Evaluation of the effectiveness of medical rehabilitation programs for lower limb muscle injuries in professional football players
- Authors: Pleshkov P.S.1, Kovlen D.V.2, Kondratieva E.A.2
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Affiliations:
- Football club Zenit
- Kirov Military Medical Academy
- Issue: Vol 25, No 1 (2026)
- Pages: 67-76
- Section: Original studies
- Published: 17.12.2025
- URL: https://rjpbr.com/1681-3456/article/view/691548
- DOI: https://doi.org/10.17816/rjpbr691548
- EDN: https://elibrary.ru/CZLTWF
- ID: 691548
Cite item
Abstract
BACKGROUND: Professional football is characterized by a high incidence of injuries, with approximately 90% of traumatic events involving the muscles of the lower limbs. The current realities of football commercialization requiring the fastest possible return of players to competition, and at the same time, reducing the risk of injury recurrence. Technologies of physical and rehabilitation medicine using high-intensity laser therapy and high-intensity magnetic therapy appear to be effective tools for addressing these challenges.
AIM: The work aimed to evaluate the effectiveness of a medical rehabilitation program for lower limb muscle injuries in professional football players using high-intensity therapeutic modalities.
METHODS: A total of 120 professional football players aged ≥18 years diagnosed with grade 2a muscle injury were examined and divided into two groups. Patients in the comparison group received a standard medical rehabilitation program, whereas patients in the intervention group underwent treatment according to an author-designed rehabilitation program incorporating high-intensity physiotherapy methods (laser therapy and magnetic therapy). A comprehensive assessment of clinical, laboratory, instrumental, and functional parameters was performed, along with analysis of rehabilitation duration and injury recurrence rates.
RESULTS: A comprehensive analysis of the effectiveness of medical rehabilitation programs for the treatment of lower limb muscle injuries revealed that overall treatment effectiveness was 91% in the intervention group and 84% in the comparison group. At the same time, the proportion of patients demonstrating a high level of treatment effectiveness was 46% in the intervention group, whereas high treatment effectiveness was achieved in only 24% of patients in the comparison group. In addition, in the group of athletes undergoing standard rehabilitation programs achieved target rehabilitation outcomes after a mean of 22.1 days, which was significantly longer (p < 0.05) than in athletes treated with the recommended medical rehabilitation program (17.7 days).
CONCLUSION: The use of medical rehabilitation programs incorporating high-intensity laser therapy and high-intensity magnetic therapy in professional athletes with lower limb muscle injuries increases overall rehabilitation effectiveness by 6% and remarkably alters the effectiveness structure, increasing the proportion of athletes achieving high treatment effectiveness by 22%. This approach accelerates return to professional sport and reduces the risk of injury recurrence.
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About the authors
Pavel S. Pleshkov
Football club Zenit
Author for correspondence.
Email: p.s.pleshkov@mail.ru
ORCID iD: 0000-0002-0875-2165
SPIN-code: 7733-2559
Russian Federation, St. Petersburg
Denis V. Kovlen
Kirov Military Medical Academy
Email: denis.kovlen@mail.ru
ORCID iD: 0000-0001-6773-9713
SPIN-code: 6002-2766
MD, Dr. Sci. (Medicine)
Russian Federation, St. PetersburgEkaterina A. Kondratieva
Kirov Military Medical Academy
Email: eak2003@mail.ru
ORCID iD: 0000-0001-6362-6543
MD, Dr. Sci. (Medicine)
Russian Federation, St. PetersburgReferences
- Bahr R, Clarsen B, Derman W. International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020. Br J Sports Med. 2020;54(7):372–389. doi: 10.1136/bjsports-2019-101969
- Soligard T, Palmer D, Steffen K, et al. New sports, COVID-19 and the heat: sports injuries and illnesses in the Tokyo 2020 Summer Olympics. Br J Sports Med. 2022. doi: 10.1136/bjsports-2022-106155
- Soligard T, Palmer D, Steffen K, et al. Sports injury and illness incidence in the Rio de Janeiro 2016 Olympic Summer Games: A prospective study of 11274 athletes from 207 countries. Br J Sports Med. 2017;51(17):1265–1271. doi: 10.1136/bjsports-2017-097956
- Rodas G, Bove T, Caparrós T, et al. Ankle sprain versus muscle strain injury in professional men's basketball: a 9-year prospective follow-up study. Orthop J Sports Med. 2019;7(6):2325967119849035. doi: 10.1177/2325967119849035
- Goes RA, Lopes LR, Cossich VRA, et al. Musculoskeletal injuries in athletes from five modalities: a cross-sectional study. BMC Musculoskelet Disord. 2020;21(1):122. doi: 10.1186/s12891-020-3141-8
- Fransson D, Vigh-Larsen JF, Fatouros IG, et al. Fatigue responses in various muscle groups in well-trained competitive male players after a simulated soccer game. J Hum Kinet. 2018;61:85–97. doi: 10.1515/hukin-2017-0129
- Beaudouin F, Tröss T, Hadji A, et al. Do Sports-related concussions induce subsequent injuries in elite male football players? Int J Sports Med. 2023.;44(6):454–459. doi: 10.1055/a-1974-3965
- Stubbe J, van Beijsterveldt AM, van der Knaap S, et al. Injuries in professional male soccer players in the Netherlands: a prospective cohort study. J Athl Train. 2015;50(2):211–216. doi: 10.4085/1062-6050-49.3.64
- Smpokos E, Mourikis C, Theos C, et al. Injuries and risk factors in professional football players during four consecutive seasons. Sport Sci Health. 2022;18:863–870. doi: 10.1007/s11332-021-00867-z
- Shalaj I, Tishukaj F, Bachl N, et al. Injuries in professional male football players in Kosovo: a descriptive epidemiological study. BMC Musculoskelet Disord. 2016;17:338. doi: 10.1186/s12891-016-1202-9
- Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011;39(6):1226–1232. doi: 10.1177/0363546510395879
- Klein C, Luig P, Henke T, et al. Nine typical injury patterns in German professional male football (soccer): a systematic visual video analysis of 345 match injuries. Br J Sports Med. 2020;55(7):390–396. doi: 10.1136/bjsports-2019-101344
- Jones A, Jones G, Greig N, et al. Epidemiology of injury in English Professional Football players: A cohort study. Phys Ther Sport. 2019;35:18–22. doi: 10.1016/j.ptsp.2018.10.011
- Ekstrand J, Krutsch W, Spreco A, et al. Time before return to play for the most common injuries in professional football: a 16-year follow-up of the UEFA Elite Club Injury Study. Br J Sports Med. 2020;54(7):421–426. doi: 10.1136/bjsports-2019-100666
- Walden M, Ekstrand J, Hägglund M, et al. Infuence of the COVID-19 lockdown and restart on the injury incidence and injury burden in men’s professional football leagues in 2020: The UEFA elite club injury study. Sports Medicine Open. 2022;8(1):67. doi: 10.1186/s40798-022-00457-4
- Pollock N, Patel A, Chakraverty J, et al. Time to return to full training is delayed and recurrence rate is higher in intratendinous acute hamstring injury in elite track and field athletes: clinical application of the British Athletics Muscle Injury Classification. Br J Sports Med. 2016;50(5):305–310. doi: 10.1136/bjsports-2015-094657
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