Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain

Cochrane Database of Systematic Reviews

Volumn 2013, Issue 6, 2013, Pages

  Almeida, Matheus O ^a   Silva, Brenda N G ^a   Andriolo, Régis B ^b   Atallah, Álvaro N ^a   Peccin, Maria S ^c  

^a Brazilian Cochrane Center   (Brazil)

^b UNIVERSIDADE DO ESTADO DO PARÁ   (Brazil)

^c FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL WALL MUSCULATURE; ATHLETE; BONE INJURY; CONSERVATIVE TREATMENT; COORDINATION; ELECTROTHERAPY; EVIDENCE BASED MEDICINE; EXERCISE; FOLLOW UP; GLOBAL ASSESSMENT OF FUNCTIONING; HIP MUSCLE; HUMAN; INGUINAL PAIN; INTENTION TO TREAT ANALYSIS; INTERMETHOD COMPARISON; KINESIOTHERAPY; LIGAMENT INJURY; MASSAGE; MUSCLE INJURY; MUSCLE TRAINING; PHYSIOTHERAPY; PRIORITY JOURNAL; QUASI EXPERIMENTAL STUDY; RANDOMIZED CONTROLLED TRIAL (TOPIC); RETURN TO SPORT; REVIEW; RISK BENEFIT ANALYSIS; SPORT INJURY; STRETCHING EXERCISE; SYSTEMATIC REVIEW; TENDON INJURY; THERMOTHERAPY; TREATMENT OUTCOME; ATHLETIC INJURIES; ELECTROSTIMULATION THERAPY; FEMALE; INGUINAL REGION; LIGAMENT; MALE; MUSCULOSKELETAL PAIN; PAIN MEASUREMENT; PROCEDURES;

ATHLETIC INJURIES; ELECTRIC STIMULATION THERAPY; EXERCISE; EXERCISE THERAPY; FEMALE; GROIN; HUMANS; LIGAMENTS; MALE; MASSAGE; MUSCLE STRETCHING EXERCISES; MUSCULOSKELETAL PAIN; PAIN MEASUREMENT; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 84891710062     PISSN: None     EISSN: 1469493X     Source Type: Journal    
DOI: 10.1002/14651858.CD009565.pub2     Document Type: Review

References (47)

