{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:01:23Z","timestamp":1784937683515,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The primary aim was to report clinical features at initial assessment after hamstring injury, and the association of these with the mechanism of injury, BAMIC, and time to return to full training (TRFT). A secondary aim was to monitor functional milestones during rehabilitation and assess these relative to BAMIC and TRFT. Hamstring injuries in elite track and field athletes were eligible for inclusion. Clinical markers and the time to reach functional milestones in rehabilitation and TRFT were recorded. Low back pain and hamstring cramping\/tightness in the week prior to acute injury were, independently, present in 30% of injuries. A reduction in Maximal Hip Flexion Active Knee Extension (MHFAKE) (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.04), greater MHFAKE asymmetry (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.01), increased Visual Analogue Scale (VAS) pain on walking (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001) and resisted hamstring contraction (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.01) were associated with TRFT. BAMIC c injuries had a higher VAS pain score on walking and hamstring contraction, took longer to jog, and for passive knee extension to be pain free (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.04). Time to return to pain\u2010free jogging, pain\u2010free and full power on manual muscle testing, Askling H\u2010test negative, and full passive ROM were associated with TRFT. Pain\u2010free palpation (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.69) was not associated with TRFT. Class c injuries are challenging to detect clinically, but a higher VAS pain score and prolonged restriction in range may be clinical associations. MHFAKE and VAS on walking and hamstring contraction may be helpful in prognostication. Low back pain and hamstring tightness\/cramping are common symptoms prior to acute hamstring injury.\n                  <\/jats:p>","DOI":"10.1111\/sms.70136","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T10:32:09Z","timestamp":1758623529000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Presentation and Rehabilitation Progression Following Hamstring Injury Assessed by\n                    <scp>BAMIC<\/scp>\n                    in Elite Track and Field"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2615-9151","authenticated-orcid":false,"given":"Michael","family":"Giakoumis","sequence":"first","affiliation":[{"name":"British Athletics National Performance Institute  Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7165-7067","authenticated-orcid":false,"given":"Shane","family":"Kelly","sequence":"additional","affiliation":[{"name":"Royal Ballet  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Lee","sequence":"additional","affiliation":[{"name":"Fortius Clinic  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Stone","sequence":"additional","affiliation":[{"name":"British Athletics National Performance Institute  Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Polglass","sequence":"additional","affiliation":[{"name":"British Athletics National Performance Institute  Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Brown","sequence":"additional","affiliation":[{"name":"British Athletics National Performance Institute  Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Chelsea FC  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Pollock","sequence":"additional","affiliation":[{"name":"British Athletics National Performance Institute  Loughborough UK"},{"name":"Institute of Sport, Exercise and Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"Hamstring Injury Rates Have Increased During Recent Seasons and Now Constitute 24% of All Injuries in Men's Professional Football: The UEFA Elite Club Injury Study From 2001\/02 to 2021\/22","volume":"20","author":"Ekstrand J.","year":"2022","journal-title":"British Journal of Sports Medicine"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.26603\/001c.32589"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117733434"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097616"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098971"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-016-0639-1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093737"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093302"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2015.08.009"},{"key":"e_1_2_9_11_1","first-page":"489","article-title":"A 4\u2010Year Study of Hamstring Injury Outcomes in Elite Track and Field Using the British Athletics Rehabilitation Approach","volume":"21","author":"Pollock N.","year":"2021","journal-title":"British Journal of Sports Medicine"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-017-2729-z"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-06999-z"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-017-5125-0"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2020-001010"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.14160"},{"key":"e_1_2_9_17_1","article-title":"London International Consensus and Delphi Study on Hamstring Injuries Part 1: Classification","volume":"57","author":"Paton B. M.","year":"2023","journal-title":"British Journal of Sports Medicine"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097659"},{"key":"e_1_2_9_19_1","article-title":"Epidemiology of MRI\u2010Detected Muscle Injury in Athletes Participating in the Tokyo 2020 Olympic Games","volume":"25","author":"Katagiri H.","year":"2022","journal-title":"British Journal of Sports Medicine"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094892"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093860"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20200421"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506294679"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.048181"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510382857"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095073"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1265-3"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2015.08.009"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2021-105384"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.5334\/jbsr.2617"},{"key":"e_1_2_9_31_1","first-page":"478","article-title":"Imaging of Muscle Injuries: MR Imaging\u2014Ultrasound Correlation","volume":"2","author":"Bordalo M.","year":"2023","journal-title":"Magnetic Resonance Imaging Clinics of North America"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2017.06.268"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2007.05.026"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2021-104171"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.011346"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/14763141.2016.1231837"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2014.05.009"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2014.10.011"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200201000-00003"}],"container-title":["Scandinavian Journal of Medicine &amp; Science in Sports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sms.70136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T04:01:16Z","timestamp":1761105676000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sms.70136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,23]]},"references-count":38,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/sms.70136"],"URL":"https:\/\/doi.org\/10.1111\/sms.70136","archive":["Portico"],"relation":{},"ISSN":["0905-7188","1600-0838"],"issn-type":[{"value":"0905-7188","type":"print"},{"value":"1600-0838","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,23]]},"assertion":[{"value":"2025-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70136"}}