TY - JOUR
T1 - Manual therapy and early return to sport in football players with adductor-related groin pain: A prospective case series
AU - Tak, Igor
AU - Langhout, Rob
AU - Bertrand, Bas
AU - Barendrecht, Maarten
AU - Stubbe, Janine
AU - Kerkhoffs, Gino
AU - Weir, Adam
PY - 2018
Y1 - 2018
N2 - Objectives: To study the clinical course including return to sport success rates of football players with adductor-related groin pain (ARGP) after manual therapy of the adductor muscles. Design: Prospective case series. Methods: Thirty-four football players with ARGP with median pre-injury Tegner scores of 9 (IQR 25–75: 9–9) were treated with manual therapy of the adductor muscles. Main outcome measures were numeric pain rating scale (NPRS), Hip and Groin Outcome Score (HAGOS) and global perceived effect (GPE) for treatment and patient satisfaction at 2, 6 and 12 weeks. Return to sport was documented. Results: Pain during (NPRS 7 (6–8) and after (NPRS 8 (6–8) sports decreased to NPRS 1 (0.2–3) and 1 (0.8–3), respectively (p < 0.001). Within 2 weeks 82% of the players returned to pre-injury playing levels with improved (p < 0.001) HAGOS subscale scores. Eighty-five percent reported clinically relevant improvement, 82% reported to be satisfied. At 12 weeks, 88% had returned to pre-injury playing levels. HAGOS showed symptoms were still present. Conclusion: Early return to sport seems possible and safe after manual therapy of the adductor muscles in football players with ARGP in the short term. While the majority of injured football players return to sport within two weeks, caution is advised regarding effectiveness as hip and groin symptoms were still present and no control groups were available.
AB - Objectives: To study the clinical course including return to sport success rates of football players with adductor-related groin pain (ARGP) after manual therapy of the adductor muscles. Design: Prospective case series. Methods: Thirty-four football players with ARGP with median pre-injury Tegner scores of 9 (IQR 25–75: 9–9) were treated with manual therapy of the adductor muscles. Main outcome measures were numeric pain rating scale (NPRS), Hip and Groin Outcome Score (HAGOS) and global perceived effect (GPE) for treatment and patient satisfaction at 2, 6 and 12 weeks. Return to sport was documented. Results: Pain during (NPRS 7 (6–8) and after (NPRS 8 (6–8) sports decreased to NPRS 1 (0.2–3) and 1 (0.8–3), respectively (p < 0.001). Within 2 weeks 82% of the players returned to pre-injury playing levels with improved (p < 0.001) HAGOS subscale scores. Eighty-five percent reported clinically relevant improvement, 82% reported to be satisfied. At 12 weeks, 88% had returned to pre-injury playing levels. HAGOS showed symptoms were still present. Conclusion: Early return to sport seems possible and safe after manual therapy of the adductor muscles in football players with ARGP in the short term. While the majority of injured football players return to sport within two weeks, caution is advised regarding effectiveness as hip and groin symptoms were still present and no control groups were available.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85054908065&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30307775
U2 - https://doi.org/10.1080/09593985.2018.1531096
DO - https://doi.org/10.1080/09593985.2018.1531096
M3 - Article
C2 - 30307775
SN - 0959-3985
VL - 24
SP - 1
EP - 10
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
IS - 6
ER -