Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport – grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF): a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)
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| Title: | Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport – grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF): a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF) |
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| Authors: | Lasse Ishøi, Kasper Krommes, Rasmus Skov Husted, Carsten B Juhl, Kristian Thorborg |
| Source: | Br J Sports Med Ishøi, L, Krommes, K, Husted, R S, Juhl, C B & Thorborg, K 2020, ' Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport-grading the evidence : a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF) ', British Journal of Sports Medicine, vol. 54, no. 9, pp. 528-537 . https://doi.org/10.1136/bjsports-2019-101228 |
| Publisher Information: | BMJ, 2020. |
| Publication Year: | 2020 |
| Subject Terms: | Athletic Injuries/diagnosis, treatment, diagnosis, Platelet-Rich Plasma, review, Review, Lower Extremity/injuries, Exercise Therapy, Return to Sport, 03 medical and health sciences, 0302 clinical medicine, Skeletal/injuries, prevention, Lower Extremity, Recurrence, Athletic Injuries, Muscle, muscle injury, Humans, Muscle, Skeletal/injuries, Muscle, Skeletal |
| Description: | This statement summarises and appraises the evidence on diagnosis, prevention and treatment of the most common lower extremity muscle injuries in sport. We systematically searched electronic databases, and included studies based on the highest available evidence. Subsequently, we evaluated the quality of evidence using the Grading of Recommendations Assessment, Development and Evaluation framework, grading the quality of evidence from high to very low. Most clinical tests showed very low to low diagnostic effectiveness. For hamstring injury prevention, programmes that included the Nordic hamstring exercise resulted in a hamstring injury risk reduction when compared with usual care (medium to large effect size; moderate to high quality of evidence). For prevention of groin injuries, both the FIFA 11+programme and the Copenhagen adductor strengthening programme resulted in a groin injury risk reduction compared with usual care (medium effect size; low to moderate quality of evidence). For the treatment of hamstring injuries, lengthening hamstring exercises showed the fastest return to play with a lower reinjury rate compared with conventional hamstring exercises (large effect size; very low to low quality of evidence). Platelet-rich plasma had no effect on time to return-to-play and reinjury risk (trivial effect size; moderate quality of evidence) after a hamstring injury compared with placebo or rehabilitation. At this point, most outcomes for diagnosis, prevention and treatment were graded as very low to moderate quality of evidence, indicating that further high-quality research is likely to have an important impact on the confidence in the effect estimates. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf; application/octet-stream |
| Language: | English |
| ISSN: | 1473-0480 0306-3674 |
| DOI: | 10.1136/bjsports-2019-101228 |
| Access URL: | https://bjsm.bmj.com/content/bjsports/54/9/528.full.pdf https://pubmed.ncbi.nlm.nih.gov/31937579 https://europepmc.org/article/MED/31937579 https://pubmed.ncbi.nlm.nih.gov/31937579/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212929 https://bjsm.bmj.com/content/early/2020/04/07/bjsports-2020-102119 https://bjsm.bmj.com/content/54/9/528 https://www.ncbi.nlm.nih.gov/pubmed/31937579 https://curis.ku.dk/ws/files/251789893/528.full.pdf https://portal.findresearcher.sdu.dk/da/publications/3f24c4cb-f18f-408a-8bf8-01d070076e50 https://doi.org/10.1136/bjsports-2019-101228 https://findresearcher.sdu.dk:8443/ws/files/169363827/Open_Access_version |
| Rights: | CC BY NC URL: http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
| Accession Number: | edsair.doi.dedup.....a7cfe6d035580e9c13f4f34394d6e657 |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | This statement summarises and appraises the evidence on diagnosis, prevention and treatment of the most common lower extremity muscle injuries in sport. We systematically searched electronic databases, and included studies based on the highest available evidence. Subsequently, we evaluated the quality of evidence using the Grading of Recommendations Assessment, Development and Evaluation framework, grading the quality of evidence from high to very low. Most clinical tests showed very low to low diagnostic effectiveness. For hamstring injury prevention, programmes that included the Nordic hamstring exercise resulted in a hamstring injury risk reduction when compared with usual care (medium to large effect size; moderate to high quality of evidence). For prevention of groin injuries, both the FIFA 11+programme and the Copenhagen adductor strengthening programme resulted in a groin injury risk reduction compared with usual care (medium effect size; low to moderate quality of evidence). For the treatment of hamstring injuries, lengthening hamstring exercises showed the fastest return to play with a lower reinjury rate compared with conventional hamstring exercises (large effect size; very low to low quality of evidence). Platelet-rich plasma had no effect on time to return-to-play and reinjury risk (trivial effect size; moderate quality of evidence) after a hamstring injury compared with placebo or rehabilitation. At this point, most outcomes for diagnosis, prevention and treatment were graded as very low to moderate quality of evidence, indicating that further high-quality research is likely to have an important impact on the confidence in the effect estimates. |
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| ISSN: | 14730480 03063674 |
| DOI: | 10.1136/bjsports-2019-101228 |