Ideal Weight For 5 Feet 6 And 1 2 Woman A Complete Treatment and Management Plan for Groin Strain

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A Complete Treatment and Management Plan for Groin Strain

The following is a very thorough and detailed treatment plan for complete recovery and rehabilitation of the groin strain.

Since this management plan was written over ten years ago, my only addition would be to reduce the ice therapy and add massage and heat therapy during the 2nd, 3rd and 4th stages. Regardless of my suggestions, the following will be very helpful to anyone who has or has suffered from a groin strain.

Injury situation:

The women’s varsity basketball player has a history of groin strain. During the game, she suddenly turned her torso and at the same time reached out to her right side. There was a sudden sharp pain in the left groin and a feeling of “giving way”, which caused the athlete to immediately stop playing and limp to the sideline.

Signs and symptoms:

As the athlete described to the athletic trainer, there was severe pain when rotating the trunk to the right and flexing the left hip. The inspection revealed the following:

  • The main point sensitivity was in the groin, especially in the area of ​​the adductor magnus muscle.
  • There was no pain during passive hip movement, but severe pain occurred during both active and resisted movement.
  • When the groin and hip were tested for injury, the hip joint, iliopsoas muscle, and rectus femoris muscles were excluded as injured; however, when the athlete adducted the hips from an extended position, it caused extreme discomfort.

Management plan:

This detailed management plan comes from one of my old college textbooks called Modern Principles of Athletic Training by Daniel D. Arnheim. It’s one of those 900 page doorstops, but it’s the book I refer to the most for information on sports injury prevention and rehabilitation. It is an extremely detailed and valuable resource for anyone working in the health and fitness industry. So…

Based on the athletic trainer’s inspection and the findings confirmed by the doctor, it was established that the athlete suffered a second-degree groin strain, especially the adductor magnus muscle.

Phase 1

Management phase: Objectives: To control bleeding, pain and spasms. Estimated Length of Time (ELT): 2 to 3 days.

Therapy: Immediate care: ICE-R (20 min) intermittently, six to eight times a day. The athlete is wearing a 6-inch elastic hip.

Exercise Rehabilitation: No exercise – complete rest if possible.

Phase 2

Management phase: Objectives: To reduce pain, spasms and restore full ability to contract without stretching the muscle. ELT: 4 to 6 days.

Therapy: Aftercare: Ice massage (1 min) three to four times a day. Stimulation of the bipolar muscles above and below the pain point (7 min).

Exercise Rehabilitation: PNF for hip rehabilitation three to four times a day (beginning approx. 6 days after injury)

Optional: Jogging in water at chest level (10 to 20 minutes) once or twice a day. It must be done within painless limits. General body maintenance exercises are performed three times per week as long as they do not aggravate injuries.

Phase 3

Management phase: Objectives: To reduce inflammation and restore strength and flexibility.

Therapy: Muscle stimulation with shock current 7 or 8, according to the athlete’s tolerance, together with ultrasound 1x a day and cold therapy in the form of ice massage or ice packs (7 min) followed by light exercise 2x to 3x a day.

Exercise Rehabilitation: PNF hip patterns two to three times daily after cold applications, progressing to progressive resistance exercises using pulley, isokinetic, or free weights (10 reps, 3 sets) once daily.

Optional: Swim with flutter kick once a day.

General body maintenance exercises are performed three times per week as long as they do not aggravate injuries.

Phase 4

Management phase: Objectives: To restore full performance, endurance, speed and expandability.

Therapy: If symptoms are asymptomatic, use ice massage (7 min) or ice pack before exercise.

Exercise Rehabilitation: Added to the Phase 3 program, flat track running slowly transitioning to 3-mile runs once a day and then progressing to the eight-way, starting with 10-foot hurdles and gradually shortening the distance to 5 feet at full speed.

Phase 5

Management phase: Objectives: Return to sports competition.

Exercise Rehabilitation: The athlete gradually returns to pre-competition training and a gradual return to competition while wearing an elastic hip bandage 8 for protection.

Criteria for return to competitive basketball:

  1. According to isokinetic dynamometer measurements, an athlete’s injured hip and groin should have the same strength as an uninjured hip.
  2. The hip and groin have full range of motion.
  3. An athlete is able to run figure eights around obstacles 5 feet apart at full speed.

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