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  • A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study

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A musculoskeletal multifactorial individualised programme for hamstring muscle injury risk reduction in professional football: results of a prospective cohort study
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  • Published on: 26 February 2024
    Re: Edouard et al, 2024¬, Letter to the Editor
    • Rod Whiteley, Sports Physiotherapist, Aspetar Orthopaedic and Sports Medicine Hospital

    Dear Editor,
    I am writing in regard Edouard et al’s recent publication in your journal to bring your attention to what I think are some errors that have perhaps slipped through the editing process.
    The paper describes the results of their protocol (Lahti et al 2020): “… to compare if there is a significant effect of the intervention on the (hamstring muscle injury) occurrence using Cox regression analysis” where the intervention was “a multifactorial and individualised HMI risk reduction programme”.
    The pre-specified outcome (hamstring injury risk) was found to be no different for those undertaking the novel programme compared to the control group at any time – i.e. the complex multifactorial individualized programme did not reduce hamstring injury incidence, risk, or burden. The authors have subsequently reported the findings of secondary analyses not outlined in the published protocol. These reported secondary analyses also found no difference in hamstring muscle injury risk/incidence, but they did report that for a sub-group of 31/90 selected participants there was a reduction in hamstring injury burden (but not others, some of whom reported an increase).
    Specifically, these apparent errors (reporting a reduction in incidence/risk for the secondary analyses where the data do not support this) are:
    1. in the abstract: “… and additional secondary analyses showed a significant association between the intervention and lower HMI burden, incidenc...

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    Conflict of Interest:
    None declared.