Evidence map›Paper›PMID 20118524›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2010

Hamstring strain injuries: recommendations for diagnosis, rehabilitation, and injury prevention.

Bryan C Heiderscheit, Marc A Sherry, Amy Silder, Elizabeth S Chumanov, Darryl G Thelen

Open access · greenAbstract read
In one paragraph

Article in The Journal of orthopaedic and sports physical therapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 143 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 11 pooled it
19.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

143 citing papers in PubMed, 11 syntheses or guidelines pooled it, 526 citations in OpenAlex.

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  15. Does platelet-rich plasma decrease time to return to sports in acute muscle tear? A randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
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  18. Review
  19. Epidemiology, Work-Up, and Management of Common Track and Field Injuries.Current reviews in musculoskeletal medicine · 2026
    Review
  20. Article

83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Bryan C HeiderscheitUniversity of Wisconsin School of Medicine and Public Health, Department of Orthopedics and Rehabilitation, Madison, WI 53706-1532, USA. heiderscheit@ortho.wisc.edu
Marc A Sherry
Amy Silder
Elizabeth S Chumanov
Darryl G Thelen
University of Wisconsin–Madison · US

Funding

INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
Institutional Clinical and Translational Science Award (UW-Madison)KL2RR025012 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$11.1M
Biocomputation of the Links Between Muscle Morphology, Coordination and InjuryR01AR056201 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI BLEMKER, SILVIA SALINAS, THELEN, DARRYL G · 2007 to 2010
$1.3M
NCRR NIH HHS KL2 RR025012NCRR NIH HHS RR 250121NCRR NIH HHS UL1 RR025011NIAMS NIH HHS AR 56201NIAMS NIH HHS R01 AR056201
6 · The paper itself

Abstract

unlabelledHamstring strain injuries remain a challenge for both athletes and clinicians, given their high incidence rate, slow healing, and persistent symptoms. Moreover, nearly one third of these injuries recur within the first year following a return to sport, with subsequent injuries often being more severe than the original. This high reinjury rate suggests that commonly utilized rehabilitation programs may be inadequate at resolving possible muscular weakness, reduced tissue extensibility, and/or altered movement patterns associated with the injury. Further, the traditional criteria used to determine the readiness of the athlete to return to sport may be insensitive to these persistent deficits, resulting in a premature return. There is mounting evidence that the risk of reinjury can be minimized by utilizing rehabilitation strategies that incorporate neuromuscular control exercises and eccentric strength training, combined with objective measures to assess musculotendon recovery and readiness to return to sport. In this paper, we first describe the diagnostic examination of an acute hamstring strain injury, including discussion of the value of determining injury location in estimating the duration of the convalescent period. Based on the current available evidence, we then propose a clinical guide for the rehabilitation of acute hamstring injuries, including specific criteria for treatment progression and return to sport. Finally, we describe directions for future research, including injury-specific rehabilitation programs, objective measures to assess reinjury risk, and strategies to prevent injury occurrence. LEVEL OF EVIDENCE: Diagnosis/therapy/prevention, level 5.

Indexed as

Athletic InjuriesBiomechanical PhenomenaDiagnosis, DifferentialHumansLeg InjuriesMuscle, SkeletalRange of Motion, ArticularRecovery of FunctionSecondary PreventionSprains and Strains

Identifiers

PMID20118524
PMCPMC2867336
OpenAlexW1990077870

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.