Clinical predictors of time to return to competition following hamstring injuries.
Identifieur interne : 000241 ( France/Analysis ); précédent : 000240; suivant : 000242Clinical predictors of time to return to competition following hamstring injuries.
Auteurs : Yannick Guillodo [France] ; Caroline Here-Dorignac [France] ; Bertrand Thoribé ; Gwénaelle Madouas [France] ; Marc Dauty [France] ; Francois Tassery [France] ; Alain Saraux [France]Source :
- Muscles, ligaments and tendons journal [ 2240-4554 ] ; 2014-06-30.
Abstract
hamstring strain injuries are the most common sports-related muscle injuries and one of the main causes of missed sporting events. clinical findings reflecting hamstring injury severity at presentation predict time to sports resumption. 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.
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sporting events. clinical findings reflecting hamstring injury severity at presentation predict time to sports resumption. 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.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Région Bretagne</li></region><settlement><li>Brest</li></settlement><orgName><li>Université de Bretagne Occidentale</li><li>Université européenne de Bretagne</li></orgName></list><tree><noCountry><name sortKey="Thoribe, Bertrand" sort="Thoribe, Bertrand" uniqKey="Thoribe B" first="Bertrand" last="Thoribé">Bertrand Thoribé</name></noCountry><country name="France"><noRegion><name sortKey="Guillodo, Yannick" sort="Guillodo, Yannick" uniqKey="Guillodo Y" first="Yannick" last="Guillodo">Yannick Guillodo</name></noRegion><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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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