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. 2013 Jun 24;1(1):2325967113494354. doi: 10.1177/2325967113494354

Table 2.

Functional Progression for Hamstring Injuries

Phase 1
Stairstepper/elliptical progression
 a) Stairstepper/elliptical 20-30 min
 b) 2 consecutive days without setbacks, progress to  phase 2
Phase 2
Treadmill progression (15-30 min)
 a) Treadmill warm-up (3-6 mph)
 b) Progressive speed intervals (7-14 mph), increase in  0.5-mph increments 20 s run/20 s rest (7-10 mph), 10 s  run/15 s rest (10-14 mph)
 c) If a player has apprehension or pain before 14 mph,  work on a 1 min walking/1 min jogging program.  Choose a comfortable speed between 7-10 mph and  have the player jog 1 min and walk 1 min at 3.5 mph.
 d) If player completes 14 mph without hesitation and  jog/run for an additional 15 min with 1 min/1 min  then progress to phase 3.
Phase 3
Field functional progression
 a) Jog 50 yards × 4
 b) Dynamics/stretching
 c) High knees 10 yards × 4
 d) Butt kicks 10 yards × 4
 e) A skips 10 yards × 4
 f) B skips 10 yards × 4
 g) Back pedal 5 yards × 4
 h) Lateral shuffle 10 yards both directions × 2
 i) Cariocas both directions × 2
 j) 50 yards accelerations (50%-75%) × 3
 k) 30 yards arc left 10, arc right 10, sprint straight  (50%-75%) 10 × 2
 l) 5-yard zigzags 25 yards × 2
 m) W drill, both directions
 n) Triangle drill both directions
 o) Combine short shuttle × 2
 p) Individual period specific to position
 q) If player can complete all aspects of progression  without hesitation and pain progress to phase 4
Phase 4
Position-specific conditioning and progressive return to practice