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Rehabilitation & Prevention of Hamstring Strains

Presented by Tim Tyler MS

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Many athletes are missing games secondary to hamstring muscle strains. This course will cover how to rehabilitate hamstring strains and prevent reoccurrence. Topics will include: reporting hamstring strain epidemiology, examining risk factors, providing evidence for prevention of both initial and recurrent injuries, and using current evidence in choosing a rehabilitation process. Finally, we will learn how to use clinical milestones to progress athletes’ return to play

Meet your instructor

Tim Tyler MS

Timothy F Tyler MS, PT, ATC has been working in sports medicine for the last 25 years. In 1989 he graduated from Southern Connecticut State University and started working as an athletic trainer. After receiving a Masters in physical therapy from Long Island University he started as a staff physical therapist at the Nicholas…

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Chapters & learning objectives

Mechanisms of Injury and Risk Factors

1. Mechanisms of Injury and Risk Factors

This chapter will convey the documented high rate of first time and recurrence hamstring strain rates reported internationally in a wide range of professional and amateur sports. Will also discuss common mechanisms of injury for hamstring strain and possible risk factors.

Differential Diagnosis

2. Differential Diagnosis

This chapter aims to discuss the differential diagnosis of a hamstring strain. We will examine the use of MRI for grading hamstring strains and introduce a practical muscle imaging tool for determining the severity of injury.

Principles of Rehabilitation

3. Principles of Rehabilitation

This chapter aims to discuss principles of rehabilitation for hamstring strains. While emphasizing the pathology of the healing muscle, we will review each phase of the rehabilitation and provide clinical milestones to progress on to ensuing phases. We will also establish the traditional method of treatment of an acute hamstring strain, discuss a new lengthened-state eccentric dynamometer-based rehabilitation strategy for isolating the injured hamstring, and provide a clinical study for this new rehabilitation technique.

Prevention and Return to Play

4. Prevention and Return to Play

The objective of this chapter introduces a new lengthened-state eccentric dynamometer-based rehabilitation strategy for isolating the injured hamstring to prevent re-occurrences, and objectively determining when an athlete is ready to return to play. To conclude the course, we'll examine the use of MRI, lengthened state curves and other special tests when evaluating return to play.