Hamstring injury in futsal players: the effect of active range of motion (AROM) deficit on the full recovery time

2020 ◽  
Author(s):  
Lyudmila Smirnova ◽  
Aleksandr Derinov ◽  
Irina Glazkova
Keyword(s):  
Range Of Motion ◽  
Recovery Time ◽  
Full Recovery ◽  
Hamstring Injury ◽  
Control Group ◽  
Hamstring Muscle ◽  
Muscle Injuries ◽  
Musculotendinous Junction ◽  
Hamstring Injuries ◽  
Active Range Of Motion

Abstract Background Hamstring muscle injuries are one of the most common traumas occurring in athletes and football players. Thus, the recovery time is crucial for their return to full athlete activity. Objective This article examines cases of hamstring injury in futsal players and finds association between the active range of motion (AROM) deficit and the full recovery time. Methods For this study, 200 futsal players with acute, first-time, unilateral posterior hamstring injuries were recruited, all men. All patients underwent clinical examination and ultrasonography. In 74 of 200 patients, sonography revealed no abnormalities in the musculoligamentary structures. Thereby, they were excluded from further investigation. Only 126 futsal players underwent measurement of the active range of motion with a 30-cm clear plastic inclinometer. Injured areas were compared with the normal hamstrings in all athletes and with the control group, and the AROM deficit was evaluated. The association between the full recovery time and the AROM deficit was identified. A control group (100 men) underwent examination in the same series of steps as the study group. Results Biceps femoris was the most commonly injured muscle, making up 80% of injuries. The musculotendinous junction, proximal and distal, was involved in 91% of injury cases. Twelve athletes had an AROM deficit of 25 to 35 degrees and reached full recovery at 2.5 months and later. Seventy or 55.5% of athletes had an AROM deficit less than 15 degrees and felt fully recovered only in a month. Conclusions The classification system of hamstring muscle injuries that is offered here is based on an objective clinical marker (active knee ROM deficit), is easily applicable, and is indicative of recovery duration.

scholarly journals The prevalence of non-contact muscle injuries of the lower limb in professional soccer players who perform Salah regularly: a retrospective cohort study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Eduard Bezuglov ◽  
Oleg Talibov ◽  
Mikhail Butovskiy ◽  
Anastasiya Lyubushkina ◽  
Vladimir Khaitin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Control Group ◽  
Exposure Group ◽  
Muscle Injuries ◽  
Hamstring Injuries ◽  
Significant Difference

Abstract Background The present study assessed the prevalence of non-contact muscle injuries of the lower limbs, including hamstring injuries, in professional Russian soccer players who regularly perform Salah, an obligatory Muslim prayer performed 5 times a day. Methods Using a retrospective cohort study design, 68 professional male soccer players (excluding goalkeepers), 34 of whom were Muslims regularly performing Salah (exposure group) and 34 were randomly chosen non-Muslim players (control group), were included in the study. The groups were similar in their playing leagues, field positions, age (27 ± 3.1 vs 28 ± 4.2 years), and body mass index (22 ± 1.2 vs 23 ± 0.92 kg/m2). Results The incidence of hamstring injury was significantly lower in the exposure group (2 vs 14, p = 0.0085). A declining trend for the number of muscle injuries (either hamstring or not) was observed in the exposure group (11 vs 27, p = 0.0562). Two players in the exposure group and 11 in the control group (p = 0.0115, OR 0.1307, 95% CI 0.0276 to 0.5698) suffered a hamstring injury, with no statistically significant difference in the occurrence of other injuries. The total amount of the training and play days missed because of hamstring and other muscle injuries was significantly lower in the exposure group (24 vs 213 days, p = 0.0043, and 200 vs 344 days, p = 0.0066, respectively). Conclusion The prevalence of non-contact muscle injuries, including hamstring injuries, was lower in professional Russian soccer players who regularly performed Salah.

scholarly journals Limited implementation of the Nordic hamstring exercise in professional and semi-professional soccer

