Physical impairments in longstanding hip and groin pain: Cross-sectional comparison of patients with hip-related pain or non-hip-related groin pain and healthy controls

Pålsson, Anders; Kostogiannis, Ioannis; Ageberg, Eva

doi:10.1016/j.ptsp.2021.09.011

Cited by 10 publications

(5 citation statements)

References 30 publications

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“…People with hip-related pain is a heterogenous group with varying levels of functional impairments. 2,47 Therefore, the appropriate starting level may be unique to the individual, and a lack of criteria description may lead to a starting level that is too challenging for some, and not sufficiently demanding for others. Also, less than half of the studies described progression criteria (item 7a, 35%), or how progression was performed (item 7b, 43%), and 14 of 23 (61%) studies had descriptions of dosage, such as repetitions, sets and frequency (item 13).…”

Section: Discussionmentioning

confidence: 99%

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions

Estberger

Kemp

Thorborg

et al. 2023

International Journal of Sports Physical Therapy

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Background Hip-related pain is an umbrella term encompassing pain from non-arthritic hip joint pathologies, such as femoroacetabular impingement syndrome, hip dysplasia, and labral tears. Exercise therapy is commonly recommended for these conditions, but the reporting completeness of these interventions is currently unclear. Purpose The aim of this systematic review was to assess the reporting completeness of exercise therapy protocols for people with hip-related pain. Study design Systematic review according to PRISMA guidelines. Materials and Methods A systematic search was conducted, searching the MEDLINE, CINAHL, and Cochrane databases. The search results were independently screened by two researchers. Inclusion criteria were studies using exercise therapy in people with non-arthritic hip-related pain. Two independent researchers used the Cochrane risk of bias tool version 2 to analyze risk of bias, and the Consensus on Exercise Reporting Template (CERT) checklist and score (1-19) to synthesize reporting completeness. Results Fifty-two studies used exercise therapy for hip-related pain, but only 23 were included in the synthesis as 29 studies had no description of the intervention. CERT scores ranged from 1 to 17 (median 12, IQR 5-15). The most well-described items were tailoring (87%), and the least well-described items were motivation strategies (9%) and starting level (13%). Studies used exercise therapy alone (n=13), or in combination with hip arthroscopy (n=10). Conclusion Only 23 of 52 eligible studies reported sufficient details to be included in the CERT synthesis. The median CERT score was 12 (IQR 5-15), with no study reaching the maximum score of 19. Lack of reporting makes it difficult to replicate interventions in future research, and to draw conclusions on efficacy and dose-response to exercise therapy for hip-related pain. Level of evidence Level 1, systematic review

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Section: Discussionmentioning

confidence: 99%

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions

Estberger

Kemp

Thorborg

et al. 2023

International Journal of Sports Physical Therapy

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“…This study has several limitations. First, given the study’s cross‐sectional design, we were unable to perform clinical or radiological examination [32, 36] to assess strength, hip joint range of motion, and discriminate among the five major subheadings for athletes with groin pain of the Doha system [52]. Second, we also did not report information on any conservative or surgical treatments performed.…”

Section: Discussionmentioning

confidence: 99%

Soccer players show the highest seasonal groin pain prevalence and the longest time loss from sport among 500 athletes from major team sports

Mercurio

Corona

Galasso

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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PurposeGroin pain is a widely recognized medical issue among athletes. Groin pain can affect both player and team performance and sometimes can be a career‐ending injury. The aim of this study was to assess seasonal groin pain prevalence and the average seasonal time loss from sport for each injury in different team sport athletes. The hip and groin functionality at the beginning of the following season was also investigated. MethodsA cross‐sectional study was undertaken on 600 team sport athletes (soccer, futsal, basketball, volleyball, and water polo players). The seasonal prevalence of groin pain, level of competition (professional and non‐professional), time loss, and concomitant injuries in addition to groin pain were reported and analyzed. The Copenhagen Hip and Groin Outcome Score (HAGOS) was used to assess hip and groin pain and function related to sport and activity. ResultsAmong the 506 (84%) players included, 123 players (24.3%) reported groin pain. Overall, soccer players reported the highest groin pain prevalence (32.5%) followed by futsal (25.5%), basketball (25.2%), water polo (17.6%) and volleyball players (13.6%). Professional soccer, futsal and basketball athletes showed higher groin pain prevalence in comparison with non‐professional athletes (p = 0.02, p = 0.005 and p = 0.004, respectively). The mean time loss from sport due to groin pain was 60.3 ± 66 days in soccer, 41.1 ± 16.6 days in futsal, 31.5 ± 18 days in water polo, 37.2 ± 14.2 days in basketball and 50.8 ± 24.6 days in volleyball. Significantly lower HAGOS values were found in athletes with groin pain for all sports evaluated compared to athletes with no groin pain history (p = 0.0001). Longer time loss from sport was correlated with lower HAGOS values in soccer (p = 0.002) and futsal (p = 0.002) players with groin pain. Concomitant injuries were correlated with lower HAGOS values in water polo players (p = 0.03). ConclusionsSeasonal groin pain occurs in as many as one in four team sport athletes. Soccer players show the highest groin pain prevalence and the longest time loss from sport. Professional athletes report higher prevalence of groin pain in comparison with non‐professional athletes. HAGOS appears to be a valid outcome instrument to measure groin pain, correlating with both time loss from sport and concomitant injuries in athletes. Level of evidenceLevel IV.

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“…Not surprisingly, one of the contributing risk factors to develop GP is poor core (known as the lumbopelvic-hip complex or trunk) stability [35]. In this context, instability of the lumbopelvic region [36] and altered trunk muscle function [1,3,10] were reported in individuals with GP compared to controls. Proprioception of the core musculature cooperate with other core musculoskeletal capacities for optimal core stability [37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies reported postural balance disorders in patients [10] and soccer players [11] with GP compared to controls.…”

Section: Introductionmentioning

confidence: 99%

Postural balance asymmetry and subsequent noncontact lower extremity musculoskeletal injuries among Tunisian soccer players with groin pain: A prospective case control study

Chaari

Boyas²,

Sahli³

et al. 2022

Gait & Posture

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Physical impairments in longstanding hip and groin pain: Cross-sectional comparison of patients with hip-related pain or non-hip-related groin pain and healthy controls

Cited by 10 publications

References 30 publications

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions

Soccer players show the highest seasonal groin pain prevalence and the longest time loss from sport among 500 athletes from major team sports

Postural balance asymmetry and subsequent noncontact lower extremity musculoskeletal injuries among Tunisian soccer players with groin pain: A prospective case control study

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