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Carl M Askling, Magnus Tengvar, Olga Tarassova and Alf Thorstensson
- Corey Ray
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1 Br J Sports Med. 2014;48(7): Acute Hamstring Injuries in Swedish Elite Sprinters and Jumpers: A Prospective Randomised Controlled Clinical Trial Comparing Two Rehabilitation Protocols Carl M Askling, Magnus Tengvar, Olga Tarassova and Alf Thorstensson Abstract and Introduction Abstract Background: Hamstring strain is a common injury in sprinters and jumpers, and therefore time to return to sport and secondary prevention become of particular concern. Objective: To compare the effectiveness of two rehabilitation protocols after acute hamstring injury in Swedish elite sprinters and jumpers by evaluating time needed to return to full participation in the training process. Study design: Prospective randomised comparison of two rehabilitation protocols. Methods: Fifty-six Swedish elite sprinters and jumpers with acute hamstring injury, verified by MRI, were randomly assigned to one of two rehabilitation protocols. Twenty-eight athletes were assigned to a protocol emphasising lengthening exercises, L-protocol, and 28 athletes to a protocol consisting of conventional exercises, C-protocol. The outcome measure was the number of days to return to full training. Re-injuries were registered during a period of 12 months after return. Results: Time to return was significantly shorter for the athletes in the L-protocol, mean 49 days (1SD±26, range days), compared with the C-protocol, mean 86 days (1SD±34, range days). Irrespective of protocol, hamstring injuries where the proximal free tendon was involved took a significantly longer time to return than injuries that did not involve the free tendon, L-protocol: mean 73 vs 31 days and C-protocol: mean 116 vs 63 days, respectively. Two reinjuries were registered, both in the C-protocol.
2 Conclusions: A rehabilitation protocol emphasising lengthening type of exercises is more effective than a protocol containing conventional exercises in promoting time to return in Swedish elite sprinters and jumpers. Introduction Acute hamstring injury is common in track and field athletes, especially in elite sprinters and jumpers. [1 7] Furthermore, hamstring injuries are a heterogeneous group consisting of different injury types, locations and sizes, which makes recommendations regarding rehabilitation and prognosis about healing time difficult. [8 14] The reinjury rate is high, [15 17] which may indicate inadequate rehabilitation programmes and/or premature return to sports. [18,19] There is a lack of clinical research and consensus, based on prospective, randomised studies, regarding the effectiveness of various rehabilitation protocols for acute hamstring injuries in elite sprinters and jumpers. Overall, few studies until now have evaluated the effectiveness of different treatment protocols for acute hamstring injuries in any type of sport. [20,21] However, recently a study on Swedish elite football players showed that a protocol aimed at loading the hamstrings during extensive lengthening mainly during eccentric muscle actions was significantly more effective compared with a conventional protocol in promoting time to return to play after acute hamstring injury. [13] It is not possible to generalise these results to other elite athletes in different sports, with a different training-process and with other demands on the hamstring muscle group without performing the same protocol in a new clinical trial. The current investigation uses the same methodological approach as the study on elite football players. [13] Aim The main objective of this study on Swedish elite sprinters and jumpers was to compare the effectiveness of two rehabilitation protocols for acute hamstring injuries with varying emphasis on muscle-tendon lengthening by evaluating time needed to return to full participation in the training process. Other aims were to study possible associations between injury type, location, size, palpation pain and time to return. Material and Methods Swedish male and female elite sprinters and jumpers were enrolled using our extensive contacts with medical teams and coaches working with elite track and field athletes in Sweden. These athletes were juniors (between 15 and 19 years)
3 and seniors (20 years and older) ranked among the top 20 in each discipline indoors and/or outdoors. Also, the Swedish Athletic Association took part by informing all major track and field clubs in Sweden about the study. The total recruitment time was 38 months, January 2009 February Forty-six sprinters and 10 jumpers (of whom 8 were horizontal jumpers) were included, all with clinical signs of acute hamstring injury, as confirmed by MRI. A randomisation process was used to assign athletes to either of the two protocols, the L-protocol or the C- protocol, respectively. Athletes were stratified into subgroups according to gender, injury type (ie, sprinting-type or stretching-type injury) and proximal free tendon involvement or not (see below). The first athlete in each stratified subgroup was randomised to either the L-protocol or C-protocol using a dice. Subsequent athletes in each subgroup were then alternated between protocols. The allocation of each athlete in a subgroup was therefore dependent on the randomised allocation of the first athlete in that subgroup. In addition, eight sprinters and jumpers with clinical signs of acute hamstring injury, but where the MRI showed no sign of injury, were followed in parallel. These MRI-negative athletes were all assigned to the L- protocol. The use of non-steroidal anti-inflammatory drugs (NSAIDs) and/or other pain reducing medicine during the rehabilitation period was not allowed. All athletes gave their informed consent prior to participation. Approval of the study was granted by the Regional Ethics Committee (Dnr: 2008/ /2). There were no dropouts in the study. Inclusion/Exclusion Criteria To be included, the athlete had to have sustained acute sudden pain in the posterior thigh that immediately forced the athlete to stop the activity, training or competing. The initial clinical examination had to reveal localised pain when palpating the hamstring muscles, localised pain when performing a passive straight leg raise test, and increased pain when adding an isometric hamstring contraction during that test. [8] Exclusion criteria included verified or suspected earlier hamstring injury in the same leg during the past 6 months, extrinsic trauma to the posterior thigh, ongoing or chronic low back problems and pregnancy. Injury Situation Type of Injury At the first visit, the athletes were interviewed by the same test-leader (CMA) about the injury situation, that is, the movements or exercises at which the acute injury occurred, whether it was during a training session or competition. In addition, the type of injury was established, that is, sprint-type injury, happening at high-speed
4 running [9,12] or stretch-type injury, occurring during slow stretching to extreme muscle lengths. [10,11] Clinical Examination All athletes were examined within 2 days after the injury. The clinical examination included manual assessment of flexibility and strength of the injured and uninjured leg. The uninjured leg was always tested before the injured leg, and flexibility before strength. Flexibility was measured with a passive straight leg raise test (until the athlete reported pain and/or discomfort) and a standard flexometer. [8] The isometric strength test was performed with the athlete in a prone position with resistance applied at the heel at 15 and 45 of knee flexion. The strength was tested manually by performing a combined knee flexion and hip extension due to the bi-articular nature of the hamstring muscles. Hamstring strength was also tested in a lengthened state in a supine position with the knee positioned at 15 of flexion while resistance was applied to the heel. The foot was maintained in plantar flexion in order to limit the activation of the gastrocnemius muscle. A bilateral comparison was performed for each measurement. The point of peak palpation pain was recorded and the distance between that point and the ischial tuberosity was measured. [8] The same test-leader (CMA) performed this clinical examination weekly until there were no signs of injury remaining. The decision by the test-leader (CMA) that there were no signs of injury remaining had to be confirmed by an independent colleague by performing the same clinical examination. Askling H-test When the clinical examination at the end of the rehabilitation showed no signs of injury remaining, the Askling H-test was performed. [22] A simplified version of the H- test, without an electrogoniometer but with a knee brace to keep the leg in extension and straps stabilising the upper body and the contralateral leg, was performed. The instruction to the athlete was to perform a straight leg raise as fast as possible to the highest point without taking any risk of injury (three trials per leg, uninjured leg tested first; no warm-up). If the athlete experienced any insecurity during this voluntary straight leg raising (on a Visual Analogue Scale, from 0 to 10), he/she was not allowed to go back to full training. Instead, the rehabilitation period was extended and the H-test repeated with an interval of 3 5 days until insecurity was eliminated.
