Molly

Leonard
MSAT 6451
Hip Case Study
10/25/2014

WEEK 1

A. Modalities
a. Ice bag for 20 minutes with compression
b. Active Rest
i. Want the athlete to be resting her hip, so symptoms reduce but
want them to still be active
c. E-stim (IFC) after activity for pain and should be used as needed, if no
pain then e-stim is not necessary
i. Twitch
ii. Pulse frequency: <50 pps
iii. Carrier frequency: 4000-5000 Hz
iv. Electrode placement: crisscross the swelling
v. Sweep: ON
vi. Treatment duration: 10-30 minutes, 3-4 times/day
d. Deep tissue massage over affected area
B. Strengthening Monday, Wednesday, Friday, 2 sets of 8, light
resistance/weight
a. Extension
i. Lay prone, keep the R knee straight (tighten the gluteal
muscles), lift the leg
1. Hold for 3 seconds
b. Flexion
i. Standing on the L leg, slowly bring your R knee as high as you
can while keeping your back straight
1. Hold for 3 seconds
ii. Straight Leg Raises
1. Hold for 5 seconds
c. Adduction
i. Lay supine with a towel or ball between the knees, squeeze the
ball/towel together
1. Hold for 5 seconds
d. Abduction
i. Standing on the L leg, keep your back and knee straight, bring
the R leg to the side
1. Hold for 3 seconds
e. Hamstring curls
i. 3 sets of 10
f. Knee extensions
i. 3 sets of 10
g. Calf Raises

i. 3 sets of 10
h. Upper body Tuesday, Thursday, 3 sets of 10
i. Pushups
ii. Bench press
iii. Throwers Ten
iv. Bicep Curls
v. Triceps Extension
i. Core 5 days/week, 3 sets of 20
i. Planks
ii. Side planks
iii. Crunches
iv. Bridges
v. Side crunches
vi. Supermans
C. Stretching Daily, hold each stretch for 20 seconds, repeat 3 times
a. Abductors
b. Adductors
c. Quadriceps
d. Hamstring
e. Hip Flexor
f. IT Band
g. Periformis
h. Gluteus Maximus
i. Gluteus Medius
D. Cardio
a. UBE Daily for 20 minutes before rehab to warm up and 20 minutes
after rehab to cool down and to keep with up cardio
b. Aquatic therapy
i. Light flutter kicks with long flippers on the feet to eliminate
irritating the hip and causing pain
ii. Exercise for 20 minutes every other day
E. Psychology
a. Sit down with athlete weekly to make goals and look at progress
b. Talk to them about still being a part of the team as much as possible
F. Goals
a. Reduce Pain during ADLs
b. Strengthen Core
c. Maintain upper body strength
WEEK 2

A. Modalities
a. Game Ready after rehab
i. Medium inflation pressure (5-50mmHg)
1. 2-3 minutes inflation/ 1 minute deflation
ii. Treatment time: 30 minutes
iii. 2-3 times per day

b. Ice bag at home as needed for pain reduction 20 minutes

c. Estim (IFC)
i. Twitch
ii. Pulse frequency: <50 pps
iii. Carrier frequency: 4000-5000 Hz
iv. Electrode placement: crisscross the swelling
v. Sweep: ON
vi. Treatment duration: 10-30 minutes, 3-4 times/day
B. Strengthening 3 days/week, 2 sets of 10, medium resistance/weight
a. 4-way hip
b. Monster walk
c. Hamstring curls
d. Knee Extensions
e. Upper body 3 days/week, 3 set of 10
i. Push ups
ii. Bench Press
iii. Shoulder Press
iv. Supermans
v. Triceps Extension
vi. Lat Pull Downs
f. Core 5 days/week, 3 sets of 25
i. Planks
ii. Crunches
iii. Side Crunches
iv. Bridges
v. Cherry Pickers
C. Stretching daily, hold each stretch for 20 seconds, repeat 3 times
a. Abductors
b. Adductors
c. Quadriceps
d. Hamstring
e. Hip Flexor
f. IT Band
g. Periformis
h. Gluteus Maximus
i. Gluteus Medius
D. Cardio
a. UBE for 20 minutes daily before rehabilitation
b. Aquatic Therapy
i. Day 1- 20 minutes
1. Strength
ii. Day 2- no pool
iii. Day 3 30 minutes
1. Slow jogging/ strength
iv. Day 4 no pool
v. Day 5 45 minutes

1. Jogging/ strength
vi. Day 6 no pool
vii. Day 7 45 minutes
1. Jogging/ strength
c. Stationary Bike 30 minutes on days that there is no aquatic therapy,
adjust sit as necessary so there is no pain in the hip, medium
resistance
E. Psychology
a. Bring UBE and/or stationary bike into gym during practice so she
feels like she is a part of the team
b. Allow her to do her exercises in the gym with the team
c. Visualization skills
i. Her playing volleyball again
ii. Walking/running/passing/ hitting/setting pain free
F. Goals
a. Strengthen core
b. Reduce pain during activity and ADLs
c. Strengthen quads, hamstrings, adductors and abductors
d. Maintain cardio level
e. Maintain upper body strength