2021 ◽  
Vol 28 ◽  
pp. 221049172110086
Author(s):  
Wesam Saleh A Al Attar ◽  
Ramy Komir ◽  
Ali Alzubeadi ◽  
Ibrahim Bukhari ◽  
Hussain Ghulam
Keyword(s):  
Current Practice ◽  
Positive Opinion ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Hamstring Muscle ◽  
Muscle Injuries ◽  
Professional Soccer ◽  
Hamstring Injuries ◽  
International Awareness

Background/Purpose: In soccer players, non-contact injuries are most common, especially hamstring muscle injuries, which can be prevented by the Nordic hamstring exercise (NHE). This study assessed the professional and semi-professional soccer players and coaches’ awareness, implementation, and opinion of the NHE efficacy in reducing hamstring injuries. Methods: A questionnaire regarding the awareness, implementation, and opinions of the NHE’s efficacy in reducing hamstring muscle injuries was distributed. Results: The survey was completed by 812 (88.3% male and 11.7% female) players and coaches. Of these, 395 (48.6%) were aware of the NHE, and 355 (43.7%) implemented it in their current practice. Those implementing NHE had a positive opinion about its efficacy in reducing hamstring injuries. Conclusion: Further efforts and research are warranted to increase the international awareness and implementation of the NHE and educate soccer players and coaches about the importance of its implementation and effectiveness in preventing hamstring injury.

Return to Competitive Play After Hamstring Injuries Involving Disruption of the Central Tendon

2012 ◽  
Vol 41 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Jules Comin ◽  
Peter Malliaras ◽  
Peter Baquie ◽  
Tim Barbour ◽  
David Connell
Keyword(s):  
Recovery Time ◽  
Biceps Femoris ◽  
Hamstring Tendon ◽  
Hamstring Injury ◽  
Level Of Evidence ◽  
Musculotendinous Junction ◽  
Sports Teams ◽  
Hamstring Injuries ◽  
Recurrent Injury ◽  
Recovery Times

Background: The hamstring muscles are the most commonly injured muscle group in many different sports. Recovery time is often unpredictable and prolonged, and recurrent injury is common. Hypothesis: Hamstring injuries that disrupt the central tendon enclosed within the muscle belly require a longer recovery time than do injuries involving only muscle, epimysial fascia, or the musculotendinous junction. Study Design: Cohort study; Level of evidence, 3. Methods: Injury records from professional sports teams were reviewed to determine the length of recovery from each hamstring injury that occurred over a 24-month period. The integrity of the central tendon on magnetic resonance imaging (MRI) was retrospectively reviewed for each case. The association between central tendon disruption on MRI and recovery time was determined. Results: There were 62 hamstring injuries included for analysis; 45 (72%) involved the biceps femoris, 11 (18%) involved the semimembranosus, and 6 (10%) involved the semitendinosus. Central tendon disruption was identified in 12 (45%) of the biceps femoris injuries and in none of the injuries to the other 2 muscles. Three of these injuries were treated surgically, with a median recovery time of 91 days. The median (interquartile range [IQR]) recovery times for those remaining biceps femoris injuries with and without central tendon disruption were 21 days (IQR, 9-28) and 72 days (IQR, 42-109), respectively ( P < .01). Conclusion: Disruption of the central tendon in injuries to the biceps femoris results in a significantly longer recovery time than injuries that do not disrupt the central tendon. This highlights the distinction between injury to the hamstring muscle and injury to the hamstring tendon, which is underappreciated as being a distinct entity when injury involves the enclosed central portion of the tendon.

scholarly journals Medium-/Long-Term Effects of a Specific Exercise Protocol Combined with Patient Education on Spine Mobility, Chronic Fatigue, Pain, Aerobic Fitness and Level of Disability in Fibromyalgia

