Recurrent hamstring muscle injury: applying the limited evidence in the professional football setting with a seven-point programme
Recurrent hamstring injuries are a major problem in sports such as football. The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent hamstring injuries and examine the evidence for each intervention. A professional footballer sustained five hamstring injuries in a relatively short period of time. The injury was managed successfully with a seven-point programme—biomechanical assessment and correction, neurodynamics, core stability, eccentric strengthening, an overload running programme, injection therapies and stretching/relaxation. The evidence for each of these treatment options is reviewed. It is impossible to be definite about which aspects of the programme contributed to a successful outcome. Only limited evidence is available in most cases; therefore, decisions regarding the use of different treatment modalities must be made by using a combination of clinical experience and research evidence.
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Autor / Fonte:Peter Brukner, Andrew Nealon, Christopher Morgan, Darren Burgess, Andrew Dunn Br J Sports Med 2014;48:929-938 Published Online First: 15 January 2013 doi:10.1136/bjsports-2012-091400