Italian consensus conference on guidelines for conservative treatment on lower limb muscle injuries in athlete

Gian Nicola Bisciotti, Piero Volpi, Maurizio Amato, Giampietro Alberti, Francesco Allegra, Alessandro Aprato, Matteo Artina, Alessio Auci, Corrado Bait, Gian Matteo Bastieri, Luca Balzarini, Andrea Belli, Gianandrea Bellini, Pierfrancesco Bettinsoli, Alessandro Bisciotti, Andrea Bisciotti, Stefano Bona, Lorenzo Brambilla, Marco Bresciani, Michele BuffoliFilippo Calanna, Gian Luigi Canata, Davide Cardinali, Giulia Carimati, Gabriella Cassaghi, Enrico Cautero, Emanuele Cena, Barbara Corradini, Alessandro Corsini, Cristina D'Agostino, Massimo De Donato, Giacomo Delle Rose, Francesco Di Marzo, Francesco Di Pietto, Drapchind Enrica, Cristiano Eirale, Luigi Febbrari, Paolo Ferrua, Andrea Foglia, Alberto Galbiati, Alberto Gheza, Carlo Giammattei, Francesco Masia, Gianluca Melegati, Biagio Moretti, Lorenzo Moretti, Roberto Niccolai, Antonio Orgiani, Claudio Orizio, Andrea Pantalone, Federica Parra, Paolo Patroni, Maria Teresa Pereira Ruiz, Marzio Perri, Stefano Petrillo, Luca Pulici, Alessandro Quaglia, Luca Ricciotti, Francesco Rosa, Nicola Sasso, Claudio Sprenger, Chiara Tarantola, Fabio Gianpaolo Tenconi, Fabio Tosi, Michele Trainini, Agostino Tucciarone, Ali Yekdah, Zarko Vuckovic, Raul Zini, Karim Chamari

Research output: Contribution to journalArticle

Abstract

Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinical assessment and (4) conservative treatment of lower limb muscle injuries (MI) in athletes. Seventy international experts with different medical backgrounds participated in the consensus conference. They discussed and approved a consensus composed of four sections which are presented in these documents. This paper represents a synthesis of the consensus conference, the following four sections are discussed: (i) The biology and aetiology of MIs. A definition of MI was formulated and some key points concerning physiology and pathogenesis of MIs were discussed. (ii) The MI classification. A classification of MIs was proposed. (iii) The MI clinical assessment, in which were discussed anamnesis, inspection and clinical examination and are provided the relative guidelines. (iv) The MI conservative treatment, in which are provided the guidelines for conservative treatment based on the severity of the lesion. Furthermore, instrumental therapy and pharmacological treatment were discussed. Knowledge of the aetiology and biology of MIs is an essential prerequisite in order to plan and conduct a rehabilitation plan. Another important aspect is the use of a rational MI classification on prognostic values. We propose a classification based on radiological investigations performed by ultrasonography and MRI strongly linked to prognostic factors. Furthermore, the consensus conference results will able to provide fundamental guidelines for diagnostic and rehabilitation practice, also considering instrumental therapy and pharmacological treatment of MI. Expert opinion, level IV.

Original languageEnglish
Article numbere000323
JournalBMJ Open Sport and Exercise Medicine
Volume4
Issue number1
DOIs
Publication statusPublished - Jul 1 2018

Keywords

  • biology
  • imaging
  • muscle
  • muscle injuries aetiology
  • muscle injuries classification
  • muscle injury treatment.

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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  • Cite this

    Bisciotti, G. N., Volpi, P., Amato, M., Alberti, G., Allegra, F., Aprato, A., Artina, M., Auci, A., Bait, C., Bastieri, G. M., Balzarini, L., Belli, A., Bellini, G., Bettinsoli, P., Bisciotti, A., Bisciotti, A., Bona, S., Brambilla, L., Bresciani, M., ... Chamari, K. (2018). Italian consensus conference on guidelines for conservative treatment on lower limb muscle injuries in athlete. BMJ Open Sport and Exercise Medicine, 4(1), [e000323]. https://doi.org/10.1136/bmjsem-2017-000323