PRACTITIONER PROMPT Hamstring rehabilitation

The information contained in this article is intended as general guidance and information only and should not be relied upon as a basis for planning individual medical care or as a substitute for special- ist medical advice in each individual case. To the extent permissable by law, the publisher, editors and contributors accept no liability for any loss, injury or damage howsoever incurred (including negli- gence) as a consequence, whether directly or indirectly, of the use of any person of the contents of this article.

WWW.SPORTEX-MEDICINE.COM

Rehabilitation Rehabilitation schedule schedule

Phase 1(PRICE) Phase 2 (ROM) Treatment Flexibility - PRICE - Exercise rehabilitation

- active and passive pain free range of movement stretches

Rehabilitation schedule

Phase 3 (Loading) Exercise rehabilitation

- PNF stretches Such as hold relax; contract relax. Or

- Hold, relax, hold, contract relax Endurance - - prone knee bends

- low impact step machine - static cycle - 400m walk

- step machine - static cycle

- rowing machine - hamstring run

Rehabilitation schedule

Phase 4 (sport specific) Exercise rehabilitation

- introduce flexibility exercises as stand alone programme

- teach pre-exercise stretching as part of warm-up programme

- step machine - static cycle

- rowing machine

- hamstring running drills - position running patterns

Resistance -

- seated hamstring curl * - standing hamstring curl * - prone hamstring curl * - leg press *

- dumbbell half squat * - dumbbell Romanian dead lift *

- seated hamstring curl * - standing hamstring curl * - prone hamstring curl * - leg press *

- dumbbell squat * - dumbbell straight leg dead lift * - barbell high pull

- dumbbell squat push press - barbell hang clean - barbell clean

- dumbbell squat jumps - dumbbell alternate single arm high pull

- dumbbell static lunge standing hip dips - dumbbell alternate single arm clean - dumbbell static lunge standing dead lifts - dumbbell dead lift and heel raise - dumbbell alternate leg lunges - dumbbell dead lift and heel raise

Other -

- running drills - trampet

- wobble board - ball skills

- ball skills

- controlled game - fitness testing

Key: * = exercises selected as an example in the exercise programme but can be combined with the additional exercises listed above within the appropriate phase.