With water walking, do you have your clients walk forward, backward, and sideways, or does it just depend upon the cause of their groin pain?
Answer
What we typically do is have clients start by walking on the treadmill at a 1% incline. This mimics normal walking. We will have them on the 1% grade in forward direction only. Then, once we get to about the 4 to 6 week mark and we are doing more activity on land where we are recruiting the core and progressing through some adductor work, we will get them into some backwards short-stride walking. That will stretch the area just a little bit. That is good for the healing tissue. Then when they get their adductor strength back, and if they are still having some issues making that transition to full weight bearing, we will have them do some side or lateral activities in the water. This is not on the treadmill, but just in the water itself. Then, ultimately we get them back onto the land.
Steven Tippett, PT, PhD, SCS
Steve Tippett is presently the Chair of the Department of Physical Therapy and Health Science at Bradley University. His primary teaching responsibilities include undergraduate courses in kinesiology and in sport applications in the health sciences, as well as graduate instruction in extremity orthopedics. Steve treats Bradley students in conjunction with Bradley Health Services, is the physical therapist consultant to Bradley’s athletic department, and also sees out patients one-half day per week at OSF Saint Francis Medical Center.
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