Ann Rehabil Med.  2019 Jun;43(3):305-313. 10.5535/arm.2019.43.3.305.

Effectiveness of Active Rehabilitation Program on Sports Hernia: Randomized Control Trial

  • 1Physical Therapy Department for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.


To determine whether an active rehabilitation program that involves repetitive effortful muscle contractions, including core stability, balancing exercises, progressive resistance exercises, and running activities, after a sports hernia, is effective.
Forty soccer players with sports hernias were randomly divided into two equal groups: group A (active rehabilitation program) and group B (conventional treatment). The methods of assessment included a visual analog scale (VAS) and hip internal and external range of motion assessments. Group A received conventional treatment (heat, massage, transcutaneous electrical nerve stimulation, and mobilization) plus an active rehabilitation program, while group B received only conventional treatment. Three treatment sessions were given each week for 2 months. Evaluations were performed pre- and post-treatment.
A decrease in VAS was seen in both groups at the end of treatment, 80.25% in group A and 41.93% in group B. The difference between the two groups was statistically significant (p=0.0001), whereas there were no statistical differences in internal and external rotation between the groups at the end of treatment (p>0.05). After treatment, an improvement in outcome measures of group A compared to group B (p=0.01) was seen. Thirteen patients in group A and only three patients in group B returned to sports activities without groin pain.
Active rehabilitation was effective for sports hernia management measured by a decrease in pain and the return to sports.


Sport hernia; Visual analog scale (VAS); Active rehabilitation

MeSH Terms

Muscle Contraction
Outcome Assessment (Health Care)
Range of Motion, Articular
Return to Sport
Transcutaneous Electric Nerve Stimulation
Visual Analog Scale


  • Fig. 1. Participant flowchart.


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