Graduate Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil; Department of Science, Health and Performance, Grêmio Foot-Ball Porto Alegrense, Porto Alegre, RS, Brazil.
Master Program in Physical Therapy and Functioning, Federal University of Ceará, Fortaleza, CE, Brazil.
Phys Ther Sport. 2023 May;61:73-81. doi: 10.1016/j.ptsp.2023.03.001. Epub 2023 Mar 4.
To describe perceptions and practices of physical therapists from elite men's football clubs on the management of athletes with hamstring strain injury (HSI).
Cross-sectional study.
Online survey.
Physical therapists from clubs engaged in the two main divisions of Brazilian men's football.
Practices for assessment and rehabilitation of athletes with HSI.
This survey had 62 physical therapists from 35 of the 40 eligible clubs (87.5% representativeness). Despite heterogeneity on assessment practices, all respondents use imaging exams, adopt injury classification scales, and evaluate aspects related to pain, range of motion, muscle strength, and functional status of athletes with HSI. Rehabilitation programs are usually divided into 3 to 4 phases. All respondents usually apply electrophysical agents and stretching in HSI rehabilitation programs, 98.4% apply strengthening exercises (93.5% include eccentrics), 96.8% manual therapy, 95.2% exercises that mimic the functional demands of football, and 93.5% lumbopelvic stabilization exercises. Muscle strength was the most reported return to play criterion (71% of respondents).
The present study allowed the sports physical therapy community to become aware of the approaches usually adopted for management of athletes with HSI who play in the highest level of Brazilian men's football.
描述精英男子足球俱乐部的物理治疗师对腘绳肌拉伤（HSI）运动员管理的看法和实践。
横断面研究。
在线调查。
来自参与巴西男子足球两个主要分区的俱乐部的物理治疗师。
评估和康复 HSI 运动员的实践。
这项调查有来自 40 个符合条件的俱乐部中的 35 个俱乐部的 62 名物理治疗师（87.5%的代表性）。尽管评估实践存在异质性，但所有受访者都使用影像学检查、采用损伤分类量表，并评估 HSI 运动员的疼痛、运动范围、肌肉力量和功能状态等方面。康复计划通常分为 3 到 4 个阶段。所有受访者通常在 HSI 康复计划中应用电物理因子和伸展运动，98.4%应用强化运动（93.5%包括离心运动），96.8%应用手法治疗，95.2%应用模拟足球功能需求的运动，93.5%应用腰骶部稳定运动。肌肉力量是报告最多的重返赛场标准（71%的受访者）。
本研究使运动物理治疗师群体了解了在巴西男子足球最高水平中管理 HSI 运动员的常用方法。