5 MRI All athletes underwent an MRI investigation within 5 days after the acute injury. MRI investigations were performed on a 1.5 Tesla superconductive MRI unit (Magnetom Symphony, Siemens, Erlangen, Germany). Briefly, longitudinal, sagittal and frontal short tau inversion recovery (STIR) images as well as transversal T1-weighted and STIR images (5 mm slice thickness and 0.5 mm gap) were obtained from both legs. [9] All MRI investigations were assessed and reported by one of the radiologists (MT). A muscle was considered injured when it contained high-signal intensity (oedema) on the STIR images, as compared with the uninjured side. If more than one muscle/tendon was injured, the one with the greatest signal abnormality was considered the 'primary' injury and the second largest, the 'secondary' injury. In this study, MRI parameters were quantified only for the primary injury. The free proximal tendon (PT) was deemed injured if 2 of the 3 following parameters were present: the tendon was thickened, and/or had a collar of high-signal intensity around it, and/or had high intratendinous signal intensity, as compared with the uninjured side. The maximal longitudinal length of the muscle/tendon oedema was measured. [9] In addition, the perpendicular distance between the level of the most proximal pole of the oedema and the level of the most distal part of the ischial tuberosity was measured. [9] Specific Rehabilitation Protocols The time from the date of injury to the date of rehabilitation protocol initiation was 5 days for both protocols. Overall, exercises were chosen that could be performed in any place and without the use of advanced equipment. The exercises of the L- protocol specifically aimed at loading the hamstrings during extensive lengthening, mainly during eccentric muscle actions. In contrast, the C-protocol consisted of conventional exercises for the hamstrings with less emphasis on lengthening. Each rehabilitation protocol consisted of three different exercises, where exercise 1 was aimed mainly at increasing flexibility, exercise 2 was a combined exercise for strength and trunk/pelvis stabilisation and exercise 3 was more of a specific strength training exercise. [13] All exercises were performed in the sagittal plane. The intensity and volume of training were made as equal as possible between the two protocols. The training sessions were supervised, at least once every week, during the whole rehabilitation period, and the speed and load were increased over time. No pain provocation was allowed at any time when performing the exercises. All exercises included in the two rehabilitation protocols are explained in figures 1 6. Video demonstrations of all six exercises (L-protocol and C-protocol) showing how the progression can be performed are included as supplemental files.
6 (Enlarge Image) Figure 1. L-1 'The Extender': the player should hold and stabilise the thigh of the injured leg with the hip flexed approximately 90 and then perform slow knee extensions to a point just before pain is felt. Twice every day, 3 sets with 12 repetitions (see online supplementry video 1). (Enlarge Image) Figure 2. L-2 'The Diver': the exercise should be performed as a simulated dive, that is, as a hip flexion (from an upright trunk position) of the injured, standing leg and simultaneous stretching of the arms forward and attempting maximal hip extension of the lifted leg while keeping the pelvis horizontal; angles at the knee should be maintained at in the standing leg and at 90 in the lifted leg. Owing to its complexity, this exercise should be performed very slowly in the beginning. Once every other day, three sets with six repetitions (see online supplementry video 2).
7 (Enlarge Image) Figure 3. L-3 'The Glider': the exercise is started from a position with upright trunk, one hand holding on to a support and legs slightly split. All the body weight should be on the heel of the injured (here left) leg with approximately flexion in the knee. The motion is started by gliding backwards on the other leg (note the low friction sock) and stopped before pain is reached. The movement back to the starting position should be performed by the help of both arms, not using the injured leg. Progression is achieved by increasing the gliding distance and performing the exercise faster. Once every third day, three sets with four repetitions (see online supplementry video 3). Figure 4. (Enlarge Image) C-1 Stretching contract/relax. The heel of the injured leg is placed on a stable support surface in a high position (close to maximum) with the knee in approximately 10 flexion. The heel is pressed
8 down for 10 s and then, after relaxation for 10 s, a new position is assumed by flexing the upper body slowly forwards for 20 s. Twice a day, three sets with four repetitions (see online supplementry video 4). Figure 5. (Enlarge Image) C-2 Cable-pendulum: A stationary cable-machine or expander is used. With the uninjured leg as the standing leg, forward backward hip motions are performed with the injured leg with the knee in approximately flexion. This exercise involves the whole body and should be performed slowly in the beginning of the rehabilitation period. Once every other day, three sets with six repetitions (see online supplementry video 5). Figure 6. (Enlarge Image) C-3 Pelvic lift: This exercise is started in a supine position with the body weight on both heels, and then the pelvis is lifted up and down slowly. Start with the knee in 90 of flexion. The load is increased by putting more of the body weight on the injured leg and by having a greater extension
