Chronic Groin Pain in Football Players: Prevention and Rehabilitation : Graduate Thesis

Nogomet kao jedan od najpopularnijih sportova u svijetu igra se na visokom nivou te igrači sudjeluju u velikom broju utakmica to rezultira velikim volumenom sportsko specifičnih aktivnosti što pogoduje razvoju različitih bolnih sindroma, kao što je kronična preponska bol koja je tema ovog rada. Cilj rada je prikazati zahtjeve nogometne igre, ozljede koje nastaju kao posljedica sudjelovanja u istoj s naglaskom na kroničnu preponsku bol. Detaljnije se analizira anatomiju preponske regije i sve njene strukture. Navode se faktori rizika i na koji način sportaše potencijalno dovode do kronične preponske boli. Preventivne strategije poput pravilnog zagrijavanja, održavanja jakosti i fleksibilnosti mišića preponske ali i okolnih regija, pravilna tehnika izvođenja sportsko specifičnih zadataka, kontrola volumena opterećenja i odgovarajuća oprema i uvjeti u treningu i na utakmici smanjuju rizik od nastanka kronične preponske boli. Ako bolno stanje nastupi ključno je što prije postaviti točnu dijagnozu pomoću opservacije i palpacije tkiva te pomoću testova pokretljivosti i testova s otporom. Na kraju potreban je ozbiljan pristup procesu rehabilitacije kroz prikazane vježbe da bi se nogometaš mogao vratiti natjecanju.Football as one of the most popular sports in the world is played at a high level where players participate in a large number of matches and of course in preparing for them a lot of football and strength and conditioning training sessions. All together results in a large volume of sports specific activities, which favours the development of various pain syndromes, such as chronic groin pain, which is the topic of this paper. The aim of the paper is to show the requirements of the football game, injuries that occur as a result of participating in the same with an emphasis on chronic groin pain. I analyse in more detail the anatomy of the groin region and all its structures. Risk factors are listed and how athletes potentially lead to chronic groin pain. Preventive strategies such as proper warm-up, maintaining the strength and flexibility of the muscles of the groin area and surrounding regions, proper technique of performing sports-specific tasks, control of load volume and appropriate equipment and conditions in training and at the match reduce the risk of chronic groin pain. If a painful condition occurs, it is crucial to make an accurate diagnosis as soon as possible using tissue observation and palpation, mobility tests and resistance tests. In the end, a serious approach to the rehabilitation process is required through the exercises shown for the football player to pay again