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Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis

BACKGROUND: Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention. OBJECTIVE: Conduct a systematic review and meta-analysis of the literature on factors dif...

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Autores principales: Mosler, Andrea B, Agricola, Rintje, Weir, Adam, Hölmich, Per, Crossley, Kay M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484362/
https://www.ncbi.nlm.nih.gov/pubmed/26031646
http://dx.doi.org/10.1136/bjsports-2015-094602
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author Mosler, Andrea B
Agricola, Rintje
Weir, Adam
Hölmich, Per
Crossley, Kay M
author_facet Mosler, Andrea B
Agricola, Rintje
Weir, Adam
Hölmich, Per
Crossley, Kay M
author_sort Mosler, Andrea B
collection PubMed
description BACKGROUND: Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention. OBJECTIVE: Conduct a systematic review and meta-analysis of the literature on factors differentiating athletes with and without hip/groin pain. METHODS: The review was registered as PROSPERO CRD42014007416 and a comprehensive, systematic search was conducted in June 2014. Inclusion criteria were: cross-sectional, cohort or case–control study designs of n>10 that examined outcome measures differentiating athletes with and without hip/groin pain. Two authors independently screened search results, assessed study quality, and performed data extraction. Methodological heterogeneity was determined and data pooled for meta-analysis when appropriate. A best evidence synthesis was performed on the remaining outcome measures. RESULTS: Of 2251 titles identified, 17 articles were included of which 10 were high quality. Sixty two different outcome measures were examined, 8 underwent meta-analysis. Pooled data showed strong evidence that athletes with hip/groin pain demonstrated: pain and lower strength on the adductor squeeze test, reduced range of motion in hip internal rotation and bent knee fall out; however, hip external rotation range was equivalent to controls. Strong evidence was found that lower patient-reported outcome (PRO) scores, altered trunk muscle function, and moderate evidence of bone oedema and secondary cleft sign were associated with hip/groin pain. CONCLUSIONS: PROs, pain and reduced strength on the adductor squeeze test, reduced range of motion in internal rotation and bent knee fall out are the outcome measures that best differentiate athletes with hip/groin pain from those without this pain.
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spelling pubmed-44843622015-07-10 Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis Mosler, Andrea B Agricola, Rintje Weir, Adam Hölmich, Per Crossley, Kay M Br J Sports Med Review BACKGROUND: Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention. OBJECTIVE: Conduct a systematic review and meta-analysis of the literature on factors differentiating athletes with and without hip/groin pain. METHODS: The review was registered as PROSPERO CRD42014007416 and a comprehensive, systematic search was conducted in June 2014. Inclusion criteria were: cross-sectional, cohort or case–control study designs of n>10 that examined outcome measures differentiating athletes with and without hip/groin pain. Two authors independently screened search results, assessed study quality, and performed data extraction. Methodological heterogeneity was determined and data pooled for meta-analysis when appropriate. A best evidence synthesis was performed on the remaining outcome measures. RESULTS: Of 2251 titles identified, 17 articles were included of which 10 were high quality. Sixty two different outcome measures were examined, 8 underwent meta-analysis. Pooled data showed strong evidence that athletes with hip/groin pain demonstrated: pain and lower strength on the adductor squeeze test, reduced range of motion in hip internal rotation and bent knee fall out; however, hip external rotation range was equivalent to controls. Strong evidence was found that lower patient-reported outcome (PRO) scores, altered trunk muscle function, and moderate evidence of bone oedema and secondary cleft sign were associated with hip/groin pain. CONCLUSIONS: PROs, pain and reduced strength on the adductor squeeze test, reduced range of motion in internal rotation and bent knee fall out are the outcome measures that best differentiate athletes with hip/groin pain from those without this pain. BMJ Publishing Group 2015-06 /pmc/articles/PMC4484362/ /pubmed/26031646 http://dx.doi.org/10.1136/bjsports-2015-094602 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
Mosler, Andrea B
Agricola, Rintje
Weir, Adam
Hölmich, Per
Crossley, Kay M
Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
title Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
title_full Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
title_fullStr Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
title_full_unstemmed Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
title_short Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis
title_sort which factors differentiate athletes with hip/groin pain from those without? a systematic review with meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484362/
https://www.ncbi.nlm.nih.gov/pubmed/26031646
http://dx.doi.org/10.1136/bjsports-2015-094602
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