Brukner Peter, Nealon Andrew, Morgan Christopher, Burgess Darren, Dunn Andrew
Departmernt of Sports Medicine and Sports Science, Liverpool Football Club, , Liverpool, UK.
Br J Sports Med. 2014 Jun;48(11):929-38. doi: 10.1136/bjsports-2012-091400. Epub 2013 Jan 15.
Recurrent hamstring injuries are a major problem in sports such as football. The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent hamstring injuries and examine the evidence for each intervention. A professional footballer sustained five hamstring injuries in a relatively short period of time. The injury was managed successfully with a seven-point programme-biomechanical assessment and correction, neurodynamics, core stability, eccentric strengthening, an overload running programme, injection therapies and stretching/relaxation. The evidence for each of these treatment options is reviewed. It is impossible to be definite about which aspects of the programme contributed to a successful outcome. Only limited evidence is available in most cases; therefore, decisions regarding the use of different treatment modalities must be made by using a combination of clinical experience and research evidence.
反复性腘绳肌损伤是足球等运动中的一个主要问题。本文旨在通过一个临床实例来描述复发性腘绳肌损伤的治疗策略，并审视每种干预措施的证据。一名职业足球运动员在相对较短的时间内五次腘绳肌受伤。通过一个七点方案成功治疗了该损伤，该方案包括生物力学评估与矫正、神经动力学、核心稳定性、离心强化、超负荷跑步方案、注射疗法以及拉伸/放松。对这些治疗选择中的每一项的证据进行了综述。无法确定该方案的哪些方面促成了成功的结果。在大多数情况下仅有有限的证据；因此，关于使用不同治疗方式的决策必须结合临床经验和研究证据来做出。
