Department of Kinesiology, College of Health and Human Performance, East Carolina University, Greenville, NC, United States of America.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Amasya University, Amasya, Republic of Türkiye.
PLoS One. 2024 Feb 26;19(2):e0298146. doi: 10.1371/journal.pone.0298146. eCollection 2024.
INTRODUCTION: Hamstring strain injuries (HSI) and re-injuries are endemic in high-speed running sports. The biceps femoris long head (BFlh) is the most frequently injured muscle among the hamstrings. Structural parameters of the hamstring muscle are stated to be susceptible to strain injuries at this location. This retrospective study targeted comparing the BFlh's structural parameters between previously injured and uninjured athletes. METHODS: Nineteen male athletes with previous BFlh strain injury history and nineteen athletes without former lower extremity injury history were included in this study. Fascicle length, mid-muscle belly and distal musculotendinous (MTJ) passive stiffnesses of the biceps femoris long head (BFlh) were examined via b-mode panoramic ultrasound scanning and ultrasound-based shear-wave elastography. Parameter comparisons of both legs within and between athletes with and without injury history were performed. RESULTS: Comparison of the BFlh fascicle length between the injured leg of the injured group and the legs of the controls revealed a trend to shorter fascicle lengths in the injured leg (p = 0.067, d = -0.62). However, the mid-muscle belly passive stiffness of the BFlh was significantly higher in the injured legs (p = 0.009, d = 0.7) compared with the controls. Additionally, the distal MTJ stiffness was much higher in the previously injured legs compared with controls (p < 0.001, d = 1.6). CONCLUSIONS: Outcomes support the importance of BFlh properties related to stiffness, and fascicle length for injury susceptibility in athletes. Future prospective studies should determine whether the higher stiffness in the injured athletes is a cause or consequence of the HSI. Physical therapy and rehabilitation programmes after HSI should focus on BFlh muscle properties i.e., elasticity and fascicle length for reducing re-injury and increasing sports performance.
引言:腘绳肌拉伤(HSI)和再受伤在高速奔跑的运动中很常见。股二头肌长头(BFlh)是腘绳肌中最常受伤的肌肉。有研究表明,该部位的腘绳肌结构参数容易发生拉伤。本回顾性研究旨在比较既往有 BFlh 拉伤史和无下肢既往损伤史运动员的 BFlh 结构参数。 方法:本研究纳入 19 名有 BFlh 既往拉伤史的男性运动员和 19 名无下肢既往损伤史的运动员。采用 B 型超声全景扫描和基于超声的剪切波弹性成像技术检测股二头肌长头(BFlh)的肌束长度、中部肌腹和远端肌肌腱结合部(MTJ)被动刚度。对有和无损伤史运动员的双腿进行了内部和内部参数比较。 结果:比较受伤组受伤侧 BFlh 肌束长度与对照组,受伤侧肌束长度有缩短趋势(p = 0.067,d = -0.62)。然而,受伤侧 BFlh 中部肌腹被动刚度明显高于对照组(p = 0.009,d = 0.7)。此外,与对照组相比,既往受伤侧的远端 MTJ 刚度明显更高(p < 0.001,d = 1.6)。 结论:研究结果支持 BFlh 与僵硬和肌束长度相关的特性对运动员易受伤性的重要性。未来的前瞻性研究应确定受伤运动员较高的刚度是 HSI 的原因还是结果。HSI 后的物理治疗和康复方案应侧重于 BFlh 肌肉特性,即弹性和肌束长度,以降低再受伤风险和提高运动表现。
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