Clinical Predictors of Time to Return to Competition and of Recurrence Following Hamstring Strain in Elite Australian Footballers

Objective: To investigate early clinical predictors of time to return to competition and of recurrence following hamstring strain.

Design: Prospective observational study.

Setting: Elite level of Australian football competition.

Participant: 59 players who suffered a hamstring strain in 2002 season.

Predictors: Clinical assessment by a physiotherapist and questionnaire.

Main Outcome Measures: Time taken to return to play and recurrence of hamstring injury within 3 weeks.

Results: Players taking more than 1 day to walk pain-free were significantly more likely (p=0.018) to take longer than 3 weeks to return to competition (adjusted odds ratio 4.0; 95% CI 1.3 to 12.6). Nine players (15.2%) experienced an injury recurrence, all involving the biceps femoris. Recurrence was more likely in players who reported a hamstring injury in the past 12 months (adjusted odds ratio 19.6; 95% CI 1.5 to 261.0; p=0.025).

Conclusion: Time to walk pain-free and previous hamstring injury are predictors of time to return to competition and recurrence, respectively, and should be included in a clinical assessment to aid in prognosis.