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女子团体运动运动员的髋部和腹股沟问题:一项横断面研究。

Hip and Groin Problems in Female Team-Sport Athletes: A Cross-Sectional Study.

作者信息

Stadelmann Juan Diego, Reichmann Freddy, Franceschini-Brunner Romana, Mosler Andrea, Maffiuletti Nicola A, Bizzini Mario

机构信息

School of Health Professions, Institute of Physiotherapy ZHAW Zurich University of Applied Sciences.

Human Performance Lab Schulthess-Klinik.

出版信息

Int J Sports Phys Ther. 2024 Nov 1;19(11):1426-1438. doi: 10.26603/001c.123946. eCollection 2024.

DOI:10.26603/001c.123946
PMID:39502545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11534163/
Abstract

BACKGROUND

Hip and groin problems are common among team-sport athletes. However, few studies have been conducted in female athletes that have used the Doha Agreement classification system to categorize these problems.

PURPOSE

The purpose of this study was to examine the preseason point prevalence of hip and groin problems in elite female team-sport athletes. Secondary aims were to categorize the groin problems according to the Doha Agreement classification system and to explore the association between hip muscle strength and self-reported hip and groin function.

STUDY DESIGN

Cross-sectional study.

METHODS

Female athletes who participated in various sports underwent preseason assessment of isometric hip adduction and abduction strength, with pain levels recorded during respective contractions, and self-reported function on the Copenhagen Hip and groin Outcome Score (HAGOS). If any athlete reported current hip and groin problems during this screening assessment, a full, standardized clinical hip and groin examination was undertaken. These hip and groin problems were then categorized according to the Doha Agreement classification system. Comparisons between the participants with vs without hip and groin problems were made, and correlational statistics were used to examine relationships between strength and HAGOS scores.

RESULTS

Ninety-one elite female athletes from six different sports were included in the study. Thirteen athletes reported current hip and groin problems, with an overall prevalence rate of 14.3%. Iliopsoas-related groin pain was the most common category diagnosed, accounting for 58.8% of cases, followed by hip-related groin pain (17.6%), adductor-related (11.8%), and inguinal- and pubic-related pain (both 5.9%). No association was found between strength and function.

CONCLUSION

The hip and groin point prevalence in female athletes documented during preseason appears to be similar to those reported in male athletes. Iliopsoas-related groin pain was the most common clinical entity reported in female athletes in this study. There was no association between hip muscle strength and self-reported hip and groin function.

LEVEL OF EVIDENCE

3b.

摘要

背景

髋部和腹股沟问题在团队运动运动员中很常见。然而,很少有针对女性运动员的研究使用多哈协议分类系统对这些问题进行分类。

目的

本研究的目的是调查精英女子团队运动运动员季前赛时髋部和腹股沟问题的点患病率。次要目的是根据多哈协议分类系统对腹股沟问题进行分类,并探讨髋部肌肉力量与自我报告的髋部和腹股沟功能之间的关联。

研究设计

横断面研究。

方法

参加各种运动的女性运动员接受了等长髋内收和外展力量的季前评估,记录各自收缩时的疼痛程度,并根据哥本哈根髋部和腹股沟结果评分(HAGOS)自我报告功能。如果任何运动员在此次筛查评估中报告当前存在髋部和腹股沟问题,则进行全面、标准化的临床髋部和腹股沟检查。然后根据多哈协议分类系统对这些髋部和腹股沟问题进行分类。对有和没有髋部和腹股沟问题的参与者进行比较,并使用相关统计数据来检验力量与HAGOS评分之间的关系。

结果

来自六个不同运动项目的91名精英女性运动员纳入了本研究。13名运动员报告当前存在髋部和腹股沟问题,总体患病率为14.3%。髂腰肌相关的腹股沟疼痛是最常见的诊断类别,占病例的58.8%,其次是髋部相关的腹股沟疼痛(17.6%)、内收肌相关的疼痛(11.8%)以及腹股沟和耻骨相关的疼痛(均为5.9%)。未发现力量与功能之间存在关联。

结论

季前赛记录的女性运动员髋部和腹股沟点患病率似乎与男性运动员报告的患病率相似。本研究中,髂腰肌相关的腹股沟疼痛是女性运动员报告的最常见临床病症。髋部肌肉力量与自我报告的髋部和腹股沟功能之间没有关联。

证据水平

3b。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/615f/11534163/8d2775606630/ijspt_2024_19_11_123946_247016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/615f/11534163/8d2775606630/ijspt_2024_19_11_123946_247016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/615f/11534163/8d2775606630/ijspt_2024_19_11_123946_247016.jpg

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本文引用的文献

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Scand J Med Sci Sports. 2024 Apr;34(4):e14611. doi: 10.1111/sms.14611.
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Hip and groin pain in male field hockey players: Prevalence, incidence and associations with patient reported outcome scores and hip muscle strength.男性曲棍球运动员的髋部和腹股沟疼痛:患病率、发病率以及与患者报告的结局评分和髋部肌肉力量的关系。
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Pain provocation tests and clinical entities in male football players with longstanding groin pain are associated with pain intensity and disability.
对于长期腹股沟疼痛的男性足球运动员,疼痛激发试验与临床实体与疼痛强度和残疾有关。
Musculoskelet Sci Pract. 2023 Feb;63:102719. doi: 10.1016/j.msksp.2023.102719. Epub 2023 Jan 10.
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Scand J Med Sci Sports. 2023 Feb;33(2):189-196. doi: 10.1111/sms.14248. Epub 2022 Oct 29.
5
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