LeHavreV1, France, Analysis, bibRecord, 000331

Clinical predictors of time to return to competition following hamstring injuries

Identifieur interne : 000331 ( France/Analysis ); précédent : 000330; suivant : 000332

Clinical 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.

RBID : PMC:4241432

Abstract

SummaryObjectives:

hamstring strain injuries are the most common sports-related muscle injuries and one of the main causes of missed sporting events. Hypothesis: clinical findings reflecting hamstring injury severity at presentation predict time to sports resumption.

Design:

cohort study (prognosis); Level of evidence, 2.

Methods:

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).

Results:

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).

Conclusion:

the initial examination provides valuable information that can be used to predict the time to full recovery after acute hamstring injuries in athletes.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241432

PubMed: 25489558
PubMed Central: 4241432

Affiliations:

France
Brest, Le Havre

Links to Exploration step

PMC:4241432

Le document en format XML

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<author><name sortKey="Guillodo, Yannick" sort="Guillodo, Yannick" uniqKey="Guillodo Y" first="Yannick" last="Guillodo">Yannick Guillodo</name>
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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="Saraux, Alain" sort="Saraux, Alain" uniqKey="Saraux A" first="Alain" last="Saraux">Alain Saraux</name>
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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="Madouas, Gwenaelle" sort="Madouas, Gwenaelle" uniqKey="Madouas G" first="Gwénaelle" last="Madouas">Gwénaelle Madouas</name>
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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>
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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>
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<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>
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Clinical predictors of time to return to competition following hamstring injuries

Clinical predictors of time to return to competition following hamstring injuries

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Abstract

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