9 in the knee. Ultimately, only the slightly bent injured leg is carrying the load. Every third day, three sets with eight repetitions (see online supplementry video 6). General Rehabilitation Programme A general rehabilitation programme with a subject-specific progression was followed by all athletes in both specific protocols. The general programme was implemented by the test-leader (CMA) week by week and supervised by the PT responsible for the athlete in the track and field club during the entire rehabilitation period. No pain and/or discomfort was allowed from the injured posterior thigh during the rehabilitation process. Acutely, the athlete should use crutches if pain was provoked by walking. The general programme was performed three times a week and started with stationary cycling 10 min, s fast foot stepping in place, 10 jogging 40 m with short strides, m forward/backward accelerations. When the above part of the general programme could be performed without pain and/or discomfort, a progressive running programme was started. This was composed of high-speed running drills 6 20, 4 40 and 2 60 m, performed three times a week. In addition to the specific protocol and the general programme, all athletes were asked to conduct as much as possible of their standard training programme without experiencing any pain and/or discomfort. This training was supervised by their regular track and field coaches. Outcome The main outcome was time to return, that is, time from injury to full participation in the training process. Also, occurrence of reinjuries was registered during a 12 month period after return. If a re-injury occurred, the medical team responsible was to immediately contact the study leader so that the same procedure as for the original injury could be repeated. The full 1-year follow-up period was completed by all athletes in the study. Statistical Analyses All statistical analyses were conducted with STATISTICA V.11.0 software (StatSoft Inc). The Shapiro-Wilk W tests showed that the data were not normally distributed. A Mann-Whitney U test was performed to investigate differences in age, height and mass as well as MRI and palpation measures. A χ 2 test was applied to investigate
10 differences in proportion of injury type and PT involvement as well as in gender. The Mann-Whitney U test was also used to assess differences in time to return between the protocols, between subgroups with respect to PT involvement (with Bonferroni correction applied), as well as between MRI-negative athletes and athletes with sprinting-type injury within the L-protocol. The Mann-Whitney U test (Cohen's d) for independent samples was applied and the χ 2 test (p) was used as a measure of effect size. Spearman's rank order correlations were calculated to investigate associations between time to return and MRI and palpation parameters. The significance level was set at p Results Injury Situation, Type and Location Thirty (52%) of all the 56 MRI-verified injuries occurred during competition, 14 (50%) in the L-protocol and 16 (57%) in the C-protocol, respectively. Fifty-two (93%) of the 56 injuries were sprinting-type and 4 (7%) stretching-type injuries. In 44 of the 56 athletes (79%), the primary injury was located in the long head of biceps femoris (BFlh) and in 7 of those 44 (16%), there was a secondary injury, in all cases located in the semitendinosus (ST). In the remaining eight injuries of sprinting type, the primary injury was located in the ST. In the four athletes with a stretching-type injury, the injury location was in the semimembranosus. Characterisation of Protocol Participants There were no significant differences between groups of athletes in the L-protocol and the C-protocol with respect to age, height, mass, gender, performance level, type of injury and involvement of the proximal free tendon (Table 1). Neither were there any group differences in distance between the most proximal pole of the oedema and the ischial tuberosity, length of the oedema and distance between the point of peak palpation pain and the ischial tuberosity (Table 1). Askling H-test Eight athletes (29%) in the L-protocol and 19 (68%) in the C-protocol experienced insecurity when performing the H-test and therefore needed to extend their rehabilitation period. On average, the time to return was prolonged by 8 days (1SD±3.0, range 3 14) in the L-protocol and by 10 days (1SD±3.5, range 4 20) in the C-protocol, respectively.
11 Time to Return Time to return was significantly shorter in the L-protocol compared with the C- protocol (p<0.001, d= 1.21), mean 49 days (1SD±26, range days) versus 86 days (1SD±34, range days; figure 7). Time to return was also significantly shorter in the L-protocol than in the C-protocol for injuries not involving and involving the PT (p<0.01, d= 1.76 and p<0.01, d= 2.12, respectively; figure 8). Injuries not involving the PT showed a significantly shorter time to return than those involving the PT in the L-protocol and C-protocol (p<0.001, d= 2.65 and p<0.001, d= 2.41, respectively; figure 8). Time to return for the four stretching-type of injuries was, on average, 121 days (range days). Correlation analysis showed that the shorter the distance to the ischial tuberosity from the most proximal pole of the injury measured by MRI or peak palpation pain, the longer was the time to return (Table 2). A longer length of the oedema was also correlated with a significantly longer time to return (Table 2). Figure 7. (Enlarge Image) Time to return, in days, in the L-protocol (n=28) and C-protocol (n=28). The boxes represent IQRs in the boxes, the horizontal lines represent median values and black squares represent mean values; whiskers=mean±1 SD. *** Denotes significant difference (p<0.001, Mann-Whitney U test).
12 (Enlarge Image) Figure 8. Time to return, in days, for athletes with injuries either involving or not involving the proximal free tendon (PT) in the L-protocol (n=12 and 16, respectively) and the C-protocol (n=12 and 16, respectively). The boxes represent IQRs; in the boxes, the horizontal lines represent median values and black squares represent mean values; whiskers = mean±1 SD. **p<0.01; ***p<0.001 denote significant differences (Mann-Whitney U test). Re-injuries There were two re-injuries registered during the 12-month follow-up period. These re-injuries occurred in the C-protocol 88 and 120 days after the initial injury, respectively. Both re-injuries were of sprinting-type and located in the BFlh. The times to return for the re-injuries were 34 and 42 days as compared with 56 and 88 days for the initial injuries. MRI-Negative Group All of the eight injuries in the MRI-negative group were of sprinting-type. The characteristics of the MRI-negative group were similar to those of the corresponding group of 26 athletes with MRI-confirmed sprint injuries in the L- protocol (Table 3), but had a significantly shorter time to return (p<0.001, d= 1.59), mean 15 days (1SD±3, range days) versus 45 days (1SD±22, range days; figure 9).
