Biology of Sport
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Biology of Sport
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Original paper

How do muscle injuries relate to return-to-performance metrics in male elite football players?

Marc Guitart
1, 2
,
Antonio Alonso-Callejo
3
,
Gil Rodas
4, 5, 6
,
Francesc Cos
7, 8
,
Andres Martin-Garcia
1
,
Xavi Franquesa
1
,
Berta Carles
1
,
Xavier Valle
1, 9
,
Xavier Yangüas
1
,
Jose Luis Felipe
10, 11

  1. FC Barcelona Performance Department, Barcelona, Spain; Barça Innovation Hub, Health & Wellness Area, Barcelona, Spain
  2. Universitat Autònoma de Barcelona, Barcelona, Spain
  3. Department of Sports Sciences, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Madrid, Spain
  4. FC Barcelona Medical Department (FIFA Medical Center of Excellence), Barcelona, Spain
  5. Barça Innovation Hub, Health & Wellness Area, Barcelona, Spain
  6. Leitat Technological Center, Terrassa, Spain
  7. Manchester City Football Club 1st Team, Manchester M11 4TS, UK
  8. National Institute of Physical Education of Catalonia (INEFC), University of Barcelona, 08038, Barcelona, Spain
  9. ICATME-DEIXEUS: Unidad Medicina del Deporte, 08028, Barcelona, Spain
  10. IGOID Research Group, Department of Physical Activity and Sport Sciences, University of Castilla-La Mancha, 45071, Toledo, Spain
  11. Performance Analysis Department, UD Las Palmas, 35019, Las Palmas de Gran Canaria, Spain
Biol Sport. 2026; 43: 165–175
Online publish date: 2025/08/13
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1. Di Salvo V, Baron R, González-Haro C, Gormasz C, Pigozzi F, Bachl N. Sprinting analysis of elite soccer players during European Champions League and UEFA Cup matches. J Sport Sci. 2010; 28(14):1489–94.
2. Faude O, Koch T, Meyer T. Straight sprinting is the most frequent action in goal situations in professional football. J Sport Sci. 2012; 30(7):625–31.
3. Lehance C, Binet J, Bury T, Croisier J-L. Muscular strength, functional performances and injury risk in professional and junior elite soccer players. Scand J Med Sci Sports. 2009; 19(2):243–51.
4. Coombs R, Garbutt G. Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. J Sci Med Sport. 2002; 1(3):56.
5. Ekstrand J, Hägglund M, Waldén M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med. 2011; 45(7):553–58.
6. Ekstrand J, Bengtsson H, Waldén M, Davison M, Khan KM, Hägglund M. Hamstring injury rates have increased during recent seasons and now constitute 24% of all injuries in men’s professional football: the UEFA Elite Club Injury Study from 2001/02 to 2021/22. Br J Sports Med. 2023; 57(5):292–98.
7. Robles-Palazón FJ, López-Valenciano A, Croix MDS, Oliver JL, García-Gómez A, De Baranda PS, et al. Epidemiology of injuries in male and female youth football players: a systematic review and meta-analysis. J Sport Health Sci. 2022; 11(6):681–95.
8. Ekstrand J. Keeping your top players on the pitch: the key to football medicine at a professional level. Br J Sports Med. 2013; 47:723–24.
9. Hägglund M, Waldén M, Magnusson H, Kristenson K, Bengtsson H, Ekstrand J. Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med. 2013; 47(12):738–42.
10. Silva AA, Bittencourt NF, Mendonça LM, Tirado MG, Sampaio RF, Fonseca ST. Analysis of the profile, areas of action and abilities of Brazilian sports physical therapists working with soccer and volleyball. Braz J Phys Ther. 2011; 15:219–26.
11. Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med. 2016; 50(14):853–64.
12. Duhig S, Shield AJ, Opar D, Gabbett TJ, Ferguson C, Williams M. Effect of high-speed running on hamstring strain injury risk. Br J Sports Med. 2016; 50(24):1536–40.
13. Whiteley R, Massey A, Gabbett T, Blanch P, Cameron M, Conlan G, et al. Match high-speed running distances are often suppressed after return from hamstring strain injury in professional footballers. Sports Health. 2021; 13(3):290–95.
14. Hoppen MI, Reurink G, de Boode VA, van der Kaaden L, Jagtman L, Glazenburg T, et al. Return to match running performance after a hamstring injury in elite football: a single-centre retrospective cohort study. BMJ Open Sport Exerc Med. 2022; 8(1):e001240.
15. Whiteley R, Gregson W, Bahr R, Tabben M, Chamari K, Lolli L, et al. High speed running during match-play before and after return from hamstring injury in professional footballers. Scand J Med Sci Sports. 2022; 32(10):1502–09.
16. Mendiguchia J, Samozino P, Martinez-Ruiz E, Brughelli M, Schmikli S, Morin J-B, et al. Progression of mechanical properties during on-field sprint running after returning to sports from a hamstring muscle injury in soccer players. Int J Sports Med. 2014; 35(08):690–95.
17. Jiménez-Rubio S, Navandar A, Rivilla-García J, Paredes-Hernández V, Gómez-Ruano M-Á. Improvements in match-related physical performance of professional soccer players after the application of an on-field training program for hamstring injury rehabilitation. J Sport Rehab. 2019; 29(8):1145–50.
