{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:29:13Z","timestamp":1790843353033,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008982","name":"Qatar National Research Fund","doi-asserted-by":"publisher","award":["NPRP 6\u20101526\u20103\u2010363"],"award-info":[{"award-number":["NPRP 6\u20101526\u20103\u2010363"]}],"id":[{"id":"10.13039\/100008982","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>The aim was to investigate the preventive effect of a complex training program based on holistic hamstring health understanding in elite professional soccer players. This study involved an elite club in Europe and was conducted over 12 seasons. The last 2 seasons were the intervention period, and the others were the control seasons. During the intervention period, players performed a complex program organized into different interventions throughout the week having as a priority the player health. Hamstring injuries, absenteeism, injury rates, and injury burden between the control and intervention seasons were compared using a rate ratio (RR) with 95% CI. Players had a mean exposure of 333.5\u00a0\u00b1\u00a018.6\u00a0hours per season with no significant differences between the intervention and control seasons. The overall injury rate was 3 times lower during the two intervention seasons than during the previous seasons (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01); the match injury rate was 2.7 times lower (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01) and the training rate 4.3 times (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01). Injury burden was almost 4 times lower during the two intervention seasons than during the previous seasons (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01), and recurrences in the control group were 10% vs 0% in the intervention group. Hamstring injuries were reduced ~3 times during the seasons in which elite football players were exposed to multicomponent, complex prevention training with individual approaches based on player needs, management of training load, individualized physiotherapy treatment, and planned staff communication, in comparison to the control seasons without a clearly defined and structured injury prevention intervention.<\/jats:p>","DOI":"10.1111\/sms.13913","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T11:24:27Z","timestamp":1609413867000},"page":"861-874","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Applying a holistic hamstring injury prevention approach in elite football: 12 seasons, single club study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5432-4786","authenticated-orcid":false,"given":"Luis","family":"Suarez\u2010Arrones","sequence":"first","affiliation":[{"name":"Department of Sport and Informatics Section of Physical Education and Sport Pablo de Olavide University Sevilla Spain"},{"name":"Performance and Health Department Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio Yuzo","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Associate Graduate Program in Physical Education UPE\/UFPB Jo\u00e3o Pessoa Brazil"},{"name":"Research Centre in Sports Sciences, Health Sciences and Human Development CIDESD University Institute of Maia ISMAI Maia Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael A.","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Performance Department Girondins de Bordeaux Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nacho","family":"Torreno","sequence":"additional","affiliation":[{"name":"Performance and Health Department Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valter","family":"Di Salvo","sequence":"additional","affiliation":[{"name":"Football Performance &amp; 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