Manduca Mary Lynn, Straub Stephen J
J Sport Rehabil. 2018 Sep 1;27(5):480-484. doi: 10.1123/jsr.2016-0066. Epub 2018 Jul 19.
Clinical Scenario: Hamstring strains are common athletic injuries, with a high-recurrence rate (34%). Recently, platelet-rich plasma (PRP) injections have gained popularity as a potential treatment option to accelerate healing of hamstring injury. Focused Clinical Question: Does the combination of PRP injection and rehabilitation decrease recovery time of acute hamstring injury as compared to rehabilitation alone in college athletes? Summary of Key Findings: A literature search resulted in 3 randomized controlled trials. One study showed benefits in various outcome measures with PRP, compared to rehabilitation alone, while 2 showed no benefits. One study reported improved pain, ultrasonography regenerative indications, and recovery time with PRP injection following acute hamstring injury; however, larger studies have shown no benefits. The literature demonstrates conflicting evidence regarding benefits of PRP injections in hamstring injuries. Clinical Bottom Line: At this time, PRP injections cannot be recommended as having value for hamstring injuries, compared to rehabilitation alone. Strength of Recommendation: Due to inconsistent or limited quality patient-oriented evidence in existing literature, the strength of this recommendation is grade B, based on the strength of recommendation taxonomy.
腘绳肌拉伤是常见的运动损伤,复发率很高(34%)。最近,富血小板血浆(PRP)注射作为一种潜在的治疗选择,已被广泛应用于加速腘绳肌损伤的愈合。重点临床问题:与单纯康复治疗相比,PRP注射联合康复治疗能否缩短大学生运动员急性腘绳肌损伤的恢复时间?主要研究结果总结:文献检索得到3项随机对照试验。一项研究表明,与单纯康复治疗相比,PRP在各种结局指标上均有优势,而另外两项研究则未显示出优势。一项研究报告称,急性腘绳肌损伤后注射PRP可改善疼痛、超声再生指标和恢复时间;然而,更大规模的研究并未显示出优势。文献表明,关于PRP注射对腘绳肌损伤的益处存在相互矛盾的证据。临床结论:目前,与单纯康复治疗相比,不建议将PRP注射用于腘绳肌损伤。推荐强度:由于现有文献中以患者为导向的证据质量不一致或有限,根据推荐强度分类法,本推荐的强度为B级。