Hamstrings injury in athletes 

Football players are particularly susceptible to hamstring injuries, especially those related to kicking or sprinting, which involve simultaneous hip flexion and knee extension. 

One third of injuries recur with the highest risk during the two weeks following return to sport, due to the prematurity of this or to an inadequate rehabilitation programme.  

The instrumentation of the clinical test 

Therefore, there is a need to evaluate this set of muscles under dynamic conditions in athlete by means of appropriate tests and equipment. 

We applied EMG electrodes on the biceps femoris and semitendinosus of both lower limbs, together with an inertial motion unit (IMU) on the trunk of a professional footballer. This one performed the Nordic Test, where the subject has to counteract the falling force of their body through an eccentric contraction of the hamstrings, while the data was recorded by the equipment and then divided into three different phases. 

nordic test

Quantitative data from the EMG signal 

By calculating the amplitude ratio with the Root Mean Square, we observed the symmetry of activation of the two homonymous muscles between the right and left lower limbs, providing useful data for a possible preventive or rehabilitation programme. In addition, the differences in activation between the ipsilateral medial and lateral muscles were calculated in order to search for a balanced and synergical activation of the posterior thigh compartment in a training programme. 

In this case, the football player’s left hamstrings worked less synergistically with each other than the opposite hamstrings, a fact also highlighted by the poor symmetry between the two biceps and the two semitendinosus of the two different limbs, as it can be seen in the slides. 

Finally, we were able to analyse which fibres are most activated: there is a greater percentage of white fibres at the beginning of the movement, while red-slow fibres activate most towards the end of the test, when the eccentric hold has to counteract a greater extensor moment at the knee by the force of gravity. 

 

The analysis of this data can provide useful information for the athletic trainer of a professional team, to operate in prevention from the beginning of the season; or it can give indications to the rehabilitation team when an injury occurs, to gradually manage the return to the field.