1. Holmich P, Nyvold P, Larsen K. Continued significant effect of physical training as treatment for overuse injury: 8- to 12-yearoutcome of a randomized clinical trial. American Journal of Sports Medicine 2011;39(11):2447-51. [PUBMED: 21813441]
2. Hölmich P. Personal correspondence (email to Matheus Almeida concerning missing data) April 16 2012.
3. Hölmich P, Uhrskou P, Ulnits L, Kanstrup I, Nielsen MB, Krogsgaard K. Active physical training is an effective treatment of adductor related groin pain in athletes - results of a randomised clinical trial of two interventions. Acta Orthopaedica Scandinavica 1998;69(Suppl 280):44.
4. Hölmich P, Uhrskou P, Ulnits L, Kanstrup IL, Nielsen MB, Bjerg AM, et al.Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Lancet 1999;353(9151):439-43. [PUBMED: 9989713]
5. Weir A. Personal correspondence (email to Matheus Almeida concerning missing data) April 17 2012.
6. Weir A, Jansen JA, van de Port IG, van de Sande HB, Tol JL, Backx FJ. Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial. Manual Therapy 2011;16(2):148-54. [PUBMED: 20952244]
7. Ekstrand J, Ringborg S. Surgery versus conservative treatment in soccer players with chronic groin pain: A prospective randomised study in soccer players. European Journal of Sports Traumatology and Related Research 2001;23(4):141-5.
8. Paajanen H, Brinck T, Hermunen H, Airo I. Laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment: a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman's hernia (athletic pubalgia). Surgery 2011;150(1):99-107. [PUBMED: 21549403]
9. Backx FG. Personal communication (email to Matheus Almeida concerning the status of the trial) February 11 2013.
10. Backx FJ. Longlasting adduction-related groin injuries in athletes; regular care or a novel treatment approach. http://www.controlled-trials.com/ISRCTN65462262 (accessed 11/03/2013).
11. Backx FGV. Personal communication (email to Matheus Almeida concerning the status of the trial) February 11 2013.
12. Biedert RM, Warnke K, Meyer S. Symphysis syndrome in athletes: surgical treatment for chronic lower abdominal, groin, and adductor pain in athletes. Clinical Journal of Sport Medicine 2003;13(5):278-84. [PUBMED: 14501310]
13. Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Adverse events and manual therapy: a systematic review. Manual Therapy 2010;15(4):355-63. [PUBMED: 20097115]
14. Cowan SM, Scache AG, Brukner P, Bennell KL, Hodges PW, Coburn P, et al.Delayed onset of transversus abdominus in long-standing groin pain. Medicine & Science in Sports and Exercise 2004;36(12):2040-5. [PUBMED: 15570137]
15. Ekberg O, Persson NH, Abrahamsson PA, Westlin NE, Lilja B. Longstanding groin pain in athletes. A multidisciplinary approach. Sports Medicine 1988;6(1):56-61. [PUBMED: 3175403]
16. Ekstrand J, Hilding J. The incidence and differential diagnosis of acute groin injuries in male soccer players. Scandinavian Journal of Medicine & Science in Sports 1999;9(2):98-103. [PUBMED: 10220844]
17. Emery CA, Meeuwisse WH, Powell JW. Groin and abdominal strain injuries in the National Hockey League. Clinical Journal of Sport Medicine 1999;9(3):151-6. [PUBMED: 10512343]
18. Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R. Intrinsic risk factors for groin injuries among male soccer players: a prospective cohort study. American Journal of Sports Medicine 2010;38(10):2051-7. [PUBMED: 20699426]
19. Hawkins RD, Hulse MA, Wilkinson C, Hodson A, Gibson M. The association football medical research programme: an audit of injuries in professional football. British Journal of Sports Medicine 2001;35(1):43-7. [PUBMED: 11157461]
20. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
21. Hölmich P, Hölmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. British Journal of Sports Medicine 2004;38(4):446-51. [PUBMED: 15273182]
22. Hölmich P. Long-standing groin pain in sports people falls into three primary patterns, a "clinical entity" approach: a prospective study of 207 patients. British Journal of Sports Medicine 2007 Apr,41(4):247-52. [PUBMED: 17261557]
23. Hölmich P, Nyvold P, Larsen K. Continued significant effect of physical training as treatment for overuse injury: 8 to 12 year outcome of a randomized clinical trial. American Journal of Sports Medicine 2011;39(11):2447-51. [PUBMED: 21813441]
24. Hölmich P. Personal correspondence (email to Matheus Almeida concerning missing data) April 16 2012.
