Publication: A multifactorial, criteria-based progressive algorithm for hamstring injury treatment
Authors
Mendiguchia, Jurdan ; Martínez-Ruíz, Enrique ; Edouard, Pascal ; Morin, Jean-Benoit ; Martínez Martínez, Francisco ; Idoate, Fernando ; Mendez-Villanueva, Alberto
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Publisher
Lippincott, Williams & Wilkins, American College of Sports Medicine (ACSM)
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DOI
https://doi.org/10.1249/MSS.0000000000001241
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info:eu-repo/semantics/article
Description
© 2017 by the American College of Sports Medicine This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Accepted version of a Published Work that appeared in final form in Medicine & Science in Sports & Exercise. To access the final edited and published work see https://doi.org/10.1249/MSS.0000000000001241
Abstract
Introduction: Given the prevalence of hamstring injuries in football, a rehabilitation program that effectively promotes muscle tissue repair and functional recovery is paramount to minimize re-injury risk and optimize player performance and availability. Purpose: To assess the concurrent effectiveness of administering an individualized and multifactorial criteria-based algorithm (RA) on hamstring injury rehabilitation in comparison to employing a general rehabilitation protocol (RP). Methods: Implementing a double-blind randomised controlled trial approach, two equal groups of 24 football players (48 total) completed either an RA group or a validated RP group five days following an acute hamstring injury. Results: Within 6 months after return to sport, 6 hamstring re-injuries occurred in RP versus 1 in RA [relative risk = 6 (90% confidence interval: 1-35); clinical inference: very likely beneficial effect]. The average duration of return to sport was possibly quicker (ES=0.34±0.42) in RP (23.2±11.7 days) than in
RA (25.5±7.8 days) (-13.8%, 90%CI: -34.0 to 3.4%; clinical inference: possibly small effect). At the time to return to sport, RA players showed substantially better 10-m time, maximal sprinting speed as well as greater mechanical variables related to speed (i.e., maximum theoretical speed
and maximal horizontal power) than the RP. Conclusions: Although return to sport was slower, male football players who underwent an individualized, multifactorial, criteria-based algorithm with a performance- and primary risk factor-oriented training program from the early stages of the process markedly decreased the risk of re-injury compared to a general protocol where long length strength training exercises were prioritized.
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Citation
Medicine & Science in Sports & Exercise, 49(7), 1482-1492.
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