CORE Physical Therapy In Omaha Explains…
By Dr. Andy Cannon PT DPT
CORE Physical Therapy & Sports Performance PC
17660 Wright St. 9/10/11
Omaha NE
402-933-4027
Rehabilitation After Hamstring-Strain Injury Emphasizing Eccentric Strengthening at Long Muscle Lengths: Results of Long-Term Follow-Up
Timothy F Tyler, Brandon M Schmitt, Stephen J Nicholas, Malachy P McHugh
- PMID: 27632842
Abstract
Context: Hamstring-strain injuries have a high recurrence rate.
Objective: To determine if a protocol emphasizing eccentric strength training with the hamstrings in a lengthened position resulted in a low recurrence rate.
Design: Longitudinal cohort study.
Setting: Sports-medicine physical therapy clinic.
Participants: Fifty athletes with hamstring-strain injury (age 36 ± 16 y; 30 men, 20 women; 3 G1, 43 G2, 4 G3; 25 recurrent injuries) followed a 3-phase rehabilitation protocol emphasizing eccentric strengthening with the hamstrings in a lengthened position.
Main outcome measures: Injury recurrence; isometric hamstring strength at 80°, 60°, 40°, and 20° knee flexion in sitting with the thigh flexed to 40° above the horizontal and the seat back at 90° to the horizontal (strength tested before return to sport).
Results: Four of the 50 athletes sustained reinjuries between 3 and 12 mo after return to sport (8% recurrence rate). The other 42 athletes had not sustained a reinjury at an average of 24 ± 12 mo after return to sport. Eight noncompliant athletes did not complete the rehabilitation and returned to sport before initiating eccentric strengthening in the lengthened state. All 4 reinjuries occurred in these noncompliant athletes. At time of return to sport, compliant athletes had full restoration of strength while noncompliant athletes had significant hamstring weakness, which was progressively worse at longer muscle lengths (compliance × side × angle P = .006; involved vs noninvolved at 20°, compliant 7% stronger, noncompliant 43% weaker).
Conclusion: Compliance with rehabilitation emphasizing eccentric strengthening with the hamstrings in a lengthened position resulted in no reinjuries.
Conclusion:
Athletes with a prior hamstring strain were able to effectively rehab their injury and return to sports participation with significantly reduced risk of re-injury. Athletes who were complaint with a skilled physical therapy program experienced no re-injuries while those who were non-complaint were at more risk of injuring the hamstring again.
What does this mean?
Physical therapy, and compliance with physical therapy, is effective at properly rehabilitating a hamstring injury. Proper compliance and adherence to physical therapy helps the athlete return to their respective sports with much less risk of re-injuring the hamstring.
What can CORE in Omaha do for me?
At CORE, we will develop a specific program depending on your injury severity and your return to play goals.
Treatments include exercise and activity for improving hamstring flexibility, hamstring and lower extremity strength, balance, and dynamic activity performance to assist with specific sports demands.
Manual therapy techniques such as soft tissue mobilizing, stretching, and dry needling can be performed to reduce muscle tension and pain.
Effective physical therapy combined with good compliance are important for a safe return to sports following a hamstring injury.
17660 Wright St, Suites 9/10/11
Omaha, NE 68130
402-930-4027
CORE Physical Therapy is a small family owned business.
CORE Physical Therapy has no investors.
CORE Physical Therapy runs completely independent.
CORE Physical Therapy competes against huge companies and Hospitals.
CORE Physical Therapy has won Best of Omaha, 2016, 2017, 2018, 2019, 2020, 2021.
CORE Physical Therapy has to be better than its competition to compete.
CORE Physical Therapy is different, Come see the CORE difference.
At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. CORE was established in 2015 by Dr. Mark and Dr. Claire Rathjen. CORE is family owned and operated.
Proud winners of the Omaha Choice awards for 2016, 2017, 2018, 2019, 2020,2021
Expertise award winners 2018, 2019, 2020, 2021
Faces of Omaha Winners 2018, 2019, 2020, 2021
We are proud to serve the greater Omaha metro area; Gretna, Elkhorn, Papillion, Bellevue.
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