Hamstring Strain Injury in Athletes CPG Fun Quiz

For enrichment only (not for CEUs)

REFERENCE:

RobRoy L. Martin, PT, PhD • Michael T. Cibulka, PT, DPT, OCS • Lori A. Bolgla, PT, PhD • Thomas A. Koc, Jr, PT, DPT, PhD, OCS • Janice K. Loudon, PT, PhD • Robert C. Manske, PT, DPT • Leigh Weiss, PT, DPT, ATC, OCS, SCS • John J. Christoforetti, MD, FAAOS • Byan C. Heiderscheit, PT, PhD, FAPTA
J Orthop Sports Phys Ther. 2022;52(3):CPG1-CPG44

https://www.jospt.org/doi/10.2519/jospt.2022.0301

https://www.orthopt.org/content/practice/clinical-practice-guidelines

Question Title

* 1. Reinjury Risk and Return to Play: A prior history of hamstring strain injury (HSI) increases the risk of future reinjury, influencing clinicians' decisions regarding return-to-play progression.

True

False

Question Title

* 2. Reinjury Risk and Return to Play: Clinicians should use the following on initial evaluation to estimate time to RTP:

Hamstring strength

Pain level at the time of injury

Number of days from injury to pain-free walking

Area of tenderness measured

All of the above

Question Title

* 3. Diagnosis/Classification: Clinicians should not diagnose HSI solely based on sudden onset posterior thigh pain during activity, reproduction of pain during hamstring stretching or activation, muscle tenderness, and loss of function.

True

False

Question Title

* 4. Examination - Physical Impairment Measures: Clinicians should assess hamstring length by measuring the knee extension deficit with the hip flexed to [BLANK], using an inclinometer.

15°

45°

90°

none of the above

Question Title

* 5. Examination - Physical Impairment Measures: Quantifying knee flexor strength following HSI by using either a handheld or isokinetic dynamometer is recommended, based upon Grade A evidence.

True

False

Question Title

* 6. Examination - Activity Limitation and Participation Restriction: Clinicians should exclude objective measures of an individual's capacity to walk, run, and sprint from documentation while monitoring changes in activity and participation throughout treatment.

True

False

Question Title

* 7. Examination - Outcome Measures: Clinicians should use [BLANK] before and after interventions, intended to alleviate the impairments of body function and structure, activity limitations, and participation restrictions in those diagnosed with an acute HSI.

Handheld Dynamometer

Hamstring Outcome Score

Functional Assessment Scale for Acute Hamstring Injuries

Nordic Hamstring Exercise

None of the above

Question Title

* 8. Interventions - Injury Prevention: Nordic hamstring exercise is recommended as part of an HSI prevention program, along with other components of warm-up, stretching, stability training, strengthening, and functional movements (sport specific, agility, and high-speed running).

True

False

Question Title

* 9. Incidence/Prevalence: Sports, such as track and field, soccer, Australian rules football, American football, and rugby have the highest frequency of reported hamstring strain injuries.

True

False

Question Title

* 10. Interventions - After Injury: Based on Grade B evidence, it is recommended to use progressive agility and trunk stabilization, added to a comprehensive impairment-based treatment program of stretching, strengthening, and functional exercises, to reduce reinjury rate after an individual sustains an HSI.

True

False