Pulled HAmstring / Hamstring Strain

[Physioindeed]

In a recent course I have done we discussed that if the patient is in prone lying and lifting his leg in extention, the chain of activation should be glutes first, then hamstrings. You can test that and just visually see, if he activates his gultes first.


Also if the gultes are not strong enough to start of with, the hamstrings overload.
Same for adductor magnus. So test these and also strengthen them.

so it might be a muscle control or/and muscle imbalance problem.

good luck! (ps. brookner and kahn: clinical sports medecine has a nice little section about it)

[Muscolino]

In a recent course I have done we discussed that if the patient is in prone lying and lifting his leg in extention, the chain of activation should be glutes first, then hamstrings. You can test that and just visually see, if he activates his gultes first.


Also if the gultes are not strong enough to start of with, the hamstrings overload.
Same for adductor magnus. So test these and also strengthen them.

so it might be a muscle control or/and muscle imbalance problem.

good luck! (ps. brookner and kahn: clinical sports medecine has a nice little section about it)

i was introduced to this test a while ago and have to say; im not too confident of its diagnostic accuracy, does anyone else feel the same? I would still test for activation of hip ext but would be more concerned with the sequence of contralateral lower back muscles; that is on asking your pt to lift their leg off the bed, note which sequence they contract their mms, i and generally not too concerned if one fires before another (unless it is marked) but i would query if they contracted the opposite lumbar mms BEFORE gluts/hammis. Their seems to be (purely observational) more correlation with LBP and 'mis-firing' in this scenario compared with activation between hammi/glute
If it is contralateral side firing first, its relatively simple to correct. How effective and long lasting it is, im not sure. Does anyone have any similar findings, or have i been in a closed, poorly ventilated room for too long?