Clinical predictors of time to return to competition following hamstring injuries
Identifieur interne : 000051 ( Pmc/Checkpoint ); précédent : 000050; suivant : 000052Clinical predictors of time to return to competition following hamstring injuries
Auteurs : Yannick Guillodo [France] ; Caroline Here-Dorignac [France] ; Bertrand Thoribé [France] ; Gwénaelle Madouas [France] ; Marc Dauty [France] ; Francois Tassery [France] ; Alain Saraux [France]Source :
- Muscles, Ligaments and Tendons Journal [ 2240-4554 ] ; 2014.
Abstract
hamstring strain injuries are the most common sports-related muscle injuries and one of the main causes of missed sporting events.
cohort study (prognosis); Level of evidence, 2.
five sports medicine specialists at four sports medicine centers prospectively evaluated 120 athletes within 5 days of acute hamstring injury. Patients were interviewed and asked to evaluate their worst pain on a visual analog scale (VAS). Four physical criteria were assessed at baseline: bruising, tenderness to palpation, pain upon isometric contraction, and pain upon passive straightening. The same standardized rehabilitation protocol was used in all patients. A standardized telephone interview was conducted 45 days after the injury to determine the time to-full recovery (≤40 days or >40 days).
by univariate analysis, clinical criteria associated with a full recovery time >40 days were VAS pain score greater than 6, popping sound injury, pain during everyday activities for more than 3 days, bruising, and greater than 15° motion-range limitation. By multivariate analysis, only VAS pain score and pain during everyday activities were significantly associated with time to recovery >40 days (53% sensitivity, 95% specificity).
the initial examination provides valuable information that can be used to predict the time to full recovery after acute hamstring injuries in athletes.
Url:
PubMed: 25489558
PubMed Central: 4241432
Affiliations:
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<author><name sortKey="Guillodo, Yannick" sort="Guillodo, Yannick" uniqKey="Guillodo Y" first="Yannick" last="Guillodo">Yannick Guillodo</name>
<affiliation wicri:level="1"><nlm:aff id="af1-386-390">Rhumatologie CHU Brest, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Rhumatologie CHU Brest</wicri:regionArea>
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<author><name sortKey="Here Dorignac, Caroline" sort="Here Dorignac, Caroline" uniqKey="Here Dorignac C" first="Caroline" last="Here-Dorignac">Caroline Here-Dorignac</name>
<affiliation wicri:level="1"><nlm:aff id="af1-386-390">Rhumatologie CHU Brest, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Rhumatologie CHU Brest</wicri:regionArea>
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<author><name sortKey="Thoribe, Bertrand" sort="Thoribe, Bertrand" uniqKey="Thoribe B" first="Bertrand" last="Thoribé">Bertrand Thoribé</name>
<affiliation wicri:level="1"><nlm:aff id="af2-386-390">Clinique du sport Bordeaux Merignac, France</nlm:aff>
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<wicri:regionArea>Clinique du sport Bordeaux Merignac</wicri:regionArea>
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<author><name sortKey="Madouas, Gwenaelle" sort="Madouas, Gwenaelle" uniqKey="Madouas G" first="Gwénaelle" last="Madouas">Gwénaelle Madouas</name>
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<author><name sortKey="Dauty, Marc" sort="Dauty, Marc" uniqKey="Dauty M" first="Marc" last="Dauty">Marc Dauty</name>
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<author><name sortKey="Tassery, Francois" sort="Tassery, Francois" uniqKey="Tassery F" first="Francois" last="Tassery">Francois Tassery</name>
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<author><name sortKey="Saraux, Alain" sort="Saraux, Alain" uniqKey="Saraux A" first="Alain" last="Saraux">Alain Saraux</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical predictors of time to return to competition following hamstring injuries</title>
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<author><name sortKey="Here Dorignac, Caroline" sort="Here Dorignac, Caroline" uniqKey="Here Dorignac C" first="Caroline" last="Here-Dorignac">Caroline Here-Dorignac</name>