18. Ekstrand J, Waldén M, Hägglund M. Hamstring injuries have increased by 4% annually in men’s professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study. Br J Sports Med. 2016; 50(12):731–37.
19. Martín-García A, Díaz AG, Bradley PS, Morera F, Casamichana D. Quantification of a professional football team’s external load using a microcycle structure. J Strength Cond Res. 2018; 32(12):3511–18.
20. Guitart M, Casals M, Casamichana D, Cortés J, Valle FX, McCall A, et al. Use of GPS to measure external load and estimate the incidence of muscle injuries in men’s football: A novel descriptive study. PLoS One. 2022; 17(2):e0263494.
21. Miñano-Espin J, Casáis L, Lago-Peñas C, Gómez-Ruano MÁ. High speed running and sprinting profiles of elite soccer players. J Hum Kinet. 2017; 58(1):169–76.
22. Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scand J Med Sci Sports. 2006; 16(2):83–92.
23. Van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries: a review of concepts. Sports Med. 1992; 14:82–99.
24. Leventer L, Eek F, Hofstetter S, Lames M. Injury patterns among elite football players: a media-based analysis over 6 seasons with emphasis on playing position. Int J Sports Med. 2016; 37(11):898–908.
25. Büttner F, Howell DR, Iverson GL, Doherty C, Blake C, Ryan J, et al. Participation in pre-injury level sport one-year following sport-related concussion: A prospective, matched cohort study. J Sci Med Sport. 2021; 24(6):561–66.
26. Morgans R, Rhodes D, Bezuglov E, Etemad O, Di Michele R, Teixeira JE, et al. The impact of injury on match running performance following the return to competitive match-play over two consecutive seasons in elite European soccer players. J Phys Educ Sport 2023; 23(5):1142–49.
27. Askling CM, Tengvar M, Thorstensson A. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med. 2013; 47(15):953–59.
28. Bisciotti GN, Volpi P, Alberti G, Aprato A, Artina M, Auci A, et al. Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer). BMJ Open Sport Exerc Med. 2019; 5(1):e000505.
29. Hägglund M, Waldén M, Ekstrand J. Previous injury as a risk factor for injury in elite football: a prospective study over two consecutive seasons. Br J Sports Med. 2006; 40(9):767–72.
30. Mendiguchia J, Alentorn-Geli E, Brughelli M. Hamstring strain injuries: are we heading in the right direction? Br J Sports Med. 2012; 46(2):81–85.
31. Carmona G, Moreno-Simonet L, Cosio PL, Astrella A, Fernández D, Padullés X, et al. Acute changes in hamstring injury risk factors after a session of high-volume maximal sprinting speed efforts in soccer players. Sports Health. 2025; 17(1):15–26.
32. Schache AG, Dorn TW, Blanch PD, Brown NA, Pandy MG. Mechanics of the human hamstring muscles during sprinting. Med Sci Sports Exerc. 2012; 44(4):647–58.
33. Cohen SB, Towers JD, Zoga A, Irrgang JJ, Makda J, Deluca PF, et al. Hamstring injuries in professional football players: magnetic resonance imaging correlation with return to play. Sports Health. 2011; 3(5):423–30.
34. Tol JL, Hamilton B, Eirale C, Muxart P, Jacobsen P, Whiteley R. At return to play following hamstring injury the majority of professional football players have residual isokinetic deficits. Br J Sports Med. 2014; 48(18):1364–69.
35. Moreno-Perez V, Sotos-Martinez V, Lopez-Valenciano A, Lopez Del-Campo R, Resta R, Coso JD. Hamstring muscle injury is preceded by a short period of higher running demands in professional football players. Biol Sport. 2024; 41(1):227–33.
36. Bache-Mathiesen LK, Andersen TE, Dalen-Lorentsen T, Tabben M, Chamari K, Clarsen B, et al. A new statistical approach to training load and injury risk: separating the acute from the chronic load. Biol Sport. 2024; 41(1):119–34.
37. Huygaerts S, Cos F, Cohen DD, Calleja-González J, Guitart M, Blazevich AJ, et al. Mechanisms of hamstring strain injury: interactions between fatigue, muscle activation and function. Sports. 2020; 8(5):65.
38. Dunlop G, Ardern CL, Andersen TE, Lewin C, Dupont G, Ashworth B, et al. Return-to-play practices following hamstring injury: a worldwide survey of 131 premier league football teams. Sports Med. 2020; 50:829–40.
39. Taberner M, Allen T, O’keefe J, Cohen DD. Contextual considerations using the’ control-chaos continuum’ for return to sport in elite football-Part 1: Load planning. Phys Ther Sport. 2022; 53:67–74.
40. Hallén A, Ekstrand J. Return to play following muscle injuries in professional footballers. J Sports Sci. 2014; 32(13):1229–36.
Copyright: Institute of Sport. This is an Open Access article distributed under the terms of the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/). This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use.
 
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