1. Rehabilitation of Groin, Hip, & Thigh Injuries
Chapter 20

2. Rehabilitation Techniques
General Body Conditioning
Must maintain cardiovascular fitness, muscle endurance, and strength of total body
Avoid weight bearing activities if painful
Flexibility
Regaining pain free ROM is a primary concern
Progress from passive to PNF stretching

4. Rehabilitation Techniques
Strength
Progression from isometric exercises to isotonic strengthening PREs
Isokinetic exercises may be utilized
PNF strengthening could be incorporated to enhance functional activity
Active exercise should occur in pain free ranges
Avoid re-aggravating the injury
Exercises for the core must also be included
Develop functional strength and dynamic stabilization

7. Mobilization
Will be necessary if injury and subsequent limitation is caused by tightness of ligaments and capsule surrounding the joint
Use to re-establish appropriate arthrokinematics
Series of glides (anterior and posterior) and rotations can be used to restore motion

9. Rehabilitation Techniques
Neuromuscular Control
Established through postural alignment and stability strength
As neuromuscular control is enhanced, the ability of the kinetic chain to maintain appropriate forces and dynamic stabilization increases
Focus on balance and closed kinetic chain activities

11. Functional Progression and Return to Activity
Begin in pool, non-weight bearing
Progression of walking, to jogging, to running, and to more difficult agility tasks
Before returning to play, athlete should demonstrate pain free function, full ROM, strength, balance, and agility