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Basketball
Published in R. C. Richard Davison, Paul M. Smith, James Hopker, Michael J. Price, Florentina Hettinga, Garry Tew, Lindsay Bottoms, Sport and Exercise Physiology Testing Guidelines: Volume I – Sport Testing, 2022
Anne Delextrat, Mark Williams, Andy Howse
The battery of tests listed here will enable practitioners to see consistent changes over time with their athletes that may guide ability to load. Wellness scores and strong personal relationships help to cement this. Testing based on medical or injury history will also aid decisions on more formal testing. Previous lumbar dys-function, hamstring or adductor strains and ankle sprains are usually prominent amongst basketball players; therefore, targeted testing for these areas is advised. Most of these tests were described in previous chapters: Knee to wall test (weight-bearing lunge test): measurement of ankle dorsiflexion.Passive or Active Straight Leg Raise: measurement of tension through the posterior chain.Adductor Squeeze test (hip flexed at 45°, with a handheld dynamometer or sphygmomanometer.(Dallinga et al., 2012)Qualitative Analysis of Single Leg Loading.Y-Balance Test.(Dallinga et al., 2012)
Referred Pain and Trigger Point
Published in Hooshang Hooshmand, Chronic Pain, 2018
Injection of the adductor muscles relieves pain in the groin and quadriceps region. TPI over the greater trochanteric region relieves pain in the lateral aspect of the thigh and lateral aspect of the legs below the knee.
Intra-articular and local soft-tissue injections
Published in Harald Breivik, William I Campbell, Michael K Nicholas, Clinical Pain Management, 2008
Michael Shipley, Vanessa Morris
Adductor tendonosis causes pain in the lower medial groin and is caused by injury or over use. The tendon is tender approximately 2 cm distal to its insertion or there may be an enthesitis with tenderness at the adductortubercle. If rest does not help, an injection can be given alongside the tendon or at its insertion.
Sex-related differences in hip and groin injuries in adult runners: a systematic review
Published in The Physician and Sportsmedicine, 2023
Bailey J. Ross, Greg M. Lupica, Zakari R. Dymock, Cadence Miskimin, Mary K. Mulcahey
There was minimal data on return to running specifically following hip/groin injuries in the included studies. In a recent case series of athletes with chronic adductor strain and/or tendinopathy, Gill et al. found 97% (31/32) were able to achieve successful RTS at a mean time of 12 weeks following adductor longus tenotomy [54]. This RTS rate is slightly higher than the pooled 81.4% (range, 68.8% to 86.6%) RTS rate found for hip/groin RRIs in this review. However, Gill et al.’s analysis included American football athletes; therefore, their results may not be directly comparable to our running-focused analysis. With respect to sex-related differences in RTS following RRIs, only one included study reported the time to RTS following hip/groin RRIs for each sex separately and found 85.7% of the males and 86.2% of the females achieved RTS within 3 weeks of injury [22]. Similarly, Lambert et al. found no significant differences between male and female athletes in either time lost due to RRI or post-RTS performance [55].
Lower limb muscle magnetic resonance imaging in Chinese patients with myotonic dystrophy type 1
Published in Neurological Research, 2020
Jia Song, Jun Fu, Mingming Ma, Mi Pang, Gang Li, Li Gao, Jiewen Zhang
At the thigh level, former MRI studies on DM1 reached a consensus that the anterior compartment was the most affected region, and the vastus intermedius and medialis muscles were more deteriorated compared to the vastus lateralis muscle, while the rectus femoris was relatively spared [2,13,14]. Our findings confirmed the previous data that the most severely affected muscles in the thighs were usually the vastus medialis and vastus intermedius, followed by vastus lateralis. But to be noted, although the anterior thigh compartment was preferentially degenerated in DM1 patients, the other compartments were also involved as the disease progression. Exceptionally, our data revealed that 1 of the 24 patients showed that the posterior compartment was the most severely affected region in the thighs (Figure 2(k and l)), suggesting that the anterior compartment being the most affected region in the thighs was found in the majority of DM1 patients, but it was not the unique muscle involvement pattern. Regarding the least affected muscles in the thighs, there is no consistent statement entirely. Park et al. [2] reported that the adductor muscles and biceps femoris long head were the least affected in the thighs. Peric et al. [14] revealed that the least affected thigh muscles were the adductor muscles, followed by the rectus femoris, sartorius, biceps femoris long head, and semimembranosus. Hamano et al. [12] revealed that the adductor magnus, biceps femoris long head and gracilis were least affected in the thighs. Our data revealed that the gracilis and rectus femoris were the least affected muscles in the thighs.
Training monitoring in professional Australian football: theoretical basis and recommendations for coaches and scientists
Published in Science and Medicine in Football, 2020
Samuel Ryan, Thomas Kempton, Franco M Impellizzeri, Aaron J Coutts
Adductor strength of professional AF players is typically assessed via isometric adductor muscle contractions with the aim of detecting pain and decrements or limb imbalances in force output following training and matches (Ryan et al. 2019). A study of professional AF players found adductor strength assessed two to three days post-match were not sensitive to internal training load (session-RPE), indicating it to be a poor indicator of training responsiveness (Esmaeili et al. 2018). Nonetheless, a recent study examining the reliability of an adductor strength assessment system in professional AF players reported a very likely moderate negative effect of reported adductor pain on adductor strength (Ryan et al. 2018), indicating that this measure is useful in detecting groin pain and can prompt further investigation to establish a player’s readiness for training. Collectively, adductor strength tests appear to be a suitable indicator of adductor pain and rate of lower limb recovery, but with poor sensitivity to training load. Future work is required to assess associations between changes in adductor strength during in-season periods and match performance to enhance the utility of this test.