Movement Patterns and Muscular Function Before and After Onset of Sports-Related Groin Pain: A Systematic Review with Meta-analysis

被引:28
|
作者
Kloskowska, Paulina [2 ]
Morrissey, Dylan [2 ,5 ]
Small, Claire [3 ]
Malliaras, Peter [2 ,4 ]
Barton, Christian [1 ,3 ,4 ]
机构
[1] La Trobe Univ, Sch Allied Hlth, Sport & Exercise Med Res Ctr, Melbourne, Vic, Australia
[2] Queen Mary Univ London, Mile End Hosp, Barts & London Sch Med & Dent, Sports & Exercise Med,William Harvey Res Inst, Bancroft Rd, London E1 4DG, England
[3] Pure Sports Med, London, England
[4] Complete Sports Care, Melbourne, Vic, Australia
[5] Barts Hlth NHS Trust, Physiotherapy Dept, London, England
基金
美国国家卫生研究院;
关键词
HIP-JOINT RANGE; RISK-FACTORS; SOCCER PLAYERS; INJURIES; DIAGNOSIS; FOOTBALL; MOTION;
D O I
10.1007/s40279-016-0523-z
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background Sports-related groin pain (SRGP) is a common entity in rotational sports such as football, rugby and hockey, accounting for 12-18 % of injuries each year, with high recurrence rates and often prolonged time away from sport. Objective This systematic review synthesises movement and muscle function findings to better understand deficits and guide rehabilitation. Study Selection Prospective and retrospective cross-sectional studies investigating muscle strength, flexibility, cross-sectional area, electromyographic activation onset and magnitude in patients with SRGP were included. Search Methods Four databases (MEDLINE, Web of Knowledge, EBSCOhost and EMBASE) were searched in June 2014. Studies were critiqued using a modified version of the Downs and Black Quality Index, and a meta-analysis was performed. Results Seventeen studies (14 high quality, 3 low quality; 8 prospective and 9 retrospective) were identified. Prospective findings: moderate evidence indicated decreased hip abduction flexibility as a risk factor for SRGP. Limited or very limited evidence suggested that decreased hip adduction strength during isokinetic testing at similar to 119 degrees/s was a risk factor for SRGP, but no associations were found at similar to 30 degrees/s or similar to 210 degrees/s, or with peak rque angle. Decreased hip abductor strength in angular velocity in similar to 30 degrees/s but not in similar to 119 degrees/s and similar to 210 degrees/s was found as a risk factor forSRGP. Norelationships were found with hip internal or external rotation range of movement, nor isokinetic knee extension strength. Decreased isokinetic knee flexion strength alsowas a potential risk factor for SRGP, at a speed similar to 60 degrees/s. Retrospective findings: there was strong evidence of decreased hip adductor muscle strength during a squeeze test at 45 degrees, and decreased total hip external rotation range of movement (sum of both legs) being associated with SRGP. There was strong evidence of no relationship to abductor muscle strength nor unilateral hip internal and external rotation range of movement. Moderate evidence suggested that increased abduction flexibility and no change in total hip internal rotation range of movement (sum of both legs) were retrospectively associated with SRGP. Limited or very limited evidence (significant findings only) indicated decreased hip adductor muscle strength during 0 degrees and 30 degrees squeeze tests and during an eccentric hip adduction test, but a decrease in the isometric adductors-to-abductors strength ratio at speed 120 degrees/s; decreased abductors-to-adductors activation ratio in the early phase in themoving leg as well as in all three phases in the weight-bearing leg during standing hip flexion; and increased hip flexors strength during isokinetic and decrease in transversus abdominis muscle resting thickness associated with SRGP. Conclusions There were a number of significant movement and muscle function associations observed in athletes both prior to and following the onset of SRGP. The strength of findings was hampered by the lack of consistent terminology and diagnostic criteria, with there being clear guides for future research. Nonetheless, these findings should be considered in rehabilitation and prevention planning.
