Unraveling Hamstring Injury Mechanisms and Eccentric Training Adaptations: Integrative Insights and Future Preventive Strategies

Introduction

Hamstring injuries are a prevailing issue in running and field-based sports, comprising roughly 10% of all sports injuries and exhibiting high recurrence rates of 15–70%. These injuries significantly affect athlete performance, team outcomes, and healthcare costs. Despite decades of targeted resistance training interventions for prevention, injury rates remain stubbornly high. This underscores an unmet clinical need for a refined understanding of injury mechanisms and evidence-based rehabilitation practices to mitigate risk effectively.

Mechanisms of Hamstring Injury in High-Speed Running

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