patient report outcome hamstring

Patient-reported outcome measures (PROMs) or clinical outcome measures (COMs) for proximal hamstring injuries, such as patient satisfaction surveys and isokinetic hamstring strength testing, are frequently used to evaluate outcomes after operative management of these injuries.

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What are Patient-Reported Outcome Measures for proximal hamstring injuries?

Patient-reported outcome measures (PROMs) or clinical outcome measures (COMs) for proximal hamstring injuries, such as patient satisfaction surveys and isokinetic hamstring strength testing, are frequently used to evaluate outcomes after operative management of these injuries.

What is the most important factor in a hamstring injury?

Hamstring strength is probably the most important factor in hamstring injury. There is disagreement in the research as to whether it is an imbalance between the strength of the quadriceps muscles at the front of the thigh compared to the hamstrings that matters most or just the strength of the hamstrings themselves.

What happens if you don’t use your hamstrings after surgery?

In severe cases, crutches or splinting may be necessary. In rare cases, where there is a complete rupture where the hamstrings join the pelvic bones at the top, surgery is necessary. Lack of use, particularly if splinting, results in muscle shrinkage and the formation of scar tissue where the tear is healing.

What is rehabilitation for a hamstring injury?

R stands for Rehabilitation which is a really important part of the treatment for a hamstring injury - to get you back to normal and reduce the chances of you having another hamstring injury. You may need to see a physiotherapist or sports therapist for advice about the exercises to do but there is an outline below.

What happens when you contract the hamstrings?

When the hamstrings contract concentrically, the muscle shortens, causing the leg to move back (hip extension) and the knee to bend (knee flexion). The hamstrings contract concentrically when the foot pushes off the ground in the gait cycle. This motion is called the take-off phase of a person's gait.

What types of movements are affected when the hamstrings are injured?

Hamstring muscle weakness. Inability to bend your knee, which may lead to walking with a stiff, straight leg. Popping sensation at the back of the thigh. Sudden, sharp pain in the back of your thigh.

What are the long term effects of a hamstring tear?

Hamstring injuries have been shown to result in permanent anatomical findings on MRI scans and in physical exams. High (proximal) hamstring injuries, if improperly managed, may eventually lead to a condition called chronic hamstring tendinopathy.

What is the functional assessment scale for acute hamstring injuries?

To guide further respective research, the FASH (Functional Assessment Scale for Acute Hamstring Injuries) questionnaire has recently been developed as a disease-specific and self-administered questionnaire to grade the severity of symptoms (pain and function) in patients with hamstring injuries (Table 1) [4].

How do you assess a hamstring injury?

During the physical exam, your doctor will check for swelling and points of tenderness along the back of your thigh. The location and intensity of your pain can help determine the extent and nature of the damage.

What phases of gait will be most affected due to hamstrings damage and why?

We, therefore, conclude that the collective biomechanical and clinical evidence overwhelmingly supports the premise that the hamstrings are most susceptible to injury in the late swing phase of the sprinting gait cycle.

Does a hamstring ever heal?

Recovering from a hamstring injury may take days, weeks or months, depending on how severe it is. A completely torn hamstring may take several months to heal and you'll be unable to resume training or play sport during this time.

Can you recover from a hamstring injury?

Mild to moderate (grade 1 or 2) tears or strains can heal within three to eight weeks with diligent home therapy. For a grade 3 hamstring tear or strain, recovery may be as long as three months. Returning to sports before the injury is fully healed can cause more severe injuries.

What happens if hamstring goes untreated?

If left untreated, hamstring strains are more likely to recur. This may put you at risk for developing an unstable or arthritic knee following repeated injuries. Untreated hamstring injuries may also lead to long-term inflammation in the tendon attachments to the pelvis and lower leg bones.

How many studies have been published on proximal hamstring avulsion?

In the published literature on proximal hamstring avulsions, only two studies (with a total 28 subjects) report the outcomes of non-surgically treated patients. 1 2 This is in contrast to the 767 surgically treated subjects included in the meta-analysis done by Bodendorfer et al. 3 As there are few studies with non-surgically treated patients with proximal hamstring avulsions, the evidence for the best method for treatment of this injury is not yet scientifically clear.

What is the objective of proximal hamstring avulsion?

Our objective was to compare subjective recovery after surgical and non-surgical treatment of proximal hamstring avulsions in a middle-aged cohort.

What is a single-centre retrospective cohort study?

It is one of the five major emergency hospitals in the Stockholm area, with a catchment area of approximately 500 000 inhabitants. The guidelines of the STRrengthening the Reporting of OBservational studies in Epidemiology statement were followed.

Do non surgical patients have follow up?

The patients who were non-surgically treated had no planned for any follow-up at the clinic. Most were referred to a physiotherapist using the same rehabilitation protocol as the surgically treated patients, which is well known in the Stockholm area.

What is a hamstring injury?

A hamstring injury is a strain (tear) to one or more of the three large muscles at the back of the thigh (or their tendons at the back of the knee or in the pelvis). Hamstring Injuries. In this article. What are the hamstrings?

How to prevent hamstring injury?

This is true both for preventing a first injury or a recurrence. A regular period of warming up your muscles before the intended athletic activity will reduce the risk.

What makes a hamstring injury more likely?

There are many factors that are thought to make a hamstring injury more likely. Some are factors that you can do something about, such as: Muscle strength - mainly weak hamstrings (see below). Warming up - muscles work best and are less likely to be injured when they are warm.

Why is hamstring strength important?

Hamstring strength is probably the most important factor in hamstring injury. There is disagreement in the research as to whether it is an imbalance between the strength of the quadriceps muscles at the front of the thigh compared to the hamstrings that matters most or just the strength of the hamstrings themselves. Either way, it is essential to spend time working on your hamstring strength in order to avoid injury. A highly trained sportsperson will tend to do this as part of their training but recreational footballers or runners, for example, may not realise that they need to as well.

What is Nordic hamstring?

Nordic hamstring exercises are exercises that have been specifically designed to target the hamstring muscle at the point where is is most likely to be injured. They have been shown to reduce the risk of a first hamstring injury by 65% and the risk of a recurrent injury by as much as 85%.

How long does it take to recover from a hamstring injury?

Recovering from a hamstring injury. Recovering from a hamstring injury may take from days to months, depending on how severe the strain or tear is. A grade III injury can take several months to heal; you'll be unable to resume your usual training or play sport during this time.

What does R stand for in hamstrings?

R stands for Rehabilitation which is a really important part of the treatment for a hamstring injury - to get you back to normal and reduce the chances of you having another hamstring injury. You may need to see a physiotherapist or sports therapist for advice about the exercises to do but there is an outline below.

How many studies have been published on proximal hamstring avulsion?

In the published literature on proximal hamstring avulsions, only two studies (with a total 28 subjects) report the outcomes of non-surgically treated patients.1 2 This is in contrast to the 767 surgically treated subjects included in the meta-analysis done by Boden-dorfer et al.3 As there are few studies with

What is the objective of proximal hamstring avulsion?

Our objective was to compare subjective recovery after surgical and non-surgical treatment of proximal hamstring avulsions in a middle-aged cohort.

What is a single-centre retrospective cohort study?

single-centre retrospective cohort study on patients treated from 2007 to 2013 at an academic university tertriary care centre. It is one of the five major emergency hospi-tals in the Stockholm area, with a catchment area of approximately 500 000 inhabitants. The guidelines of the STRrengthening the