TY - JOUR PY - 2018// TI - Italian consensus conference on guidelines for conservative treatment on lower limb muscle injuries in athlete JO - BMJ open sport and exercise medicine A1 - Bisciotti, Gian Nicola A1 - Volpi, Piero A1 - Amato, Maurizio A1 - Alberti, Giampietro A1 - Allegra, Francesco A1 - Aprato, Alessandro A1 - Artina, Matteo A1 - Auci, Alessio A1 - Bait, Corrado A1 - Bastieri, Gian Matteo A1 - Balzarini, Luca A1 - Belli, Andrea A1 - Bellini, Gianandrea A1 - Bettinsoli, Pierfrancesco A1 - Bisciotti, Alessandro A1 - Bisciotti, Andrea A1 - Bona, Stefano A1 - Brambilla, Lorenzo A1 - Bresciani, Marco A1 - Buffoli, Michele A1 - Calanna, Filippo A1 - Canata, Gian Luigi A1 - Cardinali, Davide A1 - Carimati, Giulia A1 - Cassaghi, Gabriella A1 - Cautero, Enrico A1 - Cena, Emanuele A1 - Corradini, Barbara A1 - Corsini, Alessandro A1 - D'Agostino, Cristina A1 - De Donato, Massimo A1 - Delle Rose, Giacomo A1 - Di Marzo, Francesco A1 - Di Pietto, Francesco A1 - Enrica, Drapchind A1 - Eirale, Cristiano A1 - Febbrari, Luigi A1 - Ferrua, Paolo A1 - Foglia, Andrea A1 - Galbiati, Alberto A1 - Gheza, Alberto A1 - Giammattei, Carlo A1 - Masia, Francesco A1 - Melegati, Gianluca A1 - Moretti, Biagio A1 - Moretti, Lorenzo A1 - Niccolai, Roberto A1 - Orgiani, Antonio A1 - Orizio, Claudio A1 - Pantalone, Andrea A1 - Parra, Federica A1 - Patroni, Paolo A1 - Pereira Ruiz, Maria Teresa A1 - Perri, Marzio A1 - Petrillo, Stefano A1 - Pulici, Luca A1 - Quaglia, Alessandro A1 - Ricciotti, Luca A1 - Rosa, Francesco A1 - Sasso, Nicola A1 - Sprenger, Claudio A1 - Tarantola, Chiara A1 - Tenconi, Fabio Gianpaolo A1 - Tosi, Fabio A1 - Trainini, Michele A1 - Tucciarone, Agostino A1 - Yekdah, Ali A1 - Vuckovic, Zarko A1 - Zini, Raul A1 - Chamari, Karim SP - e000323 EP - e000323 VL - 4 IS - 1 N2 - 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.
Language: en
LA - en SN - 2055-7647 UR - http://dx.doi.org/10.1136/bmjsem-2017-000323 ID - ref1 ER -