13 (Enlarge Image) Figure 9. Time to return, in days, for MRI-negative athletes (n=8, all performing L-protocol) and for athletes with sprinting-type injuries within the L-protocol (n=26). The boxes represent IQRs; in the boxes, the horizontal lines represent median values and black squares represent mean values; whiskers=mean±1 SD. *** Denotes significant difference (p<0.001, Mann-Whitney U test). Discussion Effects of Rehabilitation Protocol The choice of rehabilitation protocol after acute hamstring injury can have a considerable effect on time to return to full training in Swedish elite sprinters and jumpers. In this study, the average time to return was 37 days shorter, 49 vs 86 days (43%) with exercises emphasising loading of the hamstring muscles at lengths near the maximal hamstring length (L-protocol) as compared with conventional exercises (C-protocol). Hamstring length was probably similar in the flexibility exercises in both protocols. A similar sized superiority of the L-protocol was recently reported by Askling et al [13] in a study on hamstring injuries in Swedish elite football players, using the same method as in the present study, the mean recovery times being 28 days (range 8 58 days) and 51 days (range days) for the L-protocol and C-protocol, respectively. It should be noted that included in these numbers for days to return are additional days caused by the inclusion of an extra criterion test, the Askling H-test. On average, the rehabilitation period was prolonged by 10 days (1SD±3.4, range 3 20 days) for the athletes and 7 days (1SD±2.7, range 3 14 days) for the football players due to the execution of the Askling H-test. [13] Without this extra test, the time to return would have been shorter, but the difference between the L-protocol
14 and the C-protocol would still have remained highly significant, for example, mean 47 days vs 79 days for the athletes. It seems most likely that the requirement of a secure H-test for everyone before being allowed to return to full training/competition would have functioned to prevent re-injuries. In this study, only two re-injuries occurred among the 56 athletes (3%) during the 12 month follow-up (in the footballers: only 1 of 75). [13] This is considerably lower that the recurrence rates of 14 25% reported earlier for these types of sports. [16,23,24] It is worth noting that should the hamstring injury recur, the second injury is usually more severe than the first, typically requiring a longer time away from sport than the original one. [16,23,24] The exercises in the L-protocol and C-protocol were selected based on practical experience. This includes a number of exercises, joint excursions and speed. Progression was steered by the avoidance of pain. Considering the lack of objective data, we have chosen to describe the protocols in quite some detail for the readers/users to form their own opinions. It is our belief that the rather remarkable difference in outcome between the two protocols is mainly due to the more systematic attempts to put load on the hamstrings during maximal dynamic lengthening in the L-programme, involving movements at the hip and the knee. Otherwise, the two protocols were made as similar as possible in terms of early start after injury, thorough instruction and regular follow-up and progression in load/speed/excursion based on the avoidance of the pain criterion. It is proposed that neuromuscular inhibition of hamstring voluntary activation occurs following acute hamstring injury, and that this inhibition has a negative effect on hamstring recovery by limiting hamstring load during lengthening exercises. [18,19] This limited exposure to eccentric stimuli at long hamstring muscle lengths could potentially lead to eccentric hamstring weakness and selective hamstring atrophy, possibly in combination with selective hypertrophy of the short head of biceps femoris, [18] resulting in a shift in the torque angle relationship. [19] The L-protocol used in the present study was aimed to stress the injured hamstrings from day five after injury occurrence and during the entire rehabilitation process. One possible explanation of the positive result of the L-protocol could be that the type of exercises included in the protocol was beneficial to voluntary activation of the injured hamstrings compared with the C-protocol. Effects of Factors Not Related to Rehabilitation Protocol Earlier investigations have demonstrated that the type of injury, involvement of the free muscle tendon, location of pain and injury in relation to the ischial tuberosity
15 and the size (length) of the injury are important factors associated with the duration of the time to return. [8 13] The current study showed that increased recovery time can be expected with peak palpation pain closer to the ischial tuberosity, MRI documented involvement of the free muscle tendon, oedema closer to the ischial tuberosity and longer overall oedema length. Time to return to sport (average 15 days) for the MRI-negative group was clearly the shortest. This is in accordance with earlier studies demonstrating that MRI-negative cases have better prognosis for recovery than those showing injury signs on MRI. [13,14] There were too few stretching type of injuries (4 of 56) to allow a statistical comparison, but actual times to return for athletes with stretching mechanisms were all longer than the longest for the sprint injuries. Otherwise, the data confirmed earlier findings from sprinters, dancers and a group of athletes from different sports as well as from football players. [8 13] A notable difference was that the injury length was smaller and its distance to tuber longer in the current athletes than in the football players despite a longer time to return. [13] One factor that may explain the longer time to return to sport for sprinters and jumpers compared with football players is that in order to prevent re-injury elite sprinters and jumpers probably need 100% restored function, but an elite football player can possibly play again without 100% restored function. This indicates that such associations should preferably be made within the same category of sport. Finally, a couple of additional practical observations concerning the injury situation and training layout might be worth highlighting. Almost half, 26 of 56, of the injuries occurred during training sessions, about equally distributed between the two protocols: 14 (50%) in the L-protocol and 12 (43%) in the C-protocol, respectively. The athletes witnessed that a clear majority (20; 77%) of these injuries happened at the very end of a training session with high-speed drills, typically during the last of a total of 10 planned repetitions of 120 m sprints to maximal speed. Of the four stretching-type of injuries, all occurring during initial warm-up, two happened when the coach manually applied force to make the athlete reach a more extreme movement excursion in a unilateral straight leg raise. Strengths and Weaknesses Following the initial clinical examination and the MRI investigation, the test-leader (CMA) randomised the athletes to the L-protocol or C-protocol, respectively. One of the authors (CMA) was responsible for supervising all athletes' rehabilitation protocols once a week and also for performing the clinical examinations and the Askling H-test. This provided consistency for instructions, examinations and testing. However, it prevented blinding and increased the risk of bias. To decrease
16 bias, an independent, blinded test leader had to verify absence of clinical injury signs before the Askling H-test. Furthermore, the performance in this test was judged by the athlete in terms of absence of insecurity. Finally, it needs to be pointed out that the cohort consisted of elite athletes eager to perform well and return to sport as soon as possible. Conclusions A rehabilitation protocol consisting of mainly lengthening type of exercises is more effective than a conventional protocol in promoting return to full training in Swedish elite sprinters and jumpers after acute hamstring injury. On this basis, it is recommended that hamstring injury rehabilitation protocols should be preferentially based on strength and flexibility exercises that primarily involve high loads at long muscle-tendon lengths. Further studies are needed to verify the possible role of applying the Askling H-test to reduce the commonly high rate of recurrence of hamstring injury. References 1. Alonso JM, Junge A, Renstrom P, et al. Sports injuries surveillance during 2007 IAAF World Athletics Championships. Clin J Sports Med 2009;19: Alonso JM, Tscholl PM, Engebretsen L, et al. Occurrence of injuries and illnesses during the 2009 IAAF World Athletics Championships. Br J Sports Med 2010;44: Alonso JM, Edouard P, Fischetto G, et al. Determination of future prevention strategies in elite track and field: analysis of Daegu 2011 IAAF Championships injuries and illnesses surveillance. Br J Sports Med 2012;46: Bennell KL, Crossley K. Musculoskeletal injuries in track and field: incidence, distribution and risk factors. Aust J Sci Med Sport 1996;28: Edouard P, Depiesse F, Herbert P, et al. Injuries and illness during the 2011 Paris European Athletics Indoor Championship. Scand J Med Sci Sports 2013;23: Jacobsson J, Timpka T, Kowalski J, et al. Injury patterns in Swedish elite athletics: annual incidence, injury types and risk factors. Br J Sports Med 2013;47: Malliaropoulos N, Papacostas E, Kiristi O, et al. Posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med 2010;38: Askling C, Saartok T, Thorstensson A. Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level. Br J Sports Med 2006;40: Askling C, Tengvar M, Saartok T, et al. Acute first-time hamstring strains during high-speed running. A longitudinal study including clinical and magnetic resonance imaging findings. Am J Sports Med 2007;35: Askling C, Tengvar M, Saartok T, et al. Acute first-time hamstring strains during slow-speed stretching. Clinical, magnetic resonance imaging, and recovery characteristics. Am J Sports Med 2007;35:
