Review of Sport-Induced Groin Injuries

Sedaghati, Parisa; Alizadeh, Mohammad Hossein; Shirzad, Elham; Ardjmand, Alireza

doi:10.5812/traumamon.12666

Cited by 24 publications

(16 citation statements)

References 45 publications

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“…Previous investigations examining factors associated with sport‐related pain in the hip and groin region have typically focused on variables appertaining to the pelvis, hip, and torso 10,11,53 . We did not identify frontal plane changes indicative of reduced pelvis and thorax lateral tilt or lean after rehabilitation, despite both having previously been found with medium to large effect sizes (0.62 and 0.79) in a similar pre‐planned cutting maneuver, 14 and also did not identify any changes at the hip joint.…”

Section: Discussioncontrasting

confidence: 56%

Changes in the kinetics and kinematics of a reactive cut maneuver after successful athletic groin pain rehabilitation

Daniels

King

Richter

et al. 2020

Scandinavian Med Sci Sports

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Athletic groin pain (AGP) is a chronic, painful condition which is prevalent in players of field sports that require rapid changes of direction. Following successful rehabilitation, systematic changes have been observed in the kinetics and kinematics of pre‐planned change of direction maneuvers, providing insight into potential foci for rehabilitation monitoring and for the assessment of interventions. However, changing direction in field sports is often reactive rather than pre‐planned, and it is not known whether such post‐rehabilitation changes are seen in reactive maneuvers. We analyzed the stance phase kinetics and kinematics of a 90° reactive cutting maneuver in 35 AGP patients before and after a successful exercise intervention program. Following the intervention, transverse plane rotation of the pelvis toward the intended direction of travel increased, and the body center of mass was positioned more anteriorly relative to the center of pressure. Ankle dorsiflexion also increased, and participants demonstrated greater ankle plantar flexor internal moment and power during the second half of stance. These findings provide insight into mechanical variables of potential importance in AGP, as identified during a maneuver based on a common sporting task.

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Section: Discussioncontrasting

confidence: 56%

Changes in the kinetics and kinematics of a reactive cut maneuver after successful athletic groin pain rehabilitation

Daniels

King

Richter

et al. 2020

Scandinavian Med Sci Sports

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“…To implement preventive strategies, the identification of risk factors associated with groin injury occurrence is paramount. Previous studies of other sports (e.g., tennis, soccer, ice hockey, rugby or Australian Football), have related several extrinsic and intrinsic risk factors to an increased likelihood of developing groin injuries (Moreno-Pérez et al, 2017; Ryan, DeBurca & Mc Creesh, 2014; Sedaghati et al, 2013; Tyler et al, 2001). These include the level of competition or experience (Tyler et al, 2001), decreased range of hip abduction (ABD) and rotation (Arnason et al, 2004; Ibrahim, Murrell & Knapman, 2007), isometric adductor (ADD), muscle weakness and lower ADD/ABD strength ratios (Arnason et al, 2004; Engebretsen et al, 2010; Moreno-Pérez et al, 2017; Ryan, DeBurca & Mc Creesh, 2014; Tyler et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

The acute effect of match-play on hip range of motion and isometric strength in elite tennis players

