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Table 2 Rehabilitation programme

From: Platelet-rich plasma (PRP): an adjuvant to hasten hamstring muscle recovery. A randomized controlled trial protocol (ISCRTN66528592)

Phase 1

1.

Low to moderate-intensity sidestepping, 3 × 1 min

2.

Low to moderate-intensity grapevine stepping (lateral stepping with the trail leg going over the lead leg and then under the leg), both directions, 3 × 1 min

3.

Low to moderate-intensity steps forward and backward over a tape line while moving sideways, 2 × 1 min

4.

Single-leg stand progressing from eyes open to eyes closed 4 × 20 sec

5.

Prone abdominal body bridge (performed by using abdominal and hip muscle to hold the body face-down straight-plank position with the elbows and feet as the only point of contact), 4 × 20 sec

6.

Supine extension bridge (performed by using abdominal and hip muscles to hold the body in a supine hook lying position with the head, upper back, arms, and feet as the points of contact), 4 × 20 sec

7.

Side bridge, 4 × 20 sec on each side

8.

Ice in long-sitting position for 20 min

Phase 2*

1.

Moderate to high-intensity sidestepping, 3 × 1 min

2.

Moderate to high-intensity grapevine stepping, 3 × 1 min

3.

Moderate to high-intensity steps forward and backward while moving sideways, 2 × 1 min

4.

Single-leg stand windmill touches, 4 × 20 sec of repetitive alternate hand touches

5.

Push-up stabilization with trunk rotation (performed by starting at the top of a full push-up, then maintain this position with 1 hand while rotating the chest toward the side of the hand that is being lifted to point toward the ceiling, pause and return to the starting position), 2 × 15 reps on each side

6.

Fast feet in place (performed by jogging in place with increasing velocity, picking the foot only a few inches off the ground), 4 × 20 sec

7.

Proprioceptive neuromuscular facilitation trunk pull-downs with Thera-Band, 2 × 15 to the right and left

8.

Symptom-free practice without high-speed manoeuvres

9.

Ice for 20 min if any symptoms of local fatigue or discomfort present

  1. Key: Low intensity, a velocity of movement that is less than or near that of normal walking; moderate intensity, a velocity of movement greater than normal walking but not as great as sport; high intensity, a velocity of movement similar to sport activity.
  2. * Participants allowed to progress from phase 1 to phase 2 when they could walk with a normal gait pattern and perform a high knee march in place without pain.