Hip and Groin Pain: Physiotherapy and Rehabilitation Issues

摘要

Groin and hip injuries are common in sport. The diagnosis, treatment and rehabilitation of these injuries haslong been identified as a complex and challenging area for all clinicians involved in the management of such injuries.While our knowledge increases steadily the challenge still remains for appropriate and successful treatment strategies.Rehabilitation has been identified as an important factor in the management of hip and groin pain. Rehabilitation canoccur prior to and after surgery or can be a stand alone treatment for long standing or acute pain. Due to the number andcomplexity of injuries in the hip and groin area, the physiotherapist must have a strong anatomic and biomechanicalknowledge base in order to identify possible aggravating structures or movement abnormalities during the assessmentprocess. Often there is not one single cause for the symptoms but multiple causes. If rehabilitation is appropriate thephysiotherapist must put in place a progressively graded rehabilitation programme appropriate to a given sport. There arestill gaps in the literature on the provision of the specifics of successful rehabilitation. Therefore the physiotherapist mustuse sound principles of healing, exercise physiology, manual therapy and rehabilitation, in addition to knowledge ofspecific stresses and strains that the pelvic area is exposed to within a given sport, in order to provide a successfuloutcome for the athlete.