High Rate of Return to Sport Following Abdominal Muscle Strain Injuries in National Collegiate Athletic Association Division I Overhead Athletes—A Case Series

in International Journal of Athletic Therapy and Training

Click name to view affiliation

Ioanna K. BoliaUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Ioanna K. Bolia in
Current site
Google Scholar
PubMed
Close
*
,
Alexander E. WeberUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Alexander E. Weber in
Current site
Google Scholar
PubMed
Close
,
Hansel IhnUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Hansel Ihn in
Current site
Google Scholar
PubMed
Close
,
Paul WonUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Paul Won in
Current site
Google Scholar
PubMed
Close
,
Laith K. HasanUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Laith K. Hasan in
Current site
Google Scholar
PubMed
Close
,
Aryan HaratianUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Aryan Haratian in
Current site
Google Scholar
PubMed
Close
,
Lisa Noceti-DewitUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Lisa Noceti-Dewit in
Current site
Google Scholar
PubMed
Close
,
Russ RomanoUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Russ Romano in
Current site
Google Scholar
PubMed
Close
,
James E. TiboneUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by James E. Tibone in
Current site
Google Scholar
PubMed
Close
, and
Seth C. GamradtUSC Epstein Family Center for Sports Medicine, Keck Medicine of USC, Los Angeles, CA, USA

Search for other papers by Seth C. Gamradt in
Current site
Google Scholar
PubMed
Close
Restricted access

This case series describes the rate and time to return to sport following nonoperative management of abdominal muscle strain in the National Collegiate Athletic Association Division I. Twenty-seven overhead athletes were included, and each participated in a rehabilitation flexibility program as well as interventions addressing hip and thoracic rotational deficits. To our knowledge, this is the first study to report on the rates of abdominal injury in overhead athletes and their return to sport at a National Collegiate Athletic Association Division I institution. Volleyball athletes were disproportionately affected by abdominal injuries in the present study, and these injuries have been reported to account for up to 22.2% of muscle injuries in elite volleyball athletes. Similar to the finding in the present study, two baseball studies demonstrated that the abdominal musculature on the opposite side of the dominant arm (lead side) was usually affected.

  • Collapse
  • Expand
  • 1.

    Camp CL, Conte S, Cohen SB, Thompson M, John DA, Nguyen JT, et al. Epidemiology and impact of abdominal oblique injuries in major and minor league baseball. Orthop J Sports Med. 2017;5(3):2325967117694025. PubMed ID: 28451598 doi:10.1177/2325967117694025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Maquirriain J, Ghisi JP, Kokalj AM. Rectus abdominis muscle strains in tennis players. Br J Sports Med. 2007;41(11):842. PubMed ID: 17957025 doi:10.1136/bjsm.2007.036129

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Connell D, Ali K, Javid M, Bell P, Batt M, Kemp S. Sonography and MRI of rectus abdominis muscle strain in elite tennis players. AJR Am J Roentgenol. 2006;187(6):14571461. PubMed ID: 17114537 doi:10.2214/AJR.04.1929

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Natsis K, Lyrtzis C, Papathanasiou E, Anastasopoulos N. Rectus abdominis overuse injury in a tennis athlete treated with traumeel. Am J Case Rep. 2012;13:36. PubMed ID: 23569472 doi:10.12659/AJCR.882235

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Pluim BM, Staal JB, Windler GE, Jayanthi N. Tennis injuries: occurrence, aetiology, and prevention. Br J Sports Med. 2006;40(5):415423. PubMed ID: 16632572 doi:10.1136/bjsm.2005.023184

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Conte SA, Thompson MM, Marks MA, Dines JS. Abdominal muscle strains in professional baseball: 1991–2010. Am J Sports Med. 2012;40(3):650656. PubMed ID: 22268233 doi:10.1177/0363546511433030

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Johnson R. Abdominal wall injuries: rectus abdominis strains, oblique strains, rectus sheath hematoma. Curr Sports Med Rep. 2006;5(2):99103. PubMed ID: 16529681 doi:10.1097/01.CSMR.0000306528.74500.bf

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Dauty M, Menu P, Dubois C. Uncommon external abdominal oblique muscle strain in a professional soccer player: a case report. BMC Res Notes. 2014;7(1):684. doi:10.1186/1756-0500-7-684

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Scholten PM, Massimi S, Dahmen N, Diamond J, Wyss J. Successful treatment of athletic pubalgia in a lacrosse player with ultrasound-guided needle tenotomy and platelet-rich plasma injection: a case report. PM & R. 2015;7(1):7983. PubMed ID: 25134854 doi:10.1016/j.pmrj.2014.08.943

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    St-Onge E, MacIntyre IG, Galea AM. Multidisciplinary approach to non-surgical management of inguinal disruption in a professional hockey player treated with platelet-rich plasma, manual therapy and exercise: a case report. J Can Chiropr Assoc. 2015;59(4):390397. PubMed ID: 26816415

    • Search Google Scholar
    • Export Citation
  • 11.

