Rehabilitation of Groin, Hip,

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Rehabilitation of Groin, Hip, Thigh Injuries

• Chapter 20

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Rehabilitation Techniques

• General Body Conditioning
• Must maintain cardiovascular fitness, muscle
  endurance, and strength of total body
• Avoid weight bearing activities if painful
• Flexibility
• Regaining pain free ROM is a primary concern
• Progress from passive to PNF stretching

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Rehabilitation Techniques

• Strength
• Progression from isometric exercises to isotonic
  strengthening PREs
• Isokinetic exercises may be utilized
• PNF strengthening could be incorporated to
  enhance functional activity
• Active exercise should occur in pain free ranges
• Avoid re-aggravating the injury
• Exercises for the core must also be included
• Develop functional strength and dynamic
  stabilization

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Mobilization

• Will be necessary if injury and subsequent
  limitation is caused by tightness of ligaments
  and capsule surrounding the joint
• Use to re-establish appropriate arthrokinematics
• Series of glides (anterior and posterior) and
  rotations can be used to restore motion

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Rehabilitation Techniques

• Neuromuscular Control
• Established through postural alignment and
  stability strength
• As neuromuscular control is enhanced, the ability
  of the kinetic chain to maintain appropriate
  forces and dynamic stabilization increases
• Focus on balance and closed kinetic chain
  activities

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Functional Progression and Return to Activity

• Begin in pool, non-weight bearing
• Progression of walking, to jogging, to running,
  and to more difficult agility tasks
• Before returning to play, athlete should
  demonstrate pain free function, full ROM,
  strength, balance, and agility