Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial

A. Weir; J. A. C. G. Jansen; I. G. L. van de Port; H. B. A. van de Sande; J. L. Tol; F. J. G. Backx

doi:https://doi.org/10.1016/j.math.2010.09.001

Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial

A. Weir, J. A. C. G. Jansen, I. G. L. van de Port, H. B. A. van de Sande, J. L. Tol, F. J. G. Backx

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Research output: Contribution to journal › Article › Academic › peer-review

70 Citations (Scopus)

Abstract

A multi-modal treatment program (MMT) is more effective than exercise therapy (ET) for the treatment of long-standing adductor-related groin pain. Single blinded, prospective, randomised controlled trial. Athletes with pain at the proximal insertion of the adductor muscles on palpation and resisted adduction for at least two months. ET: a home-based ET and a structured return to running program with instruction on three occasions from a sports physical therapist. MMT: Heat, Van den Akker manual therapy followed by stretching and a return to running program. time to return to full sports participation. objective outcome score and the visual analogue pain score during sports activities. Outcome was assessed at 0, 6, 16 and 24 weeks. Athletes who received MMT returned to sports quicker (12.8 weeks, SD 6.0) than athletes in the ET group (17.3 weeks, SD 4.4. p = 0.043). Only 50-55% of athletes in both groups made a full return to sports. There was no difference between the groups in objective outcome (p = 0.72) or VAS during sports (p = 0.12). The multi-modal program resulted in a significantly quicker return to sports than ET plus return to running but neither treatment was very effective

Original language	English
Pages (from-to)	148-154
Journal	Manual therapy
Volume	16
Issue number	2
DOIs	https://doi.org/10.1016/j.math.2010.09.001
Publication status	Published - 2011

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https://doi.org/10.1016/j.math.2010.09.001

Cite this

@article{e9d0bf3a17664f989997be4b26c5cd34,

title = "Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial",

abstract = "A multi-modal treatment program (MMT) is more effective than exercise therapy (ET) for the treatment of long-standing adductor-related groin pain. Single blinded, prospective, randomised controlled trial. Athletes with pain at the proximal insertion of the adductor muscles on palpation and resisted adduction for at least two months. ET: a home-based ET and a structured return to running program with instruction on three occasions from a sports physical therapist. MMT: Heat, Van den Akker manual therapy followed by stretching and a return to running program. time to return to full sports participation. objective outcome score and the visual analogue pain score during sports activities. Outcome was assessed at 0, 6, 16 and 24 weeks. Athletes who received MMT returned to sports quicker (12.8 weeks, SD 6.0) than athletes in the ET group (17.3 weeks, SD 4.4. p = 0.043). Only 50-55% of athletes in both groups made a full return to sports. There was no difference between the groups in objective outcome (p = 0.72) or VAS during sports (p = 0.12). The multi-modal program resulted in a significantly quicker return to sports than ET plus return to running but neither treatment was very effective",

author = "A. Weir and Jansen, {J. A. C. G.} and {van de Port}, {I. G. L.} and {van de Sande}, {H. B. A.} and Tol, {J. L.} and Backx, {F. J. G.}",

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AU - Weir, A.

AU - Jansen, J. A. C. G.

AU - van de Port, I. G. L.

AU - van de Sande, H. B. A.

AU - Tol, J. L.

AU - Backx, F. J. G.

PY - 2011

Y1 - 2011

N2 - A multi-modal treatment program (MMT) is more effective than exercise therapy (ET) for the treatment of long-standing adductor-related groin pain. Single blinded, prospective, randomised controlled trial. Athletes with pain at the proximal insertion of the adductor muscles on palpation and resisted adduction for at least two months. ET: a home-based ET and a structured return to running program with instruction on three occasions from a sports physical therapist. MMT: Heat, Van den Akker manual therapy followed by stretching and a return to running program. time to return to full sports participation. objective outcome score and the visual analogue pain score during sports activities. Outcome was assessed at 0, 6, 16 and 24 weeks. Athletes who received MMT returned to sports quicker (12.8 weeks, SD 6.0) than athletes in the ET group (17.3 weeks, SD 4.4. p = 0.043). Only 50-55% of athletes in both groups made a full return to sports. There was no difference between the groups in objective outcome (p = 0.72) or VAS during sports (p = 0.12). The multi-modal program resulted in a significantly quicker return to sports than ET plus return to running but neither treatment was very effective

AB - A multi-modal treatment program (MMT) is more effective than exercise therapy (ET) for the treatment of long-standing adductor-related groin pain. Single blinded, prospective, randomised controlled trial. Athletes with pain at the proximal insertion of the adductor muscles on palpation and resisted adduction for at least two months. ET: a home-based ET and a structured return to running program with instruction on three occasions from a sports physical therapist. MMT: Heat, Van den Akker manual therapy followed by stretching and a return to running program. time to return to full sports participation. objective outcome score and the visual analogue pain score during sports activities. Outcome was assessed at 0, 6, 16 and 24 weeks. Athletes who received MMT returned to sports quicker (12.8 weeks, SD 6.0) than athletes in the ET group (17.3 weeks, SD 4.4. p = 0.043). Only 50-55% of athletes in both groups made a full return to sports. There was no difference between the groups in objective outcome (p = 0.72) or VAS during sports (p = 0.12). The multi-modal program resulted in a significantly quicker return to sports than ET plus return to running but neither treatment was very effective

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