Sportphysio 2024; 12(01): 40-50
DOI: 10.1055/a-2171-0604
On the field

Spezifische Hamstrings-Reha nach VKB-Operation: ein Fallbeispiel aus dem Skicross

Jonas Spiess
,
Jan Seiler

Alex Marro hatte sich im Dezember 2021 bei einem Wettkampf schwer am Knie verletzt – sein vorderes Kreuzband war gerissen. Jonas Spiess und Jan Seiler beschreiben, wie sie Alex wieder fit für den Wettkampf gemacht haben, und erklären, warum eine spezifische Rehabilitation der Hamstrings besonders wichtig ist.



Publication History

Article published online:
02 February 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Ahmadabadi S, Rjabi H, Gharakhanlou R. et al. Effects of a 4-week plyometric training on activity patterns during different phases of one-leg drop jump with focus on jump height. Sci Rep 2023; 13 (1) 9192
  • 2 Askling CM, Tengvar M, Thorstensson A. Acute hamstring injuries in Swedish elite football: A prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med 2013; 47 (15) 953-959
  • 3 Bere T, Florenes TW, Krosshaug T. et al. Mechanisms of anterior cruciate ligament injury in World Cup alpine skiing: A systematic video analysis of 20 cases. Am J Sports Med 2011; 39 (7) 1421-1429
  • 4 Berg HE, Eiken O. Muscle control in elite alpine skiing. Med Sci Sports Exerc 1999; 31 (7) 1065-1067
  • 5 Bourne MN, Bruder AM, Mentiplay BF. et al. Eccentric knee flexor weakness in elite female footballers 1–10 years following anterior cruciate ligament reconstruction. Phys Ther Sport 2019; 37: 144-149
  • 6 Bourne MN, Duhig SJ, Timmins RG. et al. Impact of the Nordic hamstring and hip extension exercises on hamstring architecture and morphology: Implications for injury prevention. Br J Sports Med 2017; 51 (5) 469-477
  • 7 Buckthorpe M. Optimising the late-stage rehabilitation and return-to-sport training and testing process after ACL reconstruction. Sports Med 2019; 49 (7) 1043-1058
  • 8 Buckthorpe M, Danelon F, La Rosa G. et al. Recommendations for hamstring function recovery after ACL reconstruction. Sports Med 2021; 51 (4) 607-624
  • 9 Buckthorpe M, Della Villa F. Optimising the „mid-stage“ training and testing process after ACL reconstruction. Sports Med 2020; 50 (4) 657-678
  • 10 Cristiani R, Mikkelsen C, Forssblad M. et al. Only one patient out of five achieves symmetrical knee function 6 months after primary anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2019; 27 (11) 3461-3470
  • 11 Fyfe JJ, Opar DA, Williams MD, Shield AJ. The role of neuromuscular inhibition in hamstring strain injury recurrence. J Electromyogr Kinesiol 2013; 23 (3) 523-530
  • 12 Gantenbein C. Muscle activity in giant slalom. A case study of an elite skier. 17th Annual Congress of the European College of Sport Science (ECSS), Bruges, 4.–7. July 2012: 242
  • 13 Glasgow P, Phillips N, Bleakley C. Optimal loading: Key variables and mechanisms. Br J Sports Med 2015; 49 (5) 278-279
  • 14 Guex K, Degache F, Gremion G. et al. Effect of hip flexion angle on hamstring optimum length after a single set of concentric contractions. J Sports Sci 2013; 31 (14) 1545-1552
  • 15 Harput G, Kilinc HE, Ozer H. et al. Quadriceps and hamstring strength recovery during early neuromuscular rehabilitation after ACL hamstring-tendon autograft reconstruction. J Sport Rehabil 2015; 24 (4) 398-404
  • 16 Hinks A, Franchi MV, Power GA. The influence of longitudinal muscle fascicle growth on mechanical function. J Appl Physiol 2022; 133 (1) 87-103
  • 17 Irie K, Tomatsu T. Atrophy of semitendinosus and gracilis and flexor mechanism function after hamstring tendon harvest for anterior cruciate ligament reconstruction. Orthopedics 2002; 25 (5) 491-495
  • 18 James Pritchard JT. The Science of Alpine Ski Racing (Vol. 1). New York: Routledge; 2023
  • 19 Konrath JM, Vertullo CJ, Kennedy BA. et al. Morphologic characteristics and strength of the hamstring muscles remain altered at 2 years after use of a hamstring tendon graft in anterior cruciate ligament reconstruction. Am J Sports Med 2016; 44 (10) 2589-2598
  • 20 Kyritsis P, Bahr R, Landreau P. et al. Likelihood of ACL graft rupture: Not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. Br J Sports Med 2016; 50 (15) 946-951
