“High Performance Hamstring” Course Reflection

So I am sat down with a coffee looking through all of my notes that I made yesterday at the intensive day course hosted at AFC Bournemouth and led by @nickcourt81. It was a great day and one that I really took a huge amount of theoretical and practical learning out of. Below are the key points that I took from the day;

  1. There is currently a strong debate surrounding the exact contraction type that is present at the point of injury within the hamstrings. Is it isometric or is it eccentric? The course featured a really good discussion of these opposing views and the current research surrounding the two points of view. The outcome is that at this time we really can’t answer the question with any certainty and therefore it is important to consider the likely multi-contraction type when putting together our rehabilitation/injury minimisation programs
  2. The importance of utilising recognised clinical markers within rehabilitation progressing also featured heavily within Nick’s assessment section. The two most referenced tests being the Askling H Test (https://www.youtube.com/watch?v=VYnMnb7AlKE) which can be used to increase confidence that the player is ready to return to HSR, and the MHFAKE test (https://www.youtube.com/watch?v=KEMj1oYGFEg), which is said to normalise at approximately 50% of the recovery time.
  3. There was also a strong practical focus to the course and I found the practical demonstration of how Nick utilises the Nordbord, ForceDecks and Kangatech really interesting, especially as I have not previously used a couple of the pieces of equipment. Use of these technologies allows for ongoing monitoring and screening allowing for a comprehensive “hip strength” score to be devised, and programs devised as appropriate.
  4. The final key take home message that I will mention here is the strong emphasis that Nick placed upon being truly objective within your rehabilitation, but also how each case needs to be judged on its own merits. There was very strong reference to the great work of @JackHickey89 and his accelerated rehabilitation program for hamstring injuries. For those who want to know more about this I would point you in the direction of Jack’s appearance on the Clinical Edge Podcast. Nick talked about the used of GPS metrics within rehabilitation and the challenge of trying to return the player to sport (or performance!) without spiking their Acute:Chronic workloads by trying to return to outdoor running as soon as possible to maintain a good chronic workload.

There was so much more mentioned by Nick on the course, as proven by the 21 pages of notes that I took throughout the day, but hopefully this just gives you a bit of a taster of what the course involved and how it could benefit you. Nick is doing another course in Reading in November and I would definitely recommend trying to get along. The link is attached below.

http://www.heseminars.com/App_Plugins/Course/Details.aspx?id=879bc175-abf9-49eb-a7d2-3025d2652c28

Thanks

@PreventionPhys

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