chronic groin pain. muscle strain
Conditions
Interventions
Intervention 1: group 1. protocol 1 ( Holmich protocol): 1 - Static adduction against soccer ball placed between feet when lying supine
each adduction 30 s, ten repetitions.
2 - Static adduction against soccer ball placed between knees when lying supine
each adduction 30s, ten repetitions.
3 - Abdominal sit-ups both in straightforward direction and in oblique direction
five series of ten repetitions.
4 - Combined abdominal sit-up and hip flexion, starting from supine position and with soccer ball placed between knees (folding knife exercise)
five series of ten repetitions.
5 - Balance training on wobble board for 5 min.
6 - One-foot exercises on sliding board, with parallel feet as well as with 90° angle between feet
five sets of 1 min continuous work with each leg, and in both positions.
Module II (from third week
module II was done twice at each
training session)
1- Leg abduction and adduction exercises lying on side
five series of ten repetitions of each exercise.
2 - Low-back extension exercises prone over end of couch
five series of ten repetitions.
3 - One-leg weight-pulling abduction/adduction standing
five series of ten repetitions for each leg.
4 - Abdominal sit-ups both in straightforward direction and in oblique direction
five series of ten repetitions.
5 - One-leg coordination exercise flexing and extending knee and swinging arms in same rhythm (cross country skiing on one leg)
five series of ten repetitions for each leg.
6 - Training in sidewards motion on a “Fitter” (rocking base curved on top and bottom
user stands on platform that rolls laterally on tracks on top of rocking base) for 5 min.
7 - Balance training on wobble board for 5 min.
8 - Skating movements on sliding board
five times 1 min continuous work (Holmich, Uhrskou et al. 1999).
Participants in this group have not permission to stretch adductor muscles at any stage of the treatment but they can stretch any other
Rehabilitation
group 1. protocol 1 ( Holmich protocol): 1 - Static adduction against soccer ball placed between feet when lying supine
each adduction 30 s, ten repetitions.
2 - Static adduction against soccer ball placed between knees when lying supine
each adduction 30s, ten repetitions.
3 - Abdominal sit-ups both in straightforward direction and in oblique direction
five series of ten repetitions.
4 - Combined abdominal sit-up and hip flexion, starting from supine position and with soccer ball placed between knees (folding knife exercise)
Sponsors
Research Assistance of Faculty of Rehabilitation, Tehran University of Medical Science
Eligibility
Sex/Gender
Male
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: inclusion criteria:the subjects should be male; suffering from groin pain at hip adductor tendon region; between 18-35 years old; The pain should be chronic with the previous history of minimum two months and accompanied with sport activities; The participants should be of those who are continuing their sport activities more or less; During squeeze test and maximum isometric contraction of hip adductors, they should feel pain that its severity according to VAS must not be more than 5; they should have at least two of following symptoms: a history of morning groin pain and stiffness, nighttime groin pain and groin pain while coughing and sneezing. Exclusion criteria: inguinal or femoral hernia; prostatitis, urinary tract chronic disorders; referential pain due to 10th thoracic down to 5th lumbar segment; malignant disorders; fracture in pelvis or lower limbs; other injuries of lower limbs; ilioinguinal, genitofemoral and lateral femoral cutaneous nerve entrapment; bursitis; osteoarthritis or any other hip joint disorders( according to clinical findings and previous history reported by the subjects); trigger points in adductor muscles belly; NSAID consumption during the study; Lack of cooperation and inability to do therapeutic protocols or to participate in assessments.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity at hip adductor tendon region. Timepoint: outcome measurement in this study is done in two time sections.first at the day before begining intervention and the second at the day after finishing intervention that is after 8 weeks. Method of measurement: VAS is used.;Maximum isometric muscle strength. Timepoint: outcome measurement in this study is done in two time sections.first at the day before begining intervention and the second at the day after finishing intervention that is after 8 weeks. Method of measurement: hand held dynamometer.;Maximum eccentric muscle strength. Timepoint: outcome measurement in this study is done in two time sections.first at the day before begining intervention and the second at the day after finishing intervention that is after 8 weeks. Method of measurement: hand held dynamometer.;Range of motion. Timepoint: outcome measurement in this study is done in two time sections.first at the day before begining intervention and the second at the day after finishing intervention that is after 8 weeks. Method of measurement: goniameter.;Function. Timepoint: outcome measurement in this study is done in two time sections.first at the day before begining intervention and the second at the day after finishing intervention that is after 8 weeks. Method of measurement: TT,ESST,THT tests. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAbbas Yousefzadeh
Faculty of Rehabilitation, Tehran University of Medical Science
Outcome results
None listed