{"id":61236,"date":"2021-12-17T09:16:00","date_gmt":"2021-12-17T09:16:00","guid":{"rendered":"https:\/\/avant-age.live\/?p=61236"},"modified":"2026-08-31T10:48:04","modified_gmt":"2026-08-31T10:48:04","slug":"return-to-play-in-muscle-injuries-in-elite-football","status":"publish","type":"post","link":"https:\/\/avant-age.live\/en\/return-to-play-bei-muskelverletzungen-im-elite-fussball\/","title":{"rendered":"Return to Play for Muscle Injuries in Elite Football"},"content":{"rendered":"<p class=\"wp-block-paragraph\">The evaluation of available studies on ESWT showed its strong positive influence on the treatment of various musculoskeletal disorders. Therefore, the researchers hypothesized that the implementation of rESWT into the multimodal therapy approach can shorten downtime and reduce the reinjury rate.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"589\" src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-1024x589.jpg.webp\" alt=\"\" class=\"wp-image-61237\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px\" srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-1024x589.jpg.webp 1024w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-300x173.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-768x442.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-1536x883.jpg.webp 1536w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-18x10.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-130x75.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1-600x345.jpg.webp 600w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/classification-DE-1.jpg.webp 1690w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" data-smush-webp-fallback=\"{&quot;src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-1024x589.jpg&quot;,&quot;srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-1024x589.jpg 1024w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-300x173.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-768x442.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-1536x883.jpg 1536w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-18x10.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-130x75.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1-600x345.jpg 600w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/classification-DE-1.jpg 1690w&quot;}\" \/><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">How does the multimodal approach with the use of rESWT influence recovery time?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">To investigate this, the authors conducted an extensive, retrospective analysis of 20 acute muscle injuries diagnosed according to international guidelines. They were classified following M\u00fcller-Wohlfahrt et al. as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>8 (40%) were diagnosed as Type 1a<\/li>\n\n\n\n<li>5 (25 %) as Type 2b<\/li>\n\n\n\n<li>4 (20 %) as Type 3a<\/li>\n\n\n\n<li>3 (15 %) as patients with contusions.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">During the playing season, no type 3b or 4 muscle injuries were registered.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img decoding=\"async\" width=\"1024\" height=\"589\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-1024x589.jpg.webp\" alt=\"\" class=\"wp-image-61238 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/589;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-1024x589.jpg.webp 1024w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-300x173.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-768x442.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-1536x883.jpg.webp 1536w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-18x10.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-130x75.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE-600x345.jpg.webp 600w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-1_DE.jpg.webp 1690w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" data-original-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-1024x589.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-1024x589.jpg 1024w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-300x173.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-768x442.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-1536x883.jpg 1536w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-18x10.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-130x75.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE-600x345.jpg 600w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-1_DE.jpg 1690w&quot;}\" \/><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Multimodal therapy approach<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">All patients underwent a customized, multimodal therapy using novel treatment solutions that combined cryotherapy, compression, manual therapy, resistance or strength training, a progressive physiotherapeutic exercise program, and extracorporeal shock wave therapy. An experienced therapist decided whether the application of a radial or focused ESWT protocol was more suitable and effective for the patient. The majority of cases (19\/20) were suitable for rESWT and only 1 case (contusion of the gluteus maximus muscle) was treated with the application of fESWT.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The rESWT was performed using a Swiss DolorClast device with an EvoBlue handpiece.<\/strong><\/li>\n\n\n\n<li><strong>The fESWT with the Swiss PiezoClast device and 15 mm gel pad.<\/strong><\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Discover the difference between&nbsp;<strong><a href=\"https:\/\/www.mtr-ag.ch\/health\/therapiegeraete\/stosswellentherapie-shock-wave\/swiss-dolorclast-stosswellentherapie-de\/swiss-dolorclast-radial-shock-wave-de.html\">Radial Shock Wave Therapy (rESWT)<\/a><\/strong>&nbsp;and<strong>&nbsp;<a href=\"https:\/\/www.mtr-ag.ch\/health\/therapiegeraete\/stosswellentherapie-shock-wave\/guided-dolorclast-therapy-de.html\/swiss-piezoclast.html\">focused extracorporeal shock wave therapy (fESWT).