Rehabilitation for hamstring injuries

Mason, DL; Dickens, Victoria; Vail, Andy

doi:10.1002/14651858.cd004575

Cited by 19 publications

(26 citation statements)

References 11 publications

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“…It is important therefore to identify, and effectively manage, factors that could reduce injury risk and the time until return to sport 3–5. Several factors have been proposed as contributing to the high incidence of lower limb injuries, including non-modifiable factors such as age,1 6 gender7 and previous injury 1 8.…”

Section: Introductionmentioning

confidence: 99%

“…There is some evidence that using an early stretching programme to increase flexibility may reduce the time until return to sport 4 15. However, the main benefit of stretching seems to be an increase in flexibility,16 with most studies suggesting stretching is ineffective at reducing injury risk,3 17–24 postexercise muscle soreness,25 or improving performance 26 27.…”

Section: Introductionmentioning

confidence: 99%

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The effects of eccentric training on lower limb flexibility: a systematic review

2012

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effects of eccentric training on lower limb flexibility: a systematic review

2012

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“…In healthy athletes, the healing of muscle haematoma takes an average of 30 days [7], but with considerable variation (standard deviation 28 days) [2]. Data for PWH are scant, but muscle bleeds do require more healing time than joint bleeds [8].…”

Section: Results Discussion and Recommendationsmentioning

confidence: 99%

Management of muscle haematomas in patients with severe haemophilia in an evidence‐poor world

Sørensen

Benson²,

Bladen

et al. 2011

Haemophilia

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Treatment studies in haemophilia focus on joint bleeds; however, some 10-25% of bleeds occur in muscles. This review addresses management of muscle haematoma in severe haemophilia, defines gaps in the published evidence, and presents a combined clinician and physiotherapist perspective of treatment modalities. The following grade 2C recommendations were synthesized: (i) Sport and activity should be based on individual factor levels, bleeding history and physical characteristics, (ii) Musculoskeletal review aids the management of children and adults, (iii) 'Time to full recovery' should be realistic and based on known timelines from the healthy population, (iv) Diagnosis should be carried out by both a clinician and physiotherapist, (v) Severe muscle bleeds should be treated similarly to surgical patients: a 50% trough for 10-14 days followed by high-level prophylaxis, (vi) Protection, rest, ice, compression and elevation should be implemented in the acute stage, and (vii) Physiotherapy and rehabilitation should be divided into: control of haemorrhage (phase 1); restoration of Range of Movement (ROM) and strength (phase 2); functional rehabilitation and return to normal living (phase 3). Recommendations specifically for inhibitor patients include: (i) Minor to moderate bleeds should be managed by home-treatment within 1 h of bleed onset using either one injection of rFVIIa 270 μg kg(-1), or two to three injections of rFVIIa 90 μg kg(-1) (2-3 h intervals), or FEIBA 50-100 U kg(-1) (repeated at 12-hourly intervals, if necessary) and (ii) Severe muscle bleeds should be supervised by the treatment centre and include bypassing agents until clinical improvement is observed.

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“…More recently, core stability concept has been strongly linked with hamstring injuries 44. Decreased neuromuscular control of the core as a possible cause of injury justifies the increased use of current trunk or core neuromuscular training as a central tenet of rehabilitation treatments and prevention 44 45. However, core stability use requires further investigation 14.…”

Section: Exercise Implementation Rationalementioning

confidence: 99%

Hamstring exercises for track and field athletes: injury and exercise biomechanics, and possible implications for exercise selection and primary prevention

Malliaropoulos¹,

Mendiguchía²,

Pehlivanidis³

et al. 2012

Br J Sports Med

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Hamstring strain injuries are the most prevalent muscle injuries in track and field (TF). These injuries often cause prolonged symptoms and a high risk of re-injury. Strengthening of the hamstring muscles has been recommended for injury prevention. The authors review the possible role of eccentric training in TF hamstring injury prevention and introduce exercise classification criteria to guide clinicians in designing strengthening programmes adapted to TF. The principles exposed may serve as a foundation for future development and application of new eccentric programmes to decrease the high incidence of this type of injury in other sports.

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Rehabilitation for hamstring injuries

Cited by 19 publications

References 11 publications

The effects of eccentric training on lower limb flexibility: a systematic review

The effects of eccentric training on lower limb flexibility: a systematic review

Management of muscle haematomas in patients with severe haemophilia in an evidence‐poor world

Hamstring exercises for track and field athletes: injury and exercise biomechanics, and possible implications for exercise selection and primary prevention

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