GROIN INJURY INGUINAL HERNIA SURGERY USING THE MINIMAL REPAIR TECHNIQUE

■ Continue bike, stepper, cross trainer progression ■ Progress single plane power exercises - squats, calf raises, clean and jerk

■ Initiate multi plane power exercises - trunk twists, twist push, pull backs

■ Progress treadmill running to full speed.

Day 7 ■ Progress core strength exercises to 4 x 10 repetitions ■ Continue bike, stepper, cross trainer progression ■ Progress speed of straight line running to sprints. Introduce ball work to 75% straight runs

■ Initiate functional running patterns: these are position specific multi directional running drills without the football.

GILMORE’S GROIN SURGERY

Day 21+ ■ Progress core strength exercises to 4 x 10 repetitions ■ Continue bike, stepper, cross trainer progression ■ Progress speed treadmill running to 75% full pace ■ Continue hydrotherapy progression ■ Continue progression of single plane power exercises - squats, calf raises, clean and jerk.

Day 24+ ■ Progress core strength exercises to 4 x 10 repetitions ■ Continue bike, stepper, cross trainer progression ■ Progress speed of straight line running to sprints. Introduce ball work to 75% straight runs

■ Initiate functional running patterns: these are position specific multi directional running drills without the football ■ Discontinue hydrotherapy work

Core strength exercises The following are examples of core strength exercises that can be used following surgery for inguinal canal disruption. They are done in a slow and controlled manner to facilitate tonic activity. As well as encouraging co-activation of the trunk muscles they promote global stability and actively mobilise the incision scar.

Side holds with leg lift: Lay on the side, with the trunk straight, resting on the elbow. Raise the upper leg and hold for four seconds, then relax.

Trunk twists (medicine ball between knees): Balancing on the gym ball, with a medicine ball held between the knees. Hold a medicine ball in outstretched arms and twist slowly from from left to right, then back again.

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■ Initiate multi plane power exercises - trunk twists, twist push, pull backs.

Day 28+ ■ Progress core strength exercises to 4 x 12 repetitions ■ Continue bike, stepper, cross trainer progression ■ Continue straight line running sprints/ball work to 75% straight runs

■ Continue progression of multi-plane power exercises with weight and pulley resistance - trunk twists, twist push, pull backs

■ Progress functional training to involve all aspects of matchplay, including short and long passing; multi directional running with and without the ball; tackling; heading; throw ins.

Week 4 - 5 ■ Resume full training.

Lunges (use medicine ball and twist): Lunge forward. Progress to lung- ing forward with a medicine ball in outstretched arms and then twist in alternate directions, right then left.

Ball rolls: Hands on the floor and feet bal- ancing on the medicine ball. Roll first to the left then to the right.

Adductor strength: Lying on the side, raise the ‘lower’ leg up and hold for four seconds. Repeat for the other side.

Day 8 ■ Progress core strength exercises to 4 x 12 repetitions ■ Continue bike, stepper, cross trainer progression ■ Continue straight line running sprints / ball work to 75% straight runs

■ Continue progression of multi-plane power exercises with weight and pulley resistance - trunk twists, twist push, pull backs

■ Progress functional training to involve all aspects of matchplay, including short and long passing; multi directional running with and without the ball; tackling; heading; throw ins.

Day 9+ ■ Return to full training

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