Abstract:
BACKGROUND:Groin pain in athletes is frequent and many different treatment options have been proposed. The current level of evidence for the efficacy of these treatments is unknown. OBJECTIVE:Systematically review the literature on the efficacy of treatments for groin pain in athletes. METHODS:Nine medical databases were searched in May 2014. INCLUSION CRITERIA:treatment studies in athletes with groin pain; randomised controlled trials, controlled clinical trials or case series; n>10; outcome measures describing number of recovered athletes, patient satisfaction, pain scores or functional outcome scores. One author screened search results, and two authors independently assessed study quality. A best evidence synthesis was performed. Relationships between quality score and outcomes were evaluated. Review registration number CRD42014010262. RESULTS:72 studies were included for quality analysis. Four studies were high quality. There is moderate evidence that, for adductor-related groin pain, active exercises compared with passive treatments improve success, multimodal treatment with a manual therapy technique shortens the time to return to sports compared with active exercises and adductor tenotomy improves treatment success over time. There is moderate evidence that for athletes with sportsman's hernia, surgery results in better treatment success then conservative treatment. There was a moderate and inverse correlation between study quality and treatment success (p<0.001, r=-0.41), but not between study quality and publication year (p=0.09, r=0.20). CONCLUSIONS:Only 6% of publications were high quality. Low-quality studies showed significantly higher treatment success and study quality has not improved since 1985. There is moderate evidence for the efficacy of conservative treatment (active exercises and multimodal treatments) and for surgery in patients with adductor-related groin pain. There is moderate evidence for efficacy of surgical treatment in sportsman's hernia.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Serner A,van Eijck CH,Beumer BR,Hölmich P,Weir A,de Vos RJdoi
10.1136/bjsports-2014-094256subject
Has Abstractpub_date
2015-06-01 00:00:00pages
813issue
12eissn
0306-3674issn
1473-0480pii
bjsports-2014-094256journal_volume
49pub_type
杂志文章,评审abstract:OBJECTIVES:To determine the rate and type of injuries occurring to registered professional kickboxers in Victoria, Australia over a 16 year period. METHODS:Data describing all fight outcomes and injuries sustained during competition for the period August 1985 to August 2001 were obtained from the Victorian Professiona...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.5.448
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:To understand how device-measured sedentary behaviour and physical activity are related to all-cause mortality in older men, an age group with high levels of inactivity and sedentary behaviour. METHODS:Prospective population-based cohort study of men recruited from 24 UK General Practices in 1978-1980. In 2...
journal_title:British journal of sports medicine
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abstract:OBJECTIVE:To compare the results of hip arthroscopy in patients under the age of 25 with those over 25 years. DESIGN:From March 2006 until May 2010, data were collected on all patients who underwent hip arthroscopy for symptomatic intra-articular hip pathology. The patients were divided into two groups based on age (l...
journal_title:British journal of sports medicine
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abstract:BACKGROUND:The mechanism that causes pain in chronic Achilles tendinosis is not known. However, high resolution colour Doppler ultrasound has shown that neovascularisation may be involved. OBJECTIVE:To investigate if sclerosing the neovessels would affect the level of tendon pain. METHODS:The effect of colour Doppler...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.36.3.173
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:The introduction of shoulder pads has coincided with a rise in shoulder impact injuries in the game of rugby. In this study, the effect of shoulder pads on impact force attenuation was quantified. DESIGN:Four different commercially available shoulder pads were tested for material properties. Hard and soft ob...
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journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:To determine if the combination of aerobic and resistance exercise is superior to aerobic exercise alone for the health of obese children and adolescents. DESIGN:Systematic review with meta-analysis. DATA SOURCES:Computerised search of 3 databases (MEDLINE, EMBASE, and Cochrane Controlled Trials Registry). ...
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pub_type: 杂志文章,meta分析,评审
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abstract:OBJECTIVE:To evaluate and synthesise the literature on hip strength among patients with patellofemoral pain (PFP) to address the following: (1) differentiate between hip strength as a risk factor and associated deficit in PFP; (2) describe hip strength in men and women with PFP across different age ranges; (3) investig...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
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journal_title:British journal of sports medicine
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doi:10.1136/bjsm.2008.053645
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doi:10.1136/bjsm.2002.001990
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2010.072157
更新日期:2010-06-01 00:00:00
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doi:10.1136/bjsports-2011-090230
更新日期:2011-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,评审
doi:10.1136/bjsports-2012-091732
更新日期:2014-06-01 00:00:00
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更新日期:2006-04-01 00:00:00
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更新日期:2002-10-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2011-09-01 00:00:00
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