Valent Alessandro, Frizziero Antonio, Bressan Stefano, Zanella Elena, Giannotti Erika, Masiero Stefano
Medical Staff Modena Football Club, Italy.
Muscles Ligaments Tendons J. 2012 Sep 10;2(2):142-8. Print 2012 Apr.
Insertional tendinopathy of the adductors and rectus abdominis is common in male athletes, especially in soccer players. It may be worsened by physical activity and it usually limits sport performance. The management goal in the acute phase consists of analgesic and anti-inflammatory drugs and physical rehabilitation. In the early stages of rehabilitation, strengthening exercises of adductors and abdominal muscles, such as postural exercises, have been suggested. In the sub-acute phase, muscular strength is targeted by overload training in the gym or aquatherapy; core stability exercises seem to be useful in this phase. Finally, specific sport actions are introduced by increasingly complex exercises along with a preventive program to limit pain recurrences.
内收肌和腹直肌的插入性肌腱病在男性运动员中很常见,尤其是足球运动员。体育活动可能会使其加重,并且通常会限制运动表现。急性期的治疗目标包括使用止痛和抗炎药物以及进行物理康复。在康复的早期阶段,有人建议进行内收肌和腹部肌肉的强化锻炼,例如姿势练习。在亚急性期,通过健身房的超负荷训练或水疗来增强肌肉力量;核心稳定性练习在这个阶段似乎很有用。最后,通过越来越复杂的练习引入特定的运动动作,并制定预防计划以限制疼痛复发。