Lee Dow, Connor, Timmins, Ryan G., Ruddy, Joshua D., Williams, Morgan D., Maniar, Nirav, Hickey, Jack, Bourne, Matthew N. and Opar, David A. (2021) Prediction of Hamstring Injuries in Australian Football Using Biceps Femoris Architectural Risk Factors Derived From Soccer. The American Journal of Sports Medicine, 49 (13). pp. 3687-3695. ISSN 0363-5465
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Abstract
Background: Hamstring strain injuries are the most common injuries in team sports. Biceps femoris long head architecture is
associated with the risk of hamstring injury in soccer. To assess the overall predictive ability of architectural variables, risk factors
need to be applied to and validated across different cohorts.
Purpose: To assess the generalizability of previously established risk factors for a hamstring strain injury (HSI), including demographics, injury history, and biceps femoris long head (BFlh) architecture to predict HSIs in a cohort of elite Australian football players.
Study Design: Cohort study; Level of evidence, 3.
Methods: Demographic, injury history, and BFlh architectural data were collected from elite soccer (n = 152) and Australian football (n = 169) players at the beginning of the preseason for their respective competitions. Any prospectively occurring HSIs were
reported to the research team. Optimal cut points for continuous variables used to determine an association with the HSI risk
were established from previously published data in soccer and subsequently applied to the Australian football cohort to derive
the relative risk (RR) for these variables. Logistic regression models were built using data from the soccer cohort and utilized
to estimate the probability of an injury in the Australian football cohort. The area under the curve (AUC) and Brier score were
the primary outcome measures to assess the performance of the logistic regression models.
Results: A total of 27 and 30 prospective HSIs occurred in the soccer and Australian football cohorts, respectively. When using
cut points derived from the soccer cohort and applying these to the Australian football cohort, only older athletes (aged ≥25.4
years; RR, 2.7 [95% CI, 1.4-5.2]) and those with a prior HSI (RR, 2.5 [95% CI, 1.3-4.8]) were at an increased risk of HSIs. Using
the same approach, height, weight, fascicle length, muscle thickness, pennation angle, and relative fascicle length were not significantly associated with an increased risk of HSIs in Australian football players. The logistic regression model constructed using
age and prior HSIs performed the best (AUC = 0.67; Brier score = 0.14), with the worst performing model being the one that was
constructed using pennation angle (AUC = 0.53; Brier score = 0.18).
Conclusion: Applying cut points derived from previously published data in soccer to a dataset from Australian football identified
older age and prior HSIs, but none of the modifiable HSI risk factors, to be associated with an injury. The transference of HSI risk
factor data between soccer and Australian football appears limited and suggests that cohort-specific cut points must be
established.
Item Type: | Article |
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Keywords: | risk; injury prediction; hamstring injury; muscle injury; fascicle length; |
Academic Unit: | Faculty of Science and Engineering > Sports Science and Nutrition |
Item ID: | 17933 |
Identification Number: | 10.1177/03635465211041686 |
Depositing User: | Jack Hickey |
Date Deposited: | 12 Dec 2023 12:37 |
Journal or Publication Title: | The American Journal of Sports Medicine |
Publisher: | SAGE Publications |
Refereed: | Yes |
Related URLs: | |
URI: | https://mu.eprints-hosting.org/id/eprint/17933 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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