Groin injuries: How to monitor risk and manage rehabilitation with Enda King, Steve Short and Ed Gannon

Pacey Performance Podcast

In episode #499 of the Pacey Performance Podcast, Rob is joined by guests Enda King, Ed Gannon, and Steve Short to delve into the intricacies of preventing and managing groin injuries. They emphasize the importance of monitoring and managing training loads, particularly during transitions from pre-season to in-season phases. The discussion highlights the need for regular assessments of range of motion, neuromuscular status, and strength, coupled with close communication with athletic training staff and massage therapists.

The conversation covers how groin injuries often stem from asymmetries, stressing the necessity of identifying and managing these imbalances. This includes assessing load, function, and tissue tolerance during rehabilitation, and recognizing that asymmetry can vary by sport and individual.

The guests also address the identification of high-risk players and the early warning signs of groin pain. They discuss strategies for mitigating risk, such as investigating markers like range of motion and hip strength, and implementing conservative training loads and reactivation exercises. Effective rehabilitation involves focusing on hip and trunk control, monitoring activities that provoke injury, and following a structured five-phase strategy for adductor strains.

Furthermore, the podcast touches on the importance of individualized rehabilitation, taking into account each athlete's specific deficits and symptoms. They discuss the utility of various testing and monitoring methods, including unilateral long lever assessments and cutting assessments, to identify and address the root causes of groin injuries.

In summary, the podcast underscores the necessity of a comprehensive approach involving regular monitoring, individualized rehabilitation strategies, and effective communication among all stakeholders to effectively prevent and manage groin injuries in ice hockey players.

Main talking points:

• Assess range of motion and strength regularly.
• Identify and manage athlete asymmetries.
• Assess load, function, and tissue tolerance.
• Focus on hip and trunk control.
• Use a five-phase rehab strategy.Individualize rehabilitation for specific deficits.
• Utilize long lever assessments.
• Monitor activities provoking groin injuries.