<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The study&#x27;s findings<\/strong>, defined as a return to active duty, was characterized by the patient&#x27;s ability to fully participate in team drills, including contact drills, and his readiness to resume playing during the current championship season.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Results<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">According to a dataset published by Ekstrand et al. on 31 European men&#x27;s soccer teams, multimodal therapy with ESWT significantly reduced the median time off the field:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Type 1a Injuries \u2013 54 %<\/li>\n\n\n\n<li>Type 2b injuries around \u201350 %<\/li>\n\n\n\n<li>Type 3a injuries at 8 % (or 23 % if classified as the more severe Type 3b)<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The authors also conducted a retrospective analysis of the re-injury rate during the soccer season. Only one case of re-injury (previously classified as Type 1a) occurred after full recovery. The study yielded clearly satisfactory results, showing that pain (measured using the visual analog scale, VAS) steadily decreased over the course of multimodal treatment. This is an extremely important factor for success for both the patient and the therapist, as it allows the treatment to be intensified to achieve even better results.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large has-custom-border\"><img decoding=\"async\" width=\"1024\" height=\"589\" data-src=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-1024x589.jpg.webp\" alt=\"\" class=\"wp-image-61239 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/589;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px\" data-srcset=\"https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-1024x589.jpg.webp 1024w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-300x173.jpg.webp 300w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-768x442.jpg.webp 768w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-1536x883.jpg.webp 1536w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-18x10.jpg.webp 18w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-130x75.jpg.webp 130w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE-600x345.jpg.webp 600w, https:\/\/avant-age.live\/wp-content\/smush-webp\/2021\/12\/Return-to-play-graphs-2_DE.jpg.webp 1690w\" data-sizes=\"auto\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" data-original-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-smush-webp-fallback=\"{&quot;data-src&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-1024x589.jpg&quot;,&quot;data-srcset&quot;:&quot;https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-1024x589.jpg 1024w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-300x173.jpg 300w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-768x442.jpg 768w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-1536x883.jpg 1536w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-18x10.jpg 18w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-130x75.jpg 130w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE-600x345.jpg 600w, https:\\\/\\\/avant-age.live\\\/wp-content\\\/uploads\\\/2021\\\/12\\\/Return-to-play-graphs-2_DE.jpg 1690w&quot;}\" \/><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusion<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Consequences of studying:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>support the initial hypothesis that the incorporation of rESWT\/fESWT into a multimodal treatment approach is safe, effective, and beneficial for athletes suffering from various muscle injuries;<\/strong><\/li>\n\n\n\n<li><strong>highlight the potential impact of radial and focused ESWT on the prevention of re-injury.<\/strong><\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The therapy was well received by the players and no adverse effects were registered during the therapy sessions.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Further Studies<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>EMS<sup>\u00ae<\/sup>-Many researchers use these devices to study other effects of shock wave therapy.<\/strong><br>Click the button below to go to the EMS Study Library<sup>\u00ae<\/sup>. Here you will find study reports on various conditions that demonstrate the effectiveness of EMS<sup>\u00ae<\/sup>\u00a0DolorClast<sup>\u00ae<\/sup>-Highlight the method.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-b192c3d7 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.ems-dolorclast.com\/de\/wissenschaftliche-studien\" style=\"border-width:1px\" target=\"_blank\" rel=\"noreferrer noopener\">About the Studies<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">2021-06-15<br>Morgan JPM, Hamm M, Schmitz C, Brem MH. Return to play after treating acute muscle injuries in elite soccer players with radial extracorporeal shock wave therapy. J Orthop Surg Res.<br>Dec. 7, 2021;16(1):708. doi: 10.1186\/s13018-021-02853-0. PMID: 34876172; PMCID: PMC8650394.<br>Full study:\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34876172\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/34876172\/<\/a><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Do you have questions about the topic?<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">We are happy to provide you with further information and answer your questions personally.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/en\/contact\/\" style=\"border-width:1px\">Contact us now<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>The main objective of this study was to evaluate and compare the recovery time after acute muscle injuries in elite soccer players who underwent different treatment approaches.<\/p>","protected":false},"author":1,"featured_media":61235,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[21,22],"tags":[2731],"blog_topic":[65],"class_list":["post-61236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical","category-sport","tag-stosswellentherapie","blog_topic-stosswellentherapie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - 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