Platelet-Rich Plasma Injections for the Treatment of Hamstring Injuries: A Randomized Controlled Trial

Background: A hamstring injury is one of the most common types of injury affecting athletes. Despite this, the optimal management of hamstring muscle injuries is not yet defined. The effect of autologous platelet-rich plasma (PRP) therapy on the recovery of hamstring injuries is unclear. Purpose: To...

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Veröffentlicht in:The American journal of sports medicine 2014-10, Vol.42 (10), p.2410-2418
Hauptverfasser: A Hamid, Mohamad Shariff, Mohamed Ali, Mohamed Razif, Yusof, Ashril, George, John, Lee, Leena Poh Chen
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container_end_page 2418
container_issue 10
container_start_page 2410
container_title The American journal of sports medicine
container_volume 42
creator A Hamid, Mohamad Shariff
Mohamed Ali, Mohamed Razif
Yusof, Ashril
George, John
Lee, Leena Poh Chen
description Background: A hamstring injury is one of the most common types of injury affecting athletes. Despite this, the optimal management of hamstring muscle injuries is not yet defined. The effect of autologous platelet-rich plasma (PRP) therapy on the recovery of hamstring injuries is unclear. Purpose: To investigate the effect of a single PRP injection in the treatment of grade 2 hamstring muscle injuries. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Twenty-eight patients diagnosed with an acute hamstring injury were randomly allocated to autologous PRP therapy combined with a rehabilitation program or a rehabilitation program only. The primary outcome of this study was time to return to play. In addition, changes in pain severity and pain interference scores over time were examined. Results: Patients in the PRP group achieved full recovery significantly earlier than controls (P = .02). The mean time to return to play was 42.5 ± 20.6 days in the control group and 26.7 ± 7.0 days in the PRP group. Significantly lower pain severity scores were observed in the PRP group throughout the study. However, no significant difference in the pain interference score was found between the 2 groups. Conclusion: A single autologous PRP injection combined with a rehabilitation program was significantly more effective in treating hamstring injuries than a rehabilitation program alone.
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Despite this, the optimal management of hamstring muscle injuries is not yet defined. The effect of autologous platelet-rich plasma (PRP) therapy on the recovery of hamstring injuries is unclear. Purpose: To investigate the effect of a single PRP injection in the treatment of grade 2 hamstring muscle injuries. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Twenty-eight patients diagnosed with an acute hamstring injury were randomly allocated to autologous PRP therapy combined with a rehabilitation program or a rehabilitation program only. The primary outcome of this study was time to return to play. In addition, changes in pain severity and pain interference scores over time were examined. Results: Patients in the PRP group achieved full recovery significantly earlier than controls (P = .02). The mean time to return to play was 42.5 ± 20.6 days in the control group and 26.7 ± 7.0 days in the PRP group. Significantly lower pain severity scores were observed in the PRP group throughout the study. However, no significant difference in the pain interference score was found between the 2 groups. Conclusion: A single autologous PRP injection combined with a rehabilitation program was significantly more effective in treating hamstring injuries than a rehabilitation program alone.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546514541540</identifier><identifier>PMID: 25073598</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Athletic Injuries - therapy ; Blood platelets ; Clinical trials ; Exercise Therapy ; Female ; Humans ; Injections ; Injections, Intramuscular ; Injuries ; Knee ; Lower Extremity - injuries ; Male ; Middle Aged ; Muscle, Skeletal - injuries ; Muscular system ; Pain ; Pain Measurement ; Plasma ; Platelet Transfusion - methods ; Platelet-Rich Plasma ; Recovery of Function ; Regression Analysis ; Rehabilitation ; Single-Blind Method ; Sports injuries ; Sports medicine ; Time Factors</subject><ispartof>The American journal of sports medicine, 2014-10, Vol.42 (10), p.2410-2418</ispartof><rights>2014 The Author(s)</rights><rights>2014 The Author(s).</rights><rights>Copyright Sage Publications Ltd. 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Despite this, the optimal management of hamstring muscle injuries is not yet defined. The effect of autologous platelet-rich plasma (PRP) therapy on the recovery of hamstring injuries is unclear. Purpose: To investigate the effect of a single PRP injection in the treatment of grade 2 hamstring muscle injuries. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Twenty-eight patients diagnosed with an acute hamstring injury were randomly allocated to autologous PRP therapy combined with a rehabilitation program or a rehabilitation program only. The primary outcome of this study was time to return to play. In addition, changes in pain severity and pain interference scores over time were examined. Results: Patients in the PRP group achieved full recovery significantly earlier than controls (P = .02). The mean time to return to play was 42.5 ± 20.6 days in the control group and 26.7 ± 7.0 days in the PRP group. Significantly lower pain severity scores were observed in the PRP group throughout the study. However, no significant difference in the pain interference score was found between the 2 groups. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>A Hamid, Mohamad Shariff</au><au>Mohamed Ali, Mohamed Razif</au><au>Yusof, Ashril</au><au>George, John</au><au>Lee, Leena Poh Chen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Platelet-Rich Plasma Injections for the Treatment of Hamstring Injuries: A Randomized Controlled Trial</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>42</volume><issue>10</issue><spage>2410</spage><epage>2418</epage><pages>2410-2418</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: A hamstring injury is one of the most common types of injury affecting athletes. Despite this, the optimal management of hamstring muscle injuries is not yet defined. The effect of autologous platelet-rich plasma (PRP) therapy on the recovery of hamstring injuries is unclear. Purpose: To investigate the effect of a single PRP injection in the treatment of grade 2 hamstring muscle injuries. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Twenty-eight patients diagnosed with an acute hamstring injury were randomly allocated to autologous PRP therapy combined with a rehabilitation program or a rehabilitation program only. The primary outcome of this study was time to return to play. In addition, changes in pain severity and pain interference scores over time were examined. Results: Patients in the PRP group achieved full recovery significantly earlier than controls (P = .02). The mean time to return to play was 42.5 ± 20.6 days in the control group and 26.7 ± 7.0 days in the PRP group. 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source MEDLINE; SAGE Complete; Alma/SFX Local Collection
subjects Adolescent
Adult
Athletic Injuries - therapy
Blood platelets
Clinical trials
Exercise Therapy
Female
Humans
Injections
Injections, Intramuscular
Injuries
Knee
Lower Extremity - injuries
Male
Middle Aged
Muscle, Skeletal - injuries
Muscular system
Pain
Pain Measurement
Plasma
Platelet Transfusion - methods
Platelet-Rich Plasma
Recovery of Function
Regression Analysis
Rehabilitation
Single-Blind Method
Sports injuries
Sports medicine
Time Factors
title Platelet-Rich Plasma Injections for the Treatment of Hamstring Injuries: A Randomized Controlled Trial
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