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精英青少年足球运动员腹股沟疼痛综合征预防方案的有效性:一项前瞻性、随机、对照、单盲研究。

Effectiveness of a Preventative Program for Groin Pain Syndrome in Elite Youth Soccer Players: A Prospective, Randomized, Controlled, Single-Blind Study.

作者信息

Cotellessa Filippo, Puce Luca, Formica Matteo, May Maria Cesarina, Trompetto Carlo, Perrone Marco, Bertulessi Andrea, Anfossi Vittorio, Modenesi Roberto, Marinelli Lucio, Bragazzi Nicola Luigi, Mori Laura

机构信息

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy.

IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.

出版信息

Healthcare (Basel). 2023 Aug 22;11(17):2367. doi: 10.3390/healthcare11172367.


DOI:10.3390/healthcare11172367
PMID:37685401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10486402/
Abstract

Groin pain syndrome (GPS) is a prevalent issue in soccer. This study assessed the effectiveness of a new preventive protocol on GPS for youth soccer players. The protocol included targeted stretching and strengthening exercises for the adductor and core muscles from preseason to midseason. A questionnaire and two pain provocation tests were used for the evaluation. Mild GPS required positive results in at least two evaluations, while severe GPS was associated with pain incompatible with engagement in any activity confirmed by diagnostic ultrasound. Forty-two elite male athletes (aged 16.9 ± 0.7 years) participated in the study, with half of them assigned to the usual training (control group) and the remaining athletes undergoing the preventive protocol (treatment group) for 24 weeks. GPS rates were 14.3% (three diagnoses: two mild, one severe) in the treatment group and 28.6% (six diagnoses: three mild, three severe) in the control group. Toward the end of the season, three players, one from the treatment group and two from the control group had to stop playing due to severe GPS problems. In addition, one player in the control group stopped midseason. Even though the reduction in the risk of developing GPS was not significant (relative risk of 0.50 ([95%CI 0.14 to 1.74], = 0.2759), the halved incidence of severe GPS and the increased muscle strength related to the treatment ( = 0.0277) are encouraging data for future studies.

摘要

腹股沟疼痛综合征(GPS)是足球运动中普遍存在的问题。本研究评估了一种针对青少年足球运动员GPS的新预防方案的有效性。该方案包括从季前赛到赛季中期针对内收肌和核心肌肉进行有针对性的伸展和强化训练。使用问卷调查和两项疼痛激发试验进行评估。轻度GPS需要至少两项评估结果为阳性,而重度GPS与诊断超声确认的任何活动均不相容的疼痛相关。42名精英男性运动员(年龄16.9±0.7岁)参与了该研究,其中一半被分配到常规训练组(对照组),其余运动员接受预防方案(治疗组),为期24周。治疗组的GPS发生率为14.3%(3例诊断:2例轻度,1例重度),对照组为28.6%(6例诊断:3例轻度,3例重度)。赛季末,三名球员,一名来自治疗组,两名来自对照组,因严重的GPS问题不得不停止比赛。此外,对照组有一名球员在赛季中期停止比赛。尽管发生GPS的风险降低不显著(相对风险为0.50[95%CI 0.14至1.74],P = 0.2759),但重度GPS发生率减半以及与治疗相关的肌肉力量增加(P = 0.0277)是未来研究中令人鼓舞的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/22f4520b3627/healthcare-11-02367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/a31b43d03428/healthcare-11-02367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/0fbc5b385767/healthcare-11-02367-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/22f4520b3627/healthcare-11-02367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/a31b43d03428/healthcare-11-02367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/0fbc5b385767/healthcare-11-02367-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/10486402/22f4520b3627/healthcare-11-02367-g003.jpg

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引用本文的文献

[1]
Preventive Effect of Cross-motion Swing Exercise on Groin Pain in High School Male Soccer Players: A Cluster Randomized Controlled Trial.

Orthop J Sports Med. 2025-7-3

[2]
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Orthop J Sports Med. 2025-5-21

本文引用的文献

[1]
Soccer players show the highest seasonal groin pain prevalence and the longest time loss from sport among 500 athletes from major team sports.

Knee Surg Sports Traumatol Arthrosc. 2022-6

[2]
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Phys Ther Sport. 2022-5

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