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Erika Giannotti ◽  
Konstantinos Koutsikos ◽  
Maurizia Pigatto ◽  
Maria Elisa Rampudda ◽  
Andrea Doria ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Fibromyalgia Impact Questionnaire ◽  
Control Group ◽  
Positive Trend ◽  
Long Term Effects ◽  
Exercise Protocol ◽  
Beneficial Effects ◽  
Active Range Of Motion ◽  
Spine Mobility

Objective. To propose a rehabilitation protocol able to produce immediate and long-term beneficial effects on level of disability and overall performance in ADLs.Materials and Methods. Forty-one FM patients were randomized to an exercise and educational-behavioral programme group (experimental group, EG = 21) or to a control group (CG = 20). Each subject was evaluated before, at the end (T1), and after 6 months (T6) from the conclusion of the rehabilitation treatment using the Fibromyalgia Impact Questionnaire (FIQ), the visual analogue scale (VAS), the Health Assessment Questionnaire (HAQ), the fatigue severity scale (FSS), the 6-minute walking test (6MWT), tender points count (TPC), and spinal active range of motion. The exercise protocol included 20 sessions consisting in self-awareness, stretching, strengthening, spine flexibility, and aerobic exercises, which patients were subsequently educated to perform at home.Results. The two groups were comparable at baseline. At T1, the EG showed a positive trend in FIQ, VAS, HAQ, and FSS scales and significant improvement in 6MWT and in most spinal active range of motion measurements (Pbetween 0.001 and 0.04). The positive results were maintained at the follow-up.Conclusion. The proposed programme was well tolerated and produced immediate and medium-term beneficial effects improving function and strain endurance. This trial is registered withDRKS00005071on DRKS.

Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer

2011 ◽  
Vol 39 (11) ◽  
pp. 2296-2303 ◽  
Author(s):  
Jesper Petersen ◽  
Kristian Thorborg ◽  
Michael Bachmann Nielsen ◽  
Esben Budtz-Jørgensen ◽  
Per Hölmich
Keyword(s):  
Training Program ◽  
Intervention Group ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Control Group ◽  
Eccentric Training ◽  
Preventive Effect ◽  
Injury Rates ◽  
Hamstring Injuries ◽  
Recurrent Injury

Background: The incidence of acute hamstring injuries is high in several sports, including the different forms of football. Purpose: The authors investigated the preventive effect of eccentric strengthening of the hamstring muscles using the Nordic hamstring exercise compared with no additional hamstring exercise on the rate of acute hamstring injuries in male soccer players. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Fifty Danish male professional and amateur soccer teams (942 players) were allocated to an intervention group (461 players) or a control group (481 players). Players in the intervention group conducted a 10-week progressive eccentric training program followed by a weekly seasonal program, whereas players in the control group followed their usual training program. The main outcome measures were numbers of overall, new, and recurrent acute hamstring injuries during 1 full soccer season. Results: Fifty-two acute hamstring injuries in the control group compared with 15 injuries in the intervention group were registered. Comparing intervention versus the control group, overall acute hamstring injury rates per 100 player seasons were 3.8 versus 13.1 (adjusted rate ratio [RR], 0.293; 95% confidence interval [CI], 0.150-0.572; P < .001). New injury rates per 100 player seasons were 3.1 versus 8.1 (RR, 0.410; 95% CI, 0.180-0.933; P = .034), whereas recurrent injury rates per 100 player seasons were 7.1 versus 45.8 (RR, 0.137; 95% CI, 0.037-0.509; P = .003). Number needed to treat [NNT] to prevent 1 acute hamstring injury (new or recurrent) is 13 (95% CI, 9-23) players. The NNT to prevent 1 new injury is 25 (95% CI, 15-72) players, and NNT to prevent 1 recurrent injury is 3 (95% CI, 2-6) players. Conclusion: In male professional and amateur soccer players, additional eccentric hamstring exercise decreased the rate of overall, new, and recurrent acute hamstring injuries.

scholarly journals Hamstring injuries in elite Gaelic football: an 8-year investigation to identify injury rates, time-loss patterns and players at increased risk