  • 21 MacWilliams BA, Wilson DR, DesJardins JD. et al. Hamstrings cocontraction reduces internal rotation, anterior translation, and anterior cruciate ligament load in weight-bearing flexion. J Orthop Res 1999; 17 (6) 817-822
  • 22 Maniar N, Cole MH, Bryant AL. et al. Muscle force contributions to anterior cruciate ligament loading. Sports Med 2022; 52 (8) 1737-1750
  • 23 Neumann DA. Kinesiology of the musculoskeletal system. 3. Auflage. Mosby & Elsevier; 2016
  • 24 Neumayr G, Hoertnagl H, Pfister R. et al. Physical and physiological factors associated with success in professional alpine skiing. Int J Sports Med 2003; 24 (8) 571-575
  • 25 Nomura Y, Kuramochi R, Fukubayashi T. Evaluation of hamstring muscle strength and morphology after anterior cruciate ligament reconstruction. Scand J Med Sci Sports 2015; 25 (3) 301-307
  • 26 Opar DA, Williams MD, Shield AJ. Hamstring strain injuries: Factors that lead to injury and re-injury. Sports Med 2012; 42 (3) 209-226
  • 27 Opar DA, Williams MD, Timmins RG. et al. Knee flexor strength and bicep femoris electromyographical activity is lower in previously strained hamstrings. J Electromyogr Kinesiol 2013; 23 (3) 696-703
  • 28 Opar DA, Williams MD, Timmins RG. et al. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Med Sci Sports Exerc 2015; 47 (4) 857-865
  • 29 Papandrea P, Vulpiani MC, Ferretti A, Conteduca F. Regeneration of the semitendinosus tendon harvested for anterior cruciate ligament reconstruction. Evaluation using ultrasonography. Am J Sports Med 2000; 28 (4) 556-561
  • 30 Randjelovic S, Heir S, Nordsletten L. et al. Injury situations in Freestyle Ski Cross (SX): A video analysis of 33 cases. Br J Sports Med 2014; 48 (1) 29-35
  • 31 Skicross S-SA. Wettkampfreglement Alpin Skicross, Swiss-Ski 2022. Im Internet: www.swiss-ski-kwo.ch Stand 08.12.2023
  • 32 Snow BJ, Wilcox JJ, Burks RT. et al. Evaluation of muscle size and fatty infiltration with MRI nine to eleven years following hamstring harvest for ACL reconstruction. J Bone Joint Surg Am 2012; 94 (14) 1274-1282
  • 33 Spiess JMS, Wyss T, Hübner K. et al. Strength deficits of the hamstrings following surgery on the anterior cruciate ligament: A case-control study of elite alpine ski racers. Swiss Sports & Excercise Medicine 2019 Im Internet: https://doi.org/10.34045/SSEM/2019/4 Stand: 03.12.2023
  • 34 Stenroos A, Pakarinen H, Jalkanen J. et al. Tibial fractures in alpine skiing and snowboarding in Finland: A retrospective study on fracture types and injury mechanisms in 363 patients. Scand J Surg 2016; 105 (3) 191-196
  • 35 Suchomel TJ, Wagle JP, Douglas J. et al. Implementing eccentric resistance training – Part 1: A brief review of existing methods. J Funct Morphol Kinesiol 2019; a 4 (2) 38
  • 36 Suchomel TJ, Wagle JP, Douglas J. et al. Implementing eccentric resistance training – Part 2: Practical recommendations. J Funct Morphol Kinesiol 2019; b 4 (3) 55
  • 37 Timmins RG, Bourne MN, Shield AJ. et al. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): A prospective cohort study. Br J Sports Med 2016; 50 (24) 1524-1535
  • 38 Tol JL, Hamilton B, Eirale C. et al. At return to play following hamstring injury the majority of professional football players have residual isokinetic deficits. Br J Sports Med 2014; 48 (18) 1364-1369
  • 39 Turnbull JR, Kilding AE, Keogh JW. Physiology of alpine skiing. Scand J Med Sci Sports 2009; 19 (2) 146-155
  • 40 Vertullo CJ, Konrath JM, Kennedy B. et al. Hamstring morphology and strength remain altered 2 years following a hamstring graft in ACL reconstruction. Orthop J Sports Med 2017 5. (5 suppl5)
  • 41 Wangensteen A, Tol JL, Witvrouw E. et al. Hamstring reinjuries occur at the same location and early after return to sport: A descriptive study of MRI-c reinjuries. Am J Sports Med 2016; 44 (8) 2112-2121
  • 42 Welling W, Benjaminse A, Lemmink K. et al. Progressive strength training restores quadriceps and hamstring muscle strength within 7 months after ACL reconstruction in amateur male soccer players. Phys Ther Sport 2019; 40: 10-18
  • 43 Williams GN, Snyder-Mackler L, Barrance PJ. et al. Muscle and tendon morphology after reconstruction of the anterior cruciate ligament with autologous semitendinosus-gracilis graft. J Bone Joint Surg Am 2004; 86 (9) 1936-1946