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The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis

BACKGROUND: Groin pain is a common pathology among athletes, presenting pain and a reduced range of motion (ROM) as clinical characteristics. Passive physical therapy (PPT) and exercise therapy (ET) interventions are chosen firstly before surgery. The aim of this systematic review and meta-analysis...

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Autores principales: Lahuerta-Martín, Silvia, Robles-Pérez, Román, Hernando-Garijo, Ignacio, Jiménez-del-Barrio, Sandra, Hernández-Lázaro, Héctor, Mingo-Gómez, María Teresa, Ceballos-Laita, Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332077/
https://www.ncbi.nlm.nih.gov/pubmed/37430335
http://dx.doi.org/10.1186/s13102-023-00684-6
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author Lahuerta-Martín, Silvia
Robles-Pérez, Román
Hernando-Garijo, Ignacio
Jiménez-del-Barrio, Sandra
Hernández-Lázaro, Héctor
Mingo-Gómez, María Teresa
Ceballos-Laita, Luis
author_facet Lahuerta-Martín, Silvia
Robles-Pérez, Román
Hernando-Garijo, Ignacio
Jiménez-del-Barrio, Sandra
Hernández-Lázaro, Héctor
Mingo-Gómez, María Teresa
Ceballos-Laita, Luis
author_sort Lahuerta-Martín, Silvia
collection PubMed
description BACKGROUND: Groin pain is a common pathology among athletes, presenting pain and a reduced range of motion (ROM) as clinical characteristics. Passive physical therapy (PPT) and exercise therapy (ET) interventions are chosen firstly before surgery. The aim of this systematic review and meta-analysis was: (i) to qualitative review the effects of each non-surgical intervention; (ii) to quantitative compare the effects of PPTs plus ET intervention to ET in isolation in pain intensity, and hip ROM in athletes with groin pain. METHODS: A systematic review and meta-analysis was conducted. Pubmed, PEDro, Web of science, Scopus and Cochrane library were searched. Randomized controlled trials comparing PPT plus ET to ET interventions were included. The methodological quality and risk of bias of the included studies, were assessed with the PEDro scale and the Cochrane risk-of-bias tool. To assess the certainty of evidence the GRADEpro GDT was used. Meta-analyses were conducted using RevMan 5.4 using mean difference analysis to assess the variables pain intensity and hip ROM. RESULTS: A total of 175 studies was identified from the consulted databases. Five studies were included for systematic- review, from which three studies were meta-analyzed. The methodological quality of the included studies ranged from poor to high. ET compared to PPT plus ET provided statistically significant improvements in pain intensity in the short-term (MD = 2.45; 95% CI 1.11, 3.79; I(2) :65%). No statistically significant differences between interventions were obtained for hip ROM in the short-term. CONCLUSIONS: The qualitative review showed that PPTs plus ET and ET seem to have positive effects on pain intensity and hip ROM. The quantitative analysis found very low certainty of evidence proposing a positive effect in pain intensity for ET interventions based on hip muscles stretching, compared to PPT combined with ET, in the short-term. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13102-023-00684-6.
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spelling pubmed-103320772023-07-11 The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis Lahuerta-Martín, Silvia Robles-Pérez, Román Hernando-Garijo, Ignacio Jiménez-del-Barrio, Sandra Hernández-Lázaro, Héctor Mingo-Gómez, María Teresa Ceballos-Laita, Luis BMC Sports Sci Med Rehabil Research BACKGROUND: Groin pain is a common pathology among athletes, presenting pain and a reduced range of motion (ROM) as clinical characteristics. Passive physical therapy (PPT) and exercise therapy (ET) interventions are chosen firstly before surgery. The aim of this systematic review and meta-analysis was: (i) to qualitative review the effects of each non-surgical intervention; (ii) to quantitative compare the effects of PPTs plus ET intervention to ET in isolation in pain intensity, and hip ROM in athletes with groin pain. METHODS: A systematic review and meta-analysis was conducted. Pubmed, PEDro, Web of science, Scopus and Cochrane library were searched. Randomized controlled trials comparing PPT plus ET to ET interventions were included. The methodological quality and risk of bias of the included studies, were assessed with the PEDro scale and the Cochrane risk-of-bias tool. To assess the certainty of evidence the GRADEpro GDT was used. Meta-analyses were conducted using RevMan 5.4 using mean difference analysis to assess the variables pain intensity and hip ROM. RESULTS: A total of 175 studies was identified from the consulted databases. Five studies were included for systematic- review, from which three studies were meta-analyzed. The methodological quality of the included studies ranged from poor to high. ET compared to PPT plus ET provided statistically significant improvements in pain intensity in the short-term (MD = 2.45; 95% CI 1.11, 3.79; I(2) :65%). No statistically significant differences between interventions were obtained for hip ROM in the short-term. CONCLUSIONS: The qualitative review showed that PPTs plus ET and ET seem to have positive effects on pain intensity and hip ROM. The quantitative analysis found very low certainty of evidence proposing a positive effect in pain intensity for ET interventions based on hip muscles stretching, compared to PPT combined with ET, in the short-term. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13102-023-00684-6. BioMed Central 2023-07-10 /pmc/articles/PMC10332077/ /pubmed/37430335 http://dx.doi.org/10.1186/s13102-023-00684-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lahuerta-Martín, Silvia
Robles-Pérez, Román
Hernando-Garijo, Ignacio
Jiménez-del-Barrio, Sandra
Hernández-Lázaro, Héctor
Mingo-Gómez, María Teresa
Ceballos-Laita, Luis
The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
title The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
title_full The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
title_fullStr The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
title_full_unstemmed The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
title_short The effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
title_sort effectiveness of non-surgical interventions in athletes with groin pain: a systematic review and meta-analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332077/
https://www.ncbi.nlm.nih.gov/pubmed/37430335
http://dx.doi.org/10.1186/s13102-023-00684-6
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