Readings - Groin Pain Flashcards
What sporting action is related to the adductor longus and why ?
Kicking
Acts as an adductor and hip flexor from extended position
A meta-analysis showed that those with hip and groin pain had reduced values on what two movement tests ?
- Pain and Reduced strength on adductor squeeze testing
2. Reduced hip internal rotation
When defining groin pain, what 5 anatomical regions can the injury be classified to ?
- Adductor
- iliopsoas
- Inguinal related
- Pubic related
- Hip related groin pain
Where is adductor related groin pain located ?
Attachment of adductor Longus tendon on the pubic bone
Where is iliopsoas related groin pain located ?
More central in the groin and proximal thigh
Although many symptoms over lap, what activities aggravate 1. Adductor 2. Iliopsoas 3. Inguinal related groin pain
- Side to side movements, kicking testing and turning
- Straight line running
- Pain with sit-ups or coughing
Diagnostic criteria for adductor related groin pain includes what two objective findings
- Groin pain and tenderness on adductor palpating
2. Pain on resisted adduction testing
In adductor related groin pain, how should stretching be utilised ?
It should be avoided during the entire 2-3 months rehab period
Diagnostic criteria for iliopsoas-related groin pain
- Iliopsoas tenderness
- Pain on resisted hip flexion
And/or
- Pain on stretching the hip flexors
What is the diagnostic criteria for inguinal-related groin pain
- Pain in the inguinal canal region and tenderness of the inguinal canal
- More likely if aggravated with abdominal resistance or cough/sneeze
List 5 exercise target principles for inguinal related groin pain
- Strengthening the abdominal walls (concentric, eccentric, isometric)
- Adductor strengthening
- Abductor strengthening
- Pelvic stabilisation
- Balance
