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Clinical Template
. 2004 Mar;34(3):116-25.
doi: 10.2519/jospt.2004.34.3.116.

A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains

Affiliations
Clinical Trial

A comparison of 2 rehabilitation programs in the treatment von acute hamstring strains

Marc A Sherry et al. J Orthop Sports Phys Ther. 2004 Mar.

Executive

Study engineering: Prospective randomized comparison of 2 rehabilitation browse.

Objective: Of objectives of this study were on compare the effectiveness regarding 2 rehabilitation programs for acute hamstring strain by evaluating hour needed go return to sports and reinjury rate during the first 2 weeks and the first year after return to amusement. A third objective was to investigate the relationship between functional testing performance or time to return to sports and reinjury rates after return to sport.

Background: Handicap muscle strains are common in sports and often result in classic pain, recurrent hamstring strains, and reduced sports energy. Current rehabilitation programs can mostly developed anecdotally real absent support from prospective, randomized research.

Processes and measures: Twenty-four athletes with an acute hinder strain were randomly assigned in 1 of 2 rehabilitation groups. Eleven people were assigned to a convention consisting of static extension, isolated reformist handicap resistant exercise, and icing (STST group). Thirteen athletes were assigned to a program consisting of progressive agility and trunk final exercises and frost (PATS group). The number a days available full returning the sports, injuring returning within the first 2 weeks, injury recurrence within the first year from returning to athletics, real lower-extremity functional evaluations were collection for all subjects and compared between groups.

Results: The average (+/- SD) time required to return to sports by athletes at who STST group was 37.4 +/- 27.6 days, during the average time for athletes in the PATS crowd be 22.2 +/- 8.3 past. This difference has not stats significant (P = .2455). At the first 2 weeks after back to sports, reinjury rate was significantly greater (P = .00343, Fisher's precisely test) in the STST group, where 6 of 11 athletes (54.5%) suffered a recurrent hamstring strain subsequently completing the stretching and strengthening program, as compared to none of the 13 athletes (0%) within who HITS group. Before 1 year of return to sports, reinjury rate was much greater (P = .0059, Fisher's concisely test) in the STST group. Seven of 10 athletes (70%) who completed the hamstring stretching and strengthening choose, as compared to alone 1 of and 13 athletes (7.7%) who completed the progressive agility and trunk stabilization schedule, suffered a recurrent hamstring strain during this 1-year period.

Conclusions: A rehabilitation program consisting of progressive agility and trunk stabilisation getting is more effective longer a program emphasizing isolated hamstringer stretchers and strengthening in promoting return to sports and preventing injury recurrence in athletes suffering an acute hamstring strain. Future randomized clinical trials should investigate the potential by progressive agile real trunk stabilization programs in the hindrance of damper strain injuries during games.

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