Return to play after treating acute muscle injuries in elite football players with radial extracorporeal shock wave therapy

To compare lay-off times achieved by treating acute muscle injuries in elite football players with a multimodal therapy approach that includes a specific protocol of almost daily radial extracorporeal shock wave therapy (rESWT) with corresponding data reported in the literature. We performed a retro...

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Bibliographic Details
Published in:	Journal of orthopaedic surgery and research Vol. 16; no. 1; p. 708
Main Authors:	Morgan, James P M, Hamm, Mario, Schmitz, Christoph, Brem, Matthias H
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 07-12-2021 BioMed Central BMC
Subjects:	Acute muscle injury Athletes Athletic Injuries - therapy Contraindications Contusions Cryotherapy Extracorporeal shock wave therapy Extracorporeal Shockwave Therapy Football Football players Football teams Humans Injuries Lithotripsy Manipulative therapy Muscles - injuries Orthopedics Pain Physical therapy Rehabilitation Retrospective Studies Return to Sport Return-to-play Rupture Seasons Shock waves Sports injuries Ultrasonic imaging Weightlifting Extracorporeal shock wave therapy Acute muscle injury Rehabilitation Return-to-play Athletes
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Summary:	To compare lay-off times achieved by treating acute muscle injuries in elite football players with a multimodal therapy approach that includes a specific protocol of almost daily radial extracorporeal shock wave therapy (rESWT) with corresponding data reported in the literature. We performed a retrospective analysis of treatments and recovery times of muscle injuries suffered by the players of an elite football team competing in the first/second German Bundesliga during one of the previous seasons. A total of 20 acute muscle injuries were diagnosed and treated in the aforementioned season, of which eight (40%) were diagnosed as Type 1a/muscular tightness injuries, five (25%) as Type 2b/muscle strain injuries, four (20%) as Type 3a/partial muscle tear injuries and three (15%) as contusions. All injuries were treated with the previously mentioned multimodal therapy approach. Compared with data reported by Ekstrand et al. (Br J Sports Med 47:769-774, 2013), lay-off times (median/mean) were shortened by 54% and 58%, respectively, in the case of Type 1a injuries, by 50% and 55%, respectively, in the case of Type 2b injuries as well as by 8% and 21%, respectively, in the case of Type 3a injuries. No adverse reactions were observed. Overall, the multimodal therapy approach investigated in this study is a safe and effective treatment approach for treating Type 1a and 2b acute muscle injuries amongst elite football players and may help to prevent more severe, structural muscle injuries.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1749-799X 1749-799X
DOI:	10.1186/s13018-021-02853-0