Document Detail


Therapeutic interventions for acute hamstring injuries: a systematic review.
MedLine Citation:
PMID:  22039218     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BackgroundDespite the high rate of hamstring injuries, there is no consensus on their management, with a large number of different interventions being used. Recently several new injection therapies have been introduced.ObjectiveTo systematically review the literature on the effectiveness of therapeutic interventions for acute hamstring injuries.Data sourcesThe databases of PubMed, EMBASE, Web of Science, Cochrane Library, CINAHL and SPORTDiscus were searched in May 2011.Study eligibility criteriaProspective studies comparing the effect of an intervention with another intervention or a control group without intervention in subjects with acute hamstring injuries were included.Data analysisTwo authors independently screened the search results and assessed risk of bias. Quality assessment of the included studies was performed using the Physiotherapy Evidence Database score. A best evidence synthesis was used to identify the level of evidence.Main resultsSix studies were included in this systematic review. There is limited evidence for a positive effect of stretching, agility and trunk stability exercises, intramuscular actovegin injections or slump stretching in the management of acute hamstring injuries. Limited evidence was found that there is no effect of non-steroidal anti-inflammatory drugs or manipulation of the sacroiliac joint.ConclusionsThere is a lack of high quality studies on the treatment of acute hamstring injuries. Only limited evidence was found to support the use of stretching, agility and trunk stability exercises, intramuscular actovegin injections or slump stretching. Further research is needed using an appropriate control group, randomisation and blinding.
Authors:
Gustaaf Reurink; Gert Jan Goudswaard; Johannes L Tol; Jan A N Verhaar; Adam Weir; Maarten H Moen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-28
Journal Detail:
Title:  British journal of sports medicine     Volume:  -     ISSN:  1473-0480     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0432520     Medline TA:  Br J Sports Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopaedics, Erasmus University Medical Centre, Rotterdam, The Netherlands.
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