Rehabilitation of hamstring strains in football




Football; Hamstrings; Rehabilitation; Athlete; Sport; Lesion.


Football is the most popular sport throughout the world, the high rate of injuries among sportspeople occurs in both the amateur and professional categories, over 92% of all injuries affect the lower limbs. Hamstring injuries are much more common among athletes. The purpose of this review was to scrutinize the physical therapy interventions in rehabilitating soccer players who suffered a muscle strain in the hamstrings according to the scientific literature. It is about an integrative review that was carried out in the SciELO, LILACS, PEDro, PubMed databases, in June and August 2021. Two randomized clinical trials and one prospective study were included. This way, it is possible to view the researches which were carried out between 2014 and 2020.Each rehabilitation plan in the study has 3 treatment stages. After each rehabilitation exercise, it is applied ice to the back of the thigh for 20 minutes. Subjects/participants got into the second stage when they could walk on injured and not injured limbs with the same stride length and support time, and start painless isometric contraction of the hamstrings when the knee joint was flexed to 90°, at least Test the muscle strength of the hand 4/5. According to the studies discussed in this review, physiotherapy reveals that rehabilitation programs, including eccentric exercises, stabilization of the trunk, cryotherapy, sprint training, and mobilization, are effective in recovering soccer players who have suffered strains in the hamstrings, in reducing pain, improving function, and returning to sports, reducing the risk of recurring injuries.


Alonso, J. M., Tscholl, P. M., Engebretsen, L., Mountjoy, M., Dvorak, J., & Junge, A. (2010). Occurrence of injuries and illnesses during the 2009 IAAF World Athletics Championships. British Journal of Sports Medicine, 44(15), 1100–1105.

Askling, C. M., Tengvar, M., Saartok, T., & Thorstensson, A. (2007). Acute First-Time Hamstring Strains during High-Speed Running. The American Journal of Sports Medicine, 35(2), 197–206.

Askling, C. M., Tengvar, M., Tarassova, O., & Thorstensson, A. (2014). Acute hamstring injuries in Swedish elite sprinters and jumpers: A prospective randomised controlled clinical trial comparing two rehabilitation protocols. British Journal of Sports Medicine, 48(7), 532–539.

Busarello, F. d. O., Souza, F. T. d., Paula, G. F. d., Vieira, L., Nakayama, G. K., & Bertolini, G. R. F. (2011). Ganho de extensibilidade dos músculos isquiotibiais comparando o alongamento estático associado ou não à crioterapia. Fisioterapia em Movimento, 24(2), 247–254.

Gabbe, B. J., Branson, R., & Bennell, K. L. (2006). A pilot randomised controlled trial of eccentric exercise to prevent hamstring injuries in community-level Australian Football. Journal of Science and Medicine in Sport, 9(1-2), 103–109.

Greenstein, J. S., Bishop, B. N., Edward, J. S., & Topp, R. V. (2011). The effects of a closed-chain, eccentric training program on hamstring injuries of a professional football cheerleading team. Journal of Manipulative and Physiological Therapeutics, 34(3), 195–200.

Heiderscheit, B. C., Sherry, M. A., Silder, A., Chumanov, E. S., & Thelen, D. G. (2010). Hamstring strain injuries: Recommendations for diagnosis, rehabilitation, and injury prevention. Journal of Orthopaedic & Sports Physical Therapy, 40(2), 67–81.

Holmgren, T., Bjornsson Hallgren, H., Oberg, B., Adolfsson, L., & Johansson, K. (2012). Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: Randomised controlled study. BMJ, 344(feb20 1), Artigo e787-e787.

Jiménez-Rubio, S., Navandar, A., Rivilla-García, J., Paredes-Hernández, V., & Gómez-Ruano, M.-Á. (2020). Improvements in match-related physical performance of professional soccer players after the application of an on-field training program for hamstring injury rehabilitation. Journal of Sport Rehabilitation, 29(8), 1145–1150.

Kleinpaul, J. F., Mann, L., & Santos, S. G. d. (2010). Lesões e desvios posturais na prática de futebol em jogadores jovens. Fisioterapia e Pesquisa, 17(3), 236–241.

Loturco, I., Pereira, L. A., Kobal, R., & Nakamura, F. Y. (2018). Using loaded and unloaded jumps to increase speed and power performance in elite young and senior soccer players. Strength and Conditioning Journal, 40(3), 95–103.

Lovell, R., Knox, M., Weston, M., Siegler, J. C., Brennan, S., & Marshall, P. W. M. (2017). Hamstring injury prevention in soccer: Before or after training? Scandinavian Journal of Medicine & Science in Sports, 28(2), 658–666.

Mendiguchia, J., Martinez-Ruiz, E., Edouard, P., Morin, J.-B., Martinez-Martinez, F., Idoate, F., & Mendez-Villanueva, A. (2017). A multifactorial, criteria-based progressive algorithm for hamstring injury treatment. Medicine & Science in Sports & Exercise, 49(7), 1482–1492.

Muyor, J. M., Vaquero-Cristóbal, R., Alacid, F., & López-Miñarro, P. A. (2014). Criterion-Related validity of sit-and-reach and toe-touch tests as a measure of hamstring extensibility in athletes. Journal of Strength and Conditioning Research, 28(2), 546–555.

Orchard, J., Best, T. M., & Verrall, G. M. (2005). Return to play following muscle strains. Clinical Journal of Sport Medicine, 15(6), 436–441.

Pedrinelli, A., Filho, G. A. R. d. C., Thiele, E. S., & Kullak, O. P. (2013). Epidemiological study on professional football injuries during the 2011 copa america, argentina. Revista Brasileira De Ortopedia (English Edition), 48(2), 131–136.

Petersen, J., Thorborg, K., Nielsen, M. B., Budtz-Jørgensen, E., & Hölmich, P. (2011). Preventive effect of eccentric training on acute hamstring injuries in men’s soccer. The American Journal of Sports Medicine, 39(11), 2296–2303.

Sherry, M. A., Johnston, T. S., & Heiderscheit, B. C. (2015). Rehabilitation of acute hamstring strain injuries. Clinics in Sports Medicine, 34(2), 263–284.

Silder, A., Sherry, M. A., Sanfilippo, J., Tuite, M. J., Hetzel, S. J., & Heiderscheit, B. C. (2013). Clinical and morphological changes following 2 rehabilitation programs for acute hamstring strain injuries: A randomized clinical trial. Journal of Orthopaedic & Sports Physical Therapy, 43(5), 284–299.

Silva, E. T. d., Sales, W. B., & Mendes, H. A. d. S. (2020). Efeitos do exercício nórdico na prevenção de lesões nos isquiotibiais de jogadores de futebol: Uma revisão integrativa. Research, Society and Development, 9(5), Artigo e113953204.



How to Cite

EGITO, E. K. R.; PIRES, G. A. .; FREIRE, R. A. .; SANTANA JÚNIOR, V. . Rehabilitation of hamstring strains in football. Research, Society and Development, [S. l.], v. 10, n. 17, p. e31101724011, 2021. DOI: 10.33448/rsd-v10i17.24011. Disponível em: Acesso em: 25 may. 2022.



Health Sciences