Download - Hamstring Strain PE 709 Advanced Care and Prevention Of Athletic Injuries Diane Stankevitz
What is a hamstring strain?
A stretch, tear, or rip in the muscle or adjacent tissue of the biceps femoris, semitendinosus, and/or semimembranosus.
Movement of the Hamstrings
The semimembranosus and semitendinosus performs hip extension, knee flexion and hip internal rotation.
The biceps femoris performs hip extension, knee flexion and hip external rotation.
How did the injury occur?
Running very quickly after the ball causing extreme hip flexion and knee extension.
HistoryMichael AllenApproximately 30 years of ageMidfielderInjury occurred 11/11/2010 at 4:00 PM during a game in
the stadium on a cool night on a grass surfaceMechanism of injury: Excessive Hip Flexion and Knee
ExtensionThere was no pre-existing conditionPain was dull to achy and was superficial with a pain of a 7
out of 10.Pain was constant with no radiating pain.Athlete appeared hydrated and in excellent physical
condition.Athlete is not currently taking any medications
Observations
Swelling has appeared on the middle third of the medial side of the right hamstring.
Athlete has difficulty walking.Noticeable limp.
Palpations
There is point tenderness, as well as a palpable defect on the middle third of the medial side of the right hamstring.
Sensory nerves (dermatomes) are intact.
Special Tests
Athlete has pain and limited range of motion on hip extension and knee flexion.
Muscle grade is a 3 of 5. Resistance was removed for contraction.
Suspected Condition
Athlete appears to have a 2nd degree muscle strain of the semimembranosus and/or semitendinosus of the hamstring group of the right thigh.
RehabilitationWeek 1 - Days 1 through 7:Must rest, ice, compress, and elevate.Include muscle stimulation on a
normal, continuous, biphasic setting for 20 minutes with an intensity high enough for a contraction and low enough to be comfortable to control pain and inflammation.
Rehabilitation
Week 2 - Days 1 through 7:Hot pack for 15 minutes10 minutes at a comfortable
pace on the bicycleBegin Stretching Exercises.
Rehabilitation
Stretching Exercises include:5 sets of 30 seconds with a 30
second rest of the following:
Rehabilitation
Week 3 - Days 1 through 7:Hot pack for 15 minutes10 minutes at a comfortable
pace on the bicycleContinues Stretching Exercises.
Rehabilitation
Week 4 - Days 1 through 7:Continue with:Hot pack 15 minutesBicycle for 10 minutesStretchesRange of motion exercises
Rehabilitation
Add Strengthening Exercises:3 sets of 15 with a moderate
weight:LungesSquatsLeg Curls
Rehabilitation
Week 5 - Days 1 through 7:Continue with:Hot pack 15 minutesBicycle for 10 minutesStretchesRange of motion exercisesStrengthening exercises
Rehabilitation
Add sports specific skills:Kicking a soccer ballSoccer foot skillsSprinting on the soccer field