Stephen
Kornberg published a study in the late 80s demonstrating that a group of
Australian Rules football players with pain in this region were treated
much more effectively and efficiently if the neural component was
considered first and treated accordingly. In other words, the hamstring
wasn't the problem, it was the nerve in the region that had been disrupted.
Treating this first ended up being the best form of care.
I always look at the ipsolateral hip. If it's held in internal rotation I
assume that the nerve is relatively taut and resolving that first often
relieves the pain. Perhaps looking for this while the patient is supine
would reveal an impending problem.
Barrett L. Dorko, P.T.
<http://barrettdorko.com>
At 02:20 PM 6/18/02 +0100, you wrote:
>Following our own departments observations we have been looking at adverse
>neural tension as a predictor/contributary factor in Hamstring strain. A
>review of medline produced one paper supporting this possibility.
>
>I would like to hear the views of group members and anyone who knows of a
>screening programme for young atheletes that incorporates such an approach.
>
>Thankyou -
>
>Stephen Heptinstall
>Wye Valley Nuffield Hospital,
>Hereford, UK.
>
>
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