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A Multifactorial, Criteria-based Progressive Algorithm for Hamstring Injury Treatment.

Jurdan Mendiguchia1, Enrique Martinez-Ruiz, Pascal Edouard

  • 11Department 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.

Medicine and Science in Sports and Exercise
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PubMed
Summary
This summary is machine-generated.

An individualized rehabilitation algorithm significantly reduced hamstring reinjury risk in football players compared to a general protocol. While return to sport was slightly slower, players showed improved speed and power metrics, indicating better functional recovery.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Rehabilitation Science

Background:

  • Hamstring injuries are common in football, necessitating effective rehabilitation to prevent re-injury and optimize performance.
  • Current general rehabilitation protocols may not adequately address individual player needs, potentially increasing reinjury risk.

Purpose of the Study:

  • To compare the effectiveness of an individualized, multifactorial, criteria-based rehabilitation algorithm (RA) against a general rehabilitation protocol (RP) for hamstring injuries in football players.

Main Methods:

  • A double-blind randomized controlled trial involving 48 football players with acute hamstring injuries.
  • Players were assigned to either the RA group or the RP group 5 days post-injury.
  • Outcomes were assessed based on reinjury rates, time to return to sport, and performance metrics.

Main Results:

  • The RA group experienced significantly fewer reinjuries (1 vs. 6) within 6 months of returning to sport (relative risk = 6).
  • Return to sport was marginally slower in the RA group (25.5 days) compared to the RP group (23.2 days).
  • Players in the RA group demonstrated superior speed (10-m time, maximal sprinting speed) and power metrics upon return to sport.

Conclusions:

  • An individualized, multifactorial, criteria-based rehabilitation algorithm significantly reduces hamstring re-injury risk in football players.
  • While potentially slightly delaying return to sport, the RA enhances functional recovery and performance.
  • This approach prioritizes performance and risk factors from early stages, offering a superior alternative to general protocols.