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The aim of this study protocol is to describe the rationale and methodology for evaluating the effect of using therapeutic exercises and ultrasound in the rehabilitation of partially injured hamstring muscles on elite football players.
Hamstring muscle injuries are common among highly active individuals. Modern Football is a challenging sport characterized by extremely dynamic and cyclical game motions including numerous bouts of high-speed movements such as accelerating, jumping, and change in direction, all of which are carried out at a high level of physical and technical difficulty. The most common reason for hamstring muscle injury is high-performance intensity. In addition, neuromuscular fatigue, athlete aging, low muscle strength, and hamstring muscle flexibility are also risk factors for hamstring muscle injuries. On the other hand, the main causes of repetition injury to the same muscle are the presence of a previous injury, the size of the muscle tear and the lessening of the long head muscle bundles of the biceps femoris
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| evaluate the effect of using therapeutic exercises and ultrasound | Experimental | evaluate the effect of using therapeutic exercises and ultrasound for the rehabilitation of partially injured hamstring muscles. |
|
| analyse its effectiveness on the speedy healing | Experimental | analyse its effectiveness on the speedy healing, which will be defined through some physical variables (hamstring muscle strength, the electrical activity of hamstring muscles) and pain perception. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapeutic Exercises and Ultrasound | Other | describe the rationale and methodology for evaluating the effect of using therapeutic exercises and ultrasound in the rehabilitation of partially injured hamstring muscles |
| Measure | Description | Time Frame |
|---|---|---|
| Time to return to play | The primary outcomes will be speedy healing, that is, the amount of time needed to recover from an injury in order to fully participate in team training and be available for match selection by the medical staff based on five standardized criteria: 1. no pain on palpation 2. pain free Range of Motion (ROM) 3. Muscular strength evaluation 4. Symptom-free completion of rehabilitation program 5. A specific running test. | Daily session from first therapy session until moment of return to play, up to an average of Six Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Hamstring muscle strength | Force Sensor from Chronojump. Is an sensor measure of to conduct isometric knee flexion strength testing at two distinct angles: 15° and 90° of knee flexion. | Daily session from first therapy session until moment of return to play, up to an average of Six Weeks |
| Muscle bio potential signals |
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Inclusion criteria:
Players from the eight clubs in the Iraqi Football League
Partially strained hamstring muscle pain when training football or playing a match, identified as:
a. Player reported sudden pain in hamstring muscle c. Without any additional ailment.
Based on the clinical signs and symptoms, defined as:
MRI-confirmed of partially injured hamstring
Available for follow-up
Exclusion criteria:
Male
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| Name | Affiliation | Role |
|---|---|---|
| Kamal H Abdulridha, PhD/Studet | Universidad de Zaragoza | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Baghdad/ college of Physical Education and Sports Sciences | Baghdad | 10070 | Iraq |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41939953 | Derived | Hadib Abdulridha K, Al-Tameemi IKH, Alzaidi AHA, Cuenca-Zaldivar JN, Aguilar Latorre A, Gomez-Soria I, Calatayud E. The Effect of Therapeutic Exercises and Ultrasound for Rehabilitation of Partially Injured Hamstring Muscles in Elite Soccer (Football) Players: A Study Protocol for a Randomized Controlled Trial. Int J Sports Phys Ther. 2026 Apr 1;21(4):440-452. doi: 10.26603/001c.156100. eCollection 2026. |
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| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D019220 | High-Energy Shock Waves |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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The Electromyogram (EMG) is collected at 1000 Hz with MyoTraceâ„¢ 400 . Is a versatile portable handheld, Self-adhesive silver chloride dual snap electrodes for surface attachment will be placed on the leg muscles. The MyoTrace 400 handheld transmitter. |
| Daily session from first therapy session until moment of return to play, up to an average of Six Weeks |
| Degree of pain | Pain visual analog scale (VAS). It is a unidimensional measure of hamstrings pain intensity that consists of a straight horizontal line of fixed length (typically 100 mm) that is graduated. The ends, which were towards the direction of left (worse) to right (best), defined the extreme boundaries of the parameter to be calculated (pain); the higher the score, the more severe the suffering. | Daily session from first therapy session until moment of return to play, up to an average of Six Weeks |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
| D055585 | Physical Phenomena |