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Predicting return to play after hamstring injuries.

M H Moen1, G Reurink2, A Weir3

  • 1Bergman Clinics, Naarden, The Netherlands The Sportsphysician Group, St Lucas Andreas Hospital, Amsterdam, The Netherlands.

British Journal of Sports Medicine
|July 20, 2014
PubMed
Summary
This summary is machine-generated.

Athlete self-predicted return to play time and passive straight leg raise deficit are key predictors for hamstring injury recovery. MRI findings did not significantly correlate with time to return to play in this study.

Keywords:
HamstringMRIMuscle damage/injuriesSoft tissue

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Area of Science:

  • Sports Medicine
  • Musculoskeletal Imaging
  • Rehabilitation Science

Background:

  • Previous research on predicting return to play (TTRTP) after hamstring injuries had limited evidence.
  • Methodological issues like retrospective designs and univariate analysis were common in prior studies.
  • This study aimed to improve prognostic accuracy using multivariate analysis.

Purpose of the Study:

  • To evaluate the prognostic value of clinical and MRI parameters for TTRTP in acute hamstring injuries.
  • To identify reliable predictors for return to play in non-professional athletes.
  • To utilize multivariate analysis for a more robust assessment of prognostic factors.

Main Methods:

  • Prospectively analyzed 28 clinical and MRI parameters in 80 athletes with MRI-positive hamstring injuries.
  • Employed a standardized rehabilitation program for all participants.
  • Used multivariate linear regression to assess associations, including parameters with p < 0.2 from univariate testing.

Main Results:

  • Nine variables were included in the multivariate analysis.
  • Only athlete self-predicted TTRTP and passive straight leg raise deficit remained significant predictors.
  • MRI parameters for grade 1 and 2 hamstring injuries showed no association with TTRTP.

Conclusions:

  • Athlete self-predicted TTRTP and passive straight leg raise deficit are independent predictors of TTRTP.
  • MRI findings are not associated with TTRTP in grade 1 and 2 hamstring injuries.
  • Clinical parameters should be prioritized for prognostication of TTRTP in hamstring injuries.