Behan, Fearghal P.Van Dyk, NicolRane, LanceThorne, EmmaBanaghan, AlexaGilsenan, KevinWhyte, Enda Francis2024-10-092024-10-092024-01Behan, F.P., Van Dyk, N., Rane, L., et al. Implementing hamstring injury prevention programmes remotely: a randomised proof of concept trial. BMJ Open Sport & Exercise Medicine 2024;10:e001728. doi:10.1136/bmjsem-2023-001728.2055-7647 (online)10.1136/bmjsem-2023-001728http://hdl.handle.net/2263/98550OBJECTIVES: This study aimed to (1) compare the effectiveness of a Nordic hamstring exercise (NHE) versus single-leg Romanian deadlift (SLRDL) exercise programme on a hamstring injury risk surrogate; (2) compare the muscle soreness experienced by both exercise programmes; and (3) assess compliance to remote injury prevention exercise protocols through video software. METHODS: Twenty participants (10 women and 10 men: 21.45±1.6 years; 176±23 cm; 70±10 kg) were randomised into an NHE or SLRDL programme for 6weeks. Single-leg hamstring bridge (SLHB), a hamstring injury surrogate, was the primary outcome for exercise efficacy. Muscle soreness and exercise adherence were also assessed. Significance was set at p<0.05. RESULTS: Both exercises increased SLHB performance resulting in an overall effect (p=0.013) with no effect for group (p=0.470) and no interaction effect (p=0.709), indicating both groups improved but there was no difference in improvement between interventions. There was no difference in muscle soreness between groups (p=0.087). Finally, both groups had 100% adherence to the programme. CONCLUSIONS: Both the NHE and SLRDL are equally effective in increasing SLHB performance and demonstrate a similar level of muscle soreness. This suggests that SLRDL may be a viable option as a preventative exercise to mitigate the risk of hamstring injury. Finally, implementing injury prevention programmes remotely has the potential to enhance adherence.en© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.Nordic hamstring exercise (NHE)Single-leg Romanian deadlift (SLRDL)Hamstring injury preventionMuscle sorenessSDG-03: Good health and well-beingSingle-leg hamstring bridge (SLHB)Article