Moreno-Pérez

Nakamura

Sánchez-Migallón

et al. 2019

PeerJ

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BackgroundGroin injuries are some of the most common injuries tennis players suffer. Several factors (e.g., post-match decrease in hip adductor (ADD) strength) have been proposed as possible mechanisms for increasing the incidence of this type of injury. However, the risk factors of developing groin injuries after a tennis match have not yet been delineated.ObjectiveThe aim of this study was to determine the effect of tennis match-play on isometric ADD and abductor (ABD) strength and passive hip range of motion (ROM).MethodsTwenty-six male tennis players (20.30 ± 4.98 years) took part in this study. Participants completed an evaluation of strength and flexibility hip measurements before and after a simulated tennis match. Dominant and non-dominant passive hip ROM, ADD and ABD isometric strength, and the ADD/ABD strength ratio were measured before and immediately post-match. A global positioning system (GPS) and a session rating of perceived exertion (RPE) were used to assess the locomotive demands and internal match load.ResultsIsometric dominant ADD strength (17.8%, p ≤ 0.01) and ADD/ABD strength ratio (11.6%, p = 0.04) were lower post-match compared to the pre-match values. No between-limbs differences were observed for isometric ADD strength, ABD strength, and passive hip ROM tests. RPE showed an expected increase between pre- vs. post-match (pre- vs. post-warming-up, 3.42 ± 2.08 vs. 5.62 ± 2.29, p < 0.01). In addition, a significant relationship between ADD strength and the volume of tennis practice per week was found, stablishing that tennis players with lower volume of training per week suffered a reduction in ADD strength in their dominant limb after match-play (r = 0.420, p = 0.04).ConclusionThe assessment of ADD strength and the ADD/ABD strength ratio in the dominant limb may be considered a post-match tool that can be used to identify players who require rest and additional recovery strategies before competing again.

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“…This increases the demand on the hips and adductor musculature to control for high acceleration and deceleration forces. 8 Understanding the physical requirements of each sport can help one appreciate the importance of maintaining a high adductor to abductor strength ratio. In a recent prospective study involving 110 athletes in various sports, Serner et al 9 found that kicking was the most common mechanism for acute groin injuries in soccer.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

“…With regard to timing of assessment, the preseason appears to have higher vulnerability to injury. Data exist showing that adductor strains were 20× more frequent during training camp compared with regular training, suggesting that training errors such as preseason deconditioned states and lower levels of sport-specific training play a role 4,8 The hip adductor/abductor strength ratio should also be used to help clinicians decide which athletes should participate in a strengthening intervention focused on reducing risk of adductor strains. In the second study reviewed in this critically appraised topic, Tyler et al 6 concluded that the preseason hip strengthening in professional ice hockey players who had adductor/abductor strength ratios less than 80% lowered the incidence of adductor strains compared with the previous season.…”

Section: <80%mentioning

confidence: 99%

Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic

Rodriguez¹

2020

Journal of Sport Rehabilitation

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Clinical Scenario: Ice hockey and soccer are both dynamic sports that involve continuous, unpredictable play. These athletes consistently demonstrate higher rates of groin strains compared with other contact sports. Measuring the hip adductor/abductor ratio has the potential to expose at-risk players, reduce injury rates, and preserve groin health in players with chronic strains. Focused Clinical Question: What is the clinical utility of measuring the hip adductor/abductor ratio for preseason and in-season ice hockey and soccer players? Summary of Key Findings: Three studies, all of which were prospective cohort designs, were included. One study involved assessing preseason strength and flexibility as a risk factor for adductor strains in professional ice hockey players. Another study performed with the same professional hockey team used preseason hip adductor/abductor strength ratios to screen for those players who would benefit from a strengthening intervention aimed at reducing the incidence of adductor strains. The final study, which was performed in elite U17 soccer players, assessed the effectiveness of monthly in-season strength monitoring as a guide to trigger in-season interventions to decrease injury incidence. Clinical Bottom Line: Measuring the hip adductor/abductor strength ratio in hockey and soccer players can be a beneficial preseason and in-season tool to predict future groin strain risk and screen for athletes who might benefit from a strengthening intervention. Strength of Recommendation: Level 3 evidence exists to support monitoring the hip adductor/abductor strength ratio to assess and reduce the risk of adductor strains in ice hockey and soccer players.

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Review of Sport-Induced Groin Injuries

Cited by 24 publications

References 45 publications

Changes in the kinetics and kinematics of a reactive cut maneuver after successful athletic groin pain rehabilitation

Changes in the kinetics and kinematics of a reactive cut maneuver after successful athletic groin pain rehabilitation

The acute effect of match-play on hip range of motion and isometric strength in elite tennis players

Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic

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