Athletes, especially those who take part in dynamic sports (e.g. soccer, ruby, football, gymnastics, triple jump) will know how frustrating a hip or groin injury can be to shift.
Apart from the frustration of re-occurrence if the root cause is not treated, there are a host of hamstrings and lower back injuries that are likely to follow if fundamental changes are not taken.
This special report offers specific and practical resources (injury tests, fitness tests, musculature consequences) to address the whole problem and attain long term balance and athletic function.
To give you a taster, the report kicks off with Scott Smith discussing the movement pathology of the hips and likely consequences that particular posture types will have on the associated muscles of the hip. It includes a couple of practical tables relating to muscle length, types and simple exercises that can be introduced to improve muscle imbalances.
In a two part groin special, Chris Mallac discusses the deep lying psoas muscle and how to effectively self treat this troublesome hip flexor. The psoas muscle can often be ignored by athletes, coaches and therapists.
Unlike other deep lying muscles, like the piriformis, stretching psoas and trying to locate psoas with your fingers is not easy. When you look at where it lies in relation to the pelvis and the role it has to play, you’ll understand that in both hip, groin and lower back injuries quality and feel of psoas is paramount.
Instability of the pelvis also has many injury consequences, including groin, hip and lower back. Important muscles that play a vital role in improving stability are gluteus medius, transverse abdominis and oblique abdominis.
Chris Mallac teams up with Dirk Spits to discuss tests to check for gluteus medius instability and again includes a useful chart to demonstrate key points to look for and clearly laid out rehabilitation exercises for increased strength.
Another program of exercises for gluteus medius is provided by Raphael Brandon that is sure to prove a useful reference tool for both athletes and coaches.
Finally, Ulrik Larsen includes a first hand case study of a rugby player with groin problems. It is an interesting point that (among other factors) the player had poor pelvic stability due to weak transverse and oblique abdominis. This was hidden very well by high quality musculature and a six-pack. It is a lesson not to let initial looks deceive.
Consequently, the final element of the report focuses on core exercises purely for transverse and oblique abdominis, so there is no mistaking which are the correct core muscles for pelvic stability.
In essence, the assessment, strength and fitness tests are all vital and there are many charts and programs that at your finger tips, whether pitch side, track side or in the clinic.
Lotty Skinner is Clinical Director of the Full Fitness Sports Injury Clinic.
Scott Smith is an Australian physiotherapist. He works at Albany Creek Sports Injury Clinic in Brisbane, specialising in running and golf injuries. He is currently working with Australian Rules football teams in Brisbane.
Chris Mallac has been Head of Sports Med at Bath Rugby and Head Physio at Queensland Reds Super 14. He is currently in private practice in Brisbane, Australia. Chris is contributing editor to Sports Injury Bulletin.
Elizabeth Ashby is a clinical and research fellow at UCL Hospital with a special interest in outcome studies.
Fares Haddad BSc MCh (Orth) FRCS (Orth) is a consultant Orthopaedic surgeon at University College London Hospital.
Ulrik Larsen is an APA sports physiotherapist, Practice Principal with Optima Sports Medicine in Brisbane, Australia and the founder of “Rehab Trainer”.