RT Journal Article
SR Electronic
T1 Italian consensus conference on guidelines for conservative treatment on lower limb muscle injuries in athlete
JF BMJ Open Sport & Exercise Medicine
JO BMJ OPEN SP EX MED
FD BMJ Publishing Group Ltd
SP e000323
DO 10.1136/bmjsem-2017-000323
VO 4
IS 1
A1 Gian Nicola Bisciotti
A1 Piero Volpi
A1 Maurizio Amato
A1 Giampietro Alberti
A1 Francesco Allegra
A1 Alessandro Aprato
A1 Matteo Artina
A1 Alessio Auci
A1 Corrado Bait
A1 Gian Matteo Bastieri
A1 Luca Balzarini
A1 Andrea Belli
A1 Gianandrea Bellini
A1 Pierfrancesco Bettinsoli
A1 Alessandro Bisciotti
A1 Andrea Bisciotti
A1 Stefano Bona
A1 Lorenzo Brambilla
A1 Marco Bresciani
A1 Michele Buffoli
A1 Filippo Calanna
A1 Gian Luigi Canata
A1 Davide Cardinali
A1 Giulia Carimati
A1 Gabriella Cassaghi
A1 Enrico Cautero
A1 Emanuele Cena
A1 Barbara Corradini
A1 Alessandro Corsini
A1 Cristina D'Agostino
A1 Massimo De Donato
A1 Giacomo Delle Rose
A1 Francesco Di Marzo
A1 Francesco Di Pietto
A1 Drapchind Enrica
A1 Cristiano Eirale
A1 Luigi Febbrari
A1 Paolo Ferrua
A1 Andrea Foglia
A1 Alberto Galbiati
A1 Alberto Gheza
A1 Carlo Giammattei
A1 Francesco Masia
A1 Gianluca Melegati
A1 Biagio Moretti
A1 Lorenzo Moretti
A1 Roberto Niccolai
A1 Antonio Orgiani
A1 Claudio Orizio
A1 Andrea Pantalone
A1 Federica Parra
A1 Paolo Patroni
A1 Maria Teresa Pereira Ruiz
A1 Marzio Perri
A1 Stefano Petrillo
A1 Luca Pulici
A1 Alessandro Quaglia
A1 Luca Ricciotti
A1 Francesco Rosa
A1 Nicola Sasso
A1 Claudio Sprenger
A1 Chiara Tarantola
A1 Fabio Gianpaolo Tenconi
A1 Fabio Tosi
A1 Michele Trainini
A1 Agostino Tucciarone
A1 Ali Yekdah
A1 Zarko Vuckovic
A1 Raul Zini
A1 Karim Chamari
YR 2018
UL http://bmjopensem.bmj.com/content/4/1/e000323.abstract
AB 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.