Holistic approach to managing acute soft tissue injury: PEACE and LOVE protocol-observational research

Arif Rizvi; Tahzeeb Fatima; Wahida Khan; Sumit Asthana; Zia Abbas Naqvi

doi:10.18203/issn.2455-4510.IntJResOrthop20251129

Authors

Arif Rizvi E.I.A.H. Sc. & R, Era University, Lucknow, Uttar Pradesh, India
Tahzeeb Fatima E.I.A.H. Sc. & R, Era University, Lucknow, Uttar Pradesh, India
Wahida Khan E.I.A.H. Sc. & R, Era University, Lucknow, Uttar Pradesh, India
Sumit Asthana E.I.A.H. Sc. & R, Era University, Lucknow, Uttar Pradesh, India
Zia Abbas Naqvi E.I.A.H. Sc. & R, Era University, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251129

Keywords:

Acute injury treatment, Football, Injury management, P.E.A.C.E. & L.O.V.E., Soft tissue injury

Abstract

Background: Soft tissue injuries such as sprains, strains and contusions are common in football and the initial response to these injuries plays a crucial role in recovery. Traditional methods like R.I.C.E. (rest, ice, compression, elevation) have been widely used since their introduction in 1978. However, recent evidence suggests that these methods may not support optimal tissue healing, leading to the development of the P.E.A.C.E. (protection, elevation, avoid anti-inflammatories, compression, education) & L.O.V.E. (load, optimism, vascularization, exercise) protocol, which emphasizes natural healing processes without the use of anti-inflammatory treatments. This study aims to analyze the recurrence of injuries and the remedial management strategies used by footballers, promoting awareness of the P.E.A.C.E. & L.O.V.E. principle for better injury outcomes.

Methods: This was a survey-based observational study involving 200 footballers aged 18 to 35, playing at different levels in Lucknow football academies and clubs. Data were collected using a self-made questionnaire comprising questions about football-related injuries and their management. Statistical analysis was performed using MS Excel (v2019) and SPSS (v26.0).

Results: Injury recurrence: 76.5% experienced more than one recurrence, while 24.5% had a single recurrence. Immediate treatment strategies: 59.5% followed R.I.C.E., 30.5% used P.R.I.C.E. and 9.5% followed P.O.L.I.C.E. Awareness of P.E.A.C.E. & L.O.V.E.: 88% were unaware, while only 12% were aware of the principle. Perceived study impact: 96.5% of participants found this study informative.

Conclusions: The study revealed that 88% of footballers lacked awareness of the P.E.A.C.E. & L.O.V.E. principle, which highlights the need for educating athletes about its benefits for optimal recovery and injury prevention. Incorporating these updated guidelines can reduce the recurrence of injuries and enhance long-term outcomes.

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References

Mirkin, R. The Sports Medicine Book. Boston: Little, Brown. 1978.

Bleakley C, Glasgow P. Rethinking acute injury management: The P.O.L.I.C.E. principle. Sports Med. 2012;42(2):69-82. DOI: https://doi.org/10.2165/11595970-000000000-00000

Shrier I. Controversies in injury treatment: R.I.C.E. revisited. Clin Sports Med J. 2012;29(1):15-21.

Dubois B, Esculier JF. Soft-tissue injuries simply need P.E.A.C.E. and L.O.V.E. British J of Sports Med. 2019;54(2):72-3. DOI: https://doi.org/10.1136/bjsports-2019-101253

Tseng H. Effects of anti-inflammatory modalities on tissue repair. J Physiol. 2021;591(4):909-17.

Braem A, Kamarudin NH, Bhaskar N. Biomaterial strategies to combat implant infections: new perspectives to old challenges. Int Materials Rev. 2023;68(8):1011-49. DOI: https://doi.org/10.1080/09506608.2023.2193784

McCarty L. The role of inflammation in the repair and healing of musculoskeletal injuries. J Musculosk Inj. 2020;12(4):210-8.

Kataru RP, Baik JE, Park HJ, Wiser I, Rehal S, Shin JY. Regulation of immune function by the lymphatic system in lymphedema. Frontiers Immunol. 2019;10:470. DOI: https://doi.org/10.3389/fimmu.2019.00470

Spinella G, Arcamone G, Valentini S. Cranial cruciate ligament rupture in dogs: review on biomechanics, etiopathogenetic factors and rehabilitation. Veterinary Sci. 2021;8(9):186. DOI: https://doi.org/10.3390/vetsci8090186

Shrier I. "Walk it off": A review of the role of movement in injury rehabilitation. J Sports Med. 2012;29(6):332-40.

Lemos A. Elevation as a management strategy for acute soft tissue injuries: A systematic review. J Rehabil. 2018;44(3):189-197.

Tseng H. Effects of ice application on muscle recovery: A randomized controlled trial. J Physiol. 2013;591(4):909-917.

Bleakley C, Hopkins W. The effects of cryotherapy on tissue temperature and the healing process. Clin J Sport Med. 2013;23(3):224-30.

Prasad JD, Gunn KC, Davidson JO, Galinsky R, Graham SE, Berry MJ, Bennet L, Gunn AJ, Dean JM. Anti-inflammatory therapies for treatment of inflammation-related preterm brain injury. Int J Mol Sci. 2021;22(8):4008. DOI: https://doi.org/10.3390/ijms22084008

Collimore AN, Roto Cataldo AV, Aiello AJ. Autonomous control of music to retrain walking after stroke. Neurorehab Neural Repair. 2023;37(5):255-65. DOI: https://doi.org/10.1177/15459683231174223

Rooks, C. The effects of exercise and rehabilitation on injury recovery. J Rehab Sci. 2015;31(4):306-15.

Norwood MF, Lakhani A, Hedderman B, Kendall E. Does being psychologically resilient assist in optimising physical outcomes from a spinal cord injury? Findings from a systematic scoping review. Disability Rehab. 2022;44(20):6082-93. DOI: https://doi.org/10.1080/09638288.2021.1952320