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muscle contusions
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muscle contusions - January 7, 2006 5:54:00 AM
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F.Deemter
Posts: 11
Joined: June 13, 2005
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Hi
As I couldn’t find any solid information, I would like to hear your opinions:
What time is needed after muscle contusions until sports is possible without any limitation
Mild Grad I: ROM > 90 degrees
Moderate Grad II ROM 45-90 degrees
Severe Grad III ROM < 45 degrees
I’m interested in any literature and specialists opinions
Regards,
F.Deemter
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Re: muscle contusions - January 7, 2006 6:11:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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Are you talking about a quad contusion?
Or muscle contusions in general?
J
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: muscle contusions - January 7, 2006 12:04:00 PM
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certMDT
Posts: 154
Joined: April 5, 2004
From: Durham, NC
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Am J Sports Med. 1991 May-Jun;19(3):299-304.
Quadriceps contusions. West Point update.
Ryan JB, Wheeler JH, Hopkinson WJ, Arciero RA, Kolakowski KR.
Orthopaedic Service, United States Military Academy, West Point, New York.
A 3 year study of 117 quadriceps contusions in West Point cadets was undertaken to document the effectiveness of a three-phased therapy program to return these young athletes to full activity with a normal knee range of motion and without recurrence of injury. The treatment protocol of this study was modeled after the 1973 West Point study of Jackson and Feagin with two major changes: 1) resting the injured leg in flexion (versus extension) and 2) emphasizing early flexion exercises (versus extension). Classification of contusions was based on knee range of motion at 12 to 24 hours after the injury (mild, greater than 90 degrees; moderate, 45 degrees to 90 degrees; severe, less than 45 degrees). The average disability time was 13 days for mild, 19 days for moderate, and 21 days for severe contusions. Myositis ossificans developed in 9% of cadets and was associated with five risk factors (knee motion less than 120 degrees, injury occurring during football, previous quadriceps injury, delay in treatment greater than 3 days, and ipsilateral knee effusion.
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Charles Sheets PT OCS Dip MDT
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Re: muscle contusions - January 7, 2006 12:25:00 PM
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jma
Posts: 2405
Joined: August 24, 2000
From: NY
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Nice article hookup!!
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Re: muscle contusions - January 7, 2006 1:49:00 PM
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certMDT
Posts: 154
Joined: April 5, 2004
From: Durham, NC
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Nah - it took me three "Related Article" clicks on Pubmed. I bet Jon Newman could do it in two.
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Charles Sheets PT OCS Dip MDT
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Re: muscle contusions - January 7, 2006 2:43:00 PM
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Alex Brenner PT MPT OCS
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From: Kentucky
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Nice Charles but I agree,Newman would have had it 30 seconds. I wish he still posted here.
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Alex Brenner, PT, MPT, OCS
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Re: muscle contusions - January 7, 2006 9:14:00 PM
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F.Deemter
Posts: 11
Joined: June 13, 2005
Status: offline
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Charles
Thank you
F.Deemter
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Re: muscle contusions - January 18, 2006 7:08:00 PM
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Rwantz
Posts: 84
Joined: December 10, 2004
From: Middletown, PA
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In my experience quad contusions come around fairly quickly. It is important to pad them when returning, but I haven't had anyone out for more than a week max. I don't know that there is a lot of research out there to answer your question exactly.
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