Jurdan Mendiguchia1, Enrique Martinez-Ruiz, Pascal Edouard, Jean-Benoît Morin, Francisco Martinez-Martinez, Fernando Idoate, Alberto Mendez-Villanueva. 1. 1Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, SPAIN; 2Chair of Sports Traumatology, Catholic University of San Antonio, Murcia, SPAIN; 3Inter-university Laboratory of Human Movement Biology (LIBM EA), University of Lyon, University Jean Monnet, Saint Etienne, FRANCE; 4Department of Clinical and Exercise Physiology, Sports Medicine Unity, University Hospital of Saint-Etienne, Faculty of medicine, Saint-Etienne, FRANCE; 5Medical Commission, French Athletics Federation (FFA), Paris, FRANCE; 6Université Côte d'Azur, LAMHESS, Nice, FRANCE; 7Virgin of Arrixaca University Hospital, Murcia, SPAIN; 8Radiology Department, San Miguel Clinic, Pamplona, SPAIN; and 9ASPIRE Academy for Sports Excellence, Doha, QATAR.
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 reinjury risk and optimize player performance and availability. PURPOSE: This study aimed to assess the concurrent effectiveness of administering an individualized and multifactorial criteria-based algorithm (rehabilitation algorithm [RA]) on hamstring injury rehabilitation in comparison with using a general rehabilitation protocol (RP). METHODS: Implementing a double-blind randomized controlled trial approach, two equal groups of 24 football players (48 total) completed either anRA group or a validated RP group 5 d after an acute hamstring injury. RESULTS: Within 6 months after return to sport, six hamstring reinjuries occurred in RP versus one injury 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 (effect size = 0.34 ± 0.42) in RP (23.2 ± 11.7 d) compared with RA (25.5 ± 7.8 d) (-13.8%, 90% confidence interval = -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, and 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 reinjury compared with a general protocol where long-length strength training exercises were prioritized.
RCT Entities:
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 reinjury risk and optimize player performance and availability. PURPOSE: This study aimed to assess the concurrent effectiveness of administering an individualized and multifactorial criteria-based algorithm (rehabilitation algorithm [RA]) on hamstring injury rehabilitation in comparison with using a general rehabilitation protocol (RP). METHODS: Implementing a double-blind randomized controlled trial approach, two equal groups of 24 football players (48 total) completed either an RA group or a validated RP group 5 d after an acute hamstring injury. RESULTS: Within 6 months after return to sport, six hamstring reinjuries occurred in RP versus one injury 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 (effect size = 0.34 ± 0.42) in RP (23.2 ± 11.7 d) compared with RA (25.5 ± 7.8 d) (-13.8%, 90% confidence interval = -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, and 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 reinjury compared with a general protocol where long-length strength training exercises were prioritized.
Authors: André Gismonti Garcia; Renato Andrade; José Afonso; José Luíz Runco; Antonio Maestro; João Espregueira-Mendes Journal: J Orthop Date: 2022-04-11
Authors: Gordon Dunlop; Clare L Ardern; Thor Einar Andersen; Colin Lewin; Gregory Dupont; Ben Ashworth; Gary O'Driscoll; Andrew Rolls; Susan Brown; Alan McCall Journal: Sports Med Date: 2020-04 Impact factor: 11.136
Authors: Robin Vermeulen; Rod Whiteley; Anne D van der Made; Nicol van Dyk; Emad Almusa; Celeste Geertsema; Stephen Targett; Abdulaziz Farooq; Roald Bahr; Johannes L Tol; Arnlaug Wangensteen Journal: Br J Sports Med Date: 2022-03-25 Impact factor: 18.473