Esteve Ernest, Casals Marti, Saez Marc, Rathleff Michael Skovdal, Clausen Mikkel Bek, Vicens-Bordas Jordi, Hölmich Per, Pizzari Tania, Thorborg Kristian
Universtiy School of Health and Sport (EUSES), University of Girona, Girona, Catalunya, Spain
Sport and Physical Activity Studies Centre (CEEAF), Faculty of Medicine, University of Vic-Central University of Catalonia, Vic, Catalunya, Spain.
Br J Sports Med. 2022 May;56(9):484-489. doi: 10.1136/bjsports-2020-102606. Epub 2021 Mar 10.
We assessed past-season, pre-season and in-season risk factors to investigate their association with an in-season groin problem in male amateur football players.
Past-season groin-pain information and pre-season short-lever and long-lever adductor squeeze strength were obtained at baseline, together with anthropometrics (weight, lower limb lever length) and player age. In-season hip-related and groin-related sporting function was monitored every 4 weeks using the Sports and Recreation (Sport) subscale from the Hip And Groin Outcome Score questionnaire (HAGOS (Sport)). Groin problems, including time-loss groin injuries and groin pain irrespective of time loss, were collected over a 39-week competitive in-season. We estimated relative risk (RR), and 95% credibility interval (ICr) from logistic regressions fitted in a Bayesian framework.
Players (n=245) suffering from groin pain during the past-season had 2.4 times higher risk of experiencing a groin problem in the new season (2.40 RR; 95% ICr 1.5 to 3.7). This risk was reduced by 35% (0.65 RR; 95% ICr 0.42 to 0.99) per unit (N·m/kg) increase in the long-lever adductor squeeze test. Player age, short-lever squeeze test and the HAGOS (Sport) scores were not associated with the risk of a groin problem.
Past-season groin pain increased the risk of a groin problem in the new in-season. This risk was reduced by higher pre-season long-lever adductor squeeze strength. Past-season groin-pain information and long-lever adductor squeeze strength can be quickly obtained during pre-season to identify players with an elevated risk of in-season groin problems. This may be key to reduce these problems in the new season.
我们评估了上赛季、赛季前和赛季中的风险因素，以研究它们与男性业余足球运动员赛季中腹股沟问题的关联。
在基线时获取上赛季腹股沟疼痛信息、赛季前短杠杆和长杠杆内收肌挤压强度，以及人体测量数据（体重、下肢杠杆长度）和球员年龄。使用腹股沟和髋关节结果评分问卷（HAGOS（运动））中的运动与娱乐（Sport）子量表，每4周监测一次赛季中与髋关节和腹股沟相关的运动功能。在为期39周的赛季比赛期间收集腹股沟问题，包括导致停赛的腹股沟损伤和无论是否导致停赛的腹股沟疼痛。我们通过在贝叶斯框架下拟合的逻辑回归估计相对风险（RR）和95%可信区间（ICr）。
上赛季患有腹股沟疼痛的球员（n = 245）在新赛季出现腹股沟问题的风险高2.4倍（RR为2.40；95% ICr为1.5至3.7）。长杠杆内收肌挤压试验每增加一个单位（N·m/kg），该风险降低35%（RR为0.65；95% ICr为0.42至0.99）。球员年龄、短杠杆挤压试验和HAGOS（运动）评分与腹股沟问题风险无关。
上赛季腹股沟疼痛增加了新赛季腹股沟问题的风险。较高的赛季前长杠杆内收肌挤压强度可降低此风险。在赛季前可快速获取上赛季腹股沟疼痛信息和长杠杆内收肌挤压强度，以识别赛季中腹股沟问题风险升高的球员。这可能是减少新赛季这些问题的关键。
