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

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

Rehabilitation Research and Practice, 2018 · DOI: https://doi.org/10.1155/2018/8146819 · Published: March 12, 2018

OrthopedicsRehabilitation

Simple Explanation

This study investigates a modified exercise program for athletes with long-standing groin pain. The program aims to improve return to sport and shorten recovery time compared to the standard Hölmich protocol. The modified program includes stretching, elastic band exercises, and core strengthening.

Study Duration
10-12 Weeks
Participants
15 athletes with long-standing adductor-related groin pain
Evidence Level
Not specified

Key Findings

  • 1
    The modified Hölmich protocol significantly improved pain, muscle strength, and range of motion.
  • 2
    Functional abilities, as measured by t-tests, Edgren Side Step Test, and Triple Hop Test, also improved significantly.
  • 3
    A high percentage of athletes (86.6%) successfully returned to sports activity with a shorter recovery time (12.06 weeks).

Research Summary

This study evaluated a modified Hölmich protocol for athletes with long-standing adductor-related groin pain (LSAGP). The modified protocol included adductor stretching, elastic band exercises, core strengthening, and a running program. The results showed significant improvements in pain, muscle strength, ROM, functional ability, and return to sport, suggesting the modified protocol is more effective.

Practical Implications

Rehabilitation strategy

The modified Hölmich protocol can be used as an effective rehabilitation strategy for athletes with LSAGP.

Faster recovery

The modified protocol may facilitate a faster return to sports activity compared to the standard Hölmich protocol.

Comprehensive Approach

The inclusion of stretching, elastic band exercises, and core strengthening provides a comprehensive approach to rehabilitation.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Long duration of symptoms prior to the study

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