2016 ◽  
Vol 52 (15) ◽  
pp. 982-988 ◽  
Author(s):  
Mark Roe ◽  
John C Murphy ◽  
Conor Gissane ◽  
Catherine Blake
Keyword(s):  
Management Strategies ◽  
Fold Increase ◽  
Hamstring Injury ◽  
Time Loss ◽  
Match Play ◽  
Injury Rates ◽  
Musculotendinous Junction ◽  
Hamstring Injuries ◽  
Increased Risk ◽  
Prevention Programmes

BackgroundHamstring injuries occur frequently in field sports, yet longitudinal information to guide prevention programmes is missing.AimInvestigate longitudinal hamstring injury rates and associated time loss in elite Gaelic football, while identifying subgroups of players at increased risk.Methods38 data sets from 15 elite male Gaelic football teams were received by the National Gaelic Athletic Association (GAA) Injury Surveillance Database between 2008 and 2015. Injury and exposure data were provided by the team's medical staff via an online platform.Results391 hamstring injuries were sustained accounting for 21% (95% CI 20.0% to 21.7%) of all injuries. Prevalence was 21% (95% CI 19.2% to 23.4%). Incidences were 2.2 (95% CI 1.9 to 2.4) per 1000 exposure hours, and 7.0 (95% CI 6.5 to 7.1) times greater in match play than in training. Typically each team sustained 9.0 (95% CI 7.0 to 11.0) hamstring injuries per season affecting the: bicep femoris belly (44%; 95% CI 39.4% to 48.7%); proximal musculotendinous junction (13%; 95% CI 9.8% to 16.3%); distal musculotendinous junction (12%; 95% CI 8.6% to 14.9%) and semimembranosis/semitendinosis belly (9%; 95% CI 6.3% to 11.7%). ∼36% (95% CI 31.5% to 41.0%) were recurrent injuries. Mean time loss was 26.0 (95% CI 21.1 to 33.0) days, which varied with age, injury type and seasonal cycle. Hamstring injuries accounted for 31% (95% CI 25.8% to 38.2%) of injury-related time loss. Previously injured players (rate ratio (RR)=3.3), players aged 18–20 years (IRR=2.3) or >30 years (RR=2.3), as well as defensive (IRR=2.0) and midfield players (RR=1.5), were most at risk of sustaining a hamstring injury. Comparisons of 2008–2011 with 2012–2015 seasons revealed a 2-fold increase in hamstring injury incidences. Between 2008 and 2015 training incidence increased 2.3-fold and match-play incidences increased 1.3-fold.ConclusionsHamstring injuries are the most frequent injury in elite Gaelic football, with incidences increasing from 2008–2011 to 2012–2015. Tailoring risk management strategies to injury history, age and playing position may reduce the burden of hamstring injuries.

The Impact of a Short-Term Iyengar Yoga Program on the Health and Well-Being of Physically Inactive Older Adults

2011 ◽  
Vol 21 (1) ◽  
pp. 61-72 ◽  
Author(s):  
Juliane Vogler ◽  
Lily O'Hara ◽  
Jane Gregg ◽  
Fiona Burnell
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Well Being ◽  
Holistic Health ◽  
Control Group ◽  
Active Range Of Motion ◽  
The Impact ◽  
Health And Well Being ◽  
Physically Inactive

Background: With the current challenge of rapidly aging populations, practices such as yoga may help older adults stay physically active, healthy, and fulfilled. Methods: The impact of an 8-week Iyengar yoga program on the holistic health and well-being of physically inactive people aged 55 years and over was assessed. Thirty-eight older adults (mean age 73.21 ± 8.38 years; 19 intervention, 19 control) engaged in either twice-weekly yoga classes or continued their usual daily routines. Physical health measures were muscle strength, active range of motion, respiratory function (FEV1), resting blood pressure, and immune function (salivary IgA and lysozyme). Self-perceived general,physical, mental, spiritual, and social health and well-being were assessed with the Life's Odyssey Questionnaire and the SF12v2™ Health Survey. Results: Muscle strength, active range of motion, physical well-being, and aspects of mental well-being (emotional well-being and self-care) improved significantly in the yoga group (p &lt; .05). Median changes in most of these variables were also significantly different from those in the control group. Conclusions:Participation in Iyengar yoga programs by older people is beneficial for health and well-being, and greater availability of such programs could improve quality of life.

