The Effect of Therapeutic Exercise on Long-Standing Adductor-Related Groin Pain in Athletes: Modified Hölmich Protocol.

IF 1.5 Q3 REHABILITATION Rehabilitation Research and Practice Pub Date : 2018-03-12 eCollection Date: 2018-01-01 DOI:10.1155/2018/8146819
Abbas Yousefzadeh, Azadeh Shadmehr, Gholam Reza Olyaei, Nasrin Naseri, Zahra Khazaeipour
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引用次数: 8

Abstract

Objective: The Hölmich protocol in therapeutic exercise is the most appropriate method for the treatment of long-standing adductor-related groin pain (LSAGP). Herein, we evaluated a modified Hölmich protocol to resolve the possible limitations intrinsic to the Hölmich protocol in terms of the rate of return to sport and the recovery period for athletes with LSAGP.

Design: The study followed a single-blind, before/after study design, where 15 athletes with LSAGP (mean age = 26.13 years; SD = 4.48) performed a 10-week modified Hölmich therapeutic exercise protocol.

Results: Outcome scores related to pain, hip adductor and abductor muscle strengths, and the ratio of maximum isometric and eccentric hip adduction to abduction strength increased significantly. Likewise, hip abduction and internal rotation ROM improved significantly compared to that at baseline. Furthermore, functional records (t-test, Edgren Side Step Test, and Triple Hop Test) showed significant improvement after treatment. Finally, 13 athletes (86.6% of the participants) successfully returned to sports activity in a mean time of 12.06 weeks (SD = 3.41).

Conclusion: The findings of this study objectively show that the modified Hölmich protocol may be safer and more effective than the Hölmich protocol in athletes with LSAGP in promoting their return to sports activity. This trial is registered with  IRCT2016080829269N1.

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治疗性运动对运动员长期内收肌相关腹股沟疼痛的影响:修改Hölmich方案。
目的:治疗性运动Hölmich方案是治疗长期内收肌相关性腹股沟痛(LSAGP)最合适的方法。在此,我们评估了一个修改后的Hölmich方案,以解决Hölmich方案在LSAGP运动员的运动恢复率和恢复期方面可能固有的局限性。设计:该研究采用单盲,前后研究设计,其中15名LSAGP运动员(平均年龄= 26.13岁;SD = 4.48)进行为期10周的改良Hölmich治疗性运动方案。结果:与疼痛、髋关节内收肌和外展肌力量、髋关节最大等距内收和偏心内收与外展力量的比值相关的结局评分显著增加。同样,与基线相比,髋关节外展和内旋ROM明显改善。此外,功能记录(t检验、Edgren侧步检验和三跳检验)显示治疗后显著改善。最终,13名运动员(86.6%的参与者)在平均12.06周(SD = 3.41)内成功恢复体育活动。结论:本研究结果客观地表明,在促进LSAGP运动员恢复体育活动方面,修改后的Hölmich方案可能比Hölmich方案更安全、更有效。本试验注册号为IRCT2016080829269N1。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
16
审稿时长
19 weeks
期刊介绍: Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.
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