and mainstream media, David Opar elucidates some significant features of this common injury.