Evidence map›Paper›PMID 33914283›Full record

SynthesisSports medicine (Auckland, N.Z.)2021

Is Pre-season Eccentric Strength Testing During the Nordic Hamstring Exercise Associated with Future Hamstring Strain Injury? A Systematic Review and Meta-analysis.

David A Opar, Ryan G Timmins, Fearghal P Behan, Jack T Hickey, Nicol van Dyk, Kara Price, Nirav Maniar

Erratum issuedAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Strength, Agility, and Cardiorespiratory Fitness in Elite Male Futsal Players.International journal of sports physical therapy · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

David A OparSchool of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia. David.opar@acu.edu.au.ORCID 0000-0002-8354-6353
Ryan G TimminsSchool of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia.ORCID 0000-0003-4964-1848
Fearghal P BehanMusculoskeletal Mechanics Group, Imperial College London, London, UK.ORCID 0000-0001-9578-5725
Jack T HickeySchool of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia.ORCID 0000-0003-2764-698X
Nicol van DykHigh Performance Unit, Irish Rugby Football Union, Dublin, Ireland.ORCID 0000-0002-0724-5997
Kara PriceSchool of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia.
Nirav ManiarSchool of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia.ORCID 0000-0002-6180-6003

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterventions utilising the Nordic hamstring exercise (NHE) have resulted in reductions in the incidence of hamstring strain injury (HSI). Subsequently, quantifying eccentric knee flexor strength during performance of the NHE to identify an association with the occurrence of future HSI has become increasingly common; however, the data to date are equivocal.

objectiveTo systematically review the association between pre-season eccentric knee flexor strength quantified during performance of the NHE and the occurrence of future HSI.

designSystematic review and meta-analysis. DATA SOURCES: CINAHL, Cochrane Library, Medline Complete, Embase, Web of Science and SPORTDiscus databases were searched from January 2013 to January 10, 2020. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Prospective cohort studies which assessed the association between pre-season eccentric knee flexor strength quantified during performance of the NHE and the occurrence of future HSI.

methodsFollowing database search, article retrieval and title and abstract screening, articles were assessed for eligibility against pre-defined criteria then assessed for risk of bias. Meta-analysis was used to pool data across studies, with meta-regression utilised where possible.

resultsA total of six articles were included in the meta-analysis, encompassing 1100 participants. Comparison of eccentric knee flexor strength during performance of the NHE in 156 injured participants and the 944 uninjured participants revealed no significant differences, regardless of whether strength was expressed as absolute (N), relative to body mass (N kg

conclusionEccentric knee flexor strength quantified during performance of the NHE during pre-season provides limited information about the occurrence of a future HSI.

Indexed as

Hamstring MusclesLeg InjuriesHumansMuscle StrengthProspective StudiesSeasons

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.