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<author><name sortKey="Thoribe, Bertrand" sort="Thoribe, Bertrand" uniqKey="Thoribe B" first="Bertrand" last="Thoribé">Bertrand Thoribé</name>
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<author><name sortKey="Madouas, Gwenaelle" sort="Madouas, Gwenaelle" uniqKey="Madouas G" first="Gwénaelle" last="Madouas">Gwénaelle Madouas</name>
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<author><name sortKey="Dauty, Marc" sort="Dauty, Marc" uniqKey="Dauty M" first="Marc" last="Dauty">Marc Dauty</name>
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<series><title level="j">Muscles, Ligaments and Tendons Journal</title>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Objectives:</title>
<p>hamstring strain injuries are the most common sports-related muscle injuries and one of the main causes of missed sporting events. <italic>Hypothesis:</italic>
clinical findings reflecting hamstring injury severity at presentation predict time to sports resumption.</p>
</sec>
<sec><title>Design:</title>
<p>cohort study (prognosis); Level of evidence, 2.</p>
</sec>
<sec><title>Methods:</title>
<p>five sports medicine specialists at four sports medicine centers prospectively evaluated 120 athletes within 5 days of acute hamstring injury. Patients were interviewed and asked to evaluate their worst pain on a visual analog scale (VAS). Four physical criteria were assessed at baseline: bruising, tenderness to palpation, pain upon isometric contraction, and pain upon passive straightening. The same standardized rehabilitation protocol was used in all patients. A standardized telephone interview was conducted 45 days after the injury to determine the time to-full recovery (≤40 days or >40 days).</p>
</sec>
<sec><title>Results:</title>
<p>by univariate analysis, clinical criteria associated with a full recovery time >40 days were VAS pain score greater than 6, popping sound injury, pain during everyday activities for more than 3 days, bruising, and greater than 15° motion-range limitation. By multivariate analysis, only VAS pain score and pain during everyday activities were significantly associated with time to recovery >40 days (53% sensitivity, 95% specificity).</p>
</sec>
<sec><title>Conclusion:</title>
<p>the initial examination provides valuable information that can be used to predict the time to full recovery after acute hamstring injuries in athletes.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Muscles Ligaments Tendons J</journal-id>
<journal-id journal-id-type="iso-abbrev">Muscles Ligaments Tendons J</journal-id>
<journal-id journal-id-type="publisher-id">MLTJ</journal-id>
<journal-title-group><journal-title>Muscles, Ligaments and Tendons Journal</journal-title>
</journal-title-group>
<issn pub-type="epub">2240-4554</issn>
<publisher><publisher-name>CIC Edizioni Internazionali</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25489558</article-id>
<article-id pub-id-type="pmc">4241432</article-id>
<article-id pub-id-type="publisher-id">386-390</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Clinical predictors of time to return to competition following hamstring injuries</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Guillodo</surname>
<given-names>Yannick</given-names>
</name>
<xref ref-type="aff" rid="af1-386-390"><sup>1</sup>
</xref>
<xref rid="c1-386-390" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Here-Dorignac</surname>
<given-names>Caroline</given-names>
</name>
<xref ref-type="aff" rid="af1-386-390"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Thoribé</surname>
<given-names>Bertrand</given-names>
</name>
<xref ref-type="aff" rid="af2-386-390"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Madouas</surname>
<given-names>Gwénaelle</given-names>
</name>
<xref ref-type="aff" rid="af3-386-390"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dauty</surname>
<given-names>Marc</given-names>
</name>
<xref ref-type="aff" rid="af4-386-390"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tassery</surname>
<given-names>Francois</given-names>
</name>
<xref ref-type="aff" rid="af5-386-390"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saraux</surname>
