Effectiveness of Active Rehabilitation Program on Sports Hernia: Randomized Control Trial
10.5535/arm.2019.43.3.305
- Author:
Walid Ahmed ABOUELNAGA
1
;
Nancy Hassan ABOELNOUR
Author Information
1. Physical Therapy Department for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. Walidabolnaga@yahoo.com
- Publication Type:Randomized Controlled Trial
- Keywords:
Sport hernia;
Visual analog scale (VAS);
Active rehabilitation
- MeSH:
Exercise;
Groin;
Hernia;
Hip;
Humans;
Massage;
Muscle Contraction;
Outcome Assessment (Health Care);
Range of Motion, Articular;
Rehabilitation;
Return to Sport;
Running;
Soccer;
Sports;
Transcutaneous Electric Nerve Stimulation;
Visual Analog Scale
- From:Annals of Rehabilitation Medicine
2019;43(3):305-313
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To determine whether an active rehabilitation program that involves repetitive effortful muscle contractions, including core stability, balancing exercises, progressive resistance exercises, and running activities, after a sports hernia, is effective. METHODS: Forty soccer players with sports hernias were randomly divided into two equal groups: group A (active rehabilitation program) and group B (conventional treatment). The methods of assessment included a visual analog scale (VAS) and hip internal and external range of motion assessments. Group A received conventional treatment (heat, massage, transcutaneous electrical nerve stimulation, and mobilization) plus an active rehabilitation program, while group B received only conventional treatment. Three treatment sessions were given each week for 2 months. Evaluations were performed pre- and post-treatment. RESULTS: A decrease in VAS was seen in both groups at the end of treatment, 80.25% in group A and 41.93% in group B. The difference between the two groups was statistically significant (p=0.0001), whereas there were no statistical differences in internal and external rotation between the groups at the end of treatment (p>0.05). After treatment, an improvement in outcome measures of group A compared to group B (p=0.01) was seen. Thirteen patients in group A and only three patients in group B returned to sports activities without groin pain. CONCLUSION: Active rehabilitation was effective for sports hernia management measured by a decrease in pain and the return to sports.
