Kinesiology 3336A/B Lecture Notes - Lecture 11: Spermatic Cord, Straddle, Ice Pack

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Can include the iliopsoas, rectus femoris and adductor group: gracilis, pectineus, adductor longus, brevis and magnus. Difficult to diagnose as it may be any combination or from slightly different mois. Can be divided into acute and chronic. Is it acute/ chronic: adductors often acute, iliopsoas often more chronic. Adductor longus most common site of injury. Moi: may be from adduction, forced extension/ excessive hip contraction or a combination, or other. Common in sports utilizing sudden change of direction. Usually acute onset that"s well localized: belly of adductor longus, proximal mt junction or tendon near origin. Pain on resisted adduction of flexion and adduction. Pain on passive hip abduction (on stretch) Begin gentle strengthening: active abduction & adduction, stretching- none early! Gradual inclusion if tight: focus on muscular imbalances (core, glutes, etc. , progress to include both concentric and eccentric, finally rapid change of direction and sport specific skills.

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