17 11. Askling C, Tengvar M, Saartok T, et al. Proximal hamstring strains of stretching type in different sports. Injury situations, clinical and magnetic resonance characteristics, and return to sport. Am J Sports Med 2008a;36: Askling C, Thorstensson A. Hamstring muscle strain in sprinters. New Stud Athletics 2008b;23: Askling CM, Tengvar M, Thorstensson A. Acute hamstring injuries in Swedish elite football: a prospective randomized clinical trial comparing two rehabilitation protocols. Br J Sports 2013;47: Ekstrand J, Jeremiah HC, Waldén M, et al. Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play. Br J Sports Med 2012;46: Ekstrand J, Hägglund M, Walden M. Epidemiology of muscle injuries in professional football. Am J Sports Med2011;13: Malliaropoulos N, Isinkaye T, Tsitas K, et al. Re-injury after acute posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med 2011;39: Orchard JW. Intrinsic and extrinsic risk factors for muscle strains in Australian football. Am J Sports Med2001;29: Opar DA, Williams MD, Shield AJ. Hamstring strain injuries. Factors that lead to injury and reinjury. Sports Med2012;42: Opar DA, Williams MD, Timmins RG, et al. Knee flexor strength and bicep femoris electromyographical activity is lower in previously strained hamstrings. J Electromyogr Kinesiol 2013;23: Sherry MA, Best TM. A compariason of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop and Sports Phys Ther 2004;34: Silder A, Sherry MA, Sanfilippo J, et al. Clinical and morphological changes following 2 rehabilitation programs for acute hamstring strain injuries: a randomized clinical trial. J Orthop Sports Phys Ther 2013;43: Askling CM, Nilsson J, Thorstensson A. A new hamstring test to complement the common clinical examination before return to sport after injury. Knee Surg SportsTraumatol Arthrosc 2010;18: Petersen J, Thorborg K, Nielsen MB, et al. Acute hamstring injuries in Danish elite football: a 12-month prospective registration study among 374 players. Scand JMed Sci Sports 2010;20: Woods C, Hawkins RD, Maltby S, et al. The Football Association Medical Research Programme: an audit of injuries in professional football analysis of hamstring injuries. Br J Sports Med 2004;38:36 41.
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T his review is based on computerised searches
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Tadpole (Mini) 1 inch Hose - General Sewer Cleaning - Shamrock Pipe Tools
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Tadpole (Mini) 1 inch Hose
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Tag: reggae
Bob Marley & The Wailers + Lomography Reggae Rumble Winners Announcement!written by cruzron on 2013-11-27 #news
We be jamming! We've cruised around your reggae-inspired submissions and picked out the lucky winners. Check them out after the jump!45 9 Share Tweet
Bob Marley & The Wailers + Lomography Reggae Rumble!written by angelab_log on 2013-07-15 #videos #news
We're partnering with none other than the team behind Bob Marley & The Wailers' iconic LEGEND album! They recently re-imagined the classic album for LEGEND REMIXED, where the 16 tracks have been remixed by top DJs and producers. Show us your reggae-inspired photos for a chance to win the album, along with a Belair X 6-12 Jetsetter!20 35 Share Tweet
The Upsetterwritten by tarnlomo on 2011-05-18
A brief piece about a comparison between a vinyl and analogue lifestyle.The Upsetter, Lee 'Scratch' Perry, as most people may know him. Here it is, my favourite piece of vinyl.2 6 Share Tweet
The Bar Babylon Mat Lounge, Langkawiwritten by jhunnie on 2009-10-01 #places
The bar is an excellent place to have a drink with other travellers night or day. You can also order Shishsas (best on Cenang beach apparently) and beers from RM4 onwards on the beach till 12am.4 3 Share Tweet
From Courtship to Breakup: an Irie Mix for the Love Monthwritten by baitnicart on 2013-02-14 #videos
Contrary to popular belief, reggae is not just for getting high. Nor is it all about cannabis. What is abundant in this genre is love.2 3 Share Tweet
Diana F+ Amigos Mono & Nikitamanwritten by polt on 2011-04-11 #people
Mono & Nikitaman, well known for fantastic sound mixed up with critical lyrics were absolutely happy when we asked them if they would like to become the first German Diana F+ Lomo Amigos.2 Share Tweet


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With the mixer Tristar BL 4435 Smoothie maker to the fly prepare your favorite fruit smoothie, shake or protein shake . Its a drink after thanks to a clever system, simply take in the same container with you while you travel, work or sports. This allows convenient connection of mixer detachable container That its shape is ideal and the cup holders in the car.
Powerful motor easily handle umixovat all common fruits or vegetables and especially in the hot summer days, you will appreciate the crushing ice the preparation of crushed ice or ice coffee. The container has a volume of 0.5 l and easily washable in the dishwasher As well as all attachments. Thanks to the integrated vari-straws consumption is comfortable even when walking, sports or traveling by car. Ensures safety during use integrated fuse and non-slip feet.
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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
My son is 10 months old and we had paternity established. My sons father has never met him or had any sort of contact with him. Out of the blue he wants to take my son for an entire week alone. I don't want him to take my son out of my care until I know he is capable of caring for him and until my son is comfortable with him. If I have full placement with Joint Custody can I legally make him have supervised visitation at my house without being held in Contempt of Court?
Unless the paternity judgment (or other postjudment order, if any) states that the father's placement is to be supervised, then you could be found in contempt for only permitting the father to have supervised placement. Contempt Actions are fact specific, and even when their is a technical violation of a court order, the court may not necessary find a party in contempt if the action/violation was appropriate or justified under the circumstances. Chances are that the placement order grants the father "periods of physical placement upon reasonable times and upon reasonable notice". If the father has had no involvement, but all of a sudden wants 1 full week (including overnights), you may be right to think this is "not reasonable time". If you deny his request, the father could petition the court for enforcement/contempt. You will then be given the opportunity to say that the father's request was not "reasonable". While the court may agree with you that the week long placement is not reasonable, you have a much weaker arugment when it comes to adding the additional condition that the father's visitation be supervised. Hope this helps.
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Killzone 3 single-player demo pops up on the PlayStation Store, many millions of Helghan and Human alike will have fallen in the game's open multiplayer beta. According to the US PlayStation blog, a slice from the middle of the game's single-player campaign ("Icy Incursion") will arrive in demo form on February 15; PlayStation Plus members nab it one week earlier on February 8. Meanwhile, Europeans will get the demo on Feb. 9 and 16, respectively. You'll be ready for the yellow-eyed hordes by then, right?
Also of note: the demo will arrive in 3D and 2D-only iterations as separate downloads, both equipped with Move functionality but only allowing for split-screen co-op in the 2D version. We're going to take it one step further by grabbing an all-syrup Killzone 3 Slurpee from 7-Eleven, downloading the 3D demo, and playing it while losing our minds.