scholarly journals A Longitudinal Investigation of Muscle Injuries in an Elite Spanish Male Academy Soccer Club: A Hamstring Injuries Approach

2020 ◽  
Vol 10 (5) ◽  
pp. 1610 ◽  
Author(s):  
Javier Raya-González ◽  
Mark de Ste Croix ◽  
Paul Read ◽  
Daniel Castillo
Keyword(s):  
Muscle Injury ◽  
Injury Rate ◽  
Hamstring Injury ◽  
Anatomical Site ◽  
Injury Incidence ◽  
Age Group ◽  
Muscle Injuries ◽  
Match Play ◽  
Youth Soccer ◽  
Hamstring Injuries

The aims of this study were to analyze the muscle injury incidence in an elite Spanish soccer academy during three consecutive seasons attending to different chronological age groups (i.e., U14, U16, U19 and senior) and to examine the hamstring injury incidence in this elite soccer academy. Elite male youth soccer players (227) participated in this study. A total of 207 time-loss injuries (i.e., injuries that involve at least one absence day) were observed during this study period. The overall incidence rate of muscle injury was 1.74 muscle injuries/1000 h. In addition, higher muscle injury incidence was observed during match play in comparison to training sessions (6.78 vs. 3.20 muscle injuries/1000 h, p < 0.05). The oldest age group presented the highest injury rate (2.73 muscle injuries/1000 h, p < 0.05), with the burden (i.e., number of absence days per 1000 h of exposure) peak values recorded in the U16 age group (26.45 absence days/1000 h). In addition, muscle tears accounted for the greatest percentage of muscle injuries (43.5%), and the most frequent anatomical site of injury was the hamstring (30.4%). Muscle tear was the most common type of hamstring injury (49.2%), with the biceps femoris the most commonly injured muscle of the hamstring complex (39.7%). Fullbacks (FB), wide midfielders (WM) and forwards (F) suffered a greater number of hamstring injuries. Hamstring injury incidence showed a seasonal variation, as indicated by peaks in August and October. Specifically, the highest injury incidence was observed in the final part of each period during match play. These results reinforce the necessity to implement individual preventive strategies according to each specific injury profile across the youth soccer development phase.

scholarly journals Bilateral Upper Limb Training With Functional Electric Stimulation in Patients With Chronic Stroke

2008 ◽  
Vol 23 (4) ◽  
pp. 357-365 ◽  
Author(s):  
Marko Ka-leung Chan ◽  
Raymond Kai-yu Tong ◽  
Kenneth Yiu-kwan Chung
Keyword(s):  
Occupational Therapy ◽  
Range Of Motion ◽  
Upper Limb ◽  
Electric Stimulation ◽  
Control Group ◽  
Wrist Extension ◽  
Upper Limb Rehabilitation ◽  
Upper Limb Function ◽  
Active Range Of Motion ◽  
Limb Rehabilitation

