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Muscle Healing Considerations of Loading to Prevent Re-Rupture

American Journal of Sports Medicine (2005) · T.A.H. Jarvinen, T.L.N. Jarvinen, M. Kaariainen, H. Kalimo, M. Jarvinen

Full Title

Muscle injuries: biology and treatment

Summary

This comprehensive review examines the cellular and biomechanical processes involved in muscle injury and healing. It outlines the three main phases of muscle repair (destruction, repair, and remodeling), and emphasizes the importance of treatment timing. Specifically, the authors caution that the duration of reduced activity should be limited - complete immobilization beyond a few days can compromise healing, but returning to activity too early increases the risk of re-rupture. Scar tissue must first reach sufficient tensile strength to withstand muscle contraction forces. A gradual reintroduction of load, after initial stabilization, is essential to support proper remodeling and minimize complications.

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