Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study
Objectives External risk factors connected to club, team and coaching are believed to be important in the causation of hamstring injuries, but little is known about the preventive measures used. The objective was to analyse the association between preventive factors and hamstring muscle injury burde...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2025-03-01
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| Series: | BMJ Open Sport & Exercise Medicine |
| Online Access: | https://bmjopensem.bmj.com/content/11/1/e002182.full |
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| author | Markus Braun Jan Ekstrand Markus Waldén Armin Spreco Wart van Zoest Martin Hägglund Håkan Gauffin Steve Mcnally Peter Ueblacker Max Sala Bruno Vanhecke Maikel van Wijk Christophe Baudot Paco Biosca Karl Heinrich Dittmar Dimitrios Kalogiannidis Ricard Pruna Nelson Puga Luca Stefanini José Maria Villalón Alonso |
| author_facet | Markus Braun Jan Ekstrand Markus Waldén Armin Spreco Wart van Zoest Martin Hägglund Håkan Gauffin Steve Mcnally Peter Ueblacker Max Sala Bruno Vanhecke Maikel van Wijk Christophe Baudot Paco Biosca Karl Heinrich Dittmar Dimitrios Kalogiannidis Ricard Pruna Nelson Puga Luca Stefanini José Maria Villalón Alonso |
| author_sort | Markus Braun |
| collection | DOAJ |
| description | Objectives External risk factors connected to club, team and coaching are believed to be important in the causation of hamstring injuries, but little is known about the preventive measures used. The objective was to analyse the association between preventive factors and hamstring muscle injury burden.Methods 14 teams participated in the Union of European Football Associations Champions/Europa Leagues from 2019/2020 to 2022/2023. An open question was sent out in January 2023 to the four teams with the lowest hamstring muscle injury burden, asking why their teams had successfully avoided hamstring muscle injuries and which preventive methods they had used. A questionnaire that investigated the use of these methods was sent to all 14 teams in February 2023. A multiple linear regression model was applied, using injury burden as an outcome variable and the questionnaire responses as possible explanatory variables possibly adjusted for team and season.Results The preventive methods included factors such as the level of communication between the coach, the medical staff and the performance staff. The adjusted multiple linear regression model indicated that communication between the medical staff and the performance staff was negatively associated with an increased hamstring muscle injury burden, where for every ‘higher’ grade of the communication variable, the average injury burden decreased by 4.1 (95% CI −8.2 to −0.04, p=0.048) days per 1000 hours.Conclusions Better communication between the medical and the performance staff and continuous involvement of the medical staff in load management was associated with a lower hamstring injury burden in male professional football teams. |
| format | Article |
| id | doaj-art-39c7549f8b5e416dbb33d5bd7a3e48ac |
| institution | OA Journals |
| issn | 2055-7647 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Sport & Exercise Medicine |
| spelling | doaj-art-39c7549f8b5e416dbb33d5bd7a3e48ac2025-08-20T02:02:12ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472025-03-0111110.1136/bmjsem-2024-002182Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury StudyMarkus Braun0Jan Ekstrand1Markus Waldén2Armin Spreco3Wart van Zoest4Martin Hägglund5Håkan Gauffin6Steve Mcnally7Peter Ueblacker8Max Sala9Bruno Vanhecke10Maikel van Wijk11Christophe Baudot12Paco Biosca13Karl Heinrich Dittmar14Dimitrios Kalogiannidis15Ricard Pruna16Nelson Puga17Luca Stefanini18José Maria Villalón Alonso19Institute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, Frankfut am Main, GermanyFootball Research Group, Linköping, SwedenSport Without Injury ProgrammE (SWIPE), Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden1Athletics Research Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenOrthopaedic Surgery, St. Anna Hospital, Geldrop, The NetherlandsMedical and Health Sciences, Linköping University, Linköping, Sweden1Linköping University, Linköping, SwedenGeneral Practitioner, Southport,and Medical Officer, Liverpool FC AcademyFootball Club FC Bayern Munich, Munich, Germany4The English Football Association (FA)Football Club Brugge, Brugge, BelgiumAFC Ajax, Amsterdam, The Netherlands5 Paris Saint-Germain, Paris, France6 University of Leida, Leida, Spain8 Bayer 04 Leverkusen, Leverkusen, Germany9 Chelsea FC, London, UK11 FC Barcelona, Barcelona, Spain12 FC Porto, Porto, Portugal14 Juventus FC, Torino, Italy21 Club Atlético de Madrid, Madrid, SpainObjectives External risk factors connected to club, team and coaching are believed to be important in the causation of hamstring injuries, but little is known about the preventive measures used. The objective was to analyse the association between preventive factors and hamstring muscle injury burden.Methods 14 teams participated in the Union of European Football Associations Champions/Europa Leagues from 2019/2020 to 2022/2023. An open question was sent out in January 2023 to the four teams with the lowest hamstring muscle injury burden, asking why their teams had successfully avoided hamstring muscle injuries and which preventive methods they had used. A questionnaire that investigated the use of these methods was sent to all 14 teams in February 2023. A multiple linear regression model was applied, using injury burden as an outcome variable and the questionnaire responses as possible explanatory variables possibly adjusted for team and season.Results The preventive methods included factors such as the level of communication between the coach, the medical staff and the performance staff. The adjusted multiple linear regression model indicated that communication between the medical staff and the performance staff was negatively associated with an increased hamstring muscle injury burden, where for every ‘higher’ grade of the communication variable, the average injury burden decreased by 4.1 (95% CI −8.2 to −0.04, p=0.048) days per 1000 hours.Conclusions Better communication between the medical and the performance staff and continuous involvement of the medical staff in load management was associated with a lower hamstring injury burden in male professional football teams.https://bmjopensem.bmj.com/content/11/1/e002182.full |
| spellingShingle | Markus Braun Jan Ekstrand Markus Waldén Armin Spreco Wart van Zoest Martin Hägglund Håkan Gauffin Steve Mcnally Peter Ueblacker Max Sala Bruno Vanhecke Maikel van Wijk Christophe Baudot Paco Biosca Karl Heinrich Dittmar Dimitrios Kalogiannidis Ricard Pruna Nelson Puga Luca Stefanini José Maria Villalón Alonso Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study BMJ Open Sport & Exercise Medicine |
| title | Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study |
| title_full | Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study |
| title_fullStr | Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study |
| title_full_unstemmed | Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study |
| title_short | Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study |
| title_sort | higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden a substudy on 14 teams from the uefa elite club injury study |
| url | https://bmjopensem.bmj.com/content/11/1/e002182.full |
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