Belhaj K, Meftah S, Mahir L, Lmidmani F, Elfatimi A
a Department of Physical Medicine and Rehabilitation , Ibn Rochd University Hospital , Casablanca , Morocco.
Eur J Sport Sci. 2016 Nov;16(8):1226-31. doi: 10.1080/17461391.2016.1164248. Epub 2016 Mar 28.
This study aims to compare the isokinetic profile of hip abductor and adductor muscle groups between soccer players suffering from chronic adductor-related groin pain (ARGP), soccer players without ARGP and healthy volunteers from general population. Study included 36 male professional soccer players, who were randomly selected and followed-up over two years. Of the 21 soccer players eligible to participate in the study, 9 players went on to develop chronic ARGP and 12 players did not. Ten healthy male volunteers were randomly selected from the general population as a control group. Comparison between the abductor and adductor muscle peak torques for players with and without chronic ARGP found a statistically significant difference on the dominant and non-dominant sides (p < .005), with the abductor muscle significantly stronger than the adductor muscle. In the group of healthy volunteers, the adductor muscle groups were significantly stronger than the abductor muscle groups on both dominant and non-dominant sides (p < .05). For the group of players who had developed chronic ARGP, abductor-adductor torque ratios were significantly higher on the affected side (p = .008). The adductor muscle strength was also significantly decreased on the affected side. This imbalance appears to be a risk factor for adductor-related groin injury. Therefore, restoring the correct relationship between these two agonist and antagonist hip muscles may be an important preventative measure that should be a primary concern of training and rehabilitation programmes.
本研究旨在比较患有慢性内收肌相关腹股沟疼痛（ARGP）的足球运动员、无ARGP的足球运动员以及普通人群中的健康志愿者之间髋外展肌和内收肌肌群的等速运动特征。研究纳入了36名男性职业足球运动员，他们被随机选取并随访了两年。在符合参与研究条件的21名足球运动员中，9名运动员后来患上了慢性ARGP，12名运动员未患病。从普通人群中随机选取了10名健康男性志愿者作为对照组。对患有和未患有慢性ARGP的运动员的外展肌和内收肌峰值扭矩进行比较，发现在优势侧和非优势侧均存在统计学上的显著差异（p < 0.005），外展肌明显强于内收肌。在健康志愿者组中，优势侧和非优势侧的内收肌肌群均明显强于外展肌肌群（p < 0.05）。对于已患上慢性ARGP的运动员组，患侧的外展肌 - 内收肌扭矩比显著更高（p = 0.008）。患侧的内收肌力量也显著下降。这种失衡似乎是内收肌相关腹股沟损伤的一个风险因素。因此，恢复这两组髋部拮抗肌和主动肌之间的正确关系可能是一项重要的预防措施，应成为训练和康复计划的首要关注点。
