Ann Rehabil Med.  2019 Jun;43(3):305-313. 10.5535/arm.2019.43.3.305.

Effectiveness of Active Rehabilitation Program on Sports Hernia: Randomized Control Trial

• Abouelnaga WA
• Aboelnour

• KMID: 2453920
• DOI: http://doi.org/10.5535/arm.2019.43.3.305

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.

Keyword

Sport hernia; Visual analog scale (VAS); Active rehabilitation

MeSH Terms

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

Figure

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  Fig. 1. Participant flowchart.

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