Tsur Atzmon
Rehabilitation Department Galilee Medical Center, Nahariya Faculty of Medicine, Bar-Ilan University, Safed.
Harefuah. 2018 Jun;157(6):388-391.
Acute hamstring strain injuries are common in sports that involve sprinting, kicking, jumping or high-speed skilled movements. Despite increased knowledge of hamstring muscle injuries, the incidence has not diminished. It is generally believed that they happen during the terminal swing phase of the gait cycle. Most hamstring injuries occur along the proximal musculo-tendon junction, where the muscle fibrils intersect with the tendon, but may occur anywhere between the origin and the insertion. A number of potential risk factors have been proposed for hamstring strain, among them fatigue, lack of flexibility, imbalance of muscular strength with a low hamstring to quadriceps ratio, and insufficient warm-up. Certain types of hamstring injuries are more likely to require prolonged rehabilitation and delayed return to play. An emphasis on neuro-muscular control and eccentric strengthening of the involved muscles is suggested for the successful return to sport after injury.
急性腘绳肌拉伤在涉及短跑、踢腿、跳跃或高速技巧性动作的体育运动中很常见。尽管对腘绳肌损伤的了解有所增加,但发病率并未降低。人们普遍认为,它们发生在步态周期的摆动末期。大多数腘绳肌损伤发生在近端肌肉-肌腱交界处,即肌纤维与肌腱相交的部位,但也可能发生在起点和止点之间的任何位置。对于腘绳肌拉伤,已经提出了一些潜在的风险因素,其中包括疲劳、缺乏柔韧性、肌肉力量不平衡(腘绳肌与股四头肌比例低)以及热身不足。某些类型的腘绳肌损伤更有可能需要长期康复和推迟重返赛场。建议在受伤后成功重返运动时,着重进行神经肌肉控制和对受累肌肉的离心强化训练。