Resting thickness of transversus abdominis is decreased in athletes with longstanding adduction-related groin pain

Jansen, Jaap; Weir, Adam; Dénis, Renee; Mens, Jan; Backx, Frank; Stam, Henk J.

doi:10.1016/j.math.2009.11.001

Cited by 21 publications

(28 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reviewed studies used a variety of diagnostic terms including groin pain [25], chronic groin pain [26], long-standing groin pain [19, 27], adductor-related groin pain [18], adduction-related groin pain [21, 28], groin strain [17], groin injury [20, 29, 30], chronic groin injury [31, 32], adductor strain [13, 22], groin or abdominal strain injury [33] and osteitis pubis [23]. …”

Section: Resultsmentioning

confidence: 99%

“…Retrospectively, there was strong evidence emerging from three HQS [21, 25, 28] and one LQS [27] of the existing association between adductor muscle weakness during the squeeze test in 45° hip flexion and SRGP (SMD = −1.00, 95 % CI −1.31 to −0.70) (Fig. 2b).…”

Section: Resultsmentioning

confidence: 99%

“…Retrospectively, there was limited evidence from one HQS [21] of a decrease of transversus abdominis (TrA) muscle thickness at rest in participants with right-sided (SMD = −0.80, 95 % CI −1.32 to −0.28, Fig. 4g) and left-sided SRGP symptoms (SMD = −1.05, 95 % CI −1.58 to −0.51, Fig.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

Morrissey

Small

et al. 2016

Sports Med

View full text Add to dashboard Cite

BackgroundSports-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.ObjectiveThis systematic review synthesises movement and muscle function findings to better understand deficits and guide rehabilitation.Study SelectionProspective and retrospective cross-sectional studies investigating muscle strength, flexibility, cross-sectional area, electromyographic activation onset and magnitude in patients with SRGP were included.Search MethodsFour 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.ResultsSeventeen 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 ~119°/s was a risk factor for SRGP, but no associations were found at ~30°/s or ~210°/s, or with peak torque angle. Decreased hip abductor strength in angular velocity in ~30°/s but not in ~119°/s and ~210°/s was found as a risk factor for SRGP. No relationships were found with hip internal or external rotation range of movement, nor isokinetic knee extension strength. Decreased isokinetic knee flexion strength also was a potential risk factor for SRGP, at a speed ~60°/s. Retrospective findings: there was strong evidence of decreased hip adductor muscle strength during a squeeze test at 45°, 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° and 30° squeeze tests and during an eccentric hip adduction test, but a decrease in the isometric adductors-to-abductors strength ratio at speed 120°/s; decreased abductors-to-adductors activation ratio in the early phase in the moving 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.ConclusionsThere 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 futur...

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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

Morrissey

Small

et al. 2016

Sports Med

View full text Add to dashboard Cite

show abstract

“…8,18,28,47,49,52 Most of these investigations found no difference in the resting thickness of these muscles in cohorts with LBP 8,18,49,52 or pregnancy-related pelvic girdle pain. 47 With respect to the EO, both Critchley and Coutts 8 and Jansen et al 28 reported no difference in thickness between controls and case cohorts of LBP and longstanding groin pain, respectively. There is 1 study that investigated the thickness of the RA muscle and IRD in controls and a case cohort of postpartum women, which found the RA to be significantly thinner and the IRD wider in the postpartum group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Sonographic Features of the Abdominal Wall Muscles and Connective Tissues in Individuals With and Without Lumbopelvic Pain

Whittaker¹,

Warner²,

Stokes³

2013

Journal of Orthopaedic & Sports Physical Therapy

138

View full text Add to dashboard Cite

Study Design Cross-sectional, case-control study. Objectives To measure and compare the resting thickness of the 4 abdominal wall muscles, their associated perimuscular connective tissue (PMCT), and interrecti distance (IRD) in persons with and without lumbopelvic pain (LPP), using ultrasound imaging. Background The muscles and PMCT of the abdominal wall assist in controlling the spine. Functional deficits of the abdominal wall muscles have been detected in populations with LPP. Investigations of the abdominal wall in those with LPP are primarily concerned with muscle, most commonly the transversus abdominis (TrA) and internal oblique (IO). Because the abdominal wall functions as a unit, all 4 abdominal muscles and their associated connective tissues should be considered concurrently. Methods B-mode ultrasound imaging was used to measure the resting thickness of the rectus abdominis (RA), external oblique, IO, and TrA muscles; the PMCT planes; and IRD in 50 male and female subjects, 25 with and 25 without LPP (mean ± SD age, 36.3 ± 9.4 and 46.6 ± 8.0 years, respectively). Univariate correlation analysis was used to identify covariates. Analyses of covariance (ANCOVAs) and the Kruskal-Wallis test (IRD) were used to compare cohorts (α = .05). Results The LPP cohort had less total abdominal muscle thickness (LPP mean ± SD, 18.9 ± 3.0 mm; control, 20.3 ± 3.0 mm; ANCOVA adjusted for body mass index, P = .03), thicker PMCT (LPP, 5.5 ± 0.2 mm; control, 4.3 ± 0.2 mm; ANCOVA adjusted for body mass index, P = .007), and wider IRD (LPP, 11.5 ± 2.0 mm; control, 8.4 ± 1.8 mm; Kruskal-Wallis, P = .005). Analysis of individual muscle thickness revealed no difference in the external oblique, IO, and TrA, but a thinner RA in the LPP cohort (LPP mean ± SD, 7.8 ± 1.5 mm; control, 9.1 ± 1.2 mm; ANCOVA adjusted for body mass index, P<.001). Conclusion To our knowledge, this is the first study to investigate the morphological characteristics of all 4 abdominal muscles and PMCT in individuals with LPP. The results suggest that there may be altered loading of the PMCT and linea alba secondary to an altered motor control strategy involving a reduced contribution of the RA. Further, the change in RA and connective tissue morphology may be more evident than changes in external oblique, IO, and TrA thickness in persons with LPP. The causes and functional implications of these changes warrant further investigation, as does the role of the RA muscle in the development and persistence of LPP. J Orthop Sports Phys Ther 2013;43(1):11–19. Epub 16 November 2012. doi:10.2519/jospt.2013.4450

show abstract

“…20,27,28 Jansen et al 29 reported the resting thickness of the TrA is smaller in athletes with chronic groin pain and might require specific rehabilitative exercises. Wollin and Lovell 28 suggested that a rehabilitation program emphasize adductor and gluteal strength and endurance in association with 'inner core stability'.…”

Section: Individualized Rehabilitationmentioning

confidence: 99%

Individualized multi-modal management of osteitis pubis in an Australian Rules footballer

Jarosz

2011

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

Resting thickness of transversus abdominis is decreased in athletes with longstanding adduction-related groin pain

Cited by 21 publications

References 41 publications

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

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

Comparison of the Sonographic Features of the Abdominal Wall Muscles and Connective Tissues in Individuals With and Without Lumbopelvic Pain

Individualized multi-modal management of osteitis pubis in an Australian Rules footballer

Contact Info

Product

Resources

About