Return to Sport, Reinjury Rate, and Tissue Changes after Muscle Strain Injury: A Narrative Review.

Autor: Wulff MW; Institute of Sports Medicine Copenhagen Department of Orthopedic Surgery M Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.; Center for Healthy Aging Department of Clinical Medicine Faculty of Health and Medical Sciences University of Copenhagen, Copenhagen, Denmark., Mackey AL; Institute of Sports Medicine Copenhagen Department of Orthopedic Surgery M Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.; Center for Healthy Aging Department of Clinical Medicine Faculty of Health and Medical Sciences University of Copenhagen, Copenhagen, Denmark., Kjær M; Institute of Sports Medicine Copenhagen Department of Orthopedic Surgery M Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.; Center for Healthy Aging Department of Clinical Medicine Faculty of Health and Medical Sciences University of Copenhagen, Copenhagen, Denmark., Bayer ML; Institute of Sports Medicine Copenhagen Department of Orthopedic Surgery M Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.; Center for Healthy Aging Department of Clinical Medicine Faculty of Health and Medical Sciences University of Copenhagen, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: Translational sports medicine [Transl Sports Med] 2024 Sep 04; Vol. 2024, pp. 2336376. Date of Electronic Publication: 2024 Sep 04 (Print Publication: 2024).
DOI: 10.1155/2024/2336376
Abstrakt: A major challenge in sports medicine is to facilitate the fastest possible recovery from injury without increasing the risk of subsequent reruptures, and thus effective rehabilitation programs should balance between these two factors. The present review focuses on examining the role of different resistance training interventions in rehabilitation of acute muscle strain in the time frame from injury until return to sport (RTS), the rate of reinjuries, and tissue changes after injury. Randomized, controlled trials dealing with a component of resistance training in their rehabilitation protocols, as well as observational studies on tissue morphology and tissue changes as a result to muscle strain injuries, were included. The mean time for RTS varied from 15 to 86 days between studies ( n  = 8), and the mean rate of reinjury spanned from 0 to 70%. Eccentric resistance training at long muscle length and rapid introduction to rehabilitation postinjury led to significant improvement regarding RTS, and core-stabilizing exercises as well as implementing an individualized algorithm for rehabilitation seem to reduce the risk of reinjury in studies with a high rerupture rate. Independent of the rehabilitation program, structural changes appear to persist for a long time, if not permanently, after a strain injury.
Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article.
(Copyright © 2024 Mette W. Wulff et al.)
Databáze: MEDLINE
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