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Hamstring injuries are among the most prevalent and troublesome injuries in athletes, particularly those engaged in sports that require high-speed movements such as sprinting, kicking, and rapid changes in direction. The hamstring muscles, which include the biceps femoris, semitendinosus, and semimembranosus, are essential for powerful lower limb actions, and thus, any injury to these muscles can significantly impact an athlete's performance and recovery. These injuries often occur during eccentric muscle contractions, such as when the muscles lengthen rapidly under tension, as seen in running and sprinting. According to epidemiological studies, hamstring strains account for a substantial portion of sports-related injuries, with hamstring strains being the most commonly reported injury in disciplines such as football, soccer, rugby, and athletics. In professional football, for instance, hamstring injuries account for approximately 12% of all injuries and represent the most frequent muscle strain, underlining their significance in the context of athletic performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic Exercise + Amino Acid Supplementation | Experimental | Participants in this arm will undergo a structured 6-week therapeutic exercise rehabilitation program combined with daily oral branched-chain amino acid (BCAA) supplementation (10 g per day, divided into two doses: pre-training and post-training). The exercise program includes progressive isometric, eccentric, plyometric, and sprint-specific training to optimize hamstring recovery. |
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| Therapeutic Exercise Only | Active Comparator | Arm Description: Participants in this arm will undergo the same structured 6-week therapeutic exercise rehabilitation program without any amino acid supplementation. The exercise program includes progressive isometric, eccentric, plyometric, and sprint-specific training for hamstring recovery. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Branched-Chain Amino Acid Supplement | Dietary Supplement | Oral BCAA blend (leucine, isoleucine, valine), 10 g/day divided into two doses, pre- and post-training, for 6 weeks. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Hamstring Muscle Strength | Isometric knee flexion strength measured at 15° and 90° using the ForHealth Kit to assess change from baseline. | Baseline, Mid-Rehabilitation (Week 3), Post-Rehabilitation (Week 6) |
| Measure | Description | Time Frame |
|---|---|---|
| MRI Findings | MRI assessment of muscle healing, including reduction in edema and tear resolution. | Baseline and Post-Rehabilitation (Week 6) |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to Rehabilitation | Percentage of rehabilitation sessions attended by each participant, tracked via attendance logs. | Throughout 6-week intervention period |
Inclusion Criteria:
• Male football players aged 18 to 35 years.
Exclusion Criteria:
• History of hamstring injury in the past six months.
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| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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| Therapeutic Exercise Program | Behavioral | 6-week structured program including isometric, eccentric, plyometric, and sprint-specific exercises. |
|
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |