• Willis SA

• Activator Method
• Child
• Proprioceptive Neuromuscular Facilitation
• Sacro Occipital Technique
• Sprains and Strains / therapy
• Thigh / injuries
• Trigger Points

Objective: To describe the successful management of a young female diagnosed with thigh adductor muscle strain and its association to pelvic subluxation.

Clinical Features: A 7-year-old female sought chiropractic care for the management of adductor muscle strain of her right thigh, which prevented her from performing passive full-thigh abduction. She was also experiencing pain during right thigh abduction at the proximal attachment of the right thigh adductor group, just distal to the pubic bone. The patient is involved in competitive dance, and has a very physically active lifestyle.

Intervention and Outcome: Sacro Occipital Technic (SOT) chiropractic analysis and adjusting, Activator instrument adjusting, as well as trigger point therapy, effleurage, Proprioceptive Neuromuscular Facilitation (PNF) and dynamic stretching of the adductor muscles of the right thigh were administered over 2 visits. Thigh abduction range of motion, pain at end abduction range of motion, adductor muscle hypertonicity, pain on palpation of adductor musculature and pain in the adductor musculature with manual muscle testing were the criteria by which the outcome was assessed. Symptoms were reported as completely resolved immediately following the second adjustment. By the second treatment, the patient was able to fully abduct the previously painful thigh and perform previously affected functional movements in the absence of pain or dysfunction.

Conclusions: A young girl with right thigh adductor strain experienced improvement following 2 chiropractic treatments; however, soft tissue technique was employed in addition to chiropractic adjustments. Future research should be conducted to investigate the role of chiropractic adjustments in the treatment of adductor muscle strain.

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