Background. The recovery rate of upper limb function after stroke is poor when compared with independent walking. Therefore, effective methods are warranted for upper limb rehabilitation. Objective. The aim of this study was to investigate the effectiveness of functional electric stimulation (FES) with bilateral activities training on upper limb function. Methods. This study was a double-blinded randomized controlled trial. Twenty patients were recruited 6 months after the onset of stroke and completed 15 training sessions. Participants were randomly assigned to the FES group or to the control group. Each session consisted of stretching activities (10 minutes), FES with bilateral tasks (20 minutes), and occupational therapy treatment (60 minutes). The participants used a self-trigger mechanism, with an accelerometer as a motion detector, for generating an electric stimulation pattern that was synchronized with the bilateral upper limb activities during the training. The participants in the control group received the same duration of stretching and occupational therapy training except that they just received placebo stimulation with the bilateral tasks. The outcome measures included Functional Test for the Hemiplegic Upper Extremity (FTHUE), Fugl—Meyer Assessment (FMA), grip power, forward reaching distance, active range of motion of wrist extension, Functional Independence Measure, and Modified Ashworth Scale. Results. At baseline comparison, there was no significant difference in both groups. After 15 training sessions, the FES group had significant improvement in FMA ( P = .039), FTHUE ( P = .001), and active range of motion of wrist extension ( P = .020) when compared with the control group. Conclusions. Bilateral upper limb training with FES could be an effective method for upper limb rehabilitation of stroke patients after 15 training sessions.

scholarly journals Hamstring and Ankle Flexibility Deficits Are Weak Risk Factors for Hamstring Injury in Professional Soccer Players: A Prospective Cohort Study of 438 Players Including 78 Injuries

2018 ◽  
Vol 46 (9) ◽  
pp. 2203-2210 ◽  
Author(s):  
Nicol van Dyk ◽  
Abdulaziz Farooq ◽  
Roald Bahr ◽  
Erik Witvrouw
Keyword(s):  
Risk Factors ◽  
Range Of Motion ◽  
Cox Regression ◽  
Knee Extension ◽  
Ankle Dorsiflexion ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Cox Regression Analysis ◽  
Professional Soccer ◽  
Hamstring Injuries

Background: Hamstring injuries remain a significant injury burden in sports such as soccer that involve high-speed running. It has repeatedly been identified as the most common noncontact injury in elite male soccer, representing 12% of all injuries. As the incidence of hamstring injuries remains high, investigations are aimed at better understanding how to prevent hamstring injuries. Stretching to improve flexibility is commonly used in elite-level sports, but risk factor studies have reported contradicting results, leading to unclear conclusions regarding flexibility as a risk factor for hamstring injuries. Purpose: To investigate the association of lower limb flexibility with the risk of hamstring injuries in professional soccer players. Study Design: Cohort study; Level of evidence, 2. Methods: All teams (n = 18) eligible to compete in the premier soccer league in Qatar (Qatar Stars League [QSL]) underwent a comprehensive musculoskeletal assessment during their annual periodic health evaluation at Aspetar Orthopaedic and Sports Medicine Hospital in Doha, Qatar. Variables included passive knee extension and ankle dorsiflexion range of motion. A clustered multivariate Cox regression analysis was used to identify associations with the risk of hamstring injuries. Receiver operating characteristic (ROC) curves were calculated to determine sensitivity and specificity. Results: A total of 438 unique players (72.4% of all QSL players) competed for 601 player-seasons (148 players competed both seasons) and sustained 78 hamstring injuries. Passive knee extension range of motion (hazard ratio [HR], 0.97 [95% CI, 0.95-0.99]; P = .008) and ankle dorsiflexion range of motion (HR, 0.93 [95% CI, 0.88-0.99]; P = .02) were independently associated with the injury risk. The absolute differences between the injured and uninjured players were 1.8° and 1.4 cm, respectively, with small effect sizes ( d < 0.2). The ROC curve analyses showed an area under the curve of 0.52 for passive knee extension and 0.61 for ankle dorsiflexion, indicating failed to poor combined sensitivity and specificity of the 2 strength variables identified in the multivariate Cox regression analysis. Conclusion: This study identified deficits in passive hamstring and ankle dorsiflexion range of motion as weak risk factors for a hamstring injury. These findings have little clinical value in predicting the risk of future hamstring injuries, and test results must therefore be interpreted cautiously in athletic screening.

Sign in / Sign up

Export Citation Format

Share Document