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- Issue 97
- Clinical presentation and rehabilitation progression following…
Clinical presentation and rehabilitation progression following hamstring injury assessed by BAMIC in elite track and field
Key Points
- Although some objective markers can increase clinical suspicion of tendon injury, the only way to truly diagnose them is to utilize MRI imaging.
BACKGROUND AND OBJECTIVE
This study looked to build on the work done previously by the British Athletics medical team and utilized the same hamstring injury cohort that had been used to understand the link between different grades of hamstring injury and the time taken to return to play (1).
This was done through utilization of the British Athletics Muscle Injury Classification (BAMIC) system, which provides a numerical grading relating to the severity of the injury as well as a classification of the structures involved. These three classifications are:
a) Myofascial injury
b) muscle tendon junction injury
c) Intratendon injury.
The BAMIC classification system has been demonstrated as a reliable method of classification for muscle injuries (2).
This study’s aims were to firstly report on the clinical assessment findings following hamstring injuries within track and field athletes. This information was then to used to find associations between these clinical findings and the mechanism of injury, its BAMIC classification and time to return to full training (TRFT).
This study found a significant association between the reporting of hamstring cramp/tightness in the week prior to subsequent hamstring injury and a longer time to return to running.
METHODS
- This study included all hamstring injuries over a four-year period for which clinical examination took place within three days of the injury being reported.