25. Jansen JA, Mens JM, Backx FJ, Stam HJ. Diagnostics in athletes with long-standing groin pain. Scandinavian Journal of Medicine & Science in Sports 2008;18(6):679-90. [PUBMED: 18980608]
26. Jansen JA, Mens JM, Backx FJ, Kolfschoten N, Stam HJ. Treatment of longstanding groin pain in athletes: a systematic review. Scandinavian Journal of Medicine & Science in Sports 2008;18(3):263-74. [PUBMED: 18397195]
27. Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
28. Lloyd-Smith R, Clement DB, McKenzie DC. A survey of overuse and traumatic hip and pelvic injuries in athletes. Physician and Sportsmedicine 1985;13(10):131-41. [EMBASE: 1986011045]
29. Lynch SA, Renström PA. Groin injuries in sport: treatment strategies. Sports Medicine 1999;28(2):137-44. [PUBMED: 10492031]
30. Machotka Z, Kumar S, Perraton LG. A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 2009;1(5):1-10. [DOI: 10.1186/1758-2555-1-5; PUBMED: 19331695]
31. Maffey L, Emery C. What are the risk factors for groin strain injury in sport? A systematic review of the literature. Sports Medicine 2007;37(10):881-94. [PUBMED: 17887812]
32. Neumann DA. Kinesiology of the hip: a focus on muscular actions. Journal of Orthopaedic and Sports Physical Therapy 2010;40(2):82-94. [PUBMED: 20118525]
33. Orchard J, Read JW, Verrall GM, Slavotinek JP. Pathophysiology of chronic groin pain in the athlete. International SportMed Journal 2000;1(1):1-16.
34. Paajanen H, Ristolainen L, Turunen H, Kujala UM. Prevalence and etiological factors of sport-related groin injuries in top-level soccer compared to non-contact sports. Archives of Orthopaedic and Trauma Surgery 2011;131(2):261-6. [PUBMED: 20714902]
35. Pizzari T, Coburn PT, Crow JF. Prevention and management of osteitis pubis in the Australian Football League: a qualitative analysis. Physical Therapy in Sport 2008;9(3):117-25. [PUBMED: 19083712]
36. Rabe SB, Oliver GD. Athletic pubalgia: recognition, treatment, and prevention. Athletic Training & Sports Health Care 2010;2(1):25-30.
37. Thorborg K, Hölmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according tothe COSMIN checklist. British Journal of Sports Medicine 2011;45:478-91.
38. Topol GA, Reeves KD, Hassanein KM. Efficacy of dextrose prolotherapy in elite male kicking-sport athletes with chronic groin pain. Archives of Physical Medicine and Rehabilitation 2005;86(4):697-702. [PUBMED: 15827920]
39. Verrall GM, Hamilton IA, Slavotinek JP, Oakeshott RD, Spriggins AJ, Barnes PG, et al.Hip joint range of motion reduction in sports-related chronic groin injury diagnosed as pubic bone stress injury. Journal of Science and Medicine in Sport 2005;8(1):77-84. [PUBMED: 15887904]
40. Verrall GM, Slavotinek JP, Barnes PG, Fon GT. Description of pain provocation tests used for the diagnosis of sports-related chronic groin pain: relationship of tests to defined clinical (pain and tenderness) and MRI (pubic bone marrow oedema) criteria. Scandinavian Journal of Medicine & Science in Sports 2005;15(1):36-42. [PUBMED: 15679570]
41. Verrall GM, Slavotinek JP, Barnes PG, Esterman A, Oakeshott RD, Spriggins AJ. Hip joint range of motion restriction precedes athletic chronic groin injury. Journal of Science & Medicine in Sport 2007;10(6):463-6. [PUBMED: 17336153]
42. Verrall GM, Slavotinek JP, Fon GT, Barnes PG. Outcome of conservative management of athletic chronic groin injury diagnosed as pubic bone stress injury. American Journal of Sports Medicine 2007;35(3):467-74. [PUBMED: 17267768]
43. Vitanzo PC Jr, McShane JM. Osteitis pubis: solving a perplexing problem. Physician and Sportsmedicine 2001;29(7):33-38+48. [PUBMED: 20086580]
44. Weir A, Jansen J, van Keulen J, Mens J, Backx F, Stam H. Short and mid-term results of a comprehensive treatment program for longstanding adductor-related groin pain in athletes: a case series. Physical Therapy in Sport 2010;11(3):99-103. [PUBMED: 20673858]
45. Weir A. Personal correspondence (email to Matheus Almeida concerning missing data) April 17 2012.
46. Williams PR, Thomas DP, Downes EM. Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. American Journal of Sports Medicine 2000;28(3):350-5. [PUBMED: 10843126]
47. Almeida MO, Gomes Silva BN, Andriolo RB, Atallah ÁN, Peccin MS. Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain. Cochrane Database of Systematic Reviews 2012, Issue 1. [DOI: 10.1002/14651858.CD009565]