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Rectus abdominis muscle strains in tennis players
  1. Javier Maquirriain1,
  2. Juan P Ghisi2,
  3. Antonio M Kokalj3
  1. 1
    Centro Nacional de Alto Rendimiento Deportivo, Pilar, Buenos Aires, Argentina
  2. 2
    Fernandez Hospital, Argentina
  3. 3
    Argentine Tennis Association, Argentina
  1. Javier Maquirriain, Centro Nacional de Alto Rendimiento Deportivo, Pilar, Buenos Aires; jmaquirriain{at}


Rectus abdominis muscle strains are common and debilitating injuries among competitive tennis players. Eccentric overload, followed by forced contraction of the non-dominant rectus abdominis during the cocking phase of the service motion is the accepted injury mechanism. A tennis-specific rehabilitation program emphasising eccentrics and plyometric strengthening of the abdominal wall muscles, contributes to the complete functional recovery in tennis players, and could help reduce recurrences.

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  • Competing interests: None declared.

  • Informed consent was obtained for publication of figures 1–10.

  • Abbreviations:
    delayed onset muscle soreness
    external oblique muscle
    erector spinae muscle
    internal oblique muscle
    rectus abdominis muscle
    transverse muscle