Abstract
Background and Aims Percutaneous needle electrolysis has shown to be effective for the treatment of chronic
tendinopathies, however, the scientific evidence available regarding acute muscle
lesions is scarce. Lesions to the hamstrings caused by indirect mechanisms represent
the most common muscle lesion in football (its incidence increases each year) with
a high rate of recurrence. The aim was to evaluate whether the application of percutaneous
needle electrolysis and a program of functional exercise decreases the times for return
to competition after an injury to the hamstrings in athletes, and to compare performance
data of subjects during competition before and after the injury.
Methods A case series. Two professional football players, belonging to a first league team
in Spain with a grade 2 lesion in the semitendinosus muscle on the proximal level.
The affected muscle structure was assessed using ultrasound (Logiq GE E9, probe ML6–12)
and functionality was evaluated based on data of the Global Positioning System (GPS), comparing the data obtained during the process of re-adaptation with data
prior to the lesion. Percutaneous needle electrolysis was performed under ultrasound
guidance at 48 hours after the injury following the protocol defined by Valera & Minaya
(2:3:5). The indoor recovery of players began 24 hours after the percutaneous needle electrolysis. Initially,
the exercise program included activities of mobility and controlled loading. Thereafter,
the players completed their readaptation program in the training field with exercises
of progressive complexity and intensity (biomechanical patterns and neuromuscular
control of the central zone and the lower limbs, sprint ).
Results Player A returned to competition in 16 days, player B returned in 14 days. No adverse
effects were identified during or after the percutaneous needle electrolysis technique.
The players only missed one competition game and the process of readaptation allowed
them to return to play registering parameters which were similar to the values prior
to the lesion, and maintaining the performance during the four matches following the
intervention protocol. The players were followed up to eight months after the injury
and neither player suffered a relapse during this period, which indicates the complete
recovery of the injured muscle both on a structural and functional level.
Conclusions The combined treatment using percutaneous needle electrolysis and a functional exercise
program reduces the time for return to competition after a grade 2 muscle lesion in
the hamstrings, with a level of performance that is similar to prior to the lesion,
without relapses, in an 8 month follow up period. The criteria we use to determine
when a player can return to train with the team and compete after an acute muscle
injury are: the time that has passed since the lesion, structural changes and the
ability to perform tasks.
