BACKGROUND: Hamstring muscle injuries are one of the main causes of absence from sport, with a high risk of recurrence and variable recovery times. The biomechanical complexity of the hamstrings, which are biarticular muscles subjected to high eccentric loads, makes the rehabilitation process particularly delicate. OBJECTIVE: The aim of this study is to describe the practical application of a criterion-guided rehabilitation protocol, inspired by Massachusetts General Brigham Sports Medicine (2021), in a patient with a linear injury of approximately 1.3 cm in the middle-distal third of the biceps femoris, analyzing the clinical, functional, and instrumental evolution until the return to sports activity. MATERIALS AND METHODS: The study was conducted as a case report and involved a seven-week rehabilitation program at a private physiotherapy practice and an affiliated gym. The treatment, structured in progressive phases, included therapeutic strengthening exercises, neuromuscular control, and functional re-education, with periodic evaluations. RESULTS: The patient achieved complete recovery of mobility, strength, and motor control, with no pain. The follow-up ultrasound examination showed a scar indicative of complete structural healing. The return to sports took place without complications or recurrence. CONCLUSIONS: This case confirms the effectiveness of a criterion-guided and personalized rehabilitation approach in the management of muscle injuries. Progression based on functional parameters, combined with constant clinical and instrumental monitoring, allows for safe healing and a return to sport within a timeframe consistent with the literature (4–8 weeks), reducing the risk of recurrence and promoting complete and stable recovery.
BACKGROUND: Le lesioni muscolari degli ischiocrurali rappresentano una delle principali cause di assenza sportiva, con elevato rischio di recidiva e tempi di recupero variabili. La complessità biomeccanica dei muscoli posteriori della coscia, biarticolari e sottoposti a elevati carichi eccentrici, rende il processo riabilitativo particolarmente delicato. OBIETTIVO: Scopo del presente lavoro è descrivere l’applicazione pratica di un protocollo riabilitativo criterio-guidato, ispirato al Massachusetts General Brigham Sports Medicine (2021) in un paziente con lesione lineare di circa 1,3 cm al terzo medio-distale del bicipite femorale, analizzando l’evoluzione clinica, funzionale e strumentale fino al ritorno all’attività sportiva. MATERIALI E METODI: Lo studio è stato condotto come case report e ha previsto un percorso riabilitativo di sette settimane, presso uno studio fisioterapico privato e una palestra affiliata. Il trattamento, strutturato in fasi progressive, ha previsto esercizi terapeutici di rinforzo, controllo neuromuscolare e rieducazione funzionale, con valutazioni periodiche. RISULTATI: Il paziente ha ottenuto un recupero completo della mobilità, della forza e del controllo motorio e assenza di dolore. L’esame ecografico di controllo ha evidenziato una cicatrice indicativa di guarigione strutturale completa. Il ritorno allo sport è avvenuto senza complicanze né recidive. CONCLUSIONI: Il caso conferma l’efficacia di un approccio riabilitativo criterio-guidato e personalizzato nella gestione delle lesioni muscolari. La progressione basata su parametri funzionali, associata a un costante monitoraggio clinico e strumentale, consente una guarigione sicura e un ritorno allo sport in tempi compatibili con la letteratura (4–8 settimane), riducendo il rischio di recidiva e promuovendo un recupero completo e stabile.
APPLICAZIONE DI UN PROTOCOLLO CRITERIO-GUIDATO NELLA RIABILITAZIONE DI UNA LESIONE AGLI ISCHIOCRURALI: CASE REPORT
SATULLI, ANDREA
2024/2025
Abstract
BACKGROUND: Hamstring muscle injuries are one of the main causes of absence from sport, with a high risk of recurrence and variable recovery times. The biomechanical complexity of the hamstrings, which are biarticular muscles subjected to high eccentric loads, makes the rehabilitation process particularly delicate. OBJECTIVE: The aim of this study is to describe the practical application of a criterion-guided rehabilitation protocol, inspired by Massachusetts General Brigham Sports Medicine (2021), in a patient with a linear injury of approximately 1.3 cm in the middle-distal third of the biceps femoris, analyzing the clinical, functional, and instrumental evolution until the return to sports activity. MATERIALS AND METHODS: The study was conducted as a case report and involved a seven-week rehabilitation program at a private physiotherapy practice and an affiliated gym. The treatment, structured in progressive phases, included therapeutic strengthening exercises, neuromuscular control, and functional re-education, with periodic evaluations. RESULTS: The patient achieved complete recovery of mobility, strength, and motor control, with no pain. The follow-up ultrasound examination showed a scar indicative of complete structural healing. The return to sports took place without complications or recurrence. CONCLUSIONS: This case confirms the effectiveness of a criterion-guided and personalized rehabilitation approach in the management of muscle injuries. Progression based on functional parameters, combined with constant clinical and instrumental monitoring, allows for safe healing and a return to sport within a timeframe consistent with the literature (4–8 weeks), reducing the risk of recurrence and promoting complete and stable recovery.I documenti in UNITESI sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
https://hdl.handle.net/20.500.12075/23782