TY - JOUR
T1 - Progression of Strength, Flexibility, and Palpation Pain During Rehabilitation of Athletes With Acute Adductor Injuries
T2 - A Prospective Cohort Study
AU - Serner, Andreas
AU - Hölmich, Per
AU - Tol, Johannes L
AU - Thorborg, Kristian
AU - Lanzinger, Sean
AU - Otten, Roald
AU - Whiteley, Rodney
AU - Weir, Adam
N1 - Publisher Copyright: © 2021 Movement Science Media. All rights reserved.
PY - 2021/3
Y1 - 2021/3
N2 - • OBJECTIVE: To investigate the relationship between repeated clinical measures and the progression of rehabilitation of male athletes with acute adductor injuries. • DESIGN: Prospective observational cohort study. • METHODS: Male athletes with acute adductor injuries received a standardized criteria-based rehabilitation program with 4 repeated clinical measures during rehabilitation: the extent of palpation pain (length and width, in centimeters), the bent-knee fall-out test (BKFO; in centimeters), hip abduction range of motion (in degrees), and eccentric hip adduction strength (in Newton meters per kilogram). We analyzed the association between each clinical measure and the percent progression of rehabilitation until return to sport (RTS), divided into 2 RTS milestones: (1) clinically pain free, and (2) completion of controlled sports training. • RESULTS: The analyses included 61 male athletes for RTS milestone 1 and 50 athletes for RTS milestone 2, and 381 to 675 tests were performed for each clinical measure. The median time to RTS milestones 1 and 2 was 15 days (interquartile range, 12-29 days) and 24 days (interquartile range, 16-34 days), respectively. Each repeated clinical measure individually explained 13% to 36% of the variance in rehabilitation progression to the RTS milestones. The extent of palpation pain explained the highest variance of the progression of rehabilitation (R2= 0.26-0.27 for length and R2= 0.36 for width, P<.001). Eccentric adduction strength (R2= 0.19-0.27, P<.001) improved throughout rehabilitation, whereas the flexibility tests (BKFO, R2 = 0.13-0.15; P<.001 and hip abduction range of motion, R2= 0.19-0.21; P<.001) returned to normal values early in rehabilitation. • CONCLUSION: Repeated measures of adductor strength, flexibility, and palpation pain provided only a rough impression of rehabilitation progress following acute adductor injuries in male athletes. These clinical measures cannot define a precise recovery point during rehabilitation.
AB - • OBJECTIVE: To investigate the relationship between repeated clinical measures and the progression of rehabilitation of male athletes with acute adductor injuries. • DESIGN: Prospective observational cohort study. • METHODS: Male athletes with acute adductor injuries received a standardized criteria-based rehabilitation program with 4 repeated clinical measures during rehabilitation: the extent of palpation pain (length and width, in centimeters), the bent-knee fall-out test (BKFO; in centimeters), hip abduction range of motion (in degrees), and eccentric hip adduction strength (in Newton meters per kilogram). We analyzed the association between each clinical measure and the percent progression of rehabilitation until return to sport (RTS), divided into 2 RTS milestones: (1) clinically pain free, and (2) completion of controlled sports training. • RESULTS: The analyses included 61 male athletes for RTS milestone 1 and 50 athletes for RTS milestone 2, and 381 to 675 tests were performed for each clinical measure. The median time to RTS milestones 1 and 2 was 15 days (interquartile range, 12-29 days) and 24 days (interquartile range, 16-34 days), respectively. Each repeated clinical measure individually explained 13% to 36% of the variance in rehabilitation progression to the RTS milestones. The extent of palpation pain explained the highest variance of the progression of rehabilitation (R2= 0.26-0.27 for length and R2= 0.36 for width, P<.001). Eccentric adduction strength (R2= 0.19-0.27, P<.001) improved throughout rehabilitation, whereas the flexibility tests (BKFO, R2 = 0.13-0.15; P<.001 and hip abduction range of motion, R2= 0.19-0.21; P<.001) returned to normal values early in rehabilitation. • CONCLUSION: Repeated measures of adductor strength, flexibility, and palpation pain provided only a rough impression of rehabilitation progress following acute adductor injuries in male athletes. These clinical measures cannot define a precise recovery point during rehabilitation.
KW - Adduction strength
KW - Assessment
KW - Flexibility
KW - Groin pain
KW - Management
KW - Muscle strain
UR - http://www.scopus.com/inward/record.url?scp=85097800165&partnerID=8YFLogxK
U2 - https://doi.org/10.2519/jospt.2021.9951
DO - https://doi.org/10.2519/jospt.2021.9951
M3 - Article
C2 - 33115342
SN - 0190-6011
VL - 51
SP - 126
EP - 134
JO - Journal of orthopaedic and sports physical therapy
JF - Journal of orthopaedic and sports physical therapy
IS - 3
ER -