Evidence map›Paper›PMID 24493666›Full record

Trial reportBritish journal of sports medicine2014

At return to play following hamstring injury the majority of professional football players have residual isokinetic deficits.

Johannes L Tol, Bruce Hamilton, Cristiano Eirale, Patrice Muxart, Philipp Jacobsen, Rod Whiteley

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02104258 (Rehabilitation of Acute Hamstring Injuries in Male Athletes), which is not on this map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT02104258 nacompletednot on this map

Rehabilitation of Acute Hamstring Injuries in Male Athletes: A Prospective Single-site Randomized Controlled Clinical Trial Comparing Two Rehabilitation Protocols With Different Emphasis on Eccentric Exercises

TypeinterventionalSponsorAspetarRan2014 to 2020Enrolled90ConditionsStrainsArmsPhysiotherapy ASPETAR, Physiotherapy ASPETAR+
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Trial
  6. Article
  7. Return to performance criteria in soccer after musculoskeletal injury: A scoping review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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  14. Review
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  18. Hamstring Strain Injury Rehabilitation.Journal of athletic training · 2022
    Review
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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

6 authors.

Johannes L TolAspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Bruce HamiltonHigh Performance Sport New Zealand/NZ Olympic Committee, Sports Research Institute New Zealand (SPRINZ), Auckland, New Zealand.
Cristiano EiraleAspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Patrice MuxartAspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Philipp JacobsenAspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Rod WhiteleyAspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an ongoing debate regarding the optimal criteria for return to sport after an acute hamstring injury. Less than 10% isokinetic strength deficit is generally recommended but this has never been documented in professional football players after rehabilitation. Our aim was to evaluate isokinetic measurements in MRI-positive hamstring injuries.

methodsIsokinetic measurements of professional football players were obtained after completing a standardised rehabilitation programme. An isokinetic strength deficit of more than 10% compared with the contralateral site was considered abnormal. Reinjuries within 2 months were recorded.

results52 players had a complete set of isokinetic testing before clinical discharge. There were 27 (52%) grade 1 and 25 (48%) grade 2 injuries. 35 of 52 players (67%) had at least one of the three hamstring-related isokinetic parameters that display a deficit of more than 10%. The percentage of players with 10% deficit for hamstring concentric 60°/s, 300°/s and hamstring eccentric was respectively 39%, 29% and 28%. There was no significant difference of mean isokinetic peak torques and 10% isokinetic deficits in players without reinjury (N=46) compared with players with reinjury (N=6).

conclusionsWhen compared with the uninjured leg, 67% of the clinically recovered hamstring injuries showed at least one hamstring isokinetic testing deficit of more than 10%. Normalisation of isokinetic strength seems not to be a necessary result of the successful completion of a football-specific rehabilitation programme. The possible association between isokinetic strength deficit and increased reinjury risk remains unknown.

Indexed as

AdolescentAdultBiomechanical PhenomenaDouble-Blind MethodHumansMagnetic Resonance ImagingMaleMuscle, SkeletalMuscle StrengthPhysical Therapy ModalitiesRecovery of FunctionSoccerTendon InjuriesTorqueYoung AdultHamstring injuriesIsokineticsSoccer

Identifiers

PMID24493666
PMCPMC4174121

What OpenQuestion holds

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Registered trials

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.