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Home > Product Categories > Pro-Video > Video Switchers > HDMI Switchers > SW-HDM3D-C6-4X4E
Item #: AVW-HDM3D-C64X4E MFG #: SW-HDM3D-C6-4X4E
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text:
Normal Special: Thunder Jolt
Pikachu launches an electric ball. This does low damage and knockback, through it can hit oppenent even when they're on ledges and it also wraps around the stage.
Thunder Beam
Instead of a ball, Pikachu launches a beam. This pierces enemies and isn't affected by gravity: However, it won't wrap around the stage or hit enemies on ledge.
Side Special: Skull Bash
Pikachu launches itself at foes. While it does weak damage, it can be charged to do more damage and knockback.
Skull Ram
Pikachu dashes at high speed instead of launching itself. This is faster and has more range: However, it lacks the recovery aspect of the move.
Up Special: Quick Attack
Pikachu quickly dashes in the sky. It can be angled at different directions, and can be used two times in a row. It also do extremely weak damage.
Electric Rush
Pikachu rushes in the sky, charged with electricity. This does stronger damage, but has a lower range.
Down Special: Thunder
Pikachu summons a thunderbolt from the sky, dealing damage to ones near it.
Pikachu emits a strong spark from it's body.
Final Smash: Volt Tackle
Pikachu turns into an electric orb that can fly freely. Pressing the Special button will make thunder explode from it. After a while, Pikachu turns back to normal.
Thunder Tackle
The orb will release a thunder similary to the Down Special instead of exploding.
Pallette Swaps
- Normal
- Red: Wears a cap similar to Red's.
- Green: Wears a headband like Brendan.
- Blue: Wears swimming goggles.
- Yellow: Wears Ethan's cap.
- Alt Blue: Wears a magician party hat.
- White: Wears a choice band.
- Purple: Wears Calem's default hat and looks like it's color in Pokemon X Y.


text:
BENTYL 10 BENTYL 10 (Bentyl 10 mg)
Generic Name: dicyclomine
This pill with imprint "BENTYL 10 BENTYL 10" is Blue, Capsule-shape and has been identified as Bentyl 10 mg. It is manufactured by Axcan Scandipharm Inc..
Bentyl is used in the treatment of irritable bowel syndrome and belongs to the drug class anticholinergics/antispasmodics. There is no proven risk in humans during pregnancy. Bentyl 10 mg is not a controlled substance under the Controlled Substance Act (CSA).
- Generic Name:
- dicyclomine
- Imprint:
- Strength:
- 10 mg
- Color:
- Blue
- Shape:
- Capsule-shape
- Availability:
- Prescription only
- Drug Class:
- Anticholinergics/antispasmodics
- Pregnancy Category:
- B - No proven risk in humans
- CSA Schedule:
- Not a controlled drug
- Manufacturer:
- Axcan Scandipharm Inc.
More about Bentyl (dicyclomine)
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Images
- Drug Interactions
- Support Group
- Pricing & Coupons
- En Español
- 71 Reviews – Add your own review/rating
- Generic Availability
- Drug class: anticholinergics/antispasmodics
Consumer resources
Professional resources
Related treatment guides
Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 2017 Drugs.com, National Library of Medicine, Truven Health Analytics and Cerner Multum, Inc. All Rights Reserved.


text:
RFE: Conference Listings
This service is a joint project of RFE and EconBiz.
Leverhulme Centre for Research on Globalisation and Economic Policy (GEP)
- Dates:
- October 19-19, 2007
- Description:
- "Globalisation and Migration "
- Location:
- University of Nottingham, Nottingham, United Kingdom
- Subject:
- The speakers are: ?? Marta Aloi (GEP, University of Nottingham) ?? Giovanni Facchini (University of Illinois)?? Timothy Hatton (University of Essex)?? Tom Ivlevs (GEP, University of Nottingham)?? Willi Kohler (Eberhard Karls University, Tuebingen)?? Sharun Mukand (Tufts University)?? Giorgio Barba Navaretti (Universit?? degli Studi di Milano) [gem?_?? den Informationen des Anbieters - according to site editor's information]
- Notes:
- JEL Code:
- Sponsor:
- http://www.nottingham.ac.uk/gep/news-events/conferences/2007/conf-on-migration-19-10-07.aspx


text:
Admire the most beautiful places of Castelbellino and add them to your basket. YAMGU will create your trip considering distances, opening hours and weather.
Currently located on the ground floor of the Town Hall, a former Manor building Berarducci palace dating from the 17th century, the Museum will be ' soon transferred at palazzo Chander. It is a small but significant collection that includes paintings from the Church of Santa Maria del Capital-hence the name-Museum and archaeological finds unearthed at the cemetery Chapel. Next to the Museum and opposite the ramparts, opens up a broad panorama viewpoint, an elegant Loggia of the late 16th century. In the current only available room in the Town Hall are also preserved ancient materials coming pr


text:
elizkalho Model
James SantiagoPhotographer Male Miami Beach, Florida, US
My Website: Fashion Photographer James SantiagoMy MM URL: http://www.modelmayhem.com/fashionphotojs
Mayhem # 2679502
About Me[img]http://www.jamessantiagophotography.com/profile/profile_r2_c1.jpg[/img]
Miami fashion photographer James Santiago is a fashion photographer from New York who works in editorial, magazine, model test shoots, model portfolio development, and catalog photography. He is a fashion photographer who has a keen eye in seeing a persons modeling potential and is able to get the model to look the part needed for a fashion editorial or model portfolio shoot.
Open to working with new faces for model agencies including IMG Models, Next Model Management, Elite Model Management, Ford Models, Wilhelmina Models, MC2 Models, MP Mega Models, Michele Pommier Models, Major Models, Why Not Models, Fashion Models, Front Management, and Runways the Talent Group. There are those that have potential to model but they do not receive the development nor direction that they need to have that look brought out through photography. I envision a shoot as an art, not just taking a photo. I am able to create art that can tell a story as well as look beautiful in print.
An intuitive photographer with a keen eye in seeing photogenic potential, his work is influenced by day dreams and cinematic imagery. Fashion photography is a more challenging art form than other forms of fixed subject photography. With fashion photography, working with models is a challenge when you are trying to get the right emotion from the model as well as the clothing and location. Working with new faces or under-developed models is even more of a challenge.As a former fashion model himself, He has been in the fashion industry since he was 15.