<given-names>Alain</given-names>
</name>
<xref ref-type="aff" rid="af1-386-390"><sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-386-390"><label>1</label>
Rhumatologie CHU Brest, France</aff>
<aff id="af2-386-390"><label>2</label>
Clinique du sport Bordeaux Merignac, France</aff>
<aff id="af3-386-390"><label>3</label>
Cabinet de médecine du sport du Questel, Brest, France</aff>
<aff id="af4-386-390"><label>4</label>
Médecine physique et réadaptation, CHU Nantes, France</aff>
<aff id="af5-386-390"><label>5</label>
Cabinet de médecine du sport, Le Havre, France</aff>
<author-notes><corresp id="c1-386-390">Corresponding author: Yannick Guillodo, Rhumatologie CHU Brest, France, E-mail: <email>docteur.guillodo@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><season>Jul-Sep</season>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>17</day>
<month>11</month>
<year>2014</year>
</pub-date>
<volume>4</volume>
<issue>3</issue>
<fpage>386</fpage>
<lpage>390</lpage>
<permissions><copyright-statement>Copyright © 2014, CIC Edizioni Internazionali</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><title>Summary</title>
<sec><title>Objectives:</title>
<p>hamstring strain injuries are the most common sports-related muscle injuries and one of the main causes of missed sporting events. <italic>Hypothesis:</italic>
clinical findings reflecting hamstring injury severity at presentation predict time to sports resumption.</p>
</sec>
<sec><title>Design:</title>
<p>cohort study (prognosis); Level of evidence, 2.</p>
</sec>
<sec><title>Methods:</title>
<p>five sports medicine specialists at four sports medicine centers prospectively evaluated 120 athletes within 5 days of acute hamstring injury. Patients were interviewed and asked to evaluate their worst pain on a visual analog scale (VAS). Four physical criteria were assessed at baseline: bruising, tenderness to palpation, pain upon isometric contraction, and pain upon passive straightening. The same standardized rehabilitation protocol was used in all patients. A standardized telephone interview was conducted 45 days after the injury to determine the time to-full recovery (≤40 days or >40 days).</p>
</sec>
<sec><title>Results:</title>
<p>by univariate analysis, clinical criteria associated with a full recovery time >40 days were VAS pain score greater than 6, popping sound injury, pain during everyday activities for more than 3 days, bruising, and greater than 15° motion-range limitation. By multivariate analysis, only VAS pain score and pain during everyday activities were significantly associated with time to recovery >40 days (53% sensitivity, 95% specificity).</p>
</sec>
<sec><title>Conclusion:</title>
<p>the initial examination provides valuable information that can be used to predict the time to full recovery after acute hamstring injuries in athletes.</p>
</sec>
</abstract>
<kwd-group><kwd>hamstring injuries</kwd>
<kwd>muscle</kwd>
<kwd>sport medicine</kwd>
<kwd>recovery of function</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>France</li>
</country>
<settlement><li>Brest</li>
<li>Le Havre</li>
</settlement>
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<tree><country name="France"><noRegion><name sortKey="Guillodo, Yannick" sort="Guillodo, Yannick" uniqKey="Guillodo Y" first="Yannick" last="Guillodo">Yannick Guillodo</name>
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<name sortKey="Dauty, Marc" sort="Dauty, Marc" uniqKey="Dauty M" first="Marc" last="Dauty">Marc Dauty</name>
<name sortKey="Here Dorignac, Caroline" sort="Here Dorignac, Caroline" uniqKey="Here Dorignac C" first="Caroline" last="Here-Dorignac">Caroline Here-Dorignac</name>
<name sortKey="Madouas, Gwenaelle" sort="Madouas, Gwenaelle" uniqKey="Madouas G" first="Gwénaelle" last="Madouas">Gwénaelle Madouas</name>
<name sortKey="Saraux, Alain" sort="Saraux, Alain" uniqKey="Saraux A" first="Alain" last="Saraux">Alain Saraux</name>
<name sortKey="Tassery, Francois" sort="Tassery, Francois" uniqKey="Tassery F" first="Francois" last="Tassery">Francois Tassery</name>
<name sortKey="Thoribe, Bertrand" sort="Thoribe, Bertrand" uniqKey="Thoribe B" first="Bertrand" last="Thoribé">Bertrand Thoribé</name>
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