{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:19:59Z","timestamp":1790795999557,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2010,9,18]],"date-time":"2010-09-18T00:00:00Z","timestamp":1284768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim was to introduce and evaluate the reliability and validity of an active hamstring flexibility test as a complement to common clinical examination when determining safe return to sport after hamstring injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eleven healthy subjects (28 years) were tested on repeated occasions, and 11 athletes (21 years) with MRI\u2010verified acute hamstring strain were tested when common clinical examination revealed no signs of remaining injury, i.e. there was no differences between the legs in palpation pain, manual strength tests, and passive straight leg raise. Flexibility, i.e. highest range of motion of three consecutive trials, was calculated from electrogoniometer data during active ballistic hip flexions and conventional passive slow hip\u2010flexions in a supine position. A VAS\u2010scale (0\u2013100) was used to estimate experience of insecurity during active tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant test\u2013retest differences were observed. Intra\u2010class correlation coefficients ranged 0.94\u20130.99 and coefficients of variation 1.52\u20134.53%. Active flexibility was greater (23%) than passive flexibility. In the athletes, the injured leg showed smaller (8%) active, but not passive, flexibility than the uninjured leg. Average insecurity estimation was 52 (range 28\u201398) for the injured and 0 for the uninjured leg, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The new test showed high reliability and construct validity; furthermore, it seems to be sensitive enough to detect differences both in active flexibility and in insecurity after acute hamstring strains at a point in time when the commonly used clinical examination fails to reveal injury signs. Thus, the test could be a complement to the common clinical examination before the final decision to return to sport is made.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-010-1265-3","type":"journal-article","created":{"date-parts":[[2010,9,17]],"date-time":"2010-09-17T15:43:49Z","timestamp":1284738229000},"page":"1798-1803","source":"Crossref","is-referenced-by-count":84,"title":["A new hamstring test to complement the common clinical examination before return to sport after injury"],"prefix":"10.1002","volume":"18","author":[{"given":"C. M.","family":"Askling","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> The Swedish School of Sport and Health Sciences Stockholm Sweden"},{"name":"<!--<label>2<\/label>--> Section of Orthopedics and Sports Medicine, Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Nilsson","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> The Swedish School of Sport and Health Sciences Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Thorstensson","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> The Swedish School of Sport and Health Sciences Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,9,18]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.018879"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010199826040\u201000002"},{"key":"e_1_2_7_4_2","first-page":"1155","article-title":"The relationship between preseason range of motion and muscle strain injury in elite soccer players","volume":"21","author":"Bradley PS","year":"2007","journal-title":"J Strength Cond Res"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505286022"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181c1d6e1"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508316764"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e31816359f2"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2.1.35"},{"key":"e_1_2_7_10_2","first-page":"171","article-title":"Lower extremity goniometric measurements: a study to determine their reliability","volume":"63","author":"Ekstrand J","year":"1982","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e318198fbd1"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/63.7.1085"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1993.18.5.614"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2010.3047"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2009.08.003"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jsm.0000188206.54984.65"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.36.1.39"},{"key":"e_1_2_7_18_2","first-page":"154","article-title":"An evidence\u2010based approach to hamstring strain injury: a systematic review of the literature","volume":"1","author":"Prior M","year":"2009","journal-title":"Am Ortho Soc Sports Med"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2004.34.3.116"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100838.2005.00472.x"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.014571"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310011801"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010199417050\u201000006"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-010-1265-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-010-1265-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-010-1265-3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T11:26:16Z","timestamp":1760873176000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-010-1265-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9,18]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1007\/s00167-010-1265-3"],"URL":"https:\/\/doi.org\/10.1007\/s00167-010-1265-3","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9,18]]}}}