Scribd Logo
Upload

Welcome to Scribd!

  • 82 views

    Rehabilitation of Hamstring Strains: Phase I: Acute Phase

    Uploaded by

    ariyati
    This document outlines a 4 phase rehabilitation program for hamstring strains, including acute, subacute, dynamic, and sports specific phases focusing on reducing pain, improving flexibility and range of motion, strengthening the injured area, and gradually returning to sport participation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Rehabilitation of Hamstring Strains: Phase I: Acute Phase

    Uploaded by

    ariyati
    82 views3 pages
    This document outlines a 4 phase rehabilitation program for hamstring strains, including acute, subacute, dynamic, and sports specific phases focusing on reducing pain, improving flexibility and range of motion, strengthening the injured area, and gradually returning to sport participation.

    Original Description:

    ortho

    Original Title

    Hamstring Strain

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document outlines a 4 phase rehabilitation program for hamstring strains, including acute, subacute, dynamic, and sports specific phases focusing on reducing pain, improving flexibility and range of motion, strengthening the injured area, and gradually returning to sport participation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    82 views3 pages

    Rehabilitation of Hamstring Strains: Phase I: Acute Phase

    Uploaded by

    ariyati
    This document outlines a 4 phase rehabilitation program for hamstring strains, including acute, subacute, dynamic, and sports specific phases focusing on reducing pain, improving flexibility and range of motion, strengthening the injured area, and gradually returning to sport participation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Rehabilitation of Hamstring Strains

    PHASE I: ACUTE PHASE

    Goals: Diminish pain and inflammation


    Gradually improve flexibility and ROM
    Retard muscular atrophy and strength loss
    Enhance healing of muscular strain

    Immediately following injury:

    • Cryotherapy, compression wrap


    • High voltage stimulation to control swelling
    • Light massage when tolerable (day 2-3)
    • ROM exercises:

    -Seated active and passive knee extension


    -Gradually decrease hip flexion angle
    -Initiate hamstring stretch (gentle and gradual as tolerated)

    • Stretch hip flexors, quadriceps, calf and hip adductors


    • Strengthening exercises:

    -Quad sets
    -Straight leg raises (3 directions)
    -Active knee extensions
    -Toe calf raises
    -Isometric hamstring contractions (knee flexion 45°)
    -Bicycle when able

    • Stretch and ROM exercises: perform post-exercises regimen


    • Modalities for pain

    PHASE II: SUBACUTE PHASE

    Goals: Improve flexibility and ROM


    Enhance muscular strength and endurance
    Promote healing of injured structures
    Control any inflammation and pain

    • Superficial heat to injured hamstring or contrast heat/cold


    • Ultrasound over injured area
    • Soft tissue mobilization and massage
    • Active warm-up bicycle
    • Stretch lower extremity musculature – manual & self-stretches
    (stretch hamstrings seated and supine)
    • Initiate isotonic strengthening program

    -Leg press
    -Hip abd/add
    -Hip flex/ext
    -Knee extensions
    -Wall squats
    -Hamstring curls
    -Front lunges
    -Lateral lunges
    -Backward lunges
    -Lateral step-overs
    -Forward/backward step-overs
    -Toe-calf raises

    • Initiate core stabilization drills (abdominal and back)


    • Stairmaster
    • Initiate proprioception drills
    • May initiate pool exercises and running in pool
    • Stretch
    • Cryotherapy
    • Use neoprene sleeve following workouts

    PHASE III: DYNAMIC PHASE

    Goals: Improve dynamic (ballistic) flexibility of hamstrings


    Normalize static flexibility
    Normalize muscular strength

    • Active warm-up – bicycle or jog


    • Stretch all major muscle groups lower extremity
    (stretch hamstrings seated and supine)
    • Continue strengthening exercises listed above
    • Initiate ballistic stretching maneuvers

    -Plyometric leg press


    -Fast speed hamstring work with sport cord
    -Plyo front lunges
    -Scissor jumps
    -Scissor jumps onto box
    -Side to side box jumps (plyos)
    -Skip lunges
    -Fast speed lateral step-overs
    -Knee high running (forward) (ropes)

    • Stretch after workout


    • Cryotherapy
    • Consider neoprene sleeve during drills

    PHASE IV: SPORTS SPECIFIC AND AGILITY DRILL PHASE

    Goals: Normalize ballistic flexibility


    Normalize muscular strength and agility
    Gradual return to spot participation

    • Active warm-up or jog


    • Stretch all lower extremity muscles
    • Continue strengthening program
    • Continue selected ballistic stretching drills
    • Initiate sport specific program

    -Side shuttles
    -Carciacos
    -Backward running
    -Forward running
    -Interval running
    -Progress to sprints
    -Running and cutting drills
    -Gradually increase intensity of running
    Jog run sprint

    • Stretch following drills


    • Consider neoprene sleeve during drills
    • Gradually return to sport participation

    Copyright © 2004 by the Advanced Continuing Education Institute, LLC. All Rights Reserved. Any
    redistribution or reproduction of any materials herein is strictly prohibited.

    You might also like