WEEK 3

A. Modalities
a. Game ready after rehab
i. Medium inflation pressure (5-50mmHg)
1. 2-3 minutes inflation/ 1 minute deflation
ii. Treatment time: 30 minutes
iii. 2-3 times per day
b. Ice bag at home as needed for pain 20 minutes
c. Massage over affected area, deep tissue
B. Strengthening 4 days/ week, 3 sets of 8, increased weight/ resistance as
long as there is no pain in the hip
a. Split squat
b. Lateral squat
c. 4-way hip
d. Monster walk
e. Step-ups
f. Lateral step-ups
g. Hamstring curls
h. Calf Raises
i. Mini Squats
j. Core 7 days/week, 4 sets of 20
i. V sits
ii. Crunches
iii. Planks

iv. Spidermans
v. Leg lifts
vi. Sit-ups
k. Upper Body 3 days/week, 3 sets of 10
i. Shoulder press
ii. Throwers Ten
iii. Bench
iv. Back Extensions
v. Dips
vi. Pull ups
C. Stretching daily, utilize foam roller when necessary, hold each stretch for
20 seconds, repeat 3 times
a. Abductors
b. Adductors
c. Quadriceps
d. Hamstring
e. Hip Flexor
f. IT Band
g. Periformis
h. Gluteus Maximus
i. Gluteus Medius
D. Cardio
a. Stationary Bike warm up for 20 minutes before rehab, mild
resistance, lower seat than previous week
b. Jogging/running
i. Day 1 10 minutes alternate every 2 minutes of walking and
jogging
ii. Day 2 10 minutes alternate every 2 minutes of walking and
jogging
iii. Day 3 15 minutes alternate every 3 minutes of walking and
jogging
iv. Day 4 15 minutes alternate every 4 minutes of walking and
jogging
v. Day 5 20 minutes alternate every 5 minutes of walking and
jogging
vi. Day 6 20 minutes alternate every 5 minutes of walking and
jogging
vii. Day 7- off
c. Aquatic Therapy 5 days/week
i. Jogging, cutting, squats, cardio
E. Agility do these at half speed (50%)
a. Jumping double leg
b. Ladders
c. Mini hurdles
d. Speed square
i. Sprint forward, carioca, back peddle, shuffle side ways

F. Psychology
a. Jog/walk around gym during practice so she feels like she is a part of
the team
b. Allow her to do his exercises in the gym with the team
c. Create pod cast with her for motivation to get better faster and
continue her progression
d. Check in with her about the progress of her goals
e. Meet with athlete and coach so everyone is on the same page and
everyone has a timeline of her progress and when she will return to
play
G. Goals
a. Strengthen core, low back, hip flexors, adductors/abductors, quads
and hamstrings
b. Maintain no pain with activity
c. Work back into volleyball skills
d. Increase cardio level

WEEK 4

A. Modalities
a. Ice bag after rehab for 20 minutes
b. Heat before rehab for 15 minutes with heat pack, to warm up
muscle/tissue
B. Strengthening 5 days/week, 3 sets of 10, increase weight/resistance
a. Split squat
b. Lateral squat
c. 4-way hip
d. Monster walk
e. Step-ups
f. Squats
g. Leg press
h. Lateral step-ups
i. Upper body 3 days/week, 3 sets of 10
i. Bench Press
ii. Lat Pull downs
iii. Shoulder Press
iv. Bicep Curls
v. Dips
vi. Pullups
vii. Back Extension
j. Core 7 days/week, 5 sets of 25
i. Spider man Planks w/ crunch
ii. Bicycles
iii. Russian Twist w/ Medicine Ball
iv. Cross crunch w/ straight leg raise
v. Swiss ball roll-out

vi. Mountain Climbers

C. Stretching daily, utilize foam roller when necessary, hold each stretch for
20 seconds, repeat 3 times
a. Abductors
b. Adductors
c. Quadriceps
d. Hamstring
e. Hip Flexor
f. IT Band
g. Periformis
h. Gluteus Maximus
i. Gluteus Medius
D. Cardio
a. Jogging/running
i. Day 1 15 minutes alternate every 2 minutes of walking and
jogging
ii. Day 2 15 minutes alternate every 2 minutes of walking and
jogging
iii. Day 3 30 minutes alternate every 3 minutes of walking and
jogging
iv. Day 4 45 minutes alternate every 4 minutes of walking and
jogging
v. Day 5 30 minutes alternate every 5 minutes of walking and
jogging
vi. Day 6 45 minutes alternate every 5 minutes of walking and
jogging
vii.
b. Aquatic Therapy
i. Day 1- 45 minutes
1. Walking/ strength
ii. Day 2- no pool
iii. Day 3 45 minutes
1. Jogging/ strength
iv. Day 4 no pool
v. Day 5 1 hour
1. Jogging/ strength
vi. Day 6 no pool
vii. Day 7 1 hour
1. Jogging/ strength
E. Speed/ Agility/ Power full speed
a. Jumping single and double leg
b. Suicides
c. Ladders
d. Mini hurdles
e. Sled pull
f. Speed square

i. Sprint forward, carioca, back peddle, shuffle side ways

F. Psychology
a. Create podcast of her playing volleyball throughout her career for the
days when she wants to give up he can watch it to know that she will
get back to it soon
b. Meet with her every 3 days to check in and see how she doing, outside
of the time that she comes in to do rehab
c. Allow her to do strength training and conditioning with the team
G. Goals
a. Return to full play with no pain
b. Increase cardio
c. Strengthen core/low back, hamstrings/quads
d. Increase volleyball skill work and activity