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The 90:20 Hamstring Test: Stronger, or Just Stiffer?

The 90:20 isometric hamstring test has become a popular method for assessing posterior chain/ hamstring function. It’s quick to perform, reliable and places the hamstrings in a long muscle length position; considered important for late stage return to sport assessments. Consequently, practitioners may use force outputs from this test to infer recovery of hamstring function […]

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Programming Exercises in Muscle Injury Rehabilitation: Structure, Function and Specificity

One of the most important parts of muscle injury rehabilitation is not just choosing exercises, but understanding why we have chosen specific exercises. That may sound obvious, but in practice it is where rehabilitation can become surprisingly unclear. There are countless exercise options available, and the literature on muscle injury  (particularly hamstring injury) has expanded

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Interpreting Isometric Hamstring Testing: Beyond a Single Angle

Isometric hamstring testing has become increasingly common within applied practice, particularly with the accessibility of force plates. Among the available methods, the 90:90 isometric knee flexion test is perhaps the most widely adopted. It is simple to set up, quick to administer, and produces minimal fatigue; making it well suited for regular monitoring within both

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T-Junction Hamstring Injuries: a mechanistic view of injury and reinjury

Distal T-junction hamstring injuries have become an increasingly talked about type of hamstring injury. They account for roughly 6–20% of hamstring injuries and often present with sudden distal posterior thigh pain. [1, 2]. What makes them particularly important is not just the diagnosis, but how clinically challenging these injuries can be. T-junction injuries are associated

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Using Biomechanics to Guide Hamstring Rehabilitation and Return to Play: A Case Example

Introduction Strength Testing – A Small Piece of the Full Picture When it comes to rehabilitation programming and return-to-sport after hamstring strain injuries, it is tempting to focus on isolated physical qualities. Maximum strength capacity has frequently become a central criterion guiding many rehabilitation programmes. However, while physical qualities are clearly important in rehabilitation, it

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