Tak Igor, Langhout Rob, Bertrand Bas, Barendrecht Maarten, Stubbe Janine, Kerkhoffs Gino, Weir Adam
Sports Rehabilitation and Manual Therapy, Physiotherapy Utrecht Oost , Utrecht, Netherlands.
Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam University Medical Center , Amsterdam, Netherlands.
Physiother Theory Pract. 2020 Sep;36(9):1009-1018. doi: 10.1080/09593985.2018.1531096. Epub 2018 Oct 11.
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.
Prospective case series.
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.
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 ( < 0.001). Within 2 weeks 82% of the players returned to pre-injury playing levels with improved ( < 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.
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.
研究内收肌相关腹股沟疼痛（ARGP）的足球运动员在接受内收肌手法治疗后的临床过程，包括恢复运动的成功率。
前瞻性病例系列研究。
对34名ARGP足球运动员进行内收肌手法治疗，受伤前Tegner评分中位数为9（四分位间距25-75：9-9）。主要结局指标为治疗2周、6周和12周时的数字疼痛评分量表（NPRS）、髋部和腹股沟结局评分（HAGOS）、整体感知效果（GPE）以及患者满意度。记录恢复运动的情况。
运动期间（NPRS 7（6-8））和运动后（NPRS 8（6-8））的疼痛分别降至NPRS 1（0.2-3）和1（0.8-3）（P<0.001）。2周内，82%的运动员恢复到受伤前的比赛水平，HAGOS子量表评分有所改善（P<0.001）。85%的人报告有临床相关改善，82%的人表示满意。12周时，88%的人恢复到受伤前的比赛水平。HAGOS显示症状仍然存在。
对于ARGP的足球运动员，短期内对内收肌进行手法治疗后早期恢复运动似乎是可能且安全的。虽然大多数受伤的足球运动员在两周内恢复运动，但由于髋部和腹股沟症状仍然存在且没有对照组，建议谨慎看待其有效性。
