Nevin Fiona, Delahunt Eamonn
School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland.
School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland; Institute for Sport and Health, University College Dublin, Dublin, Ireland.
J Sci Med Sport. 2014 Mar;17(2):155-9. doi: 10.1016/j.jsams.2013.04.008. Epub 2013 May 15.
The objective of the present study was to investigate whether differences exist in adductor squeeze test values and hip joint range of motion between athletes with longstanding groin pain and injury-free controls.
Observational study with a case control design.
Eighteen Gaelic football players with current longstanding groin pain and 18 matched injury-free controls were assessed on their performance of the adductor squeeze test. Adductor squeeze test values were quantified using a sphygmomanometer. A fluid-filled inclinometer was used to assess hip joint internal and external rotation range of motion. A bent knee fall-out test was also utilised to examine hip joint range of motion.
A significant difference in adductor squeeze test values was observed between the control group (269 ± 25 mmHg) and longstanding groin pain group (202 ± 36 mmHg; p<0.01). Furthermore the longstanding groin pain group had a decreased bent knee fall-out (p<0.01) bilaterally, as well as decreased hip joint internal rotation (p<0.05) and hip joint external rotation (p<0.05) range of motion bilaterally when compared to the control group.
Gaelic football players with longstanding groin pain exhibit decreased adductor squeeze test values and hip joint range of motion when compared to non-injured players. These findings have implications for assessment and rehabilitation practices, as well as return to play criteria.
本研究的目的是调查长期存在腹股沟疼痛的运动员与无损伤对照组在收肌挤压试验值和髋关节活动范围方面是否存在差异。
采用病例对照设计的观察性研究。
对18名目前患有长期腹股沟疼痛的盖尔式足球运动员和18名匹配的无损伤对照组进行收肌挤压试验评估。使用血压计对收肌挤压试验值进行量化。使用充满液体的倾角仪评估髋关节内旋和外旋活动范围。还采用屈膝外展试验来检查髋关节活动范围。
对照组(269±25 mmHg)和长期腹股沟疼痛组(202±36 mmHg;p<0.01)之间收肌挤压试验值存在显著差异。此外,与对照组相比,长期腹股沟疼痛组双侧屈膝外展角度减小(p<0.01),双侧髋关节内旋(p<0.05)和髋关节外旋(p<0.05)活动范围也减小。
与未受伤的运动员相比,长期存在腹股沟疼痛的盖尔式足球运动员收肌挤压试验值和髋关节活动范围减小。这些发现对评估和康复实践以及重返比赛标准具有启示意义。