Have you worked with James Santiago? Add Credits for James Santiago! >>
See Sample Worked together 11-20 times; Most recent: August 2014
elizkalho Model
IsaHG Model
KasiKuc Model
Karina Dunaeva Model
Crystal Shattuck Model
Dora Wild Model
Loading Content


text:
BT 3930 Video Review
BT 3930 Quad Digital Cordless Phones Full Specifications
The BT 3930 has been designed with a nice black finish that looks great in just about any room, the handset is a nice size and fits nice in the hand. The main base has a built in digital answer machine that has a whopping 60 minutes recording time and 4 outgoing messages, the answer machine can be operated from the main handset or any other addition handset that has been registered to the base.
Handsfree, 50 Name and Number Memory, Caller Display and Backlit Screen are just some of the features on the BT 3930. The phone is not just easy to use but also easy to set up so your be making and receiving calls in no time.
BT 3930 Features
- Up to 60 minutes answer machine recording time
- 4 Outgoing messages
- 50 Name and number memory
- Handsfree speaker
- Up to 5 handsets
- Blue backlit screen
- Keypad lock
- Low battery indicator
- Up to 300m range
- Up to 10 hours talk and 100 hours standby time


text:
WASHINGTON (AP) President Bush endorsed one of the Democrats' top priorities for the new Congress, a $2.10-an-hour minimum wage increase — and on a faster timetable than they have proposed.
But his support comes with a catch.
Bush said at a Wednesday news conference that any pay hike should be accompanied by tax and regulatory relief for small businesses, potentially a tough sell for Democrats, who are about to reassume control of the House and Senate.
"Minimum wage workers have waited almost 10 long years for an increase," responded Democratic Sen. Edward Kennedy of Massachusetts, who has said that boosting the federal minimum wage will be his chief goal when he takes over as chairman of the Senate Committee on Health, Education, Labor and Pensions. "We need to pass a clean bill giving them the raise they deserve as quickly as possible."
The president brought up the issue unprompted during the White House news conference that was dominated by Iraq but veered into domestic issues as well.
Eager to show he heard the message of voters who stripped his party of majorities in both the House and Senate in the November elections, Bush said he'll work hard on what he called "an interesting new challenge" — trying to find common ground with Democrats who will lead Congress for the first time in his presidency.
"I don't expect Democratic leaders to compromise on their principles, and they don't expect me to compromise on mine," he said. "But the American people do expect us to compromise on legislation that will benefit the country."
He said initial consultations with incoming Democratic leaders revealed openings for cooperation in several areas. One was an immigration policy overhaul, including a way for some illegal workers to move toward citizenship. That was stymied this year primarily by conservative Republicans who favored a get-tough-only approach.
Other openings Bush saw for cooperation were increased federal spending on alternate energy sources; reform of Congress' appropriations process that has made it common for lawmakers to slip pet projects into spending bills, and giving American workers new skills and businesses help investing in new innovations.
Despite Washington's changed political reality, Bush also did not shy away from issues that have less chance of being well-received by Democrats, who have felt ignored for the first six years of the president's tenure.
He said he wants to work on the looming insolvency of the Social Security program. But his one-time plan to add private accounts to the system, once the highest domestic priority of his administration, is considered dead by Democrats. Bush is sending Treasury Secretary Henry M. Paulson Jr. to the Hill to gather ideas on how to restructure Social Security.
Bush also said he wants lawmakers to approve new trade deals. But Democrats have said they will insist bilateral trade agreements include tougher labor and environmental standards.
On other topics:
•Bush was asked about the pregnancy of Mary Cheney, Vice President Dick Cheney's openly gay daughter, in light of his previous statements that a child ideally should be raised by in a family headed by a married father and mother.
The president said "we ought to review law to make sure that people are treated fairly" but didn't provide specifics. Neither he nor his questioner referred to Cheney's partner, Heather Poe.
•The president said he first learned from a newspaper story Wednesday that the vice president will be called to testify in the CIA leak case on behalf of his former chief of staff. Defense attorneys for I. Lewis "Scooter" Libby, charged with perjury and obstruction, would not say whether Cheney was being subpoenaed — a potential separation-of-powers issue — but said they do not expect the vice president to resist.
"It's an interesting piece of news. And that's all I'm going to comment about an ongoing case," Bush said.
Raising the minimum wage from $5.15 to $7.25 over three years is at the top of Democratic leaders' early to-do list for next year.
GOP-crafted legislation earlier this year combined an increase with a cut in inheritance taxes on multimillion-dollar estates and the resurrection of a number of popular tax breaks, but that combination did not get through the Republican-controlled Congress.
Bush said he supports a $2.10 raise for minimum-wage earners, but over a two-year period instead of three, and added that "we should do it in a way that does not punish" small businesses.
"I support pairing it with targeted tax and regulatory relief, to help these small businesses stay competitive and to help keep our economy growing," he said.
Bush resisted any attempt to judge his presidency two years before it expires.
"I'm going to sprint to the finish. And we can get a lot done," he said. "I'm reading about George Washington still. My attitude is if they're still analyzing Number One, 43 ought not to worry about it, and just do what he think is right, and make the tough choices necessary."
Copyright 2006 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text: Hi guys I upgraded my xenforo installation to 1.1.4 this morning, and since I run a very strange issue : I have a blank page on my forum index (http://www.multigamerz.fr/community) only ! All others sections are fine (media etc). My config : VPS centos with cpanel Apache 2.2.23 php 5.3.21 mod_rewrite enabled What I have tested / checked : htaccess is good (and I have tested a few tweaks like the rewritebase) ini_set('display_errors', true); is set in config.php and do nothing disabling listeners in config.php didn't help rebuilding cache didn't help rebuilding master data doesn't help checked files / permissions disabling all addons didn't help no error on the logs Strange thing : my forums were on the index. When I disables friendly url, I can acces to my forum index (by index.php). Since I have XenPorta installed, I can access to my forum (/forum) but not to the index (the portal by xenporta). Any idea of what can cause that ? Basically I was thinking a rewriting issue, but I have tested with a fresh .htaccess from xenforo install and doesn't help Thanks in advance


text:
The above graph displays service status activity for Dropcam.com over the last 10 automatic checks. The blue bar displays the response time, which is better when smaller. If no bar is displayed for a specific time it means that the service was down and the site was offline.
Service Status History
|Ping Time
|Ping Time
|10.4 ms.
|45.54 ms.
|10.22 ms.
|11.69 ms.
|10.97 ms.
|11.38 ms.
|23.14 ms.
|24.62 ms.
|10.24 ms.
|24.91 ms.
* Times displayed are PT, Pacific Time (UTC/GMT 0) | Current server time is 22:46
We have tried pinging Dropcam website using our server and the website returned the above results. If dropcam.com is down for us too there is nothing you can do except waiting. Probably the server is overloaded, down or unreachable because of a network problem, outage or a website maintenance is in progress...
If the site is UP but you cant access the page, try one of the below solutions:
Browser Related Problems
Force a full refresh for the site. This can be achieved by pressing CTRL + F5 keys at the same time on your favourite browser (Firefox, Chrome, Explorer, etc.)
