Adductor Squeeze Test: Difference between revisions
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== | == Introduction == | ||
The | Groin injuries are common injuries especially in sports that involve running, kicking, side to side movements, repetitive twisting and change in direction.<ref name=":0">Delahunt E, Kennelly C, McEntee BL, Coughlan GF, Green BS. The thigh adductor squeeze test: 45 of hip flexion as the optimal test position for eliciting adductor muscle activity and maximum pressure values. Manual therapy. 2011 Oct 1;16(5):476-80.</ref><ref name=":1">Hodgson L, Hignett T, Edwards K. Normative adductor squeeze tests scores in rugby. Physical Therapy in Sport. 2015 May 1;16(2):93-7.</ref> | ||
Groin injury is more likely to occur in individuals with adductor muscles weakness, especially [[Groin Strain|adductor mucles strain]].<ref name=":0" /> | |||
== Purpose == | |||
The adductor squeeze test is used in the diagnosis of groin injuries and for the measurement of adductor muscles strength.<ref name=":0" /> | |||
It is important to assess the strength of the adductor muscles as adductor muscles weakness is from the intrinsic risk factors of groin injuries and individuals with adductor muscles weakness are more likely to sustain groin injuires.<ref name=":0" /><ref name=":1" /> | |||
Thus, the adductor squeeze test can be used as a screening tool to detect adductors muscle weaknee and decrease the risk of groin injuries.<ref>Moreno-Pérez V, Travassos B, Calado A, Gonzalo-Skok O, Del Coso J, Mendez-Villanueva A. Adductor squeeze test and groin injuries in elite football players: A prospective study. Physical therapy in sport. 2019 May 1;37:54-9.</ref> | |||
== Technique == | == Technique == | ||
The test is performed from supine in 3 positions which are 0, 45 and 90 degrees hip flexion.<ref name=":0" /> | |||
Several angles are used due to the multi-factorial role of hip adductor muscles.<ref name=":3">Delahunt E, McEntee BL, Kennelly C, Green BS, Coughlan GF. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419551/ Intrarater reliability of the adductor squeeze test in gaelic games athletes.] Journal of Athletic Training. 2011;46(3):241-5.</ref> | |||
The examiner places his fist between the patient’s knee and the patient is instructed to contract the adductor muscles maximally, squeezing the examiner’s fist.<ref name=":3" /> | |||
= | Also, the strength of the hip adductors can be measured objectively by repeating the same manouver with a handheld dynamometer or sphygmomanometer placed between patient’s knees as he squeezes them in.<ref name=":0" /> | ||
The test is positive if the patient complains of pain in the adductor muscles or bone pain at the anterior and medial [[Pelvic Floor Anatomy|pelvic]] ring. <ref name=":3" /> | |||
A study by Eamonn Delahunt et al, concluded that the optimal test position is 45 degrees hip flexion, as high pressure values and high level of adductor muscles activity were recorded at 45 degrees.<ref name=":0" /> | |||
== | == Evidence == | ||
It has been shown to be a useful diagnostic tool in identifying groin pain (Verrall 2007) and it is an reliable and accurate measurement of adductor muscle strength (Malliaras 2009).<ref name=":0" /> | |||
== References == | == References == | ||
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[[Category:Hip]] [[Category:Hip - Assessment and Examination]] | [[Category:Hip]] | ||
[[Category:Hip - Assessment and Examination]] | |||
[[Category:Assessment]] | [[Category:Assessment]] | ||
Revision as of 17:14, 11 September 2020
Original Editor - Wanda van Niekerk
Lead Editors
Introduction[edit | edit source]
Groin injuries are common injuries especially in sports that involve running, kicking, side to side movements, repetitive twisting and change in direction.[1][2]
Groin injury is more likely to occur in individuals with adductor muscles weakness, especially adductor mucles strain.[1]
Purpose[edit | edit source]
The adductor squeeze test is used in the diagnosis of groin injuries and for the measurement of adductor muscles strength.[1]
It is important to assess the strength of the adductor muscles as adductor muscles weakness is from the intrinsic risk factors of groin injuries and individuals with adductor muscles weakness are more likely to sustain groin injuires.[1][2]
Thus, the adductor squeeze test can be used as a screening tool to detect adductors muscle weaknee and decrease the risk of groin injuries.[3]
Technique[edit | edit source]
The test is performed from supine in 3 positions which are 0, 45 and 90 degrees hip flexion.[1]
Several angles are used due to the multi-factorial role of hip adductor muscles.[4]
The examiner places his fist between the patient’s knee and the patient is instructed to contract the adductor muscles maximally, squeezing the examiner’s fist.[4]
Also, the strength of the hip adductors can be measured objectively by repeating the same manouver with a handheld dynamometer or sphygmomanometer placed between patient’s knees as he squeezes them in.[1]
The test is positive if the patient complains of pain in the adductor muscles or bone pain at the anterior and medial pelvic ring. [4]
A study by Eamonn Delahunt et al, concluded that the optimal test position is 45 degrees hip flexion, as high pressure values and high level of adductor muscles activity were recorded at 45 degrees.[1]
Evidence[edit | edit source]
It has been shown to be a useful diagnostic tool in identifying groin pain (Verrall 2007) and it is an reliable and accurate measurement of adductor muscle strength (Malliaras 2009).[1]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Delahunt E, Kennelly C, McEntee BL, Coughlan GF, Green BS. The thigh adductor squeeze test: 45 of hip flexion as the optimal test position for eliciting adductor muscle activity and maximum pressure values. Manual therapy. 2011 Oct 1;16(5):476-80.
- ↑ 2.0 2.1 Hodgson L, Hignett T, Edwards K. Normative adductor squeeze tests scores in rugby. Physical Therapy in Sport. 2015 May 1;16(2):93-7.
- ↑ Moreno-Pérez V, Travassos B, Calado A, Gonzalo-Skok O, Del Coso J, Mendez-Villanueva A. Adductor squeeze test and groin injuries in elite football players: A prospective study. Physical therapy in sport. 2019 May 1;37:54-9.
- ↑ 4.0 4.1 4.2 Delahunt E, McEntee BL, Kennelly C, Green BS, Coughlan GF. Intrarater reliability of the adductor squeeze test in gaelic games athletes. Journal of Athletic Training. 2011;46(3):241-5.
