Proximal Hamstring tendinopathy Flashcards
(5 cards)
Population likely to get a proximal hamstring tendinopathy
- Active adults aged 30–50
- Runners and athletes in high-speed or explosive sports
- Those with poor biomechanics or history of hamstring strain
- Or those who are more sedentary and are increasing compressive loading on hamstring
Symptoms of a proximal hamstring tendinopathy
- Pain with hip flexed activities
- Pain with higher hamstring loads
- Worse with longer strides when walking/running
- Point tenderness
- Trouble with sit to stand
- Painful with sitting on hard surfaces
- Not likely to have pain with lying flat
Questions to rule up a proximal hamstring tendinopathy
- Changes in activity/training load? Ex more hill walking, gardening or running
- Pain with compressive loads? Sitting on harder surfaces or prolonged sitting?
- Is there a warming up period?
Rule down lumbar spine
Any back pain?
Any pain with bending or twisting your back?
Any N/T
Examination for proximal hamstring tendinopathy
+Palpation
* Test- peranen- orava test (POT)- pt performs hamstring stretch with foot placed on chair at 90 degrees hip flexion. + if reproduction of localized ischial pain. (+LR=4.2)(-LR= .29)
* Test bent knee stretch- passive maximal hip flexion and then passive knee extension (+LR=6.5) (-LR= .18)
+hamstring contraction resisted testing
+90 degree active knee extension test
Evidence informed interventions following proximal hamstring tendinopathy
Again think tendon loaidng- isometrics-isotonics-plyos
Eccentric exercise grade B- 12 weeks of training - o Eccentric exercise GRADE B- Added to patient tolerance added to stretching strengthening and stabilization program. +Progressive running program. Average training for 12 weeks.
Also heavy slow resistance training program- only case study
Grade B agility and trunk stabilization
Grade F- neural mobilizations
Injury prevention
Grade A- nordic hamstring curls along with warm ups stretches, stability training and functional movements
