Therapy: Follow up care: Ice massage (1 min) three to four times
daily. Bipolar muscle stimulation above and below pain site (7 min).
Exercise Rehabilitation: PNF for hip rehabilitation three to four times daily
(beginning approx. 6 days after injury)
Optional: Jogging in chest level water (10 to 20 min) one or two times
daily. Must be done within pain free limits.
General body maintenance exercises are conducted three times a week as long as they
do not aggravate the injury.
Phase 3
Management Phase: Goals: To reduce inflammation and return strength
and flexibility.
Therapy: Muscle stimulation using the surge current at 7 or 8, depending
on athlete's tolerance, together with ultrasound once daily and cold therapy in
the form of ice massage or ice packs (7 min) followed by light exercise, two to
three times daily.
Exercise Rehabilitation: PNF hip patterns two to three times daily following
cold applications, progressing to progressive-resistance exercise using pulley,
isokinetic, or free weight (10 reps, 3 sets) once daily.
Optional: Flutter kick swimming once daily.
General body maintenance exercises are conducted three times a week as long as they
do not aggravate the injury.
Phase 4
Management Phase: Goals: To restore full power, endurance, speed
and extensibility.
Therapy: If symptom free, precede exercise with ice massage (7 min) or ice
pack.
Exercise Rehabilitation: Added to phase 3 program, jogging on flat course
slowly progressing to a 3-mile run once daily and then progressing to figure-8s,
starting with obstacles 10 feet apart and gradually shortening distance to 5 feet,
at full speed.
Phase 5
Management Phase: Goals: To return to sport competition.
Exercise Rehabilitation: Athlete gradually returns to pre-competition exercise
and a gradual return to competition while wearing a figure-8 elastic hip spica bandage
for protection.
Criteria for Returning to Competitive Basketball:
1. As measured by an isokinetic dynamometer, the athlete's injured hip and groin
should have equal strength to that of the uninjured hip.
2. Hip and groin has full range of motion.
3. The athlete is able to run figure-8s around obstacles set 5 feet apart at full
speed.