Muscle Strain

Question 1

Adductor related groin pain

Answer 1

• Most commonly in adductor Longus
• adductor injuries near musculotendinous insertion can an acute or gradual onset
• 90% resolve in less than 3 weeks

Question 2

Why using Copenhagen 5second squeeze test

Answer 2

• Use to monitor the progress
• use de determine start ofstrengthening the muscle (if less than 5/10 pain during and up to 48 hours afterwards)

Question 3

AD strain exercise for acute/sub phase

Answer 3

-side lying AB/AD
- squat
- normal plank
- AD squeeze
- one leg balance
- elastic band AB

Question 4

AD strain exercises for RTS

Answer 4

• Copenhagen AD exercise
• Split squat jump
• sliding AB/extension
• side plank AB
• folding knives
• elastic band AB
• skiing
• 180 degree jump

Question 5

Particularity or adductor longus

Answer 5

Adductor Longus become an extension when hip in flexion (fixed position) et inversement

Question 6

Milestone for AD return to sport

Answer 6

No or minimal (0-2) pain during and after
- Clinical examination ( palpation, stretching, squeezing)
- Adductor strength training at heavy load and 10 times Copenhagen AD exercise
- sport specific training ( sprinting, jumping, kicking, change direction, skating)

Question 7

Dosage of muscle strengthening until pre-injury performance achieved

Answer 7

At least 3 times per week

Question 8

Time to recover AD injury

Answer 8

• adductor tear gr 0 to 2: 3 weeks
• adductor rupture gr 3: 12 weeks
• long standing Adductor related groin pain : 18 weeks
• long standing Adductor and pubic related groin pain : 18 weeks
• long standing Adductor and pubic related groin pain without treatment: 25 weeks

Question 9

Hamstring injury MOI

Answer 9

• accumulation of micro damaged or sudden onset
• high velocity movement
• muscle tendon lengthening beyond capacity
• high force on muscle tendon unit

Question 10

Assessment of hamstring injury

Answer 10

• Palpation site of maximal pain (to be measured)
• ROM : hip flexion and knee extension ( can be limited by pain); DF knee to wall
• Isometric strength of ham with dynamometer+ pain

Question 11

Why is important to measure site of maximal pain in hamstring injury

Answer 11

• monitor the progression of rehab
• give info about severity of injury

Question 12

Isometric hamstring testing

Answer 12

-Goal >90% healthy side
- help identify where the pain is

Question 13

Progressive return to running in hamstring injury

Answer 13

• Stage one (20-60-20) : when can walk with minimal pain (<4)
• Stage two (30-50-20) : when can tolerate moderate speed run
• Stage three ( 40-40-20) : when can run 80% max velocity pain free

Question 14

Criteria RTS in hamstring injury

Answer 14

• Clinical examination
• Performance testing
• Isokinetic dynamometry
• Askling H test

Question 15

Why do we based ourselves on the criteria in RTS in hamstring injury

Answer 15

The combination of the 4 outcomes show a significant lower rates in reinjury

Question 16

RTP model in football with hamstring injury

Answer 16

• absence of pain in palpation
• absence of pain in stretching-stengthening
• similarity in hamstring flexibility
• psychological readiness
• sport related performance
• absence pain Functional testing
• absence pain functional performance
• medical staff clearance

Question 17

Exercise early stage hamstring

Answer 17

• extender : slow active knee extension
• diver : eccentric control and stability
• slider : eccentric strength

Question 18

Why important preventing Quadriceps tear

Answer 18

• 3rd most common in football
• 17% of recurrence

Question 19

MOI quadriceps tear

Answer 19

Kicking, fast sprint/ jump, forceful eccentric contraction

Question 20

Recovery quad tear

Answer 20

Mild : 2-5 days
Severe: 20-25 days

Question 21

What define severity of quad tear

Answer 21

Depends on loss of passive knee flexion

Question 22

Goals conservative management of quadriceps tear

Answer 22

• improve ROM
• improve strength (progression)
• maintain general fitness