    Wong S, Ning A, Lee C, Feeley BT. Return to sport after muscle injury. Curr Rev Musculoskelet Med. 2015;8(2):168175. PubMed ID: 25742905 doi:10.1007/s12178-015-9262-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Poor AE, Roedl JB, Zoga AC, Meyers WC. Core muscle injuries in athletes. Curr Sports Med Rep. 2018;17(2):5458. PubMed ID: 29420348 doi:10.1249/JSR.0000000000000453

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Eriksrud O, Ghelem A, Cabri J. Isokinetic strength training of kinetic chain exercises of a professional tennis player with a minor partial internal abdominal oblique muscle tear—a case report. Phys Ther Sport. 2019;38:2329. PubMed ID: 31039484 doi:10.1016/j.ptsp.2019.04.012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Asai K, Nakase J, Shimozaki K, Toyooka K, Kitaoka K, Tsuchiya H. Internal oblique muscle strain on the side of the dominant arm in a representative handball player. Curr Sports Med Rep. 2019;18(10):358360. PubMed ID: 31596751 doi:10.1249/JSR.0000000000000640

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Short SM, Anloague PA, Strack DS. Rehabilitation and return to sport following surgical repair of the rectus abdominis and adductor longus in a professional basketball player: a case report. J Orthop Sports Phys Ther. 2016;46(8):697706. PubMed ID: 27374014 doi:10.2519/jospt.2016.6352

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Tubez F, Forthomme B, Croisier JL, Cordonnier C, Brüls O, Denoël V, et al. Biomechanical analysis of abdominal injury in tennis serves. A case report. J Sports Sci Med. 2015;14(2):40212. PubMed ID: 25983591

    • Search Google Scholar
    • Export Citation
  • 17.

    Dines JS, Bedi A, Williams PN, Dodson CC, Ellenbecker TS, Altchek DW, et al. Tennis injuries: epidemiology, pathophysiology, and treatment. J Am Acad Orthop Surg. 2015;23(3):181189. PubMed ID: 25667400 doi:10.5435/JAAOS-D-13-00148

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Camp CL, Conte S, Cohen SB, Thompson M, D’Angelo J, Nguyen JT, et al. Epidemiology and impact of abdominal oblique injuries in major and minor league baseball. Orthop J Sports Med. 2017;5(3):2325967117694025. PubMed ID: 28451598 doi:10.1177/2325967117694025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Cuñado-González Á, Martín-Pintado-Zugasti A, Rodríguez-Fernández ÁL. Prevalence and factors associated with injuries in elite Spanish volleyball. J Sport Rehabil. 2019;28(8):796802. PubMed ID: 30222500 doi:10.1123/jsr.2018-0044

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Baugh CM, Weintraub GS, Gregory AJ, Djoko A, Dompier TP, Kerr ZY. Descriptive epidemiology of injuries sustained in national collegiate athletic association men’s and women’s volleyball, 2013–2014 to 2014–2015. Sports Health. 2018;10(1):6069. PubMed ID: 28985702 doi:10.1177/1941738117733685

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Reeser JC, Joy EA, Porucznik CA, Berg RL, Colliver EB, Willick SE. Risk factors for volleyball-related shoulder pain and dysfunction. PM & R. 2010;2(1):2736. PubMed ID: 20129510 doi:10.1016/j.pmrj.2009.11.010

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Briner WW Jr., Kacmar L. Common injuries in volleyball. Mechanisms of injury, prevention and rehabilitation. Sports Med. 1997;24(1):6571. PubMed ID: 9257411 doi:10.2165/00007256-199724010-00006

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Reeser JC, Verhagen E, Briner WW, Askeland TI, Bahr R. Strategies for the prevention of volleyball related injuries. Br J Sports Med. 2006;40(7):594600. PubMed ID: 16799111 doi:10.1136/bjsm.2005.018234

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Fuchs PX, Fusco A, Duvillard SV, Cortis C, Wagner H. Movement characteristics determining volleyball spike jump performance in females. In 23rd annual European College of Sport Science (ECSS). 2018.

    • Search Google Scholar
    • Export Citation
  • 25.

    Reeser JC, Fleisig GS, Bolt B, Ruan M. Upper limb biomechanics during the volleyball serve and spike. Sports Health. 2010;2(5):368374. PubMed ID: 23015961 doi:10.1177/1941738110374624

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Setayesh K, Villarreal A, Gottschalk A, Tokish JM, Choate WS. Treatment of muscle injuries with platelet-rich plasma: a review of the literature. Curr Rev Musculoskelet Med. 2018;11(4):635642. PubMed ID: 30343400 doi:10.1007/s12178-018-9526-8

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 831 831 115
Full Text Views 104 104 3
PDF Downloads 142 142 4