Can You Tell If A 2 Year Old Is Bipolar 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 detailed and detailed management plan for the full recovery and rehabilitation of a groin strain.

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

Injury situation:

A women’s varsity basketball player had a history of strain in her groin. During a game she suddenly turned her trunk while also stretching to the right. There was a sudden sharp pain and a feeling of “giving way” in the left side of the groin, which caused the athlete to immediately stop the game and limp to the side.

Symptoms and Signs:

As the athlete described it to the athletic trainer, there was severe pain turning her trunk to the right and flexing her left hip. An inspection revealed the following:

  • There was significant point tenderness in the groin, especially in the region of the adductor magnus muscle.
  • There was no pain during passive movement of the hip, but severe pain occurred during active and resisted movement.
  • When the groin and hip were tested for injury, the hip joint, iliopsoas and rectus femoris muscles were excluded as injured; however, when the athlete adducted the hip from a tight position, it caused extreme discomfort here.

Management Plan:

This detailed exercise 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 inspection of the athletic trainer, with findings confirmed by the doctor, it was determined that the athlete sustained a second degree strain of the groin, especially to the adductor magnus muscle.

Phase 1

Administrative Phase: goals: To control hemorrhage, pain and spasms. Estimated Duration (ELT): 2 to 3 days.

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

Exercise Rehabilitation: No Exercise – as complete a rest as possible.

Phase 2

Administrative Phase: goals: To reduce pain, spasm and restore full ability to contract without straining the muscle. ELT: 4 to 6 days.

Therapy: Follow care: Ice massage (1 min) three to four times a day. Bipolar muscle stimulation above and below pain site (7 min).

Exercise Rehabilitation: PNF for hip rehabilitation three to four times daily (starting approx. 6 days after injury)

optional: Jogging in chest-level water (10 to 20 min) once or twice a day. Must be done within painless limits. General body care exercises are performed three times a week as long as they do not aggravate the injury.

Phase 3

Administrative Phase: goals: To reduce inflammation and restore strength and flexibility.

Therapy: Muscle stimulation using the jet stream at 7 or 8, depending on the athlete’s tolerance, together with ultrasound once a day and cold therapy in the form of ice massage or ice packs (7 min) followed by light exercise, two to three times a day.

Exercise Rehabilitation: PNF hip patterns two to three times daily following cold applications, progressing to progressive resistance exercise with pulley, isokinetic or free weight (10 reps, 3 sets) once daily.

optional: Flutter kick while swimming once a day.

General body care exercises are performed three times a week as long as they do not aggravate the injury.

Phase 4

Administrative Phase: goals: To restore full power, endurance, speed and extensibility.

Therapy: If symptom-free, precede exercise with ice massage (7 min) or ice pack.

Exercise Rehabilitation: Added to phase 3 program, jogging on a flat course slowly progressing to a 3-mile run once daily and then progressing to figure-8s, starting with obstacles 10 feet apart and gradually shortening distance to 5 feet, full speed.

Phase 5

Administrative Phase: goals: To return to a sports competition.

Exercise Rehabilitation: Athlete gradually returns to pre-competition training and gradual return to competition wearing a figure-8 elastic hip brace for protection.

Criteria for Return to Competitive Basketball:

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

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