Athletic Works

Athletic Works

What follows is a comprehensive plan and comprehensive management for the full restoration and rehabilitation of a groin injury.

Given this management plan was written over ten years, my only addition would be the reduction of ice therapy and the addition of massage therapy by heat during the 2nd, 3rd and 4th phase. Regardless of my suggestions, the following will be extremely useful for anyone who is or has suffered an injury groin.

Location of injuries:

A varsity basketball player of the women had a history of tightness groin. During a game she suddenly turns her trunk while also stretching the right side. There was a sudden pain and a sense of "convey" in the left groin that caused the athlete to immediately stop the game and Limp button.

Symptoms and signs:

As the athlete described it to the Athletic Trainer pain was severe during the rotation her right trunk and flexion of the left hip. The inspection revealed the following:

• There was no significant tenderness in the groin, especially in the region of the adductor magnus.
• There was no pain during passive movement of the hip but severe pain did not occur during both active and resistance movement.
• When muscles in the groin and hip were tested for injuries, hip, illiopsoas and rectus femoris were dismissed as having been injured, however, when the athlete adduction of the hip from a stretch position, it caused here extreme discomfort.

Management Plan:

This detailed management plan comes from one of my old college books text entitled Modern Principles of Athletic Training by Daniel D. Arnheim. This is one of those 900 page door stoppers, but the book I refer to most information Prevention of sports injuries and rehabilitation. It is extremely comprehensive and valuable resource for anyone working in health and fitness physics. So …

Based on inspection of the track coach, with results confirmed by the doctor it was determined that the athlete had suffered a second degree strain of the groin, particularly to the adductor magnus.

Phase 1

Management Phase: Goals: To control bleeding, pain and spasms. Approximate length of time of distress (ELT): 2 to 3 days.

Therapy: Immediate Care: ICE-R (20 min) intermittently, six to eight times per day. The athlete wears a 6-inch elastic hip Spica.

Rehabilitation Exercises: No exercise – as complete rest as possible.

Phase 2

Stage Management: Goals: To reduce pain, spasm and restore full ability to conclude a contract without stretching the muscle. ELT: 4 to 6 days.

Therapy: continuity of care: Ice massage (1 min) three to four times daily. Bipolar muscle stimulation above and below the site of pain (7 min).

Rehabilitation Exercises: PNF for rehabilitation of hip three to four times daily (beginning approx. 6 days after the accident)

Optional: Jogging in water, chest level (10 to 20 min) once or twice a day. Must be made in pain without limit. General Body of maintenance exercises are conducted three times week as long as they do not aggravate the injury.

Phase 3

Stage Management: Objectives: To reduce inflammation and the returning force and flexibility.

Therapy: muscle stimulation using the current surge at 7 or 8, depending Athlete tolerance, together with ultrasound once daily and cold therapy in the form of ice massage or ice packs (7 min), followed by light exercise, two to three times per day.

Rehabilitation Exercises: Hip Trends PNF two to three times per day depending on the application cold, progressing to progressive resistance exercise using pulley, isokinetic, or fresh weight (10 reps, 3 sets) times a day.

Optional: Flutter kick swimming once a day.

Years of maintenance of the body in general are held three weekly for as long as they do not aggravate the injury.

Phase 4

Management Phase: Goals: To restore Full power, endurance, speed and scalability.

Therapy: If symptoms, and prior year with ice massage (7 min) or ice.

Rehabilitation Exercises: Adding to the Phase 3 program, jogging on flat course progresses slowly to a 3-mile run once a day, then progresses to the figure-8, starting with obstacles 10 feet apart and gradually shorten the distance 5 meters at full speed.

Phase 5

Stage Management: Objectives: To return to competitive sport.

Rehabilitation Exercises: Athlete gradually returns to pre-exercise competition and a gradual return to competition while wearing a Figure-8 Hip Spica elastic bandage for protection.

Criteria for return to Competitive Basketball:

1. As measured by an isokinetic dynamometer, hip injured athlete and groin should have a resistance equal to that of hip, free.
2. Hip and groin range of motion.
3. The athlete is able to run figure-8s around obstacles set 5 feet apart at full speed.

Article by Brad Walker. Brad is an internationally recognized stretching and sports injury consultant with 20 years of practical experience in the health and fitness industry. Brad is a Health Science graduate of the University of New England and has postgraduate accreditations in athletics, swimming and triathlon coaching. He has worked with elite level and world champion athletes and lectures for Sports Medicine Australia on injury prevention. Brad is also the author of The Stretching Handbook, The Anatomy of Stretching and The Anatomy of Sports Injuries.

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