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《Copenhagen 内收练习对改善有腹股沟损伤足球运动员的离心性髋关节内收力量的效果:一项随机对照试验》

The effectiveness of the Copenhagen adduction exercise on improving eccentric hip adduction strength among soccer players with groin injury: a randomized controlled trial.

机构信息

Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Department of Physical Therapy, Ministry of Health, Aseer Region, Saudi Arabia.

出版信息

Phys Sportsmed. 2024 Oct;52(5):497-506. doi: 10.1080/00913847.2024.2321958. Epub 2024 Mar 1.


DOI:10.1080/00913847.2024.2321958
PMID:38376593
Abstract

INTRODUCTION: Groin injuries are common in soccer players and often involve adductor muscle strains. The Copenhagen Adduction Exercise (CAE) is a targeted intervention whose effectiveness in rehabilitation for these injuries warrants investigation. OBJECTIVE: To investigate the impact of a rehabilitation program, which includes the CAE, on eccentric hip adduction (EHAD) strength, hip joint range of motion (ROM), self-reported disability, and pain among soccer players with adductor-related groin pain. It was hypothesized that the addition of CAE to the rehabilitation program would yield greater improvements. METHODS: Employing a randomized controlled trial with a two-group parallel design, thirty male soccer players with a mean age of 26.4 ± 3.9 years were randomized into an intervention group (IG) including CAE ( = 15) and a control group (CG) without CAE ( = 15), based on a power analysis to ensure 80% power to detect significant differences. Both groups engaged in their respective rehabilitation programs twice a week for eight weeks. The primary outcome measured was EHAD strength, while secondary outcomes included hip joint ROM, self-reported disability measured by the Copenhagen Hip and Groin Outcome Score (HAGOS), and pain levels. RESULTS: Significant improvements within groups were observed across all measures ( < 0.001). The IG demonstrated a greater increase in EHAD strength (Mean Difference [MD] = 0.49 Nm/kg, 95% Confidence Interval [CI] [0.31, 0.66]), a more pronounced reduction in pain (MD = -1.60, 95% CI [-2.18, -1.02]), and betterment in all HAGOS subscale scores compared to the CG. There were no significant between-group differences in hip joint ROM. CONCLUSION: Incorporating the CAE into rehabilitation programs significantly improves EHAD strength, decreases pain scores, and reduces self-reported disability in soccer players with adductor-related groin pain. REGISTRATION: ClinicalTrials.gov identifier: NCT05589623.

摘要

简介:腹股沟损伤在足球运动员中很常见,通常涉及内收肌拉伤。哥本哈根内收肌练习(CAE)是一种针对性干预措施,其在这些损伤康复中的有效性值得研究。 目的:研究一种康复计划对离心性髋关节内收(EHAD)力量、髋关节活动范围(ROM)、自我报告的残疾和患有与内收肌相关的腹股沟疼痛的足球运动员的疼痛的影响。假设在康复计划中加入 CAE 会产生更大的改善。 方法:采用随机对照试验,两组平行设计,30 名年龄在 26.4±3.9 岁的男性足球运动员根据力量分析随机分为包括 CAE(n=15)的干预组(IG)和不包括 CAE(n=15)的对照组(CG),以确保 80%的功率来检测显著差异。两组每周进行两次各自的康复计划,共进行八周。主要测量的结果是 EHAD 力量,次要结果包括髋关节 ROM、由哥本哈根髋关节和腹股沟结局评分(HAGOS)测量的自我报告的残疾程度和疼痛水平。 结果:所有测量值均显示组内有显著改善(<0.001)。IG 在 EHAD 力量方面表现出更大的增加(平均差异 [MD] =0.49 Nm/kg,95%置信区间 [CI] [0.31,0.66]),疼痛明显减轻(MD=-1.60,95%CI[-2.18,-1.02]),与 CG 相比,HAGOS 所有子量表评分都有所改善。髋关节 ROM 两组间无显著差异。 结论:在康复计划中加入 CAE 可显著提高 EHAD 力量,降低疼痛评分,并降低与内收肌相关的腹股沟疼痛的足球运动员的自我报告残疾程度。 注册:ClinicalTrials.gov 标识符:NCT05589623。

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引用本文的文献

[1]
Athletes With Adductor-Related Groin Pain: A Narrative Review.

Cureus. 2024-9-4

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