引用
收藏
页码:1847 / 1867
页数:21
相关论文
共 50 条
  • [31] Effectiveness of Interventions Aimed at Changing Movement Patterns in People With Patellofemoral Pain: A Systematic Review With Network Meta-analysis
    Nunest, Guilherme S.
    De Oliveira, Jenifer
    Iacob, George-Sebastian
    Signori, Luis Ulisses
    Diel, Ane P.
    Schreiner, Rafaela
    Solner, Matheus Weide
    JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2023, 53 (12): : 748 - 760
  • [32] The use of the dual-task paradigm in detecting gait performance deficits following a sports-related concussion: A systematic review and meta-analysis
    Lee, Hopin
    Sullivan, S. John
    Schneiders, Anthony G.
    JOURNAL OF SCIENCE AND MEDICINE IN SPORT, 2013, 16 (01) : 2 - 7
  • [33] Bladder pain syndrome and sexual function: a systematic review and meta-analysis
    Sobti, A.
    Shawer, S.
    Ballard, P.
    Khunda, A.
    INTERNATIONAL UROGYNECOLOGY JOURNAL, 2023, 34 (10) : 2359 - 2371
  • [34] Bladder pain syndrome and sexual function: a systematic review and meta-analysis
    A. Sobti
    S. Shawer
    P. Ballard
    A. Khunda
    International Urogynecology Journal, 2023, 34 : 2359 - 2371
  • [35] ENIGMA SPORTS-RELATED BRAIN INJURY: FRAMEWORK AND PRELIMINARY DMRI META-ANALYSIS
    Koerte, Inga K.
    Dennis, Emily
    Kaufmann, David
    Hartl, Elisabeth
    Bazarian, Jeff
    Merchant-Borna, Kian
    Buckley, Thomas
    Echlin, Paul
    Shenton, Martha E.
    Wilde, Elisabeth
    Tate, David
    Thompson, Paul
    Kochunov, Peter
    Jahanshad, Neda
    Baron, Dave
    JOURNAL OF NEUROTRAUMA, 2018, 35 (16) : A244 - A244
  • [36] Return to sports after total ankle arthroplasty: A systematic review and meta-analysis
    Arceri, Alberto
    Mazzotti, Antonio
    Zielli, Simone
    Bonelli, Simone
    Artioli, Elena
    Abdi, Pejman
    Langone, Laura
    Faldini, Cesare
    JOURNAL OF ORTHOPAEDICS, 2023, 44 : 57 - 65
  • [37] Pain Catastrophizing and Function In Individuals With Chronic Musculoskeletal Pain A Systematic Review and Meta-Analysis
    Martinez-Calderon, Javier
    Jensen, Mark P.
    Morales-Asencio, Jose M.
    Luque-Suarez, Alejandro
    CLINICAL JOURNAL OF PAIN, 2019, 35 (03): : 279 - 293
  • [38] Clinical course of pain and function in subacromial shoulder pain: a systematic review with meta-analysis
    Tangrood, Zohreh Jafarian
    Gisselman, Angela Spontelli
    Sole, Gisela
    Ribeiro, Daniel Cury
    PHYSICAL THERAPY REVIEWS, 2023, 28 (03) : 223 - 242
  • [39] Dyslipidemia in Muscular Dystrophy: A Systematic Review and Meta-Analysis
    Sun, Zeren
    Wang, Xindi
    White, Zoe
    Dormuth, Colin
    Morales, Fernando
    Bernatchez, Pascal
    JOURNAL OF NEUROMUSCULAR DISEASES, 2023, 10 (04) : 505 - 516
  • [40] A Systematic Review and Meta-analysis on the Epidemiology of the Muscular Dystrophies
    Mah, Jean K.
    Korngut, Lawrence
    Fiest, Kirsten M.
    Dykeman, Jonathan
    Day, Lundy J.
    Pringsheim, Tamara
    Jette, Nathalie
    CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2016, 43 (01) : 163 - 177