Rehabilitation program for muscle strain and torn adductor longus muscle (lower body)

Bios Patients
name Sasi
Age 21 Years
gender Male
Professional athletes Profession
Sports Soccer
The diagnosis of muscle strain and torn adductor longus muscle
No disease history
Physiotherapy treatment 3 times a week (3 weeks ago)
No other activity


Musculoskeletal Report
1. Pain in the anterior hip, especially when walking, sitting and muscle strengthening exercises.
2. ROM decrease in hip flexion, internal rotation, extension and Abduction. Iliopsoas muscle strain, adductors, hamstring and gluteus iliotibial band.
3. Cardiovascular fitness is weak

limit
Pain in the anterior part of the event continued activity, walking or standing (20 minutes)

goals
Sasi want to play again as before without having another injury that befell him. He also wants to lead a normal life without having pain in his entire life to obtain a more comfortable and more confident in life

Week 1 : Range Of Motion

Normal Range Of Motion (Hip)

Internal rotation – 40 degree

External rotation – 45 degree

Flexion – 125 degree

Extension – 10-15 degree

Adduction – 30 degree

-          Active ROM, to determine the ability to move without pain as well as to determine neuromuscular control, muscle strength and joint ROM, until the limited by a weak joint, tissue, muscle and pain.

-          Physiotherapist will supported every each your motion. Every degree doing for 3-5 sets

Activity	Muscle involved	Repeatition	Sets	Time	Diagram
Internal Rotation of hip (30,33, 36 degree) . -Slowly movement -pain free -progress with 30 degree first, second 33 degree,third 36 degree	-Gluteus Medius, Minimus -Adductor longus,Brevis -Pectineus -Medial hamstring (semitendinosus, semimembraneous) -Tensor fascia latae	10-15	3-5	-Hold 10 seconds each repeatition -Rest 5 seconds each repeatition -Rest 1-2 minutes each sets.
External Rotation of hip (35,38,41 degree) -Slowly movement. -pain free -doing at edge of bed progress with 35 degree first, second 38 degree,third 41 degree	-Gluteus maximus, medius -Piriformis -Obturator internus and gemelli -Quadratus femoris -Obturator externus -Iliopsoas -Long head biceps femoris	10-15	3-5	-Hold 10 seconds each repeatition -Rest 5 seconds each repeatition -Rest 1-2 minutes each sets

Lying hip flexion (75,77,81 degree) -Slowly raise knee to the chest. -Use both leg alternately -pain free -progress with 75 degree first, second 77 degree,third 81 degree	-Iliopsoas -Sartorius -Rectus Femoris	10-15	3-5	-Hold 10 seconds each repeatition -Rest 5 seconds each repeatition -Rest 1-2 minutes each sets
Raise leg extension (5,8,11 degree) -Slowly movement. -pain free -Use both leg alternately progress with 5 degree first, second 8 degree,third 11 degree	-Gluteus maimus -semitendinuousus -semimembranuousus -biceps femoris -Adductor magnus	10-15	3-5	-Hold 10 seconds each repeatition -Rest 5 seconds each repeatition -Rest 1-2 minutes each sets
Lying abduction of leg on hip (20,23,25 degree) -Slowly movement. -pain free -Use both leg . progress with 20 degree first, second 23 degree,third 26 degree	-Tensor fascia latae -Sartorius -Gluteus maximus, medius.	10-15	3-5	-Hold 10 seconds each repeatition -Rest 5 seconds each repeatition -Rest 1-2 minutes each sets
Lying adduction of leg on hip -Slowly movement. -pain free -Use both leg alternately count as 1 repeatition progress with 20 degree first, second 23 degree,third 26 degree	-Adductor longus -Adductor Brevis -Adductor magnus -Pectineus -Gracilis	10-15	3-5	-Hold 10 seconds each repeatition -Rest 5 seconds each repeatition -Rest 1-2 minutes each sets