Clear the temporary cache and cookies on your browser to make sure that you have the most recent version of the web page. For instructions choose your browser :
Fix DNS Problems
A Domain Name System (DNS) allows a site IP address (192.168.x.x) to be identified with words (*.com) in order to be remembered more easily, like a phonebook for websites. This service is usually provided by your ISP.
Clear your local DNS cache to make sure that you grab the most recent cache that your ISP has. For Windows - (Start > Command Prompt > type "ipconfig /flushdns" and hit enter). For details choose your operating system :
If you can access a website at office or from a 3G network yet it's not working on your computer, it is a good idea to use an alternative DNS service other than your ISPs. OpenDNS or Google Public DNS are both excellent and free public DNS services.
Check our help page for step-by-step instructions on how to change your DNS.
Dropcam internal service error, not available.
This is not the first time this has happened.. got up early and my history is gone for all 10 days. I checked both my laptop and my android phone. NO HISTORY. The cameras are recording, but there are no activity bars. I am getting tired of this.
500 Server error
dropcam down.... Since NEST took over they've been garbage.
It has been out for 3 hours in MI
Dropcam app working in iPad, but says Unreachable on phone lol. Awesome
can not access dropcam
I get a msg that the service is not available right now
My cams are down.
Down in Eastern Pennsylvania, even though my cheap Chinese knockoffs are working fine.
Just woke up to realize the dropcam is down AGAIN. beyond frustrated with this thing right now. How long has it been down this time? Guess I'll have to start sleeping right outside my baby's room so I can hear her since this dropcam is unreliable as a baby monitor right now.
Dropcam down. Constanta, Romania
Down for me right now. Says temporarily unavailable.
4th time down in 2 weeks.
3rd time I am down in 10 days.
I am down in Spartanburg SC. Had to go home to see if there was someone in my house. This sucks ass.
It is down once again I'm Michigan.
I just was on hold for 1/2 hour and they just put me on hold AGAIN. They said the ETA for them fixing this crap is 1-2 hours. I am being put on wit a senior agent. I want to be compensated for this time being down. This is so wrong!
I'm down in San Jose.
Mine down in canada
Here we go again ! down in so cal....
I dont even have history either. Anyone seeing history? Or, is it across the board, nothing.??
I dont even have history either. Anyone seeing history? Or, is it across the board, nothing.??
Yes down again here in Michigan
Yes, we are down too. This is rediculous. We are in Mass
Dropcam is down for us. We are in Mass.
I am down in KC
Down for me
Down again!! UGH
server seems to be down again. anyone else having problems?
Still down in vegas, this is bs!
dropcam.com is up, but the functional servers are down, so you won't be able to watch your cam
Down! I use it as my baby monitor and it's given me nothing but trouble. The app is terrible and I have issues every couple weeks.
It's been down for an hour for me.
1st time since 2012...
cant login but I am still getting activity alerts with shots of movement. So cameras are still sending in video ,I just cant login to watch it.
It seems like the entire database is down. When i try to log in says that the suser name and password do not match. And also try to recover with my email and says thay the user doesn't exist. Could be that the database was hacked?
Still down, even though this page says its up
Down for over 2 hours in NC.. Our baby monitor also so I feel for you other frustrated parents!
Sure would be nice if my baby monitor was working.
Down in San Diego -nope don't use as a baby monitor. I can walk down the hallway for that. I just use it to spy on my big fuzzy white dog.
I have had my Dropcam for around 1 1/2 years and this is the first outage I can think of. They are aware of the issue and working on it: https://nest.com/support/#status
Dropcam is down for me in Nevada... Great- we use it as a baby monitor. This is terrible.
Google sure sucks on this service. big time.
I turned my camera on at 9pm when I put my baby to sleep and it was down and now it's 10:45 and it is still down and customer support lines are down also! Who knows how long it has been down!! Ny
Sadly not the first, and who knows how many times when we are not watching. Sucks, it's a real hero moment; when you realize the stunt might have to be repeated, as the damn camera just stopped recording. And yes, this is not a memory stick issue
Down in Chicago for over an hour now
When I try to login the message says "the user name and password do not match" on both iphones and my laptop. Additionally the motion detectors have been acting up for over a week and resetting them does not seem to work.
Down in vegas. This is very bad.
Interesting that this failure seems to be very wide spread at least in the Central and East coast. I'm getting a bad feeling that Nest is having some unwelcome growing pains. Since they are owned by Google one would think that there was not a money issue here. Hope they get their act together soon or it will be time to switch off our TEN cameras at four houses and two businesses.
Second time this week for me. Might be time to ditch this crappy service and get a new camera. This is our baby monitor and NEEDS to work all the time for us.
Down in traverse city michigan and so is their customer service line!
Down in central Illinois. Nothing but problems lately. This app is awful.
Drpcam down in Lecanto, Fl. and I use mine JUST FOR FUN
still down in NJ. Mobile app also not working
Down in HK. Does it mean that our cameras are not recording?
Down for me and has been down for over 45 minutes.
It has been down in Land O Lakes Florida for the last 35 mins. I sure wish that they had a better response than "User account and/or password don't match".
So we just bought this today. It worked for 4 hours then right as we were putting the kids I sleep (used as baby monitor) it went down. Long time users, does this happen a lot???
Down in Kentucky and we have a special needs baby. Not ok.
2 different logins not working.
Down in Illinois as well. This is happening way to often lately. Time to start looking into other cameras.
Down in NC.
Completely down
So if we use this for security and the system goes down shouldn't they notify us IMMEDIATELY (Hello Nest, Facebook is not down so for those of us who follow you it's easy to notify us!!) and should they have a backup plan to view notifications since those are still working. Time to start looking at those cameras that do both of those things since there are many option now.
Dropcam down and reporting failed match on login and password on all devices
Dropcam is down for me in central Florida
Down in Michigan
DropCam down in NY. Interesting, I got notified that there was movement when I came home, but could not log into the IOS app or WebSite to turn the camera off.
Of course the night that the kid isn't sleeping.
Dropcam is losing my faith quickly. Down in Minnesota
Ugh Dropcam is down again.
Down in brandon fl. & I use it as my baby monitor. Not happy right now.
Down in New York. I can't log into either app. Phone lines for customer support are down too
Down for the last 30 minutes in michigan
down for me in Tampa
Site is down.
Down for me.
I can't get into dropcam, lovely since I use as a monitor.
Site is down for me as well
down for me
It's down right now. I can't even get into the Nest app or the Dropcam website
The site is down
Down for me
The site has been down for me for 20 minutes.
Submit a comment using your Facebook ID.
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