Italian consensus conference on guidelines for conservative treatment on lower limb muscle injuries in athlete.

Autor:	Bisciotti GN; Qatar Orthopaedic and Sport Medicine Hospital, Doha, Qatar.; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Volpi P; Istituto Clinico Humanitas, Milano, Italy.; FC Internazionale, Milano, Italy., Amato M; Istituto Clinico S Anna, Brescia, Italy., Alberti G; Università Statale, Milano, Italy., Allegra F; Polo Pontino, Università La Sapienza di Roma, ICOT, Latina, Italy., Aprato A; CTO Hospital, Torino, Italy., Artina M; Università Statale, Milano, Italy., Auci A; UOS Angiografia e Radiologia Interventistica, Ospedale delle Apuane, Massa-Carrara, Italy., Bait C; Istituto Clinico Villa Aprica, Como, Italy., Bastieri GM; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Balzarini L; Istituto Clinico Humanitas, Milano, Italy., Belli A; FC Internazionale, Milano, Italy., Bellini G; Atalanta BC, Bergamo, Italy., Bettinsoli P; Ospedale Carlo Poma, Mantova, Italy., Bisciotti A; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Bisciotti A; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Bona S; Istituto Clinico Humanitas, Milano, Italy., Brambilla L; Istituto Ortopedico Galeazzi AC Milan, Milan, Italy., Bresciani M; Vicenza Calcio 1902, Vicenza, Italy., Buffoli M; Feralpisaló, Salò, Italy., Calanna F; Istituto Ortopedico Gaetano Pini, Milano, Italy., Canata GL; Ospedale e Casa di Cura Koelliker, Torino, Italy., Cardinali D; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Carimati G; Istituto Clinico Humanitas, Milano, Italy., Cassaghi G; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Cautero E; Ospedale di Latisana, Latisana, Italy., Cena E; Qatar Orthopaedic and Sport Medicine Hospital, Doha, Qatar., Corradini B; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Corsini A; FC Internazionale, Milano, Italy., D'Agostino C; Istituto Clinico Humanitas, Milano, Italy., De Donato M; Istituto Clinico Humanitas, Milano, Italy., Delle Rose G; Istituto Clinico Humanitas, Milano, Italy., Di Marzo F; Ospedale Unico della Versilia, Asl Nordovest, Lido di Camaiore, Italy., Di Pietto F; AORNA Cardarelli, Napoli, Italy., Enrica D; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Eirale C; Qatar Orthopaedic and Sport Medicine Hospital, Doha, Qatar., Febbrari L; Università Cattolica, Milano, Italy., Ferrua P; Istituto Ortopedico Gaetano Pini, Milano, Italy., Foglia A; Studio Riabilita, Civitanova Marche, Italy., Galbiati A; FC Internazionale, Milano, Italy., Gheza A; Feralpisaló, Salò, Italy., Giammattei C; Azienda USL Toscana Nord Ovest, Lucca, Italy., Masia F; Istituto Clinico Humanitas, Milano, Italy., Melegati G; Istituto Ortopedico Galeazzi AC Milan, Milan, Italy., Moretti B; Azienda Ospedaliero-Universitaria 'Policlinico', Bari, Italy., Moretti L; Azienda Ospedaliero-Universitaria 'Policlinico', Bari, Italy., Niccolai R; FC Internazionale, Milano, Italy., Orgiani A; Istituto Clinico Humanitas, Milano, Italy., Orizio C; Università di Brescia, Brescia, Italy., Pantalone A; Università di Chieti, Pescara, Italy., Parra F; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Patroni P; Centro Kinetic, Bergamo, Italy., Pereira Ruiz MT; Clinica Montallegro, Genova, Italy., Perri M; Centro Sanitario, Livorno, Italy., Petrillo S; Università Campus Biomedico, Roma, Italy., Pulici L; Istituto Ortopedico Gaetano Pini, Milano, Italy., Quaglia A; Istituto Clinico Humanitas, Milano, Italy., Ricciotti L; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Rosa F; Istituto Clinico Humanitas, Milano, Italy., Sasso N; Federazione Monegasca di Sci, Monaco, Monaco., Sprenger C; FC Internazionale, Milano, Italy., Tarantola C; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Tenconi FG; Studio FKT Tenconi, Genova, Italy., Tosi F; Centro Studi Kinemove Rehabilitation Centers, Pontremoli, Italy., Trainini M; Università di Brescia, Brescia, Italy., Tucciarone A; Istituto 'Marco Pasquali'-ICOT, Latina, Italy., Yekdah A; FAF Jenia Centre Med Sport, Algeri, Algeria., Vuckovic Z; Qatar Orthopaedic and Sport Medicine Hospital, Doha, Qatar., Zini R; Maria Cecilia Hospital, Cotignola, Italy., Chamari K; Qatar Orthopaedic and Sport Medicine Hospital, Doha, Qatar.
Jazyk:	angličtina
Zdroj:	BMJ open sport & exercise medicine [BMJ Open Sport Exerc Med] 2018 May 24; Vol. 4 (1), pp. e000323. Date of Electronic Publication: 2018 May 24 (Print Publication: 2018).
DOI:	10.1136/bmjsem-2017-000323
Abstrakt:	Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinical assessment and (4) conservative treatment of lower limb muscle injuries (MI) in athletes. Seventy international experts with different medical backgrounds participated in the consensus conference. They discussed and approved a consensus composed of four sections which are presented in these documents. This paper represents a synthesis of the consensus conference, the following four sections are discussed: (i) The biology and aetiology of MIs. A definition of MI was formulated and some key points concerning physiology and pathogenesis of MIs were discussed. (ii) The MI classification. A classification of MIs was proposed. (iii) The MI clinical assessment, in which were discussed anamnesis, inspection and clinical examination and are provided the relative guidelines. (iv) The MI conservative treatment, in which are provided the guidelines for conservative treatment based on the severity of the lesion. Furthermore, instrumental therapy and pharmacological treatment were discussed. Knowledge of the aetiology and biology of MIs is an essential prerequisite in order to plan and conduct a rehabilitation plan. Another important aspect is the use of a rational MI classification on prognostic values. We propose a classification based on radiological investigations performed by ultrasonography and MRI strongly linked to prognostic factors. Furthermore, the consensus conference results will able to provide fundamental guidelines for diagnostic and rehabilitation practice, also considering instrumental therapy and pharmacological treatment of MI. Expert opinion, level IV. Competing Interests: Competing interests: None declared.
Databáze:	MEDLINE
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