Rehabilitation of Hamstring Injuries
Soft tissue injuries such as myofasciitis and separation that occur in the hamstring are among the most common musculoskeletal disorders, and many factors can be related to this injury, including motor control and strength, soft tissue length and posture.Established rehabilitation protocols have been used to treat this condition, but their effectiveness remains questionable.
The paper presented aims to evaluate the effectiveness of rehabilitation of all forms of hamstring disorders, regardless of location, severity, and degree of onset or chronicity, for return to full strength, range of motion and function.
The studies are.
A total of 104 participants from two trials were included.
One trial evaluated stretching once a day, and the other trial evaluated exercise for motor dysfunction and stretching and strengthening.
The results showed
that in the first trial, which involved 80 elite athletes In the first study of 80 elite athletes, the addition of stretching may reduce the time to return to full activity. (Mean difference (MD) -1.8 days, 95% confidence interval (CI) -2.1 to -1.5, P < 0.001)
In a second study of 24 participants with diverse sports backgrounds, we found no conclusive evidence of a difference. No conclusive evidence of a difference was found.(MD -14.5 days, 95% CI -30.64 to 1.64, P = .08)
However, a reduction in re-injury rate of 8% vs. 64% has been reported with the use of motor dysfunction exercises. (Odds ratio (OR) 0.05, 95% CI 0.00 to 0.52, P = 0.01)
Reviewer's comments.
Most physical therapy techniques proposed for the rehabilitation of hamstring injuries have not been evaluated using randomized trials. Those that have only a single study with a limited range of participants and results. There is limited evidence to suggest that increasing the frequency of daily hamstring stretching exercises can reduce the time to recovery in elite athletes. There is preliminary evidence from another small study on mixed ability athletes that suggests that exercises to correct motor dysfunction can reduce the time to return to full activity and the risk of re-injury. Further research is needed to confirm these findings. Until further evidence becomes available, current practices and widely published rehabilitation protocols cannot be supported or refuted.
Mason DL, Dickens VA, Vail A. Rehabilitation for hamstring injuries. Cochrane Database of Systematic Reviews 2012, No. 12. Number: CD004575. doi: 10.1002 / 14651858.CD004575.pub3.
This paper shows that rehabilitation can shorten the number of days it takes to return to sport and the risk of re-injury may be reduced.
As mentioned at the beginning of this article, the factors that can cause hamstring injuries are
Motor control
Strength
Soft tissue length
Posture
Motor control and strength refer to the power and agility of the muscles.
Then, soft tissue length refers to stretchability, and finally, posture.
The body has conditions that allow it to perform efficiently.
Since there are so many theories, I thought it would be difficult to conclude what is best for you. When I am involved as a medical trainer, I judge the joints and muscle strength by the measurements of the Japanese Orthopedic Standards.
