The literature suggests endogenous and exogenous factors that predispose athletes to adductor and rectus abdominis tendinopathy. Clinical evaluation is important to determine whether the cause is articular, myotendinous or due to a hernia. In addition, observation of patients is important, as is palpation to identify painful areas.
Main endogenous factors
- reduced flexibility of the posterior chain muscles and/or the iliopsoas muscle
- lumbar lordosis
- arthropathy of the sacroiliac, sacroiliac and hip
- defects in the buoyancy support
- marked asymmetry of the lower limbs
Main exogenous factors
- incorrect sports training
- unsuitable footwear
Acute phase targets with the help of the doctor
- Pain reduction with the help of corticosteroids and supplements that target muscles and tendons
Acute phase goals with the help of physiotherapists
- Physics (with the help of physical means (TECAR, TENS, ultrasound))
- Manual therapy (passive and active) for muscle relaxation
Treatment of abdominal adductor syndrome
Through the exercises, physiotherapists aim to activate the stabilizing muscles of the pelvis and retrain motor control. Second, to strengthen the adductor, gluteal, gluteus maximus, gluteus maximus and abdominal muscles with isometric exercises followed by isotonic exercises. This is followed by combination exercises that simulate the sporting activity. Finally, the movement pattern and running is evaluated in order to retrain the patient to run without pain.
