Comparative Effects of Copenhagen and Holmich Exercises in Hip Adductor

Riphah International University

Status: Completed

Conditions: Groin Strain

Treatments: Other: Holmich exercises; Other: Copenhagen exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05970003

REC/RCR & AHS/23/0412

Details and patient eligibility

About

Groin pain that relates to the adductor muscle usually represents in the groin region specifically in superior internal thigh. Tears or strains may happen within the muscles itself, tears or strains mainly occurs at musculotendinous junctions or within the tendons. Adductor strain is a familiar but mostly ignored cause of groin injury and pain among athletes. Risk factors include past hip or groin injury, age, weak adductors, muscle fatigue, lessen range of motion, and deficient stretching of the adductor muscle complex.

Full description

This study will be a randomized clinical trial and will be conducted in Pakistan sports board and coaching center. Non-probability consecutive sampling will be used to collect the data. Sample size of this research is 46 subjects with age group between 18-30 years will be taken. Data will be collected from the patients of adductor strain that causes groin pain by using tools Numeric Pain Rating Scale for pain, Adductor Muscle Strength Test by Hand Held Dynamometer, The Copenhagen Hip and Groin Outcome Score (HAGO's) questionnaire and Lower Extremity Functional Scale (LEFS). An informed consent will be taken. Squeeze test will be performed to evaluate the adductor related groin pain. The subjects will be divided into two groups i.e. Group A and Group B. Group A will receive the Copenhagen exercise, also known as the adductor strengthening protocol, is a dynamic and high-intensity exercise. It doesn't require any special equipment and can be done in any training center. Group B will receive Holmich continues to provide the strongest evidence for the efficacy of exercise as an ARGP treatment. Both groups will perform their routine warm ups and cool downs the total duration of the protocol is 6 weeks, 3 times a week the duration of each session 3 sets of 10 repetitions with 15 sec recovery period Keywords groin pain, Holmich protocol, Copenhagen exercise, adductor strain.

Enrollment: 46 patients

Sex: Male

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• • Male soccer player age group 18-30 years

  • Groin pain during or after game
  • Persistent groin pain over 2-3 weeks
  • Pain at palpation of groin
  • Positive pain with Adductor squeeze test

Exclusion criteria

• • Low back pain

  • Infection (UTI)
  • Malignancy
  • Recent fractures or injuries
  • Hip osteoarthritis
  • Inguinal hernia

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Group A: Copenhagen exercise

Active Comparator group

Description:

Group A will receive the Copenhagen exercise, also known as the adductor strengthening protocol, is a dynamic and high-intensity exercise. It doesn't require any special equipment and can be done in any training center. There are 3 different levels of exercise were performed by players. 1. Level 1: Side-lying hip adduction exercise. 2. Level 2: Copenhagen adduction exercises while both arms support at the knee. 3. Level 3: Copenhagen adduction exercise - primary support at the ankle and minor support at the knee.

Treatment:

Other: Copenhagen exercises

Group B : Holmich Exercises

Active Comparator group

Description:

Group B will receive Holmich continues to provide the strongest evidence for the efficacy of exercise as an ARGP treatment. The Holmich treatment protocol exercise includes static and dynamic and/or isometric and isotonic strengthening exercises for hip adductors and abductors and also for abdominal muscles. There are 6 Different types of exercises were performed by players who were a participant with 3 sets of 10 repetitions with 15 sec recovery period.

Treatment:

Other: Holmich exercises