Sports Medicine Department, Sports Surgery Clinic, Dublin, Ireland.
School of Health and Human Performance, Dublin City University, Dublin, Ireland.
Am J Sports Med. 2021 Sep;49(11):2994-3003. doi: 10.1177/03635465211028981. Epub 2021 Aug 16.
BACKGROUND: Exercise-based rehabilitation targeting intersegmental control has high success rates and fast recovery times in the management of athletic groin pain (AGP). The influence of this approach on hip strength and lower limb reactive strength and how these measures compare with uninjured athletes (CON) remain unknown. Additionally, the efficacy of this program after return to play (RTP) has not been examined. PURPOSE: First, to examine differences in isometric hip strength, reactive strength, and the Hip and Groin Outcome Score (HAGOS) between the AGP and CON cohorts and after rehabilitation; second, to examine the relationship between the change in HAGOS and the change in strength variables after rehabilitation; last, to track HAGOS for 6 months after RTP. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A total of 42 athletes diagnosed with AGP and 36 matched controls completed baseline testing: isometric hip strength, lower limb reactive strength, and HAGOS. After rehabilitation, athletes with AGP were retested, and HAGOS was collected at 3 and 6 months after RTP. RESULTS: In total, 36 athletes with AGP completed the program with an RTP time of 9.8 ± 3.0 weeks (mean ± SD). At baseline, these athletes had significantly lower isometric hip strength (abduction, adduction, flexion, extension, external rotation: = 0.67 to -1.20), single-leg reactive strength (0.73), and HAGOS (0.74 to -0.89) as compared with the CON cohort. Hip strength ( = -0.83 to -1.15) and reactive strength (0.30) improved with rehabilitation and were no longer significantly different between groups at RTP. HAGOS improvements were maintained or improved in athletes with AGP up to 6 months after RTP, although some subscales remained significantly lower than the CON group (0.35 to -0.51). Two linear regression features (hip abduction and external rotation) explained 11% of the variance in the HAGOS Sports and Recreation subscale. CONCLUSION: Athletes with AGP demonstrated isometric hip strength and reactive strength deficits that resolved after an intersegmental control rehabilitation program; however, improved hip strength explained only 11% of improvement in the Sports and Recreation subscale. HAGOS improvements after pain-free RTP were maintained at 6 months.
背景：针对节段间控制的基于运动的康复在治疗运动性腹股沟疼痛（AGP）方面具有较高的成功率和较快的恢复时间。但这种方法对髋关节力量和下肢反应力量的影响以及这些指标与未受伤运动员（CON）的比较仍不清楚。此外，这种方案在重返赛场（RTP）后的效果尚未得到检验。
目的：首先，比较 AGP 组和 CON 组以及康复后的等长髋关节力量、反应力量和髋关节和腹股沟结局评分（HAGOS）的差异；其次，研究康复后 HAGOS 的变化与力量变量变化之间的关系；最后，跟踪 RTP 后 6 个月的 HAGOS。
研究设计：队列研究；证据水平，2 级。
方法：共 42 名被诊断为 AGP 的运动员和 36 名匹配的对照组完成了基线测试：等长髋关节力量、下肢反应力量和 HAGOS。AGP 运动员在康复后进行了重新测试，并在 RTP 后 3 个月和 6 个月时收集 HAGOS。
结果：共有 36 名 AGP 运动员完成了该方案，RTP 时间为 9.8 ± 3.0 周（平均值 ± 标准差）。在基线时，与 CON 队列相比，这些运动员的等长髋关节力量（外展、内收、前屈、后伸、外旋： = 0.67 至-1.20）、单腿反应力量（0.73）和 HAGOS（0.74 至-0.89）明显较低。髋关节力量（ = -0.83 至-1.15）和反应力量（0.30）在康复后有所改善，在 RTP 时两组间不再有显著差异。AGP 运动员的 HAGOS 改善情况在 RTP 后 6 个月内得到维持或改善，尽管一些亚量表仍明显低于 CON 组（0.35 至-0.51）。两个线性回归特征（髋关节外展和外旋）解释了 HAGOS 运动和娱乐子量表 11%的变异。
结论：AGP 运动员存在等长髋关节力量和反应力量缺陷，这些缺陷在节段间控制康复方案后得到解决；然而，髋关节力量的改善仅解释了 HAGOS 运动和娱乐子量表 11%的改善。疼痛缓解后重返赛场（RTP）的 HAGOS 改善在 6 个月时得到维持。
J Orthop Sports Phys Ther. 2020-5
Sports Med Open. 2021-12-19
Phys Ther Sport. 2021-11
Int J Environ Res Public Health. 2022-10-12
Knee Surg Sports Traumatol Arthrosc. 2022-6
Scand J Med Sci Sports